DOJ Barrier-Free Health Care Initiative Picking Up Steam

Written by Joseph J. Lynett.

The U.S. Department of Justice (DOJ), as part of its Barrier-Free Health Care Initiative, announced  it has reached multiple settlements with health care providers concerning access to services for persons who are deaf.  These include a hospital, rehabilitation centers, an ear, nose and throat practice, and a sports medicine center.  The settlements, reached in past few months, refer to the auxiliary aids or services that the DOJ considers necessary to comply with Title III of the Americans with Disabilities Act (ADA) ( prohibiting discrimination on the basis of disability by public accommodations and in commercial facilities).

The individuals who  complained to  the DOJ are deaf and use American Sign Language (“ASL”) as their primary method of communication.  They filed complaints after health care providers denied their requests for  ASL interpreters during treatment, at the providers’ expense. 

The settlement agreements require each provider to:

  • provide “appropriate auxiliary aids and services, including qualified interpreters, where necessary to ensure effective communication” unless an undue burden or a fundamental alteration would result;
  • make documented determinations of what auxiliary aids or services are appropriate in consultation with any person with a disability using established factors and a defined timeline;
  • perform a communications assessment, using a form attached to the settlement, as soon as practical and document the results in the patient’s chart;
  • post and maintain signs in the waiting area stating that the facility will provide qualified interpreters free of charge for patients, family members, and companions;
  • maintain a list of qualified interpreters or interpreter agencies or arrange for the services of qualified interpreters, and submit that list to the DOJ;
  • log each request for an auxiliary aid or service, including the time, date, requesting individual, the specific service requested, and the type of auxiliary aid or service provided;
  • hire an advocacy group to provide mandatory training approved by the DOJ on an annual basis to all staff and affiliated individuals on the medical facilities’ obligations under Title III, including training in the degrees of hearing impairment and the use of auxiliary aids and services;
  • submit written compliance reports to the DOJ; and
  • provide the DOJ with oversight to assess  compliance with the settlement agreement for 3-years.

The settlement agreements also contain monetary terms requiring that each provider pay the complaining parties damages ranging from $0 – $15,000, and the DOJ civil penalties ranging from $0 – $1,000.

The settlement agreements and press releases can be accessed through the following link:  http://www.ada.gov/usao-agreements.htm.

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NLRB Defers to Arbitration Award Denying Backpay, Declines Request to Revisit Precedent

The NLRB Acting General Counsel’s latest effort to limit the effect of arbitration awards, even though they may be acceptable to the charged party against whom related unfair labor practice charges are pending before the agency (often the employer), has come up short.

The NLRB Acting General Counsel’s 2011 “Guideline Memorandum Concerning Deferral to Arbitral Awards and Grievance Settlements” (Memorandum 11-05, January 20, 2011), announced the Acting General Counsel “will urge the Board to modify its approach in post-arbitral deferral cases” to switch  the burden of proof from the General Counsel to the party urging deferral.  In other words, the party advocating reliance on an arbitrator’s award to dispose of related unfair labor practice charges would have to show the award meets the Board’s standards for acceptance, instead of requiring the Board’s prosecutor to show that it does not, as is the case now.

The Board has turned down its General Counsel’s invitation – at least for now.  The rejection came in  the Board’s decision to defer to an arbitrator’s award reinstating an employee without backpay in Shands Jacksonville Med. Ctr. Inc., 359 NLRB No. 104 (Apr. 26, 2013).  There, the Acting General Counsel asked the Board to require the employer, which had urged agency approval of the award to dispose of a similar Board charge, to show that “(1) the contract had the statutory rights incorporated in it or the parties presented the statutory issue to the arbitrator; and (2) the arbitrator correctly enunciated the applicable statutory principles and applied them in deciding the issue.” 

But the Board found the Acting General Counsel had not also proposed revisiting agency precedent on when an arbitration award is “clearly repugnant” to the Act.  This precedent, it said, spoke directly to the “crux” of this case – where the arbitrator actually found in the grievant’s favor on the merits and ordered her reinstatement, but denied her backpay on grounds that were not “palpably wrong.”  Accordingly, “[g]iven those circumstances” the Board “decline[d] to pass on the Acting General Counsel’s proposal in this case.”

Without a clear ruling from the Board on changing the burden of proof, healthcare employers should expect the Acting General Counsel to continue his efforts to press for agency acceptance of GC Memorandum 11-05 with post-arbitral deferral cases.

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NLRB's Division of Advice Spells Out Lawful Investigation Rules and Addresses Questions Raised By Banner Health System

Healthcare employers may be interested in a recent post on the Jackson Lewis LLP Workplace Resource Center addressing lawful investigation rules.  Click here for more information.

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Union Information Requests: Is Nothing Sacred?

Unionized healthcare employers may be interested in a recent post on the Jackson Lewis LLP Unions & Labor Law Reform Blog addressing union information requests in the hospital setting.  Click here for more information.

