October 27, 2021

EEOC Issues Expanded Guidance on Religious Objections to COVID-19 Vaccine Mandates

By Curtis Greenwood and Mark Wiletsky

On October 25, 2021, the US Equal Employment Opportunity Commission (EEOC) updated and expanded its technical assistance related to the COVID-19 pandemic by addressing questions regarding vaccine mandates and religious accommodations at a time when COVID-19 vaccination mandates are becoming more widespread. This expanded technical assistance provides important information for employers, employees, and applicants when navigating vaccine-related religious accommodation requests.

The EEOC enforces Title VII of the Civil Rights Act of 1964 (“Title VII”), which prohibits employment discrimination based on religion. Title VII provides a right for applicants and employees to request religious accommodation from employer requirements that conflict with their sincerely held religious beliefs, practices, or observances. If an employer can show that a religious accommodation would cause an undue hardship on its operations, the employer is not required to grant the accommodation. Continue reading →

September 23, 2021

Employee Vaccine Information: Privacy Concerns

By Kim Stanger

Given the COVID-19 vaccine mandates, employers—including healthcare entities—will need to confirm their employees’ vaccination status. Employers and healthcare providers must ensure they comply with privacy rules relating to employee vaccination information, including those imposed by the Health Insurance Portability and Accountