Attachment 2 - VHA Directive 1192.01, Seasonal Influen..pdf

This is a VHA Directive establishing mandatory seasonal influenza vaccination policy for health care personnel (HCP) in the Veterans Health Administration.

The directive requires all HCP at VHA facilities to receive annual seasonal influenza vaccination or obtain a medical or religious exemption by November 30 each year. HCP receiving exemptions must wear face masks throughout the influenza season (December 1 through March 31, with facility flexibility to adjust dates based on local epidemiology). Compliance is a condition of employment, with violations subject to disciplinary action up to removal from federal service. The directive applies to all VA licensed and unlicensed clinical and administrative personnel, paid and unpaid employees, contractors, researchers, volunteers, health professions trainees, and personnel providing home-based care to veterans. The Office of Occupational Safety and Health (10NA5B) oversees implementation and policy interpretation. Each VISN Director must ensure facility participation in oversight activities and reporting of compliance metrics. VA Medical Facility Directors are responsible for local implementation, HCP notification, training on face mask usage, designation of personnel to address implementation questions, and disciplinary action for non-compliance. The Health Care Personnel Influenza Vaccination Form (VA Form 10-9050) documents vaccination status or exemption requests with physician or supervisor signatures as applicable. The directive supersedes VHA Directive 1192 dated September 26, 2017, and is scheduled for recertification by August 31, 2025.