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furloughs and fines</h1>  <div class="has-notch is-hidden-from-bp-s has-b-btm-marg has-bg-yellow"></div> <p class="has-s-btm-marg has-vert-bar has-vert-bar--from-bp-s t-size-b has-text-yellow"> <span class="has-text-gray-dark">Texas’ nursing home staff vaccination rates are lower than half the country’s — but a judge’s decision last week to delay a vaccine mandate helped them avoid laying off a third of their employees.</span> </p>  <p class="t-byline has-text-vert-padding t-uppercase t-lsp-m t-size-xs has-text-gray-dark has-s-btm-marg"> <span class="t-byline__item l-display-ib">by <a href="/web/20211208230611/https://www.texastribune.org/about/staff/karen-brooks-harper/">Karen Brooks Harper</a> and <a href="/web/20211208230611/https://www.texastribune.org/about/staff/carla-astudillo/">Carla Astudillo</a></span> <time class="byline--item t-byline__item l-display-ib" datetime="Tue, 7 Dec 2021 05:00:00 -0600" title="2021-12-07 05:00 CST">Dec. 7, 2021</time><time class="byline--item 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https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/PyzC-owx1EIfJfm9lGNVtTkx_BY=/640x429/smart/filters:quality(75)/https://static.texastribune.org/media/files/4b84002233fc494a65eb337918001667/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2041.jpg 640w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/PZ90HfKotqtg69OSbyB7hJWXZFs=/375x251/smart/filters:quality(75)/https://static.texastribune.org/media/files/4b84002233fc494a65eb337918001667/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2041.jpg 375w"> <img src="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/gT2yLWmGYFss3IraGsegie4wrjc=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/4b84002233fc494a65eb337918001667/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2041.jpg" alt="Norma Gonzales, the housekeeping supervisor of Amistad Nursing and Rehabilitation Center, walks with Ursula Sinko, a residen…" class="did-load c-image__img"> </picture> </div> </div> <figcaption class="c-caption t-links-underlined l-display-block t-size-xs"> <span aria-hidden="true"> Norma Gonzales, the housekeeping supervisor of Amistad Nursing and Rehabilitation Center, walks with Ursula Sinko, a resident of the facility, on April 1, 2021. </span> <cite> <span class="is-sr-only">Credit:</span><span class="c-icon c-icon--baseline"><svg aria-hidden="true"><use xlink:href="/web/20211208230611im_/https://www.texastribune.org/2021/12/07/texas-nursing-homes-vaccine-mandate/#camera"></use></svg></span> Miguel Gutierrez Jr./The Texas Tribune </cite> </figcaption> </figure> </div>  <div class="story_body c-story-body t-size-b has-giant-btm-marg"> <div class="c-story-body"> <p class="t-copy t-links-underlined t-align-left"><em><a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/newsletters/the-brief/?utm_medium=website&utm_source=trib-ads-owned&utm_campaign=trib-marketing&utm_term=inline-CTA-brief">Sign up for The Brief</a>, our daily newsletter that keeps readers up to speed on the most essential Texas news.</em></p> <p class="t-copy t-links-underlined t-align-left">Ronald Payne was on the verge of carrying out companywide furloughs this week at the nursing home chain he runs in Texas, letting go of anyone on staff who had not gotten at least one shot of the COVID-19 vaccine, as mandated by the federal government.</p> <p class="t-copy t-links-underlined t-align-left">That might have meant well over 100 people at Southwest LTC Management Services’17 Texas nursing homes, he said.</p> <p class="t-copy t-links-underlined t-align-left">Instead, his facilities, along with most of the other 1,200 nursing homes in the state, were able to continue business as usual after a federal judge last week <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/11/30/vaccine-health-care-workers-blocked/">blocked</a> the Biden administration’s COVID-19 vaccination mandate for health care workers.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-3798" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">The <a href="https://web.archive.org/web/20211208230611/https://www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-additional-action-protect-americas-nursing-home-residents-covid-19">new rule</a>, announced in August, required that all eligible employees of health care facilities that participate in Medicare and Medicaid programs get at least one dose by Monday, Dec. 6.