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`Case 2:24-cv-02237-TLP-atc Document1-3 Filed 04/16/24 Pa
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`_ Current Status: Active
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`PolicyStat ID: 10509247
`08/2021
`10/2021
`
`Origination:
`Effective:
`
`Last Approved:
`Last Revised:
`
`Ve. Methodist Next Review:
`| ys LeBonheurHealthcare
`
`10/2021
`10/2021
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`10/2024
`
`RelationsSpecialist
`
`
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`sm6Owner: Heather Ashley: Associate
`
`Area:
`HR Operations
`References:
`Applicability:|Methodist Le Bonheur System-
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`wide Documents (All Sites)
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`COVID-19 Vaccination for MLH Associates and
`Providers
`
`
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`~COVID-19 Vaccination for MLH Associates and
`Providers
`| PURPOSE:
`
`To promote a healthy and safe environment for our patients, families, Associates and guests, this COVID-19
`Vaccination Policy ('Policy") sets forth the requirements for Methodist Le Bonheur Healthcare (IMLH) response
`to the continued risks of COVID-19. This Policy is applicable to all employed Associates of MLH, including
`newly hired Associates. This policy also applies to credentialed providers and allied health caregivers working
`in an MLH ownedorleasedfacility.
`
`POLICY:
`
`This Policy outlines the proceduresthat will guide us in our efforts to minimize the spread of COVID-19.
`
`COVID-19 Vaccination Required
`MLHrequires all MLH Associates, Providers and Allied Health Caregivers to receive the COVID-19 vaccine
`as a condition of employment and appointment. MLH will provide the COVID-19 vaccine at no cost according
`to published recommendations from the CDC andthe local Health Department. MLH will provide reasonable
`time off and paid leave for Associates to receive COVID-19 vaccination doses during working hours.
`Associate Responsibilities
`1. All MLH Associates, providers and allied health caregivers are required to receive the COVID-19 vaccine.
`We encourage obtaining the vaccine from an MLHfacility. We will also accept written documentation, such as
`a vaccination card, if vaccination was obtained elsewhere. If written documentation is not available, proof of
`vaccination may be obtained through the applicable State database with the individual's release.
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`2. MLH Associates providers and allied health caregivers are responsible for ensuring the appropriate vaccine
`documentation is provided for compliance. This information shall be provided by the established deadline.
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`EXHIBIT
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`

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`Exemptions
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`1. Medical Exemptions:
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`Exemptions to the required vaccine may be granted for certain medical reasons. Associates requesting
`exemption based on medical reasons must submit to Associate Health an exemption request form completed
`by the Associate's treating physician. The form must include the following information:
`
`* Associate's name and SAP ID Number or Provider's name and Cactus ID
`* Printed nameoftreating physician
`* Signature of the treating physician and date signed
`* Documentation andidentification of the personal health condition that prevents the individual from taking
`the COVID-19 vaccine
`
`Exemption request forms will be reviewed to ensure all necessary criteria is met for a health related need.
`Exemptions must be requested according to the due date communicated and grantedprior to the established
`vaccination deadline.
`
`2. Religious Exemptions:
`
`Exemptions to the vaccination requirement may be granted due to religious reasons. MLH Associates
`requesting exemption based on religious reasons must submit to Associate Health a completed exemption
`request form explaining the religious belief/practice that conflicts with the vaccination requirements.
`Exemption request forms will be reviewed to ensure all necessarycriteria is met for a religious exemption.
`Exemptions must be requested according to the due date communicated and granted prior to the established
`vaccination deadline.
`
`Exemption Requests That Cannot be Accommodated
`
`Due to the heightenedrisk of infection from the Delta variant of COVID-19 and the low rate of vaccination
`amongthe populations in Eastern Arkansas, North Mississippi, and West Tennessee that we serve, MLH may
`not be able to accommodate requests for exemptions by Associates in positions due to the undue hardships
`imposed by such accommodations.
`
`Associates whose exemption requests cannot be accommodatedwill be placed on an unpaid LOAfor 30
`days. Becausethis leave is unpaid, and associates may not use available PTO orpaid sick leave during this
`period, associates who are covered by the MLH health plan will be responsible for paying their full health
`insurance premium, including the employer portion, during this LOA. During this LOA, the associate has an
`opportunity to engagein the interactive process with MLH to determineif there are any other reasonable
`accommodations that may be made. If MLH determines that no reasonable accommodationis available that
`would enable unvaccinated associate to safely work in the MLHfacilities, the Associate's employmentwill be
`terminated.
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`Compliance
`
`1. The COVID-19 vaccination or approved medical or religious exemption is required by MLH asa condition of
`employment. Associates whofail to receive the vaccine or obtain an approved exemptionprior to the
`established deadline will be subject to discipline up to and including termination of employment.
`
`2. All providers mustsatisfy criteria to maintain ongoing appointment and/orclinical privileges, including
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`caregivers mustsatisfy the requirement to maintain an ongoing position.
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`3. If an Associate is on a leave of absence (LOA)at the time of the required vaccination, they must meet the
`requirementsofthis policy for the first dose of the vaccine within 10 days of their return to work. The second
`_ dose will be due within 30 days ofthe first dose.
`
`4. All candidates who accept an offer of employment with MLH, as a condition of employment,will be required
`to receive the COVID-19 vaccine. Should the new Associate decline to receive the vaccine for reasons other
`than an approved medical orreligious exemption, the offer of employmentwill be rescinded. Associates may
`begin work with the first dose of the COVID-19 vaccine and must obtain the second dose within 30 days.
`- This Policy is essential to helping our patients, families and the community to reduce the spread of COVID-19,
`especially to those mostat risk. As Associates, our values place usin a position of responsibility to protect
`those we serve and work with, to the best of our ability.
`
`| Attachments
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`wrkout
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`image1.jpeg
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`_ Approval Signatures
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`Approver
`
`Jennifer Lamont: Document Control Manager
`| Heather Ashley: Associate Relations Specialist
`
`Date
`
`10/2021
`10/2021
`
`_ Applicability
`
`*Methodist Le Bonheur Healthcare, LAB ONLY- Le Bonheur Children's Hospital, LAB ONLY - Methodist Le
`Bonheur Germantown, LAB ONLY- Methodist Le Bonheur Healthcare, LAB ONLY - Methodist North, LAB ONLY-
`Methodist Olive Branch, LAB ONLY- Methodist South, LAB ONLY- Methodist University
`
`