A federal judge in Missouri on Monday temporarily blocked President Joe Biden's administration from enforcing a vaccine mandate from going into effect for health care workers in Nebraska and nine other states.
Judge Matthew T. Schelp of the Eastern District of Missouri granted the injunction against the Centers for Medicare and Medicaid Services, which announced the emergency regulation on Nov. 5.
The rule required employees, trainees, contractors and others working at 15 categories of health care providers covered under Medicare and Medicaid to get either a one-dose COVID vaccine, or receive the first of a two-dose regimen by Dec. 6.
CMS employees would have been required to be fully vaccinated by Jan. 4. The regulations included exemptions for medical conditions or religious beliefs.
In granting the injunction, Schelp, a Trump appointee, said the lawsuit brought by 10 states would be likely to succeed on its merits.
The federal judge said Congress did not provide CMS the authority to enact the emergency regulations, nor did the agency follow the proper rulemaking procedure in announcing the mandate.
While CMS has extensive data indicating the effectiveness of vaccinations in slowing the spread of COVID in long-term care facilities, Schelp said the agency could not demonstrate similar results in the 14 other categories of centers it manages.
Schelp said CMS would be able to enforce a properly authorized and enacted rule mandating vaccines, but said the agency has overstepped its authority in issuing the emergency order.
"The public has an interest in stopping the spread of COVID. No one disputes that," he wrote in the order. "But the court concludes that the public would suffer little, if any, harm from maintaining the 'status quo' through the litigation of this case."
On Monday afternoon, Nebraska Attorney General Doug Peterson said the order will help rural hospitals that were facing "serious impacts due to this mandate."
"While we do anticipate the federal government will seek immediate review by the Eighth Circuit, we are confident that the analysis by the trial court will be confirmed," Peterson said in a statement.
In addition to Nebraska, the other states covered by the injunction are Alaska, Arkansas, Iowa, Kansas, Missouri, New Hampshire, North Dakota, South Dakota and Wyoming. Similar lawsuits also are pending in other states.
The court order against the health care vaccine mandate comes after Biden's administration suffered a similar setback for a broader policy. A federal court previously placed a hold on a separate rule requiring businesses with more than 100 employees to ensure their workers get vaccinated or else wear masks and get tested weekly for the coronavirus.