</p> <p class="t-copy t-links-underlined t-align-left">Facilities that did not comply could receive civil money penalties or lose their access to that Medicaid and Medicare funding, which is used by as many as 85% of the residents in Texas nursing facilities.</p> <p class="t-copy t-links-underlined t-align-left">Last week’s decision by U.S. Judge Terry Doughty of Louisiana is a temporary reprieve. But it allows Texas nursing facilities that rely on that funding — and most do — to keep pushing for more vaccinations of their employees.</p> <p class="t-copy t-links-underlined t-align-left">This is key in a state that lags behind more than half the nation in getting nursing home employees vaccinated. Current numbers indicate that Texas could see the exodus of tens of thousands of skilled nursing staff if the mandate were to go into effect. As of late November, Texas nursing homes reported that about 72% of their employees had gotten at least one shot, according to <a href="https://web.archive.org/web/20211208230611/https://data.cms.gov/covid-19/covid-19-nursing-home-data">state and federal statistics.</a></p> <div class="c-plugin c-plugin--default c-plugin--narrow is-hidden-print"> <div class="c-plugin__inner"> <div id="newsletter-subscribe-3377"> <div class="loading loading--s c-loading c-loading--s" aria-hidden="true"></div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">“Let’s just say that it had gone into effect this week,” said Payne, CEO of Southwest LTC Management Services. “I’d be down 20% of my staff.”</p> <p class="t-copy t-links-underlined t-align-left">At a time when nursing homes are already experiencing a <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/10/01/nursing-homes-staffing-woes/">staffing shortage</a>, it was an especially frightening prospect.</p> <p class="t-copy t-links-underlined t-align-left">Texas responded to the new rule by <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/11/05/texas-ken-paxton-businesses-vaccines/">filing its own lawsuit,</a> with Texas Attorney General <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/directory/ken-paxton/">Ken Paxton</a> calling the mandate “an unprecedented federal vaccine decree” on health care workers.</p> <p class="t-copy t-links-underlined t-align-left">The federal requirement that all health care workers be vaccinated came at a time when the nation was in the throes of a record-breaking, deadly delta COVID-19 surge. <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/08/13/coronavirus-texas-nursing-homes-staff/">As cases were climbing in nursing homes,</a> political tensions increased over mask mandates and vaccine politics, and the nation’s vaccine effort lagged due in large part to vaccine hesitancy.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-3306" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <div class="c-plugin c-plugin--narrow c-plugin--graphic "> <div class="c-plugin__inner c-plugin__inner--centered"> <div data-frame-src="https://apps.texastribune.org/features/2020/texas-coronavirus-cases-map/embeds/charts/new-deaths-latest/" data-frame-sandbox="allow-scripts allow-same-origin allow-top-navigation-by-user-activation allow-top-navigation allow-popups"></div> </div> </div> <p class="t-copy t-links-underlined t-align-left">More than 72,000 Texans have died from COVID-19, which killed about <a href="https://web.archive.org/web/20211208230611/https://apps.texastribune.org/features/2021/texas-nursing-home-deaths-coronavirus-pandemic/?_ga=2.81717591.1384198087.1634053506-1334779065.1605553216">10% of the state’s nursing home residents</a> in its first year. As of Dec. 1, 2021, some 9,644 nursing home residents had died due to COVID-19, according to the Texas Health and Human Services Commission.</p> <p class="t-copy t-links-underlined t-align-left">Hints that there would be vaccine requirements for health care workers began to surface during the spring, when efforts to inoculate groups that worked with aging populations — such as those in <a href="https://web.archive.org/web/20211208230611/https://www.npr.org/2021/01/31/962638218/vaccine-hesitancy-among-long-term-care-facility-workers">nursing homes</a> and in <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/02/08/coronavirus-texas-home-health-vaccine/">home health</a> — slowed.