Page 48 - Healthcare News August 2021

HEALTHCARE LAW
Get the Vaccine or Get Fired?
EOC And One Court Say Employers Can Mandate Vaccinations
With that said, employers should restrict access to vaccine-related information, apply safeguards similar to those applied to other types of sensitive personal informa- tion, and obtain appropriate consent from employees before disclosing vaccine-related information to third parties.
ET
By JOHN S. GANNON, Esq. and MEAGHAN E. MURPHY, Esq.
o mandate the COVID vaccine, or not to mandate?
That is the question on the minds of employers across the globe. As
employment lawyers, we have been asked that question countless times by clients (and friends). Until about a month ago, all we could do was provide our best guess based on guidance and legal decisions related to other vaccines, like the flu shot. However, on May 28, the U.S. Equal Employment Opportunity Commission (EEOC) provided some comprehensive COVID-19 guidance that addresses this topic head-on.
The EEOC is the federal agency that enforces anti-discrimination laws applicable to workplaces. The news is good for Massachusetts employers considering a mandatory vaccine program. Some of the key takeaways for employers are described below.
Mandatory Vaccinations
The EEOC guidance declares in no uncertain terms that an employer can lawfully require employees to obtain a COVID-19 vaccination as a condition of returning to the workplace. Such a practice would not run afoul of the Americans with Disabilities Act (ADA) or the Genetic Information Non-discrimination Act (GINA). There is one big catch: an employer mandating vaccines must reasonably accommodate employees who are unable or unwilling to get vaccinated because of a disability or sincerely held religious belief.
These employees might need to be excepted from the vaccine mandate if other safety measures can keep them and others safe. The EEOC provided examples of such accommodations, including requiring an employee to continue to wear a mask and socially distance while in the workplace, limiting contact with other employees and non-employees, providing a modified shift, permitting continued telework if feasible, conducting periodic COVID testing, or reassigning the employee to a vacant position in a different workplace.
Notably, employers should not assume that an employee does not require an ac- commodation relating to COVID simply because the employee is fully vaccinated. The guidance provides that an employer may need to accommodate an employee who is fully vaccinated for COVID if there is a continuing concern for heightened risk of severe illness from a COVID infection.
For an employee who is unwilling to obtain the vaccination because of a sincerely held religious belief under Title VII, employers should presume that the request is le- gitimate. The EEOC does make clear, however, that if an employee requests a religious accommodation, and an employer is aware of facts that provide an objective basis for questioning either the religious nature or the sincerity of a particular belief, practice, or observance, the employer would be justified in requesting additional supporting information.
Employers presented with this issue should proceed with caution, as the EEOC will take a narrow view of such circumstances. Employers are required to engage in a similar ‘interactive process’ with employees who have sincere religious objections to vaccination and provide an accommodation that allows the employee to return to work where doing so does not present an undue hardship.
Vaccination Incentives
An employer may lawfully provide an incentive to its employees to obtain CO- VID-19 vaccination outside the workplace so long as the incentive is not so substantial as to be coercive. Unfortunately, the EEOC did not give any examples of what incen- tives would be considered ‘so substantial as to be coercive’ and also failed to clarify whether and to what extent an employer must provide a vaccine incentive to employ- ees who are unable to obtain a vaccination due to a medical or religious-based reason.
Confidentiality
An employer’s request for self-disclosure of vaccination status, or for documenta- tion or other confirmation that an employee has received a vaccination from a third party (such as a pharmacy or personal physician), is not a medical examination or a disability-related inquiry. As a result, employers may lawfully request this information without implicating the ADA or GINA.
Legal Actions
To date, there has been one reported case dealing with mandatory vaccines in the workplace. Similar to the EEOC guidance, the case supports an employer’s right to mandate COVID vaccines.
In April, the Houston Methodist Hospital System in Texas issued a directive requir- ing that all employees be fully vaccinated by June 7 or they would be placed on a two-
“
obtain a COVID-19 vaccination as a condition of returning to the workplace.”
week suspension. Employees who were not vaccinated by the end of the suspension period would be terminated.
In late May 2021, more than 100 employees who were not vaccinated, and appar- ently did not qualify for a disability or religious exemption, filed a lawsuit against
the hospital raising a number of claims, including wrongful termination. The judge dismissed the lawsuit entirely. In his written decision, the judge expressed his dismay with the plaintiffs for equating the threat of termination for refusing to get the COVID vaccination to the forced medical experimentation in concentration camps during the Holocaust, calling the comparison “reprehensible.”
Addressing an argument that the vaccine mandate was contrary to public policy, the judge wrote that the vaccine requirement “is consistent with public policy. The Supreme Court has held that (a) involuntary quarantine for contagious diseases and (b) state-imposed requirements of mandatory vaccination do not violate due process.”
Bottom Line
While this EEOC guidance and recent decision may seem like a big victory for mandatory COVID vaccines in the workplace, Massachusetts employers should be cautious in relying on them too heavily. The Commonwealth has its own anti-discrim- ination and public-policy laws, so it’s difficult to predict how this might play out in a state court or administrative proceeding.
In other words, while the decision is encouraging for Massachusetts employers who want to require vaccines, it is important to check in with experienced labor and employment counsel before implementing a mandatory vaccine program. v
John Gannon and Meaghan Murphy are attorneys at the firm Skoler, Abbott & Presser, P.C., in Springfield; (413) 737-4753; jgannon@skoler-abbott.com; mmurphy@skoler-abbott.com
The EEOC guidance declares
in no uncertain
terms that an
employer can
l a w f u l l y r e q u i r e JOHN GANNON MEAGHAN MURPHY employees to
48 WWW.HEALTHCARENEWS.COM AUGUST 2021