Puerto Rico: COVID-19 Boosters Required for Workers in Healthcare, Educational Settings

Amidst growing constructive COVID-19 instances in Puerto Rico, Governor Pedro R. Pierluisi has issued an govt order requiring these working in healthcare and schooling settings to get vaccinated and boosted. Coated people should get a COVID-19 booster shot on or earlier than January 15, 2022.

Govt Order 2021-082 applies to “employees or people working on healthcare setting facilities (including, but not limited to hospitals, clinical laboratories, emergency rooms, medical services clinics, health centers, primary care physician and specialists offices, therapy centers, blood banks, pharmacies, nursing homes and medical cannabis dispensaries), regardless of their duties” and “teaching and non-teaching staff, as well as contractors working in schools, educational centers and universities, public or private.”

In keeping with the Govt Order, people are eligible for the booster shot, in the event that they had been both:

  • Vaccinated in opposition to COVID-19 utilizing any of the two-dose FDA-approved or licensed vaccines and 6 months have handed after their final dose

  • Vaccinated in opposition to COVID-19 utilizing the one-dose FDA-authorized vaccine and two months have handed since their dose

People who will not be eligible to get a booster shot as of the issuance of Govt Order 2021-082 (December 22), due to a medical situation or another cause, should get their booster shot inside 30 days after they turn out to be eligible to take action.


Exceptions are supplied for medical and non secular causes.

Staff (together with contractors in the academic settings) qualifying for such exceptions should get examined for COVID-19 no less than each seven days utilizing an FDA-approved PCR or antigen take a look at. The FDA-approved PCR or antigen take a look at should be processed by a certified healthcare supplier.

Staff (together with contractors in the academic settings) in search of an exception on medical or non secular grounds should present their employer or principal with a unfavourable consequence no less than each seven days.

As a substitute, such particular person can submit a constructive COVID-19 take a look at consequence obtained in the course of the 90 days previous to the submission, together with proof of restoration, together with a letter from an authorized healthcare supplier or a authorities well being official certifying the person has absolutely recovered and is able to seem in public locations.

To qualify for a medical exception, workers (or contractors, when relevant) should display that their immune system is compromised, that they’re allergic to the vaccine, or that there’s one other medical contraindication that stops them from getting the vaccine or booster. A doctor duly licensed to follow medication in Puerto Rico should certify the situation. The doctor additionally should point out the length of the medical contraindication and its length (momentary or everlasting). If momentary, the worker should acquire the booster shot as soon as the contraindication ceases to exist.

To qualify for a non secular exception, workers (or contractors, when relevant) should submit a certification — their very own or together with their non secular chief — explaining they might not obtain the COVID-19 vaccine due to their sincerely held non secular beliefs, practices, or observances. The certification should embody: (1) the character of their objection; (2) an evidence as to how complying with the vaccination requirement creates a considerable burden or conflicts with their sincerely held non secular beliefs, practices, or observances; (3) the period of time they’ve held their sincerely held non secular beliefs, practices, or observances; (4) the forms of vaccines they object to; and (5) if they’ve obtained another vaccines not too long ago. The exception is not going to be supplied for private, social, financial, or political causes.

Employer Obligations

It’s the healthcare employer’s or academic director’s (or their delegated particular person’s) accountability to request from workers (or contractors, when relevant) a COVID-19 Vaccination File Card, Vacu-ID, or another doc displaying they’re absolutely vaccinated and obtained a booster shot.

When an exception is relevant, the healthcare employer or academic director should request the unfavourable take a look at or constructive take a look at outcomes, together with proof of restoration. Staff (together with contractors, when relevant) should submit the required proof, however could present a digital copy of their immunization document quite than a bodily one.

For requests for a non secular exception, employers should presume the worker’s request relies on sincerely held beliefs, practices, or observances and should request extra data. The employer, nevertheless, could not query the reasonableness of such beliefs, practices, or observances.


Staff who don’t adjust to the necessities for vaccination or an exception could not work bodily at their place of employment. Employers could permit such workers to take all relevant leaves, if any.

For contractors working in the academic sector, failure to adjust to the vaccination or exceptions necessities will forestall them from working bodily on the contractor’s place of job and, for authorities contractors, could consequence in the cancellation of their contract.

Apart from establishing these necessities for healthcare and academic settings, Govt Order 2021-082 clarifies that “multitudinous activity” in a previous executive order means a gathering of no less than 500 individuals. All outside or indoor areas holding multitudinous actions (together with theaters, amphitheaters, stadiums, coliseums, conference, and exercise facilities) should require all attendees to supply proof of vaccination and a unfavourable COVID-19 take a look at consequence, as defined in Part 1(a) of EO-2021-81.

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