The Italian government has approved some of the strictest anti-COVID measures in the world, making it obligatory for all workers either to show proof of vaccination, a negative test or recent recovery from infection.
The new rules will come into force on October 15 in the latest effort by Prime Minister Mario Draghi's broad coalition to persuade people to get inoculated and blunt contagion in one of the countries worst hit by the virus.
Any worker who fails to present a valid health certificate will be suspended on no pay, but cannot be sacked, according to a draft of the decree seen by Reuters.
People who ignore the decree and go to work regardless will face a fine of between 600 to 1,500 euros.
While some European Union states have ordered their health workers to get vaccines, none have made the Green Pass mandatory for all employees, making Italy a test case for the continent.
The pass was originally conceived to ease travel around Europe, but Italy was among a group of countries that swiftly also made it a requirement for those wanting to access venues such as museums, gyms and indoor dining in restaurants.
There have been sporadic protests in Italy in recent weeks against the growing pressure to get a jab, but most political parties, as well as the main employers' federation, have backed the move, hoping it will prevent further economic lockdowns.
Union leaders have been more lukewarm, saying tests should be given freely to workers who refuse to be vaccinated, enabling them to remain on the job.
Officials say that would encourage people to continue shunning vaccines.
However, a government source said the cabinet would keep a firm lid on prices for tests, imposing a maximum fee of 15 euros for adults.
Italy has the second-highest COVID-19 death toll in Europe after Britain, with more than 130,000 people dying of the disease since the pandemic surfaced in early 2020.
Around 74% of its 60-million-strong population have had at least one COVID-19 shot and 68% are fully vaccinated, figures broadly in line with most other EU countries.
Underscoring the importance of jabs, Italy's health foundation Gimbe said in a report on Thursday that almost all COVID-19 sufferers currently in hospital were unvaccinated.
The report said vaccines had helped reduce deaths in Italy by 96.3%, hospitalisations by 93.4% and intensive care admissions by 95.7%.
Italy in March ordered health workers to get vaccinated or face suspension.
As of today, 728 doctors have been suspended, the doctors' federation said on Thursday. It was not immediately clear how many nurses or carers had refused to comply.
A similar measure in France came into force on Wednesday.
Health Minister Olivier Veran said on Thursday that around 3,000 health workers had been suspended for their failure to get vaccinated.