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The enforcement of statewide mask wearing mandates to prevent COVID-19 in the US: an overview

[version 1; peer review: 2 approved]
PUBLISHED 07 Sep 2020
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This article is included in the Emerging Diseases and Outbreaks gateway.

This article is included in the Coronavirus collection.

Abstract

Face masks have become the bulwark of COVID-19 prevention in the US.  Between 10 April and 1 August, 2020, 33 state governors issued orders requiring businesses to require their customers and employees to wear face masks, and persons outdoors who could not social distance  to do the same. We documented the policies and enforcement actions for these policies in each of the states.  We used governors’ orders and journalists’ news reports as our sources. Our results show that the states used a variety of state and local (county and municipality) agencies to enforce business prevention behaviors and primarily local  law enforcement agencies to enforce outside mask-wearing behaviours. In particular, law enforcement officers demonstrated a strong preference for educating non-mask wearers, and indicated a reluctance to resort to civil penalties that were enacted in the state orders.  Businesses expressed a preference to have government agencies enforce non-mask wearing behaviours.  But there was also a widespread reluctance on the part of local law enforcement  to resort to legal remedies.

Keywords

COVID-19, face masks, statewide mandates, governor's order, enforcement

Introduction

In the United States, the Centers for Disease Control first recommended the wearing of face masks on April 3, 2020. On April 8, The Governor of New Jersey was the first to issue a general, statewide mandate, which required “workers and customers to wear cloth face coverings while on the premises”. By August 1, 33 state governors had issued state-wide mask wearing orders. The resulting pattern of regulations regarding mask wearing across the states is a welter. There is wide variation in the design of the ordinances, including whose behavior is being targeted, what is expected of them, when they must observe the ordinances, where their behavior is to be regulated, why they must submit to these orders, and how violations will be enforced. In this paper we summarize the introduction of state policies in those states which issued statewide mandates, and how these mandates are being enforced.

Methods

Our subjects were the 33 states which had mask mandates in effect by August 1.

We used newspaper and broadcasting articles as our primary sources. We identified these articles using Google searches ending August 4 with the following keywords: ”COVID-19”, “State” (e.g., “Pennsylvania”) AND “mask order” or “mask mandate” AND “enforcement” OR “education”. We used newspaper or broadcast articles as the primary source because they contained essential information about the mandates, as well as additional information about enforcement. We identify primary sources for each state in the Underlying data, Appendix 11. Most news sources came from local broadcast stations, local and national news services, networks including the Public Broadcasting System, CBS, and ABC. We used the actual ordinances as secondary sources, but these often did not contain information about enforcement.

We abstracted the following items for each state:

Are businesses given first-line responsibility for their customers and employees? By reading news articles, we determined if businesses were directly responsible for mask wearing behaviors of customers and employees on their premises. Answers were “Yes,” “No,” or in a few cases, “Unsure.”

What authorities enforce whether businesses apply mask wearing orders on their premises? We determined from the news articles which government agencies were responsible for ensuring that businesses were applying the governors’ orders. This information might also be obtained from the governors’ orders. For each state, we listed these authorities: “LLE” indicates “Local Law enforcement,” “LPH” signifies “Local Public Health,” and “DOH” signifies “Department of Health.”

What authorities enforce mask wearing behaviors outside of business premises? We identified the enforcement authorities from the news articles. Abbreviations are the same as the previous question.

Is education viewed as a primary tool to encourage mask wearing behaviors? We obtained this information from news articles. Answers were “Yes” or “No”.

Do local governments (counties and municipalities) pass their own orders? We obtained this information by searching news articles which identified additional county or municipal mask orders within individual states. Answers were “Yes” or “No”.

Has local law enforcement shown any resistance to enforcing statewide orders? We obtained this information by searching for news articles that identified local law enforcers’ comments on “enforcement.” Answers were “Yes” or “No”.

Results

The publications on which the analysis was based are shown in the Underlying data, Appendix 11. These data underlying the analysis are shown in the Data Availability section.

Which states issued statewide mandates?

We identify the 33 states with statewide mandates (green) in Figure 1. We did not cover states with county or municipal orders (yellow), states with only municipal orders (brown) or states with no orders (red).

606836c3-8b7d-40a3-883f-9805025a8815_figure1.gif

Figure 1. In effect dates of statewide orders by US state.

