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NLRB Issues Final Rule on Joint-Employer Status

Client Alert

On October 26, 2023, the National Labor Relations Board (NLRB) issued its final rule on determining joint-employer status, departing from its prior 2020 standard. The final rule provides that two or more entities may be considered “joint employers” if each entity has an employment relationship with employees and if the entities share or codetermine one or more employees’ essential terms and conditions of employment. The final rule goes into effect on December 26, 2023, and will only be applied to cases filed after the effective date. 

The NLRB provides that essential terms and conditions of employment may include: 

  • Wages, benefits, and other compensation, 
  • Hours of work and scheduling, 
  • The assignment of duties to be performed, 
  • The supervision of the performance of duties, 
  • Work rules and directions governing the manner, means, and methods of the performance of duties and the grounds for discipline, 
  • The tenure of employment, including hiring and discharge, and 
  • Working conditions related to the safety and health of employees. 

The final rule broadens the standard for employers to be considered “joint” under the National Labor Relations Act (NLRA). The final rule considers the alleged joint employers’ authority to control essential terms and conditions of employment but does not consider whether or not such control was exercised, nor whether any exercise of control is direct or indirect. Thus, mere indirect or reserved control may be sufficient to be deemed a joint employer under the NLRA. 

Alternatively, the prior 2020 standard required a higher threshold for joint-employer status. Under the prior rule, substantial direct and immediate control over essential terms and conditions was required. Hence, the 2020 rule made it easier for actual joint employers to avoid joint-employer status. However, the NLRB has rescinded and replaced the 2020 standard with a new, broadened approach. 

In addressing how this new standard affects particular kinds of businesses (e.g., franchises, temp agencies, staffing firms, etc.), the NLRB provides that “[t]he nature of the business-to-business relationship is incidental to the analysis established by the final rule.” Specifically, the NLRB states that not all franchisors and their franchisees will be deemed joint employers. Further, not every staffing or temporary agency and their client-employers will be considered joint employers. Rather, in determining whether two employers meet the standard, the NLRB will apply a fact-specific analysis in each case. 

In response to the final rule, employers should evaluate their relationships with any third-party entities to determine whether they could be deemed joint employers under the NLRA. 

Should you have any questions concerning the final rule or its implications, please contact BMD Member John Childs at jnchilds@bmdllc.com or Partner and Co-Chair of BMD's Labor & Employment Group, Bryan Meek, at bmeek@bmdllc.com.


CMS and Ohio Ramp Up Fraud Enforcement in Home Health and Hospice

CMS and Ohio have launched sweeping new fraud prevention initiatives targeting home health and hospice providers, signaling a period of heightened scrutiny for enrollment, billing, documentation, and EVV compliance. While aimed at combating fraud, these measures also create significant operational and due process risks for compliant agencies, making proactive compliance programs, auditing, and governance more important than ever.

MYTH BUSTER: Can a New Chiropractor Bill Under An Established Chiropractor’s NPI?

Many chiropractic practices mistakenly believe a newly hired chiropractor can bill under an established chiropractor’s NPI while waiting for credentialing approval. In most cases, this is not permitted. Claims should be submitted under the NPI of the chiropractor who actually rendered the service to avoid compliance risks, including potential False Claims Act exposure. This article outlines key billing rules, common exceptions, and practical compliance tips for chiropractic practices.

RNs and APRNs Take Note: Ohio Board of Nursing Mandates a New CE Reporting Period

Ohio’s Board of Nursing has updated the continuing education reporting period for RNs and APRNs. Beginning March 26, 2026, CE credits must be completed between July 1 and June 30 of odd-numbered years, replacing the previous November to October timeframe.

Ohio Med Spas: Peptide Do's and Do Not's

Recent guidance from the Ohio Board of Pharmacy outlines key compliance requirements for med spas using peptides. While some peptide drugs are FDA approved, others are not or cannot be compounded. Med spa operators should ensure they source medications from licensed suppliers, avoid non-approved or “research use only” products, and follow all compounding and storage regulations to maintain compliance and avoid enforcement actions.

Substance Use Disorder Providers: 42 CFR Part 2 Now Enforceable

Updates to 42 CFR Part 2 are now enforceable, bringing significant changes to how substance use disorder (SUD) records are handled. The Final Rule aligns Part 2 more closely with HIPAA, introduces updated penalties, allows a single patient consent for treatment, payment, and operations, and adds new requirements for Notices of Privacy Practices. It also creates a formal definition of SUD counseling notes and imposes strict consent requirements for their use and disclosure. Providers should review and update policies to ensure compliance.