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Coronavirus Update for Employers - March 16, 2020

The key point for Employers to remember: It will be difficult for Employers to make a wrong decision.

The Coronavirus/COVID-19 is a “pandemic,” which means that there is sustained human-to-human transmission which is not geographically contained. It also means that Employers are given leeway in their workforce decisions.

“During a pandemic, employers should rely on the latest CDC and state or local public health assessments.” – EEOC

Employers are expected to make their best efforts to obtain public health advice that is contemporaneous and appropriate for their location, and to make reasonable assessments of conditions in their workplace based on this information.

What are the sources for Reliable Information?

  • Centers of Disease Control and Prevention – www.cdc.gov
    • Updated almost daily
    • Information for United States
  • World Health Organization – www.who.int
    • Updated daily
    • Focus is international
  • State Public Health Agencies

What are the Legal Considerations?

  • Workers Compensation
    • I became sick at work because you made me work with sick co-employees
    • Not an issue
    • Must be “occupational” meaning that it arose out of and in the course and scope of employment, and it must arise out of or be caused by conditions “peculiar” to the work. (e.g., black lung from coal mining; asbestosis from asbestos removal)

  • Intentional Tort and Third-Party Negligence Claims
    • I became sick because you failed to train, let in sick customers, or didn’t provide equipment
    • Not an issue of concern.
    • These claims require either the intent to injure, or the belief that the injury was substantially certain to occur
    • Solution: Post a Caution Sign at the entrance requiring anyone experiencing flu symptoms (fever, cough, shortness of breath) to not enter or to call before entering so that they may be greeted by someone who has taken precautionary measures

  • Americans with Disabilities Act (ADA)
    • I’m at-risk of getting sick and I want a disability accommodation, such as the right to work from home
    • Not an issue of concern because temporary conditions, which do not substantially limit a major life activity, are not disabilities (i.e., the flu)
    • Caution: It may become an issue if the Employer treats those with coronavirus or those at-risk of coronavirus as having a disability because ADA prohibits discrimination against those with actual and “regarded as” disabilities

  • National Labor Relations Act (NLRA)
    • My coworkers and I are banding together and not coming to work because you are letting a sick person sit in a common area without any protective measures or equipment
    • Employees, union and non-union, have a protected right to raise concerns about terms and conditions of work, including safety
    • A refusal to work may be deemed a concerted protected activity for which employers must comply with NLRA
    • Caution: Employers cannot discipline employees who are engaging in a concerted protected activity

  • Occupational Safety and Health Administration (OSHA)
    • If we are coming to work, what are you doing to protect us?
    • All employers are subject to the General Duty Clause to provide a place of employment that is free from recognized hazards that cause or are likely to cause death or serious physical harm
    • There is no universal standard for coronavirus, yet.
    • OSHA is creating and updating steps to reduce risks of exposure, including low, medium, and high/very high-risk level jobs:
    • Be sure to also check on:
      • Requirements for specific industries
      • PPE requirements
      • Required reporting of recordable illnesses for infection on the job

  • Family and Medical Leave Act (FMLA)
    • I’m sick and I should get paid leave
    • Coronavirus may not be technically FMLA eligible without incapacitation and either ongoing physician visits or regimen of continuing treatment
      • Rest and OTC pain relief is not a regimen of treatment
    • FMLA provides unpaid leave for employees who worked 1,250 hours at a workplace with 50 or more employees

    • BUT WAIT…Families First Coronavirus Response Act
      • Amends and expands FMLA for 2020
      • Covers workplaces with fewer than 500 employees
      • Lowers hours of work to only 30 days prior to leave
      • The first 14 days are unpaid, but employee can use accrued paid time off
      • After 14-days, employees receive two-thirds the regular rate for normal schedule
      • Expands the definition of “parent”
      • If the FFCRA passes, it will go into effect by the end of March 2020 and remain in effect until the end of 2020.
        • We will provide a supplemental update

  • Fair Labor Standards Act (FLSA)
    • If you send me home, you still have to pay me
    • Employers must pay hourly employees for hours actually worked
    • Employers must pay salaried employees for the full week in which the employee performed any work or used any accumulated paid leave
    • Employers do not need to pay salaried employees for days they miss on their own volition

  • Ohio Unemployment
    • Once you send me home without pay, I’m entitled to unemployment benefits
    • If an employer shuts down operations or lays off employees due to loss of production due to coronavirus, employees may be eligible for immediate unemployment benefits
    • If an employee is in mandatory quarantine because of coronavirus or suspicion of having the coronavirus, the employee is considered unemployed and may be eligible for immediate unemployment benefits.
    • If an employee is asymptomatic and self-quarantines, the employee is choosing not to work and not eligible for unemployment benefits
    • Rules are continuing to update throughout the day http://jfs.ohio.gov/ouio/CoronavirusAndUI.stm

What should Employers do now?