The first state order (New Jersey) came in effect on April 8, 2020. We followed trends until 1 August, 2020. State acronyms are as follows. Alabama (AL), Alaska (AK), Arizona (AZ), Arkansas (AR), California (CA), Colorado (CO), Connecticut (CT), Delaware (DE), Florida (FL), Georgia (GA), Hawaii (HI), Idaho (ID), Illinois (IL), Indiana (IN), Iowa (IA), Kansas (KS), Kentucky (KY), Louisiana (LA), Maine (ME), Maryland (MD), Massachusetts (MA), Michigan (MI), Minnesota (MN), Mississippi (MS), Missouri (MO), Montana (MT), Nebraska (NE), Nevada (NV), New Hampshire (NH), New Jersey (NJ), New Mexico (NM), New York (NY), North Carolina (NC), North Dakota (ND), Ohio (OH), Oklahoma (OK), Oregon (OR), Pennsylvania (PA), Rhode Island (RI), South Carolina (SC), South Dakota (SD), Tennessee (TN), Texas (TX), Utah (UT), Vermont (VT), Virginia (VA), Washington (WA), West Virginia (WV), Wisconsin (WI), Wyoming (WY).

Who was required to wear masks?

The entire population, with exceptions, was included in the order. Persons exempted from the orders were persons with disabilities or medical conditions who were over specific ages. The age above which masks were mandatory were 2 (14 states), 4 (3 states), 5 (3 states), 6 (1 state), 7 (2 states), 9 (4 states), 10 (4 states), 11 (1 state) and 12 (1 state). See Table 1.

Table 1. Data for US states with statewide mask orders.

Includes date the order was in effect, fines and sentences, and maximum age for exemption.

StateDate of
Mask
Order
PenaltyExceptions (Age)
Alabama16-Jul-20$500 fine and/or jailAged 6 or younger
Arkansas20-Jul-20$100-500 fineAged 10 or younger
California18-Jun-20Misdemeanor + fineAged 2 or younger
Colorado17-Jul-20"Civil or criminal penalties"Aged 10 or younger
Connecticut20-Apr-20Aged 2 or younger
Delaware28-Apr-20Fine up to $500, jail up to 6 monthsAged 12 or younger
Hawaii20-Apr-20Fine up to $5000, jail up to 1 yearAged 4 or younger
Illinois01-May-20Varies by localityAged 2 or younger
Indiana27-Jul-20Planned penalties removedAged 7 or younger
Kansas03-Jul-20Varies by localityAged 5 or younger
Kentucky11-May-20Fine (starting July 10)Aged 4 or younger
Louisiana13-Jul-20Varies by localityAged 7 or younger
Maine01-May-20Varies by localityAged 2 or younger
Maryland18-Apr-20Fine up to $5000, jail up to 1 yearAged 2 or younger
Massachusetts06-May-20Fine up to $300Aged 2 or younger
Michigan27-Apr-20Fine up to $500 (starting July 13)Aged 2 or younger
Minnesota25-Jul-20Fine up to $100Aged 5 or younger
Montana15-Jul-20Trespassing chargeAged 4 or younger
Nevada24-Jun-20Aged 10 or younger
New Jersey08-Apr-20Fine up to $1000, jail up to 6 months (starting July 8)Aged 2 or younger
New Mexico15-May-20Fine up to $100 (starting July 1)Aged 2 or younger
New York17-Apr-20Fine up to $1000 (Starting July 9)Aged 2 or younger
North Carolina26-Jun-20Trespassing chargeAged 10 or younger
Ohio23-Jul-20Fine up to $750, jail up to 30 daysAged 9 or younger
Oregon01-Jul-20Fine up to $1250, jail up to 30 days (starting July 13)Aged 11 or younger
Pennsylvania19-Apr-20Aged 2 or younger
Rhode Island08-May-20Varies by localityAged 2 or younger
Texas03-Jul-20Fine up to $250 (repeat offenders)Aged 9 or younger
Vermont01-Aug-20Aged under 2
Virginia29-May-20Fine up to $2500, jail up to 1 yearAged 9 or younger
Washington26-Jun-20Fine up to $1000, jail up to 90 daysAged 2 or younger
West Virginia06-Jul-20Aged 9 or younger
Wisconsin01-Aug-20Fine up to $200Aged 5 or younger

When did the mandate become effective?

Mandates became effective in the months of April (8 states), May (7 states), June (4 states), July (12 states) and August (2 states). See Figure 1.

What was the scope of the mandate (indoor, indoor and outdoor, or “in public”)?

