Notice to Rescind SGM 20-03 and 21-04
Indian Health Service
Rockville, Maryland 20857
Refer to: OPHS
NOTICE TO RESCIND INDIAN HEALTH SERVICE, INDIAN HEALTH MANUAL, SPECIAL GENERAL MEMORANDUM 21-04, “COVID-19 IMMUNIZATIONS REQUIREMENT FOR PERSONNEL WORKING IN INDIAN HEALTH SERVICE HEALTH CARE FACILITIES” AND SPECIAL GENERAL MEMORANDUM 20-03, “HEALTH SCREENING OF STAFF AT IHS-OPERATED FACILITIES DURING THE COVID-19 PANDEMIC
This notice rescinds Indian Health Service (IHS) Indian Health Manual (IHM), Special General Memorandum (SGM) 21-04, “COVID-19 Immunizations Requirement for Personnel Working in Indian Health Service Health Care Facilities” and SGM 20-03, “Health Screening of Staff at IHS-Operated Facilities During the COVID-19 Pandemic.” These IHM SGMs are based on the COVID-19 Public Health Emergency, which expired on May 11, 2023. The flexibilities provided as a result of the public health emergency no longer exist.
Please discard your copies and any file copies of IHM, SGM 21-04, “COVID-19 Immunizations Requirement for Personnel Working in Indian Health Service Health Care Facilities,” and SGM 20-03, “Health Screening of Staff at IHS-Operated Facilities During the COVID-19 Pandemic,” at your earliest convenience.
/P. Benjamin Smith/
P. Benjamin Smith, M.B.A., M.A.
Acting Director
Indian Health Service
Distribution: IHS-wide
Date: 03/14/2025