</p> <p class="t-copy t-links-underlined t-align-left">Workers who have decided not to get the vaccine argued that they could keep themselves and their residents safe with current protocols or that they feared potential vaccine side effects.</p> <p class="t-copy t-links-underlined t-align-left">Some facility administrators have said that COVID-19 was being brought into facilities largely by visitors, not the employees, and that the mandate wouldn’t solve the issue of cases popping up in nursing facilities.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-4693" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <div class="c-plugin c-plugin--narrow c-plugin--graphic "> <div class="c-plugin__inner c-plugin__inner--centered"> <div data-frame-src="https://apps.texastribune.org/features/2020/texas-coronavirus-cases-map/embeds/maps/rates-map-latest/" data-frame-sandbox="allow-scripts allow-same-origin allow-top-navigation-by-user-activation allow-top-navigation allow-popups"></div> </div> </div> <p class="t-copy t-links-underlined t-align-left">The addition of vaccination mandates for nursing home workers is seen by many as one more burden for a struggling industry already squeezed by a shrinking workforce during this pandemic.</p> <p class="t-copy t-links-underlined t-align-left">According to recent surveys by the <a href="https://web.archive.org/web/20211208230611/https://txhca.org/">Texas Health Care Association</a> and <a href="https://web.archive.org/web/20211208230611/https://www.leadingagetexas.org/">LeadingAge Texas</a>, two nursing home industry groups in Texas, facilities across the state have seen a 12% decrease in their workforce in the last year. At least one-third of survey respondents are turning away new admissions due to staffing shortages, the survey says.</p> <p class="t-copy t-links-underlined t-align-left">Staffing shortages mean higher costs for overtime and an inability to grow or maintain patient population levels. Facility operators are also facing a pressing need for higher salaries and more money for recruiting tools, industry advocates said.</p> <p class="t-copy t-links-underlined t-align-left">In addition to all that, the potential for a sudden drop in staffing due to the mandate would be disastrous for some facilities, said Kevin Warren, head of the Texas Health Care Association, the state’s largest group of long-term care facilities.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-4988" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">In some cases, residents would need to be transferred so that those remaining could get adequate care from the much smaller staff, he said. In others, stopping admissions altogether may be the only way to meet staff shortage, he said.</p> <p class="t-copy t-links-underlined t-align-left">“Based upon where in the state you are and what a provider's current staffing issues are, if you have significant resistance to the vaccination and people who are not able to work anymore as a result of the mandate, it can be devastating,” Warren said.</p> <div class="c-plugin c-plugin--narrow c-plugin--side c-plugin--default c-plugin--flush c-plugin--faq"> <div class="c-plugin__inner c-plugin__inner--left c-plugin__inner--offset"> <div class="has-bg-white-off is-rounded-b has-padding has-xxxs-btm-marg"> <h2 class="t-size-b has-b-btm-marg"> Vaccine FAQs </h2> <ul class="c-faq t-size-s has-xxs-btm-marg has-bg-white has-xs-padding is-rounded-b" style="padding-top: 0;"> <li class="c-faq__item"> <details> <summary class="c-faq__summary l-pos-rel gtm-custom-qa-dropdown" data-qa-title="Vaccine FAQs" data-qa-question="Who is eligible for the COVID-19 vaccine?"