The mandates covered indoor only (8 states: Colorado, Hawaii, Indiana, Maine, Montana, Minnesota, Montana, Oregon, and West Virginia), outdoor and indoor or “public” places usually where recommended spacing was not available or there were large crowds (25 states). Some states excluded certain industries (e.g., gyms) if they did not meet public health requirements. See Table 2 for individual state information.

Table 2. Enforcement of statewide mask orders.

Enforcement includes business responsibility, the state authority that enforces both inside and outdoor subjects, whether states emphasize education regarding mask wearing, whether local governments also impose mask orders, and if local law enforcement resisted a role in enforcing the order. L=local, LE = law enforcement, PH=public health, OSH=occupational safety and health, DOH=department of health.

StateBusiness
responsible
for customers
/ employers?
Authority
that enforces
businesses
Authority
that enforces
outdoor mask
wearers
Education
a primary
prevention tool?
Local
governments
may also
pass own
orders
Resistance
from Local Law
Enforcement
AlabamaYesNoLLEYesNoYes
ArkansasNoNoneLLEYesYesYes
CaliforniaYesAlc.Bev. ControlLLEYesYesYes
ColoradoYesAgencies like state
liq. Control board
PH, LLEYesYesYes
ConnecticutYesPH & LLELLEYesNoNo
DelawareYesPH PHYesNo
HawaiiYesLLELLENo YesYes
IllinoisYesNoneLLEYesYesNo
IndianaNoState & local PHState & L PHYesNo
KansasYesLLELLEYesYesYes
KentuckyYesLPH & Labor CabinetLLENo NoYes
LouisianaYesstate fire marshallLLENo YesYes
MaineYesBusiness regulatorsYes
MassachusettsUnsureUnsureLLEYesNo
MichiganYesstate licensing bodyLLENo NoYes
MinnesotaYesLLFYes
MontanaYesLLE, LPHLLEYesNoYes
NevadaYesOSHALimitedYesNoYes
New JerseyLLEYesYes
New MexicoYesState pol, DOHLimitedYesNoYes
New YorkYesState/cty DOHLLEYesYesYes
North CarolinaYesLLE LLEYesNoYes
OhioYesLHD / OH Invest.
Unit
UnclearYesNoYes
OregonYesOSH LLEYesNoYes
PennsylvaniaUnsureNot enforcedLLEYesNoYes
Rhode IslandYesRI Dept Bus RegLLEYesNoTes
TexasYesLocal govtLLEYesYesYes
VermontYesVoluntaryNoneYesNoNo
VirginiaYesDOH, state licensing
agencies
Focus on
business
YesNoYes
WashingtonYesWA Dept of Labor &
Industries
UnclearYesNoYes
West VirginiaYesBusiness self-
enforcement
None YesNoNo
WisconsinUncertainPHLocal and state
officials
YesNoYes

Who was the primary target of the violation: businesses or individual non-mask wearing violators?

In 26 states, businesses and establishments formed the primary targeted group. Three states (Arkansas, Indiana, New Jersey) targeted only individual mask non-wearers. In two states (Pennsylvania, Wisconsin) we were unsure of the targeted group. See Table 2.

What is the maximum penalty of a violation?

Ten states had provisions for fines only. The usual amount was between $100 and $200, but NY had a maximum of $1,000. Nine states had provisions for fines and/or jail sentences. The maximum fine in this group was $5,000 (Hawaii, Maryland) and the maximum jail sentence was one year (Maryland), but these amounts were outliers. More typical values were $500 fines and/or 30 days to six months in jail. In five states fines varied by county. The other states did not specify penalties, and some of these could have no penalty: in a number of states sheriffs expressed a strong preference for education over criminal or even civil proceedings. See Table 2 for individual state information.

Who is the enforcement agency?

In most of the states (27 states) the government relied on private businesses to enforce mask wearing behaviors. Three states (Arkansas, Indiana, New Jersey) focused directly on non-mask-wearers. We were unsure of the governors’ focuses in three other states (Massachusetts, Pennsylvania, Wisconsin). In addition, because many states extended the mandate to outdoor non-business settings, there was enforcement in these settings as well. The pattern of enforcement in the two settings was very different.

