Policies on Required Use of Masks to prevent the spread of COVID-19:
An Updated Nationwide Review
[i]

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Date:  March 25, 2021
          
By Richard Cauchi, health policy research, Colorado Ideas 2.0 [ii]   
 
OVERVIEW: The use of cloth face coverings or face masks has been one of the central issues, and tools, in the global fight to prevent the spread of COVID-19. Since late March of 2020, this has become a simple, low cost or no-cost action that virtually any individual can take.
 
On Feb. 10, 2021 the CDC released a report and updated guidance highlighting that two methods substantially boost fit and protection:
Both of those methods reduced exposure to potentially infectious aerosols by more than 95 percent in a laboratory experiment using dummies.
Previously in November, the CDC officially recommended use of such masks, now reenforced and expanded by the incoming Biden Administration (Jan. 21, 2021). As widely agreed, masks can prevent person-to-person COVID infections and literally save lives in any local or neighborhood setting, worldwide. The device can be a simple manufactured or do-it-yourself one, using age-old, low-tech cloth material (including multilayer cloth or as a fallback, a temporary cotton bandana or scarf.) With commercially sewn or home-made face coverings now encouraged worldwide (often free or costing a few dollars), billions of people globally can protect themselves. 1  
> Read more about the science, scarcity and economics of face coverings, p. 10 and sources, p. 11-12.
-UPDATE- THE BIDEN FEDERAL INITIATIVE.  Beginning Inauguration Week, on January 21, 2021, President Biden issued both binding requirements and expanded guidelines affecting broad use of face masks. The report states:
Implement masking nationwide by working with governors, mayors, and the American people.
The President has asked the American people to do what they do best: step up in a time of crisis and wear masks. He has issued an Executive Order Protecting the Federal Workforce and Requiring Mask-wearing which directs compliance with CDC guidance on masking and physical distancing:
  • in federal buildings, on federal lands, and by federal employees and contractors.
  • Additionally, the President will issue Executive Order Promoting COVID-19 Safety in Domestic and International  Travel which directs applicable agencies take immediate action to require mask-wearing on many airplanes, trains, and certain other forms of public transportation in the United States.
  • Develop options for expanding public health measures for domestic and international land and sea travel.
  • He has called on governors, public health officials, mayors, business leaders, and others to implement masking, physical distancing, and other CDC public measures to control COVID-19.”
(Excerpt from “ National Strategy for the COVID-19 Response and Pandemic Preparedness,” posted by The White House, 1/21/2021) [iii]
 
STATES AND LOCALS FIRST IN THE LEAD: In the U.S., as of mid-January 2021 there are now at least 45 states and territories, as well as local and regional jurisdictions, that have acted on the medically indicated need to make mask/face covering use a mandatory, legal requirement, not just a recommendation. Evolved over a 10-month period, about 35
states’ orders are broadly aimed at protecting individuals in public settings and/or employees in public-use buildings. Others are focused or limited to certain specified employees or professions. One calculation shows that by August about 285 million or 85 percent of the nation’s population were in states and/or local areas with such orders. v  Of these, 251 million (or 75 percent) were covered by statewide orders.[iv] Another 34 million were counties and cities with mainly local mandatory orders. Exemptions by age and health, plus uncounted travelers, make actual totals vary. For 2021, note that three states have rescinded required use.
    These differences became more distinct and urgent with the phased reopening of businesses and federal, state and local orders allowing indoor dining and group gatherings.  For these next phases, the broader, near-universal use of masks in “appropriate settings” is seen as a low-cost tool that supports community interaction and freedom of movement. Compared to lockdowns and “stay-at-home” orders, required masks, combined with required 6-foot social distancing and handwashing became the three tools that allow businesses and recreation to reopen more safely.  More recently, some states have added enforcement and even fines for non-compliance.[v]
 
This report is a review of latest available data on states and other jurisdictions that have moved to increase the use of masks and cloth face coverings, especially describing those with mandatory or required uses. The lists below include links to sources and citations, but the document itself is not intended as legal or medical advice. Some mandatory use plans have pending expiration dates or may be rescinded due to opposition. Because all policies are subject to change, sometimes on short notice, readers should note listed dates and also rely on source web links to identify future updates. 
 
