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Essential Businesses during COVID-19: Identification and Operation FAQs

During the COVID-19 pandemic, the ability to classify your business as “essential” could be the key to its survival. Almost every state in the United States has imposed a “stay-at-home” or “shelter-in-place” order that restricts the types of businesses that can remain open. In fact, as of the writing of this alert, there are only seven states that have not imposed state-wide restrictions on which businesses can stay open during the Coronavirus pandemic and even those states have individual cities and counties that have imposed stricter orders. However, these orders are not always clear, and interpretation is often left to the individual business. This alert will answer some of the most common questions about essential businesses.

Q: When did all of this “essential business” business start and how long will it last?

California was the first state to issue a stay-at-home order on March 19, 2020. Since then, governors all over the country have been telling businesses to close and people to stay home whenever possible to stem the spread of COVID-19. For example, Ohio’s Stay at Home Order took effect on March 23, 2020 while South Carolina’s Order was not put in place until April 7, 2020.

Each governor has also set their own time frame for lifting stay-at-home orders. Consequently, there are end dates spanning from April 15 to June 10. Individual orders aside, the climbing number of confirmed cases and deaths makes it clear that removing orders will not be a quick process. Even if states do work together to reopen businesses, expect reopening to be a very gradual process led by the states.

Q: What is an essential business anyway?

Every state, and even some counties and cities, have different definitions of what makes a business “Essential”. However, there are some commonalities. For example, a citation to the U.S. Department of Homeland Security, Cybersecurity & Infrastructure Security Agency’s (CISA) updated Memorandum on Identification of Essential Critical Infrastructure Workers During COVID-19 Response is almost universal. If your business fits into one of the 17 categories listed in CISA Memorandum, then you are likely an essential business. Some examples of essential businesses include:

  • Supermarkets and grocery stores
  • Pharmacies
  • Garbage collection
  • Healthcare operations
  • Hardware stores
  • Gas stations and auto-repair shops
  • Banks
  • Post offices and shipping businesses
  • Veterinary clinics and pet stores
  • Farmers' markets and food banks
  • Educational institutions, for the purposes of facilitating distance learning
  • Agriculture and food processing
  • Warehousing, storage, and distribution
  • Transportation, including airlines, taxis, rideshare programs, and vehicle rentals
  • Businesses that allow other essential businesses to operate

In contrast, these are examples of businesses largely agreed to be nonessential:

  • Theaters
  • Gyms and recreation centers
  • Salons and spas
  • Casinos and racetracks
  • Shopping malls
  • Sporting and concert venues
  • Daycares (open in some states, e.g. Florida allows childcare centers to remain open for employees working at essential businesses or operations and Ohio has established temporary pandemic childcare center licenses)

Orders from many states are fairly open-ended and definitions of essential businesses are subject to interpretation. In Ohio, for example, Lt. Governor Husted has asked businesses to use their common sense to decide whether they are essential. However, consider the Hobby Lobby scenario when deciding if your business is essential. Hobby Lobby argued that they provided fabric for mask-making and educational supplies and were, therefore, an essential business. Employees and other Ohio citizens took issue with this classification and brought it to the attention of the government. Not only did Hobby Lobby suffer a hit to their public image, they were also forced to close all stores after receiving a cease and desist letter from the Attorney General. 

Q: Okay, I think I’m an essential business, can I operate like normal?

Even if you are considered an essential business, you may not be able to operate normally. In almost all states, essential businesses are required to follow social distancing requirements established by the CDC, including:

  • Promoting remote work as much as possible;
  • Maintaining six-foot social distancing for both employees and members of the public at all times;
  • Requiring employees to wash hands with soap and water for at least twenty seconds as frequently as possible or use hand sanitizer, covering coughs or sneezes (into the sleeve or elbow, not hands);
  • Providing protective equipment (masks and gloves) to employees;
  • Regularly cleaning and disinfecting high-touch surfaces;
  • Adopting policies to prevent workers from entering the premises if they display COVID-19-like symptoms.

One point of contention between states is whether an essential business can maintain all operations or only those operations that make them essential. This answer will depend on the wording of your state’s order. For example, in Ohio and Florida, as long as your essential business is practicing proper safety protocols to protect workers, all aspects of a business could remain open. However, Michigan’s Order requires “restricting the number of workers present on premises to no more than is strictly necessary to perform the business’s or operation’s critical infrastructure functions” so the business would be able to maintain only operations that are directly essential.

For more information, contact Ashley Watson at abwatson@bmdllc.com or 614.7518, or any member of the BMD L+E team.

Ohio State Dental Board Implements Teledentistry Rules

Ohio law defines “teledentistry” as the delivery of dental services through the use of synchronous, real-time communication and the delivery of services of a dental hygienist or expanded function dental auxiliary pursuant to a dentist’s authorization.[1] The law requires a dentist who desires to provide dental services through teledentistry to apply for a teledentistry permit from the Ohio State Dental Board (“OSDB”).[2] Pursuant to the mandate under Ohio Revised Code 4715.436, the OSDB is implementing the following teledentistry permit rules and requirements (to be set forth under Ohio Administrative Code Chapter 4715-23). These regulations, which were subject of a public hearing on February 19, 2020, are effective on May 30, 2020.

HHS Addresses Drug Manufacturer Coupons on Out-of-Pocket Limits

On May 7, 2020, the US Department of Health and Human Services (“HHS”) announced their Notice of Benefit Parameters for 2021 in which HHS addressed the application of prescription drug manufacturer copay coupons towards a patient’s out-of-pocket limit. Under this guidance, HHS will permit, but not require, plans and insurers to count direct support offered to enrollees by drug manufacturers (i.e., coupons) for specific prescription drugs toward the annual limits on cost-sharing, regardless of whether a generic equivalent is available.

Important Updates, Deadlines, and Clarifications for the HHS Provider Relief Funds

On May 20, 2020, HHS made important updates and clarifications regarding the General Distribution payments to providers. Between April 10, 2020 and April 24, 2020, HHS distributed an initial $30 billion to providers based on the provider’s 2019 Medicare fee-for-service receipts. These funds were distributed automatically and providers did not need to submit an application in order to receive these funds. The funds were originally touted as a “no strings attached” stimulus payment reserved for healthcare providers. But HHS issued a 10-page Terms and Conditions and required that providers sign an attestation confirming receipt of the funds and agreeing to the Terms and Conditions.

Reopening & Social Media: Tips for Businesses

As the country starts to reopen, businesses are under great pressure to keep employees and customers safe. Even if a business follows every reopening requirement, there will inevitably be scrutiny from within and outside the organization. And, in this world of social media, perception tends to become reality. Below are a few practical tips to avoid attracting negative press while restarting your business.

Back to Work: Employer Documents

The return of the workforce brings a renewed set of documentation requirements for employers, particularly those employers with fewer than 500 employees and any companies who received PPP funds. Back in March, employers needed a COVID-19 Leave Form and a Remote Work Policy, but things have changed.