U.S. Court of Appeals for the Sixth Circuit reinstates OSHA COVID-19 large employer vaccination and testing rule

Image of GettyImages-1178982949.jpeg

Key Takeaways

On December 18, the U.S. Court of Appeals for the Sixth Circuit lifted the stay on the Occupational Safety and Health Administration’s (OSHA) emergency temporary standard (ETS) that requires large employers to develop, implement and enforce a COVID-19 vaccination or testing policy, thereby reinstating the rule. Following its publication in the Federal Register on November 5, 34 challenges were filed against the ETS in all twelve regional circuit courts. On November 6, the U.S. Court of Appeals for the Fifth Circuit issued a stay on ETS pending judicial review, directing OSHA to “take no steps to implement or enforce” the rule. On November 16, the Sixth Circuit was randomly selected to hear a consolidated version of the challenges to the rule. The Sixth Circuit’s dissolvement of the stay means that the ETS is now back in effect and covered employers must comply with the rule.

The ETS applies to employers with 100 employees or more that are subject to the Occupational Safety and Health (OSH) Act of 1970. This includes county governments located in the 26 states with OSHA-approved state plans, which are workplace safety and health programs operated by individual states or U.S. territories that have been approved by OSHA.

Following the Sixth Circuit’s lifting of the stay, OSHA announced that it would delay several of the deadlines under the ETS. OSHA will not issue citations for noncompliance with any requirements of the ETS before January 10, 2022 and will not issue any citations for noncompliance with the standard’s testing requirements before February 9, 2022, as long as the employer is acting in good faith to comply with the rule. Previously, the deadline for employees to be fully vaccinated or to begin regular testing was January 4, 2022.

For more information on employer COVID-19 vaccine mandates, please see NACo’s FAQ.

Related News

Anxious, sad, young woman wearing hospital gown
Advocacy

Michelle Alyssa Go Act reintroduced in the 119th Congress, a critical step for county behavioral health systems

On September 18, the Michelle Alyssa Go Act was reintroduced in the U.S. House of Representatives. This bipartisan legislation aims to increase the number of federal Medicaid-eligible in-patient psychiatric beds from 16 to 36, providing critical support for individuals seeking treatment for mental health and substance use disorders.  

Medicines in hand
Advocacy

Congress passes SUPPORT Act reauthorization

On September 18, the U.S. Senate passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (SUPPORT Act Reauthorization) (H.R. 2483) by voice vote, following House passage earlier this year. With strong bipartisan backing in both chambers, the legislation now heads to the President’s desk for signature. 

Ambulance of emergency medical service on road
Advocacy

CMS releases Rural Health Transformation Program funding opportunity

On September 2, the Centers for Medicare & Medicaid Services (CMS) released additional details on the Rural Health Transformation (RHT) Program, overviewing program goals, requirements and timelines.