> <h3 class="t-size-xs"> Who is eligible for the COVID-19 vaccine? </h3> <span class="c-faq__icon c-icon l-height-full l-pos-abs"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 16 28" aria-hidden="true"> <path d="M16 11a.99.99 0 01-.297.703l-7 7C8.516 18.89 8.265 19 8 19s-.516-.109-.703-.297l-7-7A.996.996 0 010 11c0-.547.453-1 1-1h14c.547 0 1 .453 1 1z"/> </svg> </span> </summary> <p class="t-serif has-b-btm-marg has-vert-bar has-vert-bar--thin has-text-yellow t-links-underlined"> <span class="has-text-black-off"> People ages 5-17 are <a href="https://web.archive.org/web/20211208230611/https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/children-teens.html"> eligible to receive</a> the Pfizer-BioNTech vaccine. People age 18 and older are eligible to receive the Pfizer-BioNTech, Moderna or Johnson & Johnson vaccines. </span> </p> </details> </li> <li class="c-faq__item"> <details> <summary class="c-faq__summary l-pos-rel gtm-custom-qa-dropdown" data-qa-title="Vaccine FAQs" data-qa-question="Is the COVID-19 vaccine safe and effective?"> <h3 class="t-size-xs"> Is the COVID-19 vaccine safe and effective? </h3> <span class="c-faq__icon c-icon l-height-full l-pos-abs"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 16 28" aria-hidden="true"> <path d="M16 11a.99.99 0 01-.297.703l-7 7C8.516 18.89 8.265 19 8 19s-.516-.109-.703-.297l-7-7A.996.996 0 010 11c0-.547.453-1 1-1h14c.547 0 1 .453 1 1z"/> </svg> </span> </summary> <p class="t-serif has-b-btm-marg has-vert-bar has-vert-bar--thin has-text-yellow t-links-underlined"> <span class="has-text-black-off"> All vaccines in the United States must go through three phases of clinical trials to make sure they are safe and effective. During the development of COVID-19 vaccines, phases overlapped to speed up the process, but all phases were completed, according to the <a href="https://web.archive.org/web/20211208230611/https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html">Centers for Disease Control and Prevention</a>. State <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/11/08/texas-coronavirus-deaths-vaccinated/">data shows that</a> unvaccinated Texans made up 85% of coronavirus cases and deaths from Jan. 15 to Oct. 1, 2021. </span> </p> </details> </li> <li class="c-faq__item"> <details> <summary class="c-faq__summary l-pos-rel gtm-custom-qa-dropdown" data-qa-title="Vaccine FAQs" data-qa-question="Should I still get the vaccine if I've had COVID-19?"> <h3 class="t-size-xs"> Should I still get the vaccine if I've had COVID-19? </h3> <span class="c-faq__icon c-icon l-height-full l-pos-abs"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 16 28" aria-hidden="true"> <path d="M16 11a.99.99 0 01-.297.703l-7 7C8.516 18.89 8.265 19 8 19s-.516-.109-.703-.297l-7-7A.996.996 0 010 11c0-.547.453-1 1-1h14c.547 0 1 .453 1 1z"/> </svg> </span> </summary> <p class="t-serif has-b-btm-marg has-vert-bar has-vert-bar--thin has-text-yellow t-links-underlined"> <span class="has-text-black-off"> Yes. Research has not yet shown how long you are protected from getting COVID-19 again after recovering from COVID-19, according to the <a href="https://web.archive.org/web/20211208230611/https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html">Centers for Disease Control and Prevention</a>, and vaccination will boost protection. If you were treated for COVID-19 with monoclonal antibodies or convalescent plasma, you should wait 90 days before getting a COVID-19 vaccine. Talk to your doctor if you are unsure what treatments you received or if you have more questions about getting a COVID-19 vaccine. </span> </p> </details> </li> <li class="c-faq__item"> <details> <summary class="c-faq__summary l-pos-rel gtm-custom-qa-dropdown" data-qa-title="Vaccine FAQs" data-qa-question="Where can I get the COVID-19 vaccine in Texas?"> <h3 class="t-size-xs"> Where can I get the COVID-19 vaccine in Texas? </h3> <span class="c-faq__icon c-icon l-height-full l-pos-abs"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 16 28" aria-hidden="true"> <path d="M16 11a.99.99 0 01-.297.703l-7 7C8.516 18.89 8.265 19 8 19s-.516-.109-.703-.297l-7-7A.996.996 0 010 11c0-.547.453-1 1-1h14c.547 0 1 .453 1 1z"/> </svg> </span> </summary> <p class="t-serif has-b-btm-marg has-vert-bar has-vert-bar--thin has-text-yellow t-links-underlined"> <span class="has-text-black-off"> Most chain pharmacies and many independent ones have a ready supply of the vaccine, and many private doctors' offices also have it. Texas has compiled other options for finding vaccine appointments <a href="https://web.archive.org/web/20211208230611/https://www.dshs.texas.gov/coronavirus/immunize/vaccine.aspx#where">here</a>, and businesses or civic organizations can set up vaccine clinics to offer it to employees, visitors, customers or members. The vaccine is free, and you don’t need health insurance to get it. </span> </p> </details> </li> <li class="c-faq__item"> <details> <summary class="c-faq__summary l-pos-rel gtm-custom-qa-dropdown" data-qa-title="Vaccine FAQs" data-qa-question="Who can get a COVID-19 booster shot?"