Attachment 2 - VHA Directive 1192.01.pdf

This document is a VHA Directive establishing mandatory seasonal influenza vaccination policy for health care personnel (HCP) in the Veterans Health Administration, effective August 10, 2020, and scheduled for recertification by August 31, 2025.

The directive mandates that all HCP covered by the policy receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons by November 30 of each year. HCP who decline vaccination must wear face masks throughout the influenza season (generally December 1 through March 31) in clinical and non-clinical areas, unless granted an exemption. Compliance is a condition of employment, with violations subject to disciplinary action up to removal from federal service. The Office of Occupational Safety and Health (10NA5B) is responsible for policy administration and oversight. All HCP, including VA employees, volunteers, trainees, contractors, and health professions trainees at VA facilities, are required to either receive vaccination, request exemption, or wear masks. Medical exemptions require physician documentation of CDC-recognized contraindications; religious exemptions require a written declaration of deeply held religious belief. Documentation is submitted via the Health Care Personnel Influenza Vaccination Form (VA Form 10-9050). The directive supersedes prior VHA Directive 1192 from September 26, 2017. Appendix A provides implementation procedures including notification requirements, vaccination timelines, exemption processes, documentation standards, and masking requirements for unvaccinated personnel. Appendix B contains the required vaccination form template.