Nevada Becomes First State to Impose Surcharge on Unvaccinated Workers

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Nevada on Thursday became the first U.S. state to impose a surcharge on workers who have not gotten a COVID-19 vaccine, though the penalty doesnโ€™t take effect until the middle of next year.

All but two members of the stateโ€™s Public Employeesโ€™ Benefit Program Board (PEBP) voted during a meeting to approve a surcharge of $55 a month on unvaccinated workers.

The approved proposal also stipulates a surcharge of $175 a month for workersโ€™ spouses, partners, and dependents 18 and older. That could be adjusted down the road.

The surcharges will go into effect on July 1, 2022.

Theyโ€™ll help offset the costs of COVID-19 testing, Laura Rich, executive officer of the board, said.

Testing costs through September were estimated at $3.3 million.

The board did not analyze the cost of COVID-19 hospitalizations for the proposal because that would have made the surcharge for spouses and dependents โ€œsignificantly higher,โ€ Rich said. State rules bar making the surcharge on workers any higher.

Nevadaโ€™s Department of Labor last month released guidance saying the surcharges were legal, and Rich compared them to surcharges on smokers imposed by plans in the past.

Exemptions are available for religious or medical reasons, as required by law.

Public commenters during the meeting, and those submitting written statements, spoke out against the proposal before the vote.

โ€œI believe that the proposed surcharge is inappropriate and excessive,โ€ Ellen Crecelius, one member of the public, said in a statement. She noted that many people enjoy natural immunity, or the protection one gets after having recovered from COVID-19.

Shanna Cobb-Adams said she already pays $255.06 a month. The new surcharges would increase that by 90 percent. She expressed concern about her 18-year-old son getting a vaccine when studies show that young males are at elevated risk of developing heart inflammation after getting a vaccine, while COVID-19 poses little risk to healthy youth without serious underlying health conditions.

Byย Zachary Stieber

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