> <h3 class="t-size-xs"> Who can get a COVID-19 booster shot? </h3> <span class="c-faq__icon c-icon l-height-full l-pos-abs"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 16 28" aria-hidden="true"> <path d="M16 11a.99.99 0 01-.297.703l-7 7C8.516 18.89 8.265 19 8 19s-.516-.109-.703-.297l-7-7A.996.996 0 010 11c0-.547.453-1 1-1h14c.547 0 1 .453 1 1z"/> </svg> </span> </summary> <p class="t-serif has-b-btm-marg has-vert-bar has-vert-bar--thin has-text-yellow t-links-underlined"> <span class="has-text-black-off"> Anyone who's age 18 and older is now eligible for a booster shot. People who received the Johnson & Johnson vaccine as their primary dose can receive any of the three approved COVID-19 vaccines as their booster shot at least two months after they first got vaccinated. People who received the Pfizer or Moderna vaccine are allowed to get a booster shot at least six months after completing their initial two-shot vaccination series. </span> </p> </details> </li> <li class="t-align-right t-links" style="margin-top: .55rem"> <a class="t-uppercase t-size-xxs t-lsp-m" href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/10/29/covid-19-vaccine-booster-shots/">More answers here.</a> </li> </ul> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">While some nursing homes are reporting vaccine rates as high as 100%, others have less than half of their staff who have had at least one dose of the vaccine, which was what the mandate would have required for employees by Monday.</p> <p class="t-copy t-links-underlined t-align-left">One nursing home in Harris County shows only 35% of its staff as having at least one dose, according to the U.S. Centers for Medicare and Medicaid Services. The facility is limiting visitation after it reported on its website last week that two residents have COVID-19, which also infected some staff members.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-7074" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">State health officials have renewed their ongoing push to increase Texas’ overall vaccination rate as the holiday season arrives amid an increase in cases and positivity rates in some areas of the state — which currently is blamed on the delta variant of the virus. <a href="https://web.archive.org/web/20211208230611/https://apps.texastribune.org/features/2020/texas-coronavirus-cases-map/?_ga=2.7135730.1962646136.1638801097-1307126385.1611954316">More than 55% of Texans have been fully vaccinated.</a></p> <p class="t-copy t-links-underlined t-align-left">There’s been a renewed intensity to that vaccine and booster shot effort, especially after the omicron variant of the virus arrived in the United States last week.</p> <p class="t-copy t-links-underlined t-align-left">The <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/2021/12/06/texas-omicron-covid-19/">first case of the omicron variant in Texas</a> was reported on Monday, and it is presumed by scientists to be at least as contagious as delta, which is still considered the most powerful COVID-19 strain so far. But omicron’s severity and hospitalization rates are largely unknown.</p> <p class="t-copy t-links-underlined t-align-left">Long-term care facilities have been trying for a year to convince their employees to get vaccinated, as they care for the population that is most vulnerable to COVID-19 — the sick and the aging — for a year. They’ve hosted on-site clinics and offered incentives like more paid time off and vaccine bonuses.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-9123" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">A couple weeks ago, Payne, the nursing home chain CEO, said only about 45% of the employees across the 22 facilities that Southwest runs in Texas and Oklahoma had gotten at least one shot of the vaccine.