 
STATES: Mandated Masks / Cloth Face Coverings in Public
 
RECENT CHANGES & NEWS: Federal Executive Order (Jan. 21, 2021). Utah (Nov. 14, 2020), and West Virginia (Nov. 17, 2020)  governors each established a broad required use of masks order for the first time or expanded earlier limited requirements. 
Mandatory mask orders expired in Arizona (Mar. 25, 2021), Wyoming (March 16, 2021), Texas (Mar. 10, 2021), Mississippi (March 2), Iowa (Feb 2, 2021), North Dakota (Jan. 18, 2021), Iowa (Feb. 5) and Montana (Feb. 12).
>  “Masks do work:” latest medical science data and sources.   > “Masks Work, an interactive graphic  (Oct 31, NY Times)
>  Special mask requirements only for schools are not tallied in this report.
This table integrates author research, National Governors Association (NGA)[vi], ASTHO 10, Masks4All [vii], AARP[viii], AMA, and a university-based collaboration that measures 30 policy or legal actions by states. This report only covers face masks and cloth coverings. [ix]* Excerpts accessed regularly 4/28 – 2/1/2021. Dates reflect historical key steps points, not latest policy. For legal text, links and details, see pp. 3-9.  The category “essential businesses” now also includes individuals or employees in public-facing businesses, with exceptions for safety and medical conditions. [x],
Key: Dark shading = broader application | Light shading = limited application    (a visual guide only; see notes)
State
State of emergency
Mandate face mask use by some/all individuals in public spaces
Mandate face mask use by employees in public-facing businesses
Face mask statewide  ”recommended”
 
Alabama .
3/13/2020
(also cities)     
7/16/2020
* (also cities)
5/11/2020
Yes, besides mandate
Alaska .
3/11/2020
(order lifted; now recommended)
5/22/2020
(order lifted; now recommended)
5/22/2020
Yes
Arizona .
3/11/2020
(state order lifted; now cities/counties)
5/2020
(state order lifted; now cities/counties)
Partial 5/7/2020
Yes
Arkansas .
3/11/2020
7/20/2020
5/11/2020
Yes, besides mandate
California .
3/4/2020
* (+ major cities & counties) 6/18/2020
* (+ major cities & counties)  .  5/2020; 6/18/2020
Yes, besides mandate
Colorado .
3/11/2020
* (+ major cities & counties)  7/17/2020
7/17/2020
Yes, besides mandate
Connecticut .
3/10/2020
4/20/2020
4/3/2020
Yes, besides mandate
Delaware  .
3/13/2020
4/28/2020
5/1/2020
Yes, besides mandate
Dist. of Columbia
3/11/2020
  (certain businesses)
4/15/2020
  (certain businesses)
4/15/2020
Yes, besides mandate
Florida
3/9/2020
* (cities & counties)  0
* (+ cities & counties)         
(certain businesses)     5/2020
Yes
Georgia
3/14/2020
 * (cities & counties)  0
(certain businesses)    4/23/2020
Yes
Hawaii
3/4/2020
  (certain businesses)
4/16/2020
(certain businesses)
4/16/2020
Yes, besides mandate
Idaho
3/13/2020
* (major cities & counties) 0
*  major cities & counties) 0
Yes
Illinois
3/9/2020
5/1/2020
5/1/2020
Yes, besides mandate
Indiana
3/6/2020
(certain businesses)
 7/27/2020
 (certain businesses)
5/4/2020
Yes
Iowa -new-
3/17/2020
 (order lifted; now recommended)
11/17/20; lifted 3/2021
11/17/20; lifted 3/2021
Yes
Kansas
3/12/2020
* 7/3/2020
6/29/2020
Yes, besides mandate
Kentucky  .
3/6/2020
7/10/2020
(businesses must provide)
7/10/2020
Yes, besides mandate
Louisiana 
3/11/2020
7/13/2020
 
