FEB 04, 2022

Attorney General Alan Wilson continues to fight healthcare worker vaccine mandate in new filing

(COLUMBIA, S.C.) – Attorney General Alan Wilson is continuing the fight to protect South Carolina healthcare workers and their patients and employers from the Biden administration’s COVID-19 vaccination mandate. In a new action filed today, Attorney General Wilson and 15 other attorneys general ask a federal judge to once again block the federal government from enforcing the mandate in their respective states before it goes into effect. 

The unlawful mandate for facilities that receive Medicare or Medicaid funding from the U.S. Department of Health and Human Services is “causing havoc in the healthcare labor market” across the nation – especially in rural communities – and does not account for the pandemic’s changing circumstances.  

“This administration should be celebrating healthcare workers for their sacrifices in the face of a pandemic. Instead, they continue to force a solution based on control and not based on science,” Attorney General Wilson said. “We need to do everything we can to support healthcare workers and keep them on the job at overworked and understaffed nursing homes and hospitals.”

The filing is the latest in the ongoing case against President Biden’s vaccine mandate for healthcare workers. It seeks to stop the federal government from enforcing the mandate in South Carolina before the February 14 deadline, by which workers at covered facilities must have received a first dose of a COVID-19 vaccine or have a pending or approved application for an exemption. 

According to data published by the AARP Public Policy Institute, nursing home and long-term care facilities are already facing the worst shortage of nurses and/or aides since the government began collecting this information from nursing homes in May 2020. Low staffing levels in nursing homes—particularly among registered nurses—are associated with worse outcomes for residents, including more COVID-19 cases, deaths, and a higher likelihood of outbreaks. The mandate will make these problems worse. 

“By forcing healthcare workers to choose between their jobs or an experimental vaccine they do not want, CMS is affirmatively pinching an already strained work-force—and particularly so in rural areas within the States,” the lawsuit reads. 

Recognizing this workforce shortage and the untenable position in which it places covered healthcare facilities, federal guidance permits vaccinated employees who are testing positive for COVID-19 to return to work while prohibiting unvaccinated healthcare employees from working unless they obtain an exemption. 


As the milder Omicron variant now accounts for 99.9 percent of COVID-19 cases in the country, the Biden administration’s rationale for rushing the mandate without the legally required opportunity for the public to comment no longer exists. Additionally, emerging research shows that standard COVID-19 vaccinations provide little protection against transmission of the Omicron variant, and federal authorities have begun to walk back prior claims about the efficacy of the vaccines against this now-dominant variant. 


Meanwhile, new guidance from the federal government issued after the U.S. Supreme Court decision imposes a brand-new vaccine mandate on state employees who survey and report whether Medicare and Medicaid facilities are complying with applicable regulations, including the mandate itself. This constitutes an “independent, substantive rule, and yet CMS failed utterly to comply with the procedures required by [federal law]” yet again.


The CMS COVID-19 vaccine mandate also violates the Tenth Amendment, the Spending Clause, the Anti-Commandeering Doctrine, and the Nondelegation Doctrine. 


The case number is 3:21-cv-03970 in the U.S. District Court for the Western District of Louisiana. It is being led by Montana, Arizona, and Louisiana. The other states joining are Alabama, Georgia, Idaho, Indiana, Kentucky, Mississippi, Ohio, Oklahoma, South Carolina, Tennessee, Utah, Virginia, and West Virginia.


You can read the second amended complaint here.

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