</p> <p class="t-copy t-links-underlined t-align-left">As of last Friday, that number had climbed to about 78%, he said. One rural facility in Southeast Texas, he said, recently had only about 20% of its employees vaccinated. Then, a nurse at the facility called the local health department to set up a vaccination clinic at the facility. As of last week, more than 88% of its staff had gotten at least one dose, according to federal numbers.</p> <p class="t-copy t-links-underlined t-align-left">That facility’s vaccination rate “was one of the lowest in the state,” he said. “I don’t know if it was because the local health department was involved or what it was, but that was extremely successful.”</p> <p class="t-copy t-links-underlined t-align-left">Statewide, the trend is the same. On Oct. 1, nursing homes in Texas, which employ about 100,000 people statewide, were reporting an average vaccination rate of 60%. By last week, that number was up to 69%.</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-9765" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left">Payne’s facilities won’t do the furloughs as long as the mandates are kept at bay, but they will go forward with plans to start requiring unvaccinated employees — who include those granted religious exemptions allowed by the new rule — to take extra precautions.</p> <p class="t-copy t-links-underlined t-align-left">And they will keep up their efforts to get most or all of their employees vaccinated, Payne said.</p> <p class="t-copy t-links-underlined t-align-left">Payne supports vaccination, but doesn’t believe it should be mandatory. But the new rule has had its silver lining, he said.</p> <p class="t-copy t-links-underlined t-align-left">“The mandate, or the cloud of the mandate, I think has encouraged a lot of people to get the vaccine,” he said. “We’ve had a lot of people get vaccinated in the last couple of weeks.”</p> <div class="c-plugin c-plugin--flush "> <div class="c-plugin__inner"> <div id="ad-unit-1798" class="js-ad-unit"> <div class="c-ad-flex"> <div class="c-ad-flex__inner"> <div class="c-ad-flex__unit"></div> </div> </div> </div> </div> </div> <p class="t-copy t-links-underlined t-align-left"><i>Disclosure: LeadingAge Texas and Texas Health Care Association have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune's journalism. Find a complete <a href="https://web.archive.org/web/20211208230611/https://www.texastribune.org/support-us/corporate-sponsors/">list of them here</a>.</i></p> </div> <div class="c-plugin c-plugin--default c-plugin--narrow is-hidden-print"> <div class="c-plugin__inner"> <section class="t-serif"> <div class="has-notch has-bg-yellow has-b-btm-marg" aria-hidden="true"></div> <h2 class="t-sans t-uppercase t-lsp-b t-size-b has-b-btm-marg has-text-black"> Related News </h2> <ul class="has-l-btm-marg"> <li class="has-b-btm-marg">  <article class="c-story-block c-story-block--read-more c-story-block--stack-until-bp-m"> <header class="c-story-block__text t-links-underlined-hover"> <h3 class="has-tiny-btm-marg"> <a href="/web/20211208230611/https://www.texastribune.org/2021/10/12/texas-businesses-vaccine-requirements-greg-abbott/" ga-on="click" ga-event-category="read more" ga-event-action="curated" ga-event-label="story page"> <strong>“It puts a big burden on employers”: Businesses face tough choices after Gov. Greg Abbott bans vaccine mandates</strong> </a> </h3> <p class="t-byline t-uppercase t-lsp-b t-sans t-size-xs has-text-gray-dark is-hidden-until-bp-m"> <time class="t-byline__item l-display-ib" datetime="Tue, 12 Oct 2021 18:57:00 -0500"> Updated: Oct. 12, 2021 </time> </p> </header> <figure class="c-story-block__image-wrap is-hidden-until-bp-m"> <a href="/web/20211208230611/https://www.texastribune.org/2021/10/12/texas-businesses-vaccine-requirements-greg-abbott/" class="l-display-block" tabindex="-1" ga-on="click" ga-event-category="read more" ga-event-action="curated" ga-event-label="story page"> <div class="c-image"> <div class="c-image__placeholder has-bg-white-off"> <noscript> <img src="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/fkJtuELjni2VZ2sFEci6nGzoDFY=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg" alt="Pharmacist Ilana Druker prepares the Moderna COVID-19 vaccine at Houston Independent School District’s Hattie Mae White Educ…" class="c-image__img l-width-full l-display-block