Updated April 11, 2020 at 7:42 PM This report includes, but is not limited to, State Legislation and Executive Orders related to paid leave proposals, mandated business closures, appropriations for state responses to the outbreak and Executive actions such as the creation of task forces and declarations of emergency. Selected agency, regulatory and rulemaking actions are also included as they are announced or emerge. We are also identifying legislatures that are suspending activities as a result of this crisis. Additionally, on your website, please use: COVID-19 this report includes actions coming from the administrations of the 100 most-populated cities and State & Local Government Report counties in response to the COVID-19 outbreak. Updates are continuously being made to this Coronavirus report, please check back by visiting Stateside.com. Since the global outbreak of Coronavirus: ► Over 90 bills have been introduced in 29 states, Puerto Rico, and the District of Columbia on paid sick leave and worker protections as well as appropriations requests. ► Over 290 executive actions have been issued in 50 states, Puerto Rico, the District of Columbia, Guam, and the Virgin Islands related to declarations of states of emergency, school closures, prohibition of mass gatherings, retail and business closures and restrictions, and stay at home orders. Over 810 executive actions have been issued in total. ► 20 state task forces have been established by 13 governors. ► Over 25 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. ► 69 legislative chambers have either temporarily adjourned, moved to virtual meetings, or announced an early recess or sine die. About Stateside Stateside Associates is the leader in state and local government affairs. Since 1988, Stateside has offered its clients a broad range of state and local advocacy support, personalized legislative, regulatory and local government monitoring services and access to a wealth of public and private sector relationships and lobbyist support across the 50 states, District of Columbia and Puerto Rico. For more information please visit us at Stateside.com. COVID-19 Updated 4/11/2020 | 7:39 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 Alabama Legislature has adjourned until April 28. N/A Adjourns Alabama Regulatory Action Department of Active The Department of Health has issued an emergency rule amending existing rules to define 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. Emergency Rule COVID-19 must be reported to the County or State Health Department by telephone within 4 hours of presumptive diagnosis. 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 Emergency Rule must prohibit visitation of all visitors, as defined by the facility, and non-essential health care personnel. 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 Emergency Rule students that are currently enrolled in approved nursing schools and employed as nursing aides in licensed healthcare facilities. Alabama Regulatory Action State Board of Active Medical Examiners and Medical The Board has issued an emergency related to emergency certificate of qualification by Licensure endorsement and emergency. The rules are intended to allow for expedited issuance of Commission certificates of qualification to qualified physicians. Emergency Rule Alabama Regulatory Action State Board of Active Medical Examiners The State Board of Medical Examiners has issued an emergency order that allows physician assistant applicants who satisfy the to receive an emergency license to practice as a physician Emergency Rule assistant. For the Latest Report Visit Page 1 of 71 www.stateside.com COVID-19 Updated 4/11/2020 | 7:39 PM Local, Legislative, Executive and Regulatory Report State Type of Action Action Summary Status Board of The Board issued an emergency rule that states that only during the State of Emergency as Pharmacy declared by the Governor of the State of Alabama, in response to COVID-19, the Board will allow Alabama Regulatory Action Effective pharmacists to process emergency prescription refills for a 30-day supply of maintenance Emergency Rule medications. Board of Pharmacy The Board adopted emergency amendments related to pharmacy off site order entry. The Alabama Regulatory Action Effective amendments maintain continuity of care during the COVID-19 State of Emergency. Emergency Rule Medicaid Agency The Agency adopted an emergency rule that adds language which states that during the State of Alabama Regulatory Action Emergency due to the COVID-19 pandemic, Medicaid recipient signatures are not required in Effective Emergency Rule cases where the provider has discontinued signature capture due to health concerns. Medicaid Agency The Agency adopted an emergency rule that provides that during the State of Emergency due to Alabama Regulatory Action COVID-19, telephone use may be covered for telehealth/telemedicine, as described in Chapter 28 Effective Emergency Rule of the Alabama Agency's Provider Billing Manual. 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