{"id":"IA-011","kind":"order","level":"state","jurisdiction":"Iowa","state":"IA","metro":"","industry":"","agency":"","eco":"","issuer":"Governor Kim Reynolds","authority":"Iowa Code §§ 29C.6(6), 135.144(3)","instrument":"Proclamation of Disaster Emergency (conditional resumption of surgeries; farmers markets)","title":"Proclamation permitting hospitals and outpatient providers to resume surgeries and procedures only under PPE, testing and capacity conditions, permitting farmers markets under restrictions, and providing regulatory relief","dateIssued":"2020-04-24","effective":"5:00 a.m. April 27, 2020","end":"Surgery conditions \u0027until this disaster proclamation expires,\u0027 continued through IA-033 (bed reserves changed November 17, 2020) and ended February 7, 2021 (IA-035)","startDate":"2020-04-27","endDate":"2021-03-31","quarters":["2020Q2","2020Q3","2020Q4","2021Q1"],"types":["HC","GATH","EVT","CAP"],"addressees":["hospitals, outpatient surgery and procedure providers","farmers markets and vendors"],"clause":"NONESSENTIAL OR ELECTIVE SURGERIES AND PROCEDURES. SECTION ONE.... effective at 5:00 a.m. on April 27, 2020... A. A hospital, outpatient surgery provider, or outpatient procedure provider may conduct in-patient surgeries and procedures that, if further delayed, will pose a significant risk to quality of life and any outpatient surgeries or procedures if the hospital or provider complies with the following requirements: (1) A hospital or provider must have: (a) Adequate inventories of personal protective equipment (PPE) and access to a reliable supply chain without relying on state or local government PPE stockpiles to support continued operations and respond to an unexpected surge in a timely manner; and (b) A plan to conserve PPE consistent with guidance from the CDC and Iowa Department of Public Health; (2) [testing plan; \u0027For scheduled surgeries patients should have a negative COVID-19 test performed within 48 hours of surgery date\u0027]... (3) A hospital must continue to accept and treat COVID-19 patients and must not transfer COVID-19 patients to create capacity for elective procedures. (4) A hospital must reserve at least 30% of intensive care unit (ICU) beds and 30% of medical/surgical beds for COVID-19 patients. (5) A hospital or provider that begins conducting surgeries or procedures as authorized by this paragraph but is no longer able to satisfy all these requirements must cease conducting such surgeries or procedures... B. Except as provided in paragraph A, all nonessential or elective surgeries and procedures that utilize PPE must not be conducted by any hospital, outpatient surgery provider, or outpatient procedure provider, whether public, private, or nonprofit.... FARMERS MARKETS. SECTION TWO.... farmers markets... may operate only to the extent that the farmers market complies with the following requirements: A. Farm Products and Food: The farmers market may only permit vendors who sell farm products and food... C. Common Seating Prohibited... D. Vendor Spacing...","enforcement":"Iowa Code § 135.144(3); § 1(A)(5) requires providers to cease if conditions fail; state agencies monitor","functions":["SX surgery and elective procedures conditioned on PPE inventories, testing and 30 percent bed reserves","IP inpatient capacity reserved","SC PPE supply chain condition","MK farmers markets limited to farm products, no entertainment, no common seating"],"notes":"The 30 percent ICU and medical-surgical reserve requirement was reduced to 10 percent by the November 16 and December 16, 2020 proclamations (IA-030, IA-033) with a 72-hour testing window; the bed-reserve capacity condition governed every Iowa hospital\u0027s elective schedule through February 6, 2021.","sourceUrl":"https://governor.iowa.gov/sites/default/files/documents/Public%20Health%20Proclamation%20-%202020.04.24.pdf","snapshot":"","fileExists":true,"fileBytes":4764003,"grade":"primary","character":"","description":"","collection":"IA","url":"/library/IA-011","exhibitUrl":"/exhibit/IA-011","citation":"Governor Kim Reynolds, Proclamation of Disaster Emergency (conditional resumption of surgeries; farmers markets) (Apr. 24, 2020) (Ex. IA-011)","stateName":"Iowa","related":["IA-033","IA-035","IA-005","IA-030","IA-013","IA-012","IA-010","IA-014","IA-009","IA-015","IA-008","IA-007"]}