- All California providers should follow CDPH vaccine recommendations, which may differ from ACIP.
- All CDPH-recommended vaccines must be covered by California Health Plans, including Medi-Cal managed care plans, even if not recommended by ACIP.
- Providers administering vaccines under CDPH recommendations are granted liability protection.
- Pharmacists are authorized to independently initiate and administer CDPH-recommended immunizations.
General Information
- Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023–24 Influenza Season
- Healthcare Personnel Vaccination Recommendations
HOO Information
Influenza and COVID-19 are highly communicable diseases, which can lead to potentially serious health complications, including severe illness, hospitalization, and death. Patients in healthcare facilities—most especially young children, pregnant women, elderly individuals, and persons with chronic health conditions who are immunocompromised—are particularly vulnerable to influenza and COVID-19 infection and its complications. The protective measures required by this Order are important actions that HCP can take to protect fellow personnel, patients, and communities from influenza and COVID-19.
This Order requires that each year, Healthcare Personnel (HCP) in all Licensed Healthcare Facilities, except Skilled Nursing Facilities (SNFs), must either: a) be immunized with an annual influenza vaccine authorized for use in the United States for the current respiratory virus season, or b) wear a Respiratory Mask while in contact with patients or working in Patient-Care Areas during the Respiratory Virus Season (November 1 through March 31). Due to the nature of care provided to highly vulnerable populations, the high risk of rapid respiratory transmission in SNFs, and low influenza vaccination rates among SNF HCP, all HCP working in Skilled Nursing Facilities must wear a Respiratory Mask while in contact with patients or working in Patient-Care Areas throughout the Respiratory Virus Season regardless of vaccination status.
HCP in these facilities who decline the influenza vaccine must also provide their employer, on a form provided by their employer, a written declaration that they have declined the vaccination.
The Order remains in effect during each respiratory virus season, unless rescinded. Additionally, given the risk posed by influenza and COVID-19, Public Health strongly encourages other unlicensed healthcare and direct care entities to voluntarily adopt the same measures for their employees to protect their personnel and patients during the respiratory virus season.
Documents
Educational Materials and Toolkits
Materials
- LAC DPH: Increasing Uptake of the Updated COVID-19 Vaccine (2023-2024 Formulation): Why and How? (Updated 2025 document coming soon.)
- California Department of Public Health, EZIZ - Downloadable educational materials
Resources
Influenza Vaccination For Healthcare Personnel Honor Roll
The Los Angeles County Department of Public Health recognizes and thanks the following Hospitals and Skilled Nursing Facilities who achieved 90% influenza vaccination coverage or higher for their healthcare personnel during the 2025-2026 influenza season. Their efforts and dedication to promoting vaccination protects patients, staff, and residents of Los Angeles County.
| Top Performing Hospitals 2025-2026 | ||
|---|---|---|
| Adventist Health Glendale | L.A. Downtown Medical Center | USC Arcadia Hospital |
| Adventist Health White Memorial | Martin Luther King Jr. Community Hospital | Whittier Hospital Medical Center |
| Cedars-Sinai Marina del Rey Hospital | Southern California Hospital at Culver City | |
| Cedars-Sinai Medical Center | Torrance Memorial Medical Center | |
| Top Performing SNFs 2025-2026 | ||
|---|---|---|
| Alden Terrace Convalescent Hospital | Harbor Post Acute Care Center | The Hills Healthcare Center |
| Burlington Convalescent Hospital | Heritage Rehabilitation Center | Torrance Memorial Medical Center D/P SNF |
| California Healthcare and Rehabilitation Center | Huntington Healthcare Center | West Valley Post Acute |
| Canyon Oaks Nursing and Rehabilitation Center | Studio City Rehabilitation Center | York Healthcare and Wellness Centre |
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
