The California Department of Social Services (CDSS) has issued a Provider Information Notice (PIN) outlining a statewide waiver for tuberculosis (TB) testing in relation to COVID-19 vaccinations for healthcare facilities. The waiver is based on the Centers for Disease Control and Prevention (CDC) guidance regarding potential effects of the COVID-19 vaccine on TB test results within the first four weeks after vaccination. The waiver allows new staff who have received or will receive the COVID-19 vaccine to start working immediately, provided a TB screening is conducted using the TB Risk Assessment Questionnaire before employment. TB testing and clearance requirements must be met within five weeks after the staff member receives their second dose of the COVID-19 vaccine. The waiver is subject to terms and conditions and will expire upon the termination of the State of Emergency proclamation. Healthcare facilities must notify CDSS and post the waiver in a public location, and comply with directives from local health departments.

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