  • Prepare for work disruptions with the attached survey to determine who may need to work remotely
  • Start a Coronavirus Workforce File.  For any workforce decision, look to the CDC, WHO, or Public Health for justification because . . .“During a pandemic, employers should rely on the latest CDC and state or local public health assessments.” – EEOC
  • Print out the page from the website that supports the decision; type or write your workforce decision; staple the decision to the webpage guidance; and, place it in the Coronavirus Workforce File

Frequently Asked Questions?

  • Can we send employees for testing/medical examinations? Yes, if employer has a reasonable belief that either an employee’s ability to perform will be impaired by a medical condition; or, an employee will pose a direct threat due to a medical condition.
    • A direct threat is based on objective, factual information such as the latest CDC and state or local public health assessments.
  • Can we send employees home? Yes.
  • Even salaried employees? Yes. 
  • Can we ask employees about symptoms? Yes, related to disease (fever, cough, shortness of breath)
  • Can we take their temperature? Yes, but be careful to protect privacy, and be careful of asymptomatic employees
  • Can we inquire about exposure (travel, intimacy, family care)? Yes.
  • Can we enforce measures to prevent the spread? Yes. Including distancing, telework, hand washing, coughing etiquette; required PPE, offer vaccine (but be careful of ADA and religion issues)
  • Can we allow telework? Yes.
  • Do we have to allow telework? No. 
  • Can we ask why employees missed work? Yes.
  • Can we require employees who miss work to use accrued paid leave? Yes.
  • Can we require a fitness for return to work? Yes.
  • Can we continue to pay employees even though our office is closed? Yes, but if the employees are in a union, it must be negotiated with the union
  • Do we have to give time off? No, subject to the following exceptions:
      • Implementation of FFCRA
      • Federal contractors complying with paid sick leave
      • Paid sick leave by state and local laws
      • Collective bargaining agreements
      • Employee contracts

What do we need to worry about as Employers?

  • Consistency of decisions
  • Permitting employees who are on leave to continue to work
  • Failing to pay employees for all hours worked while working remotely
  • Allowing essential employees to work remotely at full productivity
  • Not paying attention to CDC, OSHA, and FFCRA

Healthcare Acquisitions and Divestitures During the COVID-19 Pandemic

It seems as though all aspects of our personal and professional lives have been impacted in one way or another by the COVID-19 public health emergency. Healthcare acquisitions and divestitures are no exception. Although the ramifications depend on the specific circumstances of each transaction, we are noticing certain common threads woven among recently closed and currently in progress transactions in the healthcare industry. Here are a few of the questions that often arise as we work with clients to navigate the current business landscape both during and after the COVID epidemic.

Ministerial Exception to Title VII

On July 8, 2020, the United States Supreme Court issued a 7–2 decision holding that religious institutions, such as churches and religion-based schools, are shielded from employment discrimination lawsuits — including claims brought under Title VII of the Civil Rights Act of 1964. In doing so, the Court decided in favor of two Catholic schools facing legal discrimination claims from former teachers who alleged wrongful termination from their employment for age and disability.

Ohio House Passes Bill 679 Establishing & Modifying Telehealth Service Requirements

In response to the COVID-19 public health emergency, the Ohio Department of Health, Department of Medicaid, and Department of Mental Health and Addiction Services issued emergency rules expanding telehealth services and increasing access to healthcare while the public was under a stay-at-home order. On June 10, 2020, the Ohio House of Representatives favorably (91 votes for and 3 votes against) passed House Bill 679 (“HB 679”), establishing new and modifying existing requirements regarding the provision of telehealth services in Ohio. This bill essentially turns the various administrative emergency rules into law and will fundamentally change the way healthcare is delivered in the state.

Ohio House Passes Bill 388 Including Out-of-Network Reimbursement Requirements

On May 20, 2020, the Ohio House of Representatives unanimously passed House Bill 388, which would enact five new Ohio Revised Code sections regarding out-of-network care and reimbursement.

Ohio Medicaid Starts Paying Pharmacists for COVID-19 Testing & Pilots Focus on Direct Care from Pharmacists

Two significant announcements were made by Ohio’s Department of Medicaid recently. Both announcements provide greater access to healthcare services for Medicaid beneficiaries in Ohio and by utilizing the expertise of pharmacists and providing reimbursement for their services related to COVID-19 testing.