did-load"> </noscript> <picture> <source data-srcset="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/IzaPW0H69YcXZnher-LZR1WSZQw=/3000x2010/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 3000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/Lu9XQOmJ9piuMgZoUMT66lgFW70=/2500x1675/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 2500w, 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data-srcset="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/x5IyH-cGry6E3KwarIRyKQagbUg=/3000x2010/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 3000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/ZkK8HtckxLtaPWw3ybL2jg4hjqE=/2500x1675/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 2500w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/4dt0SDxyIyCz27xytWJe5i3oIko=/1550x1038/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 1550w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/PnwjjJw-3JMOJ4VaW5EgmRfgfrk=/1200x804/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 1200w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/aU7kAjL6G6TR4uj_reLOoqu_gzc=/1000x670/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 1000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/fkJtuELjni2VZ2sFEci6nGzoDFY=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 850w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/g0FbuNx0AOsVJnU9m03OY_cGEbM=/640x429/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 640w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/rJrmRGJ-Mwi97YOLsumQx0mzn9c=/375x251/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg 375w"> <img data-src="https://web.archive.org/web/20211208230611/https://thumbnails.texastribune.org/fkJtuELjni2VZ2sFEci6nGzoDFY=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/3d6d518c0cd37d5ce8389eddc5ba4130/HISD%20COVID%20Vaccine%20MYL%20TT%2022.jpeg" alt="Pharmacist Ilana Druker prepares the Moderna COVID-19 vaccine at Houston Independent School District’s Hattie Mae White Educ…" class="js-lazy-image js-lazy-image--target c-image__img" data-sizes="auto"> </picture> </div> </div> </a> </figure> </article> </li> <li class="has-b-btm-marg">  <article class="c-story-block c-story-block--read-more c-story-block--stack-until-bp-m"> <header class="c-story-block__text t-links-underlined-hover"> <h3 class="has-tiny-btm-marg"> <a href="/web/20211208230611/https://www.texastribune.org/2021/10/01/nursing-homes-staffing-woes/" ga-on="click" ga-event-category="read more" ga-event-action="curated" ga-event-label="story page"> <strong>Texas nursing homes turn to state for help with staffing woes as vaccine mandate looms</strong> </a> </h3> <p class="t-byline t-uppercase t-lsp-b t-sans t-size-xs has-text-gray-dark is-hidden-until-bp-m"> <time class="t-byline__item l-display-ib" datetime="Fri, 1 Oct 2021 09:30:00 -0500"> Updated: Oct. 1, 2021 </time> </p> </header> <figure class="c-story-block__image-wrap is-hidden-until-bp-m"> <a href="/web/20211208230611/https://www.texastribune.org/2021/10/01/nursing-homes-staffing-woes/" class="l-display-block" tabindex="-1" ga-on="click" ga-event-category="read more" ga-event-action="curated" ga-event-label="story page"> <div class="c-image"> <div class="c-image__placeholder has-bg-white-off"> <noscript> <img src="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/l96MLM5xjpYclGKw-0UhuiiCB1g=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg" alt="An employee of the Amistad Nursing and Rehabilitation Center walks with a resident on April 1, 2021." class="c-image__img l-width-full l-display-block did-load"> </noscript> <picture> <source data-srcset="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/mL4L1Zp00lF9glY85vUSK7taGYQ=/3000x2010/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 3000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/OlKqnXESeAXP36VD7A9BNm8Knxo=/2500x1675/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 2500w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/qIgAPLcloj2iUrowsD5CDRkSsHQ=/1550x1038/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 1550w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/HyGl-BJlx8P7V4Dj8JIw1arFnvo=/1200x804/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 1200w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/As9K0ehR3cU_w8b_HbfO_JjYLjU=/1000x670/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 