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Hospitals Servicing Federal Employees through Provider Agreement with HMO Covered by Affirmative Action Regulations

The Office of Federal Contract Compliance Programs (OFCCP) has jurisdiction over three hospitals receiving payments from a health plan for providing medical services to U.S. government employees, a U.S. District Court for the District of Columbia judge has confirmed. UPMC Braddock v. Harris, No. 09-1210 (D.C. D.C. Mar. 30, 2013). The decision is the latest chapter in a long-running jurisdictional dispute between OFCCP and three Pittsburgh-area hospitals.

For more, please visit Jackson Lewis' blog at Affirmative Action & OFCCP Law Advisor

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Pre-Suit ADA Requirements Not Satisfied by Nurse's Assistant's Initial EEOC Charge, Intake Questionnaire, or Amended Charge

A certified nurse’s assistant cannot pursue a disability discrimination claim under the Americans with Disabilities Act because she failed to exhaust her administrative remedies, the U.S. District Court for the Eastern District of Tennessee ruled in Davenport v. Asbury Inc., No. 3:12-CV-00445 (E.D. Tenn. Mar. 29, 2013). 

Under the ADA, a claimant must file a discrimination charge with the U.S. Equal Employment Opportunity Commission or a state counterpart within 180 or 300 days of the alleged discrimination.  Here, the Court found the charge by the nurse’s assistant initially filed with the EEOC was invalid because it was signed by her attorney, rather than plaintiff herself.  While an attorney may file a charge on behalf of a client, the Court explained, the lawyer’s signature alone is not proper verification, unless the attorney personally swears to the truth of the facts contained in the charge and does so based on personal knowledge of those facts. 

The Court further found the signed intake questionnaire the plaintiff submitted prior to filing her charge could not substitute for an official charge, because it was not verified in accordance with the ADA and the EEOC’s regulations – i.e. it was not notarized or signed under penalty of perjury. 

Finally, the Court found the verified amended charge the plaintiff filed after the EEOC issued a right-to-sue notice did not exhaust her administrative remedies because it did not relate back to her intake questionnaire or her initial charge.  The Court explained that because “the purpose of the verification requirement is to protect the defendant from responding to frivolous charges and ‘demands an oath…by the time the employer is obliged to respond to the charge,’ plaintiff, in filing her verified amended [charge] after the EEOC closed its case and this suit was initiated and removed to this Court, did so too late.”

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New York's Highest Court To Say Whether Medical Practice Can Be Sued For Wrongful Texts By Non-Physician Employee

The following note from our colleagues at the Jackson Lewis LLP Workplace Privacy, Data Management & Security Report may be of particular interest to healthcare employers.  Click here to be transferred directly to the link.

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NLRB Recess Appointment Question to be Appealed to U.S. Supreme Court

The National Labor Relations Board announced on March 12, 2013, that it will not seek en banc rehearing of Noel Canning v. NLRB et al., Nos. 12-1115 and 12-1153 (D.C. Cir. Jan. 25, 2013), in which the U.S. Court of Appeals for the District of Columbia Circuit held that the President’s January 4, 2012 recess appointments of three members to the Board were invalid.  Instead, the Board, in consultation with the Department of Justice, intends to file a petition for certiorari with the U.S. Supreme Court for review of that decision.  The petition for certiorari is due on April 25, 2013.

Currently, Chairman Mark Gaston Pearce is the only member of the Board whose appointment is valid under the reasoning of Noel Canning. Confirmed by the Senate on June 22, 2010, he serves a term ending on August 27, 2013.

If the U.S. Supreme Court accepts the case, oral argument likely will be scheduled sometime during the Supreme Court’s term that begins in October 2013.  Until the Supreme Court issues an opinion, the current uncertainty remains, and cases, rulemaking and appointments made by the Board since August 2011 may be subject to legal challenge. 

For prior postings on Noel Canning, click here and here.

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Health Care Industry Group Testifies at Congressional Hearing on Shortage of Healthcare Workers

On March 14, 2013, a member of the American Health Care Association (AHCA) testified before the House Education and Workforce Committee’s subcommittee on Workforce Protections hearing on the critical shortages of mid-level caregivers in the nation’s skilled nursing centers and its impact on the economy.  Click here for more information from Jackson Lewis' Immigration Blog.

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Deceptive Home Health Aides Not Entitled to Reinstatement, Federal Court Rules

Home health aides who deceived their employer about their intention to strike created a reasonably foreseeable risk of imminent danger to their patients and were not entitled to be reinstated to their original patients and schedules after they were given new assignments following the strike, the U.S. Court of Appeals for the Second Circuit has ruled. NLRB v. Special Touch Home Care Servs., Inc., No. 11-3147-ag (2d Cir. Feb. 27, 2013).   For details, click here.

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