NEW YORK (Reuters) – All healthcare workers in New York state must be vaccinated against COVID-19 unless they have a medical or religious exemption, Governor Andrew Cuomo said in a new mandate issued on Monday.

They must have received at least one dose of a vaccine by Sept. 27, he said in a statement.

Cuomo previously ordered all patient-facing workers in state hospitals to get vaccinated in a mandate issued in July.

About 75% of the state’s roughly 450,000 hospital workers are fully vaccinated, according to the statement.

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