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Notice to Rescind SGM 20-03 and 21-04

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Rockville, Maryland 20857

Refer to: OPHS

INDIAN HEALTH SERVICE CIRCULAR NO. 25-13

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