Agencies which enforced businesses include state occupation safety and health agencies (Nevada, Ohio, Oregon, Washington, Kentucky); state or local public health agencies (Conneticut, Delaware, Indiana, Kentucky, Montana, New Mexico, New York, Ohio, Virginia, Wisconsin), city or county law enforcement (Connecticut, Hawaii, Kansas, North Carolina), alcohol and beverage control (California, Colorado), business regulators and licensers (Maine, Mississippi, Rhode Island). In some cases regulators were not specified, or the area was not enforced by the government. The enforcement of non-mask wearing behavior outside of businesses was usually assigned to local law enforcement (19 states) or public health (3 states). In other cases, there was limited to no enforcement outside the business setting. Many local sheriffs or local police chiefs stated their objections to enforcement on grounds that there were limited resources; a few also mentioned constitutional grounds.

Discussion/conclusions

Based on public and journalist reports, we analyzed the introduction and enforcement of statewide mask wearing mandates in the 33 US states that imposed such orders between April 10 and August 1, 2020. Most states relied on businesses to enforce customer and employee mask wearing behavior. However, both the contents of the governors’ orders and the type and degree of enforcement varied widely between the states. Enforcement responsibility for personal (outdoor) mask wearing behavior was handed over to local law enforcement.

The business sector of the economy has been very active in COVID-19 prevention during this time period by introducing mask wearing regulations for its customers and employees. A survey of large US retail chains showed that 16 chains had introduced cross-country mask wearing policies in May, 2 in June, and 34 in July. Despite the adoption of storewide prevention policies, businesses, their trade associations, and employee trade unions have expressed concern at taking on primary enforcement roles. Private companies still relied on state laws to provide them with a rationale for requiring customers to wear masks. These businesses are subject to degrees of enforcement that have been inconsistent across states and that have often been lax. Many governors’ orders also covered outdoor areas, and most of these were nominally enforced by local law enforcement agencies. However, senior law enforcement officers in all states issued statements that they would not enforce mask wearing orders. For example, 38 sheriffs in Montana issued an op-ed which stated that a mask wearing directive “is not a mandate for law enforcement to issue citations and arrest violators.” Although such statements were not universal, examples can be found in every state.

We used both governors’ orders and news reports for our data sources. Policies like engaging in public education are subjectively described and data for them are not collected; instead we used sheriffs’ interviews with journalists to document the policies. Also, we could not obtain data on citations written by local law enforcement. Nevertheless, information on education and enforcement was widely reported in the press across the nation, and strongly suggests a national trend. It also indicates that mask wearing behavior, now considered a bulwark against the spread of COVID-19, is not being strongly enforced, especially in the outdoor sectors.

Data availability

Harvard Dataverse: Press articles on statewide mask orders in 33 US states. https://doi.org/10.7939/DVN/SFIT0R1

This project contains the following underlying data:

  • - Appendix 1 Press Publications. This file contains the news articles that we used to abstract the descriptive variables. It includes state, topic, and internet address.

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Jacobs P and Ohinmaa AP. The enforcement of statewide mask wearing mandates to prevent COVID-19 in the US: an overview [version 1; peer review: 2 approved] F1000Research 2020, 9:1100 (https://doi.org/10.12688/f1000research.25907.1)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Key to Reviewer Statuses VIEW
ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 1
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Reviewer Report 20 Jan 2021
Hina Shah, Kansas Health Institute, Topeka, KS, USA 
Charles Hunt, Kansas Health Institute, Topeka, KS, USA 
Approved
VIEWS 7
This is a descriptive study of state-level mask mandates in the U.S. that were implemented between April 10, 2020, and August 1, 2020, to mitigate the spread of COVID-19. The objective of the study is to document which states had ... Continue reading
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Shah H and Hunt C. Reviewer Report For: The enforcement of statewide mask wearing mandates to prevent COVID-19 in the US: an overview [version 1; peer review: 2 approved]. F1000Research 2020, 9:1100 (https://doi.org/10.5256/f1000research.28591.r75987)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Reviewer Report 10 Dec 2020
Evelyn Forget, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada 
Approved
VIEWS 12
This article documents policies and enforcement actions in the 33 states that adopted face mask policies between 10 April and 1 August 2020, by examining news articles and broadcasting articles retrieved through Google on August 4. They found that states ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Forget E. Reviewer Report For: The enforcement of statewide mask wearing mandates to prevent COVID-19 in the US: an overview [version 1; peer review: 2 approved]. F1000Research 2020, 9:1100 (https://doi.org/10.5256/f1000research.28591.r75986)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

Comments on this article Comments (0)

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Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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