California Department of Public Health Announces Key Updates to COVID-19 Guidance (2023)

In a significant move, the California Department of Public Health (CDPH) has unveiled crucial updates to various state public health officer orders, marking a pivotal moment in the ongoing battle against the COVID-19 pandemic. These updates, spanning vaccination, masking, isolation, and quarantine, are set to be implemented in the coming days and weeks, signaling a shift in the state's approach to managing the virus.

Expressing Gratitude and Commitment

CDPH Director and State Public Health Officer Dr. Tomás Aragón expressed gratitude to Californians for their collective efforts in managing the challenges posed by COVID-19. Acknowledging the resilience of communities in adhering to preventive measures, such as vaccination and masking, he emphasized the need for an adaptive approach to coexist with the virus while maintaining a balance between prevention and everyday life.

Masking Updates in High-risk and Health Care Settings

A key modification in the guidance is the lifting of mask mandates in indoor high-risk and health care settings starting April 3. This includes health care facilities, long-term care centers, correctional facilities, as well as homeless shelters, emergency centers, and warming and cooling centers. The decision grants local health departments and health care facilities the flexibility to tailor plans to their specific needs and local conditions, aligning with the conclusion of the winter virus season.

Evolution of Vaccine Requirements for Health Care Workers

Effective April 3, the state will cease mandatory vaccination for health care workers, encompassing those in adult care, direct care, correctional facilities, and detention centers. This shift aligns with federal rules ensuring widespread vaccination among health care workers. Local health departments and facilities are empowered to formulate customized plans in alignment with local conditions, fostering ongoing protection through the remainder of the winter virus season.

Streamlined Isolation Guidelines After Positive COVID-19 Test

Commencing March 13, individuals testing positive for COVID-19 may conclude their isolation after five days if they exhibit well-being, improving symptoms, and have been fever-free for 24 hours, with reduced emphasis on testing negative. This adjustment reflects the latest recommendations from the Centers for Disease Control and Prevention (CDC) and becomes effective on March 13.

Comprehensive Disease Control and Prevention Order

The state public health officer order, formerly known as Beyond the Blueprint, undergoes updates to synchronize with CDPH's isolation and quarantine recommendations. Effective March 13, the revised order encompasses prevention and mitigation strategies for curbing the spread of COVID-19 in homes, workplaces, and communities.

Hospital Surge Order Rescindment

On April 3, CDPH will rescind the order mandating hospitals to accept transfer patients from facilities with limited ICU capacity. This decision comes in the wake of ample ICU capacity, attributed to the widespread use of vaccines and treatments during recent COVID-19 surges.

Vaccine Data Collection Revisions

Another significant change, effective April 3, involves the rescindment of an order requiring providers to collect patients' email addresses and/or mobile phone numbers during COVID-19 vaccination. In compliance with new legislation, California healthcare providers administering vaccines will now input patient information, including telephone numbers and race and ethnicity.

Abundant Resources for Continued Support

Despite these adjustments, Californians are reminded that critical tools in the fight against COVID-19 remain readily accessible at low or no cost. This encompasses access to COVID-19 vaccines, testing, and treatment, with resources available through various providers, pharmacies, and local community sites.

Phased Reduction of Emergency COVID-19 Supports

In recent weeks, California has initiated the phased reduction of underutilized emergency COVID-19 supports. This includes the scaling down of state-funded testing and test-to-treat sites, vaccine staff, outbreak response teams, mobile vaccine units, and pop-up vaccination events.

Impacts on Public Health Programs and Initiatives

The winding down of underutilized supports also translates to reduced state support for local contact tracing efforts, fewer staffing flexibilities for hospitals and nursing homes, conclusion of reduced training and certification requirements for certified nursing assistants and home health aides, and the termination of expedited license processing for facilities conducting COVID-19 tests.

Legislative Collaboration and the SMARTER Plan

Acknowledging the evolving landscape, the state collaborated with the California Legislature to extend two critical authorities. These include the continuation of nurses dispensing COVID-19 therapeutics as part of a state-run test-to-treat program and clarification of processes for COVID-19 laboratory tests. The recently signed legislation aims to fortify California's operational preparedness for the next phase of the COVID-19 pandemic, prioritizing equity in supporting communities across the state.

Unprecedented Public Health Infrastructure

CDPH attributes its ability to announce these updates to the substantial investments California has made in public health infrastructure to respond to COVID-19. These investments have enabled the state to lead the nation in various aspects of the pandemic response:

  • Lifesaving Measures: California has saved countless lives, prevented severe illness, and maintains one of the lowest COVID-19 death rates nationally.

  • Education: The state has excelled in ensuring the safety of students and staff in classrooms.

  • Vaccination Milestone: Administering a staggering 88 million vaccinations, nearly 73 percent of the state's population has received the primary vaccine series.

  • Testing: Processing over 186 million tests, California has pursued its goal of expanding equitable and affordable access to COVID-19 testing.

  • Treatment Courses: Over 1,748,251 COVID-19 treatment courses have been administered, contributing to the state's comprehensive healthcare approach.

  • PPE Distribution: The state distributed over 1 billion pieces of personal protective equipment, including masks, ensuring the safety of frontline workers and the public.

Continuing Commitment to Public Health

In addition to investments in vaccines, testing, and treatment, California has undertaken various measures to enhance public health resilience:

  • Telehealth Expansion: The state expanded and improved telehealth resources to facilitate remote healthcare access.

  • Data Modernization: Modernizing data collection tools has enabled more efficient tracking and analysis.

  • Wastewater Surveillance: The state developed and utilized wastewater surveillance as an additional measure to monitor community health.

  • Contact Tracing Program: A statewide contact tracing program and information system were developed to effectively trace and curb the spread of COVID-19.

  • Innovative Tools: The state launched several innovative tools for the public, including, MyTurn, CANotify, and MyVaccineRecord.

  • Equity-focused Campaigns: Multiple outreach and awareness campaigns, such as Vaccinate All 58, Mothers, and Test It Treat It You Can Beat It, were initiated to address social and health inequities magnified during the pandemic.

  • The SMARTER Plan: The state developed the SMARTER plan to refine ongoing pandemic and COVID-19 disease response.

  • Academic Collaboration: Collaboration with academic institutions has been enhanced to inform a more effective public health response.


The announcement of these updates reflects California's commitment to adaptive public health strategies informed by scientific evidence and national recommendations. The state's proactive approach, coupled with its robust public health infrastructure, positions California at the forefront of the nation's ongoing battle against the COVID-19 pandemic. As the state transitions into the next phase, the SMARTER Plan ensures operational preparedness, prioritizing equity and community support throughout the evolving landscape of the pandemic.

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