1000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/VuEDGS0XPKQPHb4aTAfdVTb_EAk=/850x570/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 850w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/wI4UAS6xDuwaI4wYEpDvHHNW1DI=/640x429/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 640w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/cn8ihtJZ0sEb6Z7v8cmtU-h7px0=/375x251/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 375w" type="image/webp"> <source data-srcset="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/e_cy71jjYlGn1kwm50Gz8kBwI-E=/3000x2010/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 3000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/8niCRx_PMZZxmbrQlWNlDyqmaZg=/2500x1675/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 2500w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/2Y24QNg4Kagp5Wuljq4fjtFgtJY=/1550x1038/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 1550w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/qOhSUk1gfwuyCNxSVNQawNQD8S4=/1200x804/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 1200w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/GBPzW4uH7TSLngNZ-I6Kx0OMJ-A=/1000x670/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 1000w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/l96MLM5xjpYclGKw-0UhuiiCB1g=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 850w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/ukZJVbSH5xcTJqPC7p38IYCubSs=/640x429/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 640w, https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/A5Bbw8ou62xazq-AxtAHxUCykO0=/375x251/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg 375w"> <img data-src="https://web.archive.org/web/20211208230611/https://thumbnails.texastribune.org/l96MLM5xjpYclGKw-0UhuiiCB1g=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/21cf2811cabb272570bdb1f07f99be59/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2017.jpg" alt="An employee of the Amistad Nursing and Rehabilitation Center walks with a resident on April 1, 2021." class="js-lazy-image js-lazy-image--target c-image__img" data-sizes="auto"> </picture> </div> </div> </a> </figure> </article> </li> <li class="has-b-btm-marg">  <article class="c-story-block c-story-block--read-more c-story-block--stack-until-bp-m"> <header class="c-story-block__text t-links-underlined-hover"> <h3 class="has-tiny-btm-marg"> <a href="/web/20211208230611/https://www.texastribune.org/2021/08/13/coronavirus-texas-nursing-homes-staff/" ga-on="click" ga-event-category="read more" ga-event-action="curated" ga-event-label="story page"> <strong>COVID-19 cases are skyrocketing in Texas nursing homes, and nearly half of workers are unvaccinated</strong> </a> </h3> <p class="t-byline t-uppercase t-lsp-b t-sans t-size-xs has-text-gray-dark is-hidden-until-bp-m"> <time class="t-byline__item l-display-ib" datetime="Fri, 13 Aug 2021 15:32:22 -0500"> Aug. 13, 2021 </time> </p> </header> <figure class="c-story-block__image-wrap is-hidden-until-bp-m"> <a href="/web/20211208230611/https://www.texastribune.org/2021/08/13/coronavirus-texas-nursing-homes-staff/" class="l-display-block" tabindex="-1" ga-on="click" ga-event-category="read more" ga-event-action="curated" ga-event-label="story page"> <div class="c-image"> <div class="c-image__placeholder has-bg-white-off"> <noscript> <img src="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/bGGZl7lpNzrw8dbJSZCBM3MCD1k=/850x570/smart/filters:quality(75)/https://static.texastribune.org/media/files/157b32aa6c3e0859cb2171b6d4933cd7/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2012.jpg" alt="Rosa Ramos and Rebecca Pargas watch television while drinking coffee at the Amistad Nursing and Rehabilitation Center on Apr…" class="c-image__img l-width-full l-display-block did-load"> </noscript> <picture> <source data-srcset="https://web.archive.org/web/20211208230611im_/https://thumbnails.texastribune.org/UTznhX993xuJyscZS_UeWHNqMBg=/3000x2010/smart/filters:format(webp):quality(75)/https://static.texastribune.org/media/files/157b32aa6c3e0859cb2171b6d4933cd7/Uvalde%20Nursing%20Home%20COVID%20MG%20TT%2012.jpg 3000w, 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