5/1/2020
Yes, besides mandate
Maine
3/15/2020
5/1/2020
5/1/2020
Yes, besides mandate
Maryland
3/5/2020
4/18/2020
4/18/2020
Yes, besides mandate
Massachusetts .
3/10/2020
5/6/2020
5/6/2020
Yes, besides mandate
Michigan .
3/10/2020
4/26/2020
4/26/2020
Yes, besides mandate
Minnesota
3/13/2020
7/25/2020
(order lifted; then restored
7/25/2020
Yes
Mississippi
3/14/2020
(requires masks at K-12 schools
8/6/2020; 5/8/2020
(requires masks at K-12 schools )
5/7/2020
Yes
Missouri
3/13/2020
0
0
Yes
Montana
3/12/2020
(order lifted; now recommended)
7/15/2020
(certain counties)
7/15/2020
Yes
Nebraska
3/13/2020
(certain businesses)
  * 5/4/2020
 (certain businesses)
 * 5/4/2020
Yes, besides mandate
Nevada
3/12/2020
6/26/2020
 (most businesses)
 * 5/4/2020
Yes, besides mandate
New Hampshire
3/13/2020
**(all health facilities)
(certain businesses)
5/1/2020
Yes, besides mandate
New Jersey
3/9/2020
(certain businesses)
4/8/2020
4/8/2020
Yes, besides mandate
New Mexico
3/11/2020
5/4/2020
(certain businesses)
5/2020
Yes
New York
3/7/2020
4/17/2020
4/17/2020
Yes, besides mandate
North Carolina
3/10/2020
* (+ cities & counties) 6/26/20200
* (cities & counties)
6/26/2020
Yes, besides mandate
North Dakota .
3/13/2020
(order lifted) 1/18/2021
(order lifted & reimposed & lifted
11/13/2020
Yes
Ohio
3/9/2020
(certain counties)
7/17/2020
(certain businesses & counties)
4/29/2020
Yes, besides mandate
Oklahoma
3/15/2020
 * (state property & city only) 0
* (city only) 0
Yes
Oregon
3/8/2020
(certain counties)
7/1/2020
(certain counties & businesses)
5/7/2020; 6/22/2020
Yes
Pennsylvania
3/6/2020
(order lifted & reimposed)
7/1/2020
4/19/2020
Yes, besides mandate
Rhode Island
3/9/2020
4/18/2020
4/18/2020
Yes, besides mandate
South Carolina
3/13/2020
* (cities & counties)  0
* (cities & counties)  0
Yes
South Dakota
3/13/2020
0
0
Yes
Tennessee
3/12/2020
(certain businesses)
4/29/2020
(certain businesses)
4/29/2020
Yes
Texas .
3/19/2020
* (order lifted; no cities & counties)
7/3/2020
* (no cities & counties)
7/3/2020
Yes
Utah  .
3/6/2020
11/14/2020
(order lifted & reimposed)
6/26/2020
  Yes, besides mandate
Vermont
3/13/2020
(certain businesses)
4/17/2020
(certain businesses)
4/17/2020
Yes, besides mandate
Virginia .
3/12/2020
(certain businesses)
5/29/2020
(certain businesses)
5/29/2020
Yes
Washington
2/29/2020
(certain businesses)
 (+cities & counties)   6/2020
(certain businesses)
 (+cities & counties)     5/4/2020
Yes
West Virginia
3/16/2020
(order lifted, then reimposed)
11/14/2020
(order lifted; then reimposed)
5/4/2020
Yes, besides mandate
Wisconsin
3/12/2020
8/1/2020
6/1/2020
Yes, besides mandate
Wyoming
3/13/2020
(order lifted; certain businesses)
5/1/2020
(certain businesses)
5/1/2020
Yes
Total for policy
51
varied* statewide + local
 *  45 statewide (+ local)
51
Updates added 3/25/2021      

 

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