As of 4/7/2020 6:17 PM COVID-19 2020 State & Local Government Report Legislative, Executive, Regulatory, and Local Status* Since the global outbreak of coronavirus: ► Over 90 bills have been introduced in 25 states, Puerto Rico, and the District of Columbia on paid sick leave and worker protections as well as appropriations requests. ► Over 460 executive actions have been issued in 50 states, Puerto Rico, the District of Columbia, Guam, and the Virgin Islands. These executive actions include but are not limited to declarations of states of emergency, school closures, prohibition of mass gatherings, retail and business closures, and stay at home orders. ► 20 task forces have been established by 13 governors. ► Over 30 states and the District of Columbia have issued emergency regulations on a number of issues including but not limited to insurance carriers, labor and wage, and medical licensure. ► 62 legislative chambers have either temporarily adjourned, moved to virtual meetings, or announced an early recess or sine die. Additionally, this report includes actions coming from the administrations of the 100 most-populated cities and counties. *This report will be updated as the situation develops. COVID-19 Updated 4/7/2020 | 6:20 PM Local, Legislative, Executive and Regulatory Report State Type of Action Action Summary Status Executive Governor Kay Ivey (R) declared a state of emergency in response to COVID-19. The order makes Alabama Executive Action Active Proclamation changes to standards of care. The order prohibits price gouging. Governor Kay Ivey (R) has expanded the scope of practice for certain healthcare professionals; Executive directed various Boards to adopt emergency rules related to practice by out-of-state healthcare Alabama Executive Action Active Proclamation practitioners; expanded capacity of healthcare facilities; required shareholder meetings to be reduced; and more. Refer to order. Executive Alabama Executive Action Governor Kay Ivey (R) has extended the tax deadline to July 15. Active Proclamation Executive Alabama Executive Action Governor Kay Ivey (R) has postponed the upcoming primary runoff election to July 14. Active Proclamation Executive Governor Kay Ivey (R) has temporarily authorized DOT to suspend rules surrounding motor Alabama Executive Action Active Proclamation carriers. Executive Alabama Executive Action Governor Kay Ivey (R) has temporarily suspended evictions. Active Proclamation Governor Kay Ivey (R) and the State Health Officer have ordered entertainment venues, athletic facilities, close-contact service providers, furniture stores, clothing and shoe stores, department stores, book stores, and more to close. Refer to link. Retail Closure; Mass Gatherings - Alabama Executive Action The order ceases non-emergency medical and dental procedures. Active Executive Directive The order prohibits gatherings of 10 or more people. The order closes all on-premise dining facilities. Take-out and delivery are available. Governor Kay Ivey (R) announced that K-12 schools will be closed for the remainder of the school Alabama Executive Action School Closures Active year. Governor Kay Ivey (R) has issued a Stay At Home Order. Non-essential businesses must close. Stay Home Order; Essential businesses include healthcare operations; critical infrastructure; food establishments; Non-Essential media; critical manufacturing; certain professional services; all sectors on the U.S. Department of Alabama Executive Action Business Closure - Active Homeland Security CISA list; and more. Refer to Order. Executive Directive Essential businesses remaining open must limit occupancy to no more than 50%; implement social distancing protocols; and comply with the CDC's sanitation guidelines. Appropriates $5 million from the General Fund to the Department of Public Health to be used for Alabama Legislative Action HB 186 Enacted Coronavirus response and preparedness activities. Legislature Alabama Legislative Action Temporarily The Legislature has adjourned until April 28. N/A Adjourns Alabama Regulatory Action Department of The Department of Health has issued an emergency rule amending existing rules to define Active Public Health "definitive care facility" as a facility that has the capability to render care to conclusively manage a patient's current medical condition. Emergency Rule Alabama Regulatory Action Department of The Department of Public Health has issued an emergency order to add "COVID-19 from Active Public Health providers and all Severe Acute Respiratory Syndrome-associated Coronavirus test results from laboratories" to the list of immediate, extremely urgent disease and condition list in Appendix I. COVID-19 must be reported to the County or State Health Department by telephone within 4 hours of presumptive diagnosis. Emergency Rule Alabama Regulatory Action Department of The Department adopted an emergency rule that states that all non-work related gatherings of 25 Active Public Health people or more are prohibited. The rule states that the order does not apply to first responders, licensed healthcare professionals, and their essential employees. The rule states that all hospitals must prohibit visitation of all visitors, as defined by the facility, and non-essential health care personnel. Emergency Rule Alabama Regulatory Action Board of Nursing The Board of Nursing has adopted an emergency order that states that for the entirety of the Active public health emergency, a licensed nurse may delegate particular nursing activities to nursing students that are currently enrolled in approved nursing schools and employed as nursing aides in Emergency Rule licensed healthcare facilities. Alabama Regulatory Action State Board of The Board has issued an emergency related to emergency certificate of qualification by Active Medical Examiners endorsement and emergency. The rules are intended to allow for expedited issuance of and Medical certificates of qualification to qualified physicians. Licensure Commission Emergency Rule Text highlighted in yellow indicates new information For the Latest Report Visit Page 1 of 66 www.stateside.com COVID-19 Updated 4/7/2020 | 6:20 PM Local, Legislative, Executive and Regulatory Report State Type of Action Action Summary Status Alabama Regulatory Action State Board of The State Board of Medical Examiners has issued an emergency order that allows physician Active Medical Examiners assistant applicants who satisfy the to receive an emergency license to practice as a physician assistant. Emergency Rule School Closure – Governor Mike Dunleavy (R) has closed state libraries, museums, archives, and residential Alaska Executive Action Governor’s Health Active schools. Mandate 002 Governor Mike Dunleavy (R) has ordered all bars, breweries, restaurants, food and beverage kiosks or trucks, and other establishments serving food or beverages to stop on-premise dining. Take-out and delivery is available. Retail Closure - Alaska Executive Action Governor’s Health Active All entertainment facilities shall be closed to the public, including theaters, gyms and fitness Mandate 003 centers, bowling alleys, and bingo halls. Governor’s Health Governor Mike Dunleavy (R) has ordered a travel restriction on people that have traveled to areas Alaska Executive Action Active Mandate 004 of widespread, ongoing community spread. Refer to order. Governor Mike Dunleavy (R) has required all patients, providers, hospitals and surgical centers to Governor’s Health postpone or cancel all non-urgent or elective procedures for three months to decrease the overall Alaska Executive Action Mandate 005 and impact on the Alaska health care structure and preserve personal protective equipment. The Active 006 governor has also required elective oral health care procedures to be postponed for a period of one month. Governor Mike Dunleavy has ordered the closure of all personal care businesses where the Retail Closures; customers are within six feet of each other. This order includes hair salons, day spas, nail salons, Mass Gatherings - Alaska Executive Action and tattoo parlors. Active Governor's Health Mandate 007 This order also prohibits gathers of more than 10 people. School Closure; Alaska Executive Action Governor’s Health Governor Mike Dunleavy (R) has ordered all public and private schools to close through May 1. Active Mandate 008 Retail Closure; Governor Mike Dunleavy (R) has ordered salons, spas, nail salons, barber shops, tattoo shops, Mass Gatherings - massage shops, and tanning facilities to close. Alaska Executive Action Active Governor’s Health Mandate 009 The order prohibits gatherings of 10 or more people. Retail Closure; Governor Mike Dunleavy (R) has ordered all people arriving in Alaska, whether resident, worker or Alaska Executive Action Governor’s Health Active visitor, are required to self-quarantine for 14 days and monitor for illness. Mandate 010 Stay At Home Governor Mike Dunleavy (R) has issued a Stay At Home Order. Non-essential businesses must Order; Non- close. Essential Business Alaska Executive Action Active Closure - Essential businesses include healthcare operations; critical infrastructure; public safety; gas Governor’s Health stations; media; transit; food stores; hardware stores; laundromats; and more. Refer to list. Mandate 011 Governor Mike Dunleavy (R) has prohibited all in-state travel between communities, whether Governor’s Health Alaska Executive Action resident, worker, or visitor, unless travel is to support critical infrastructure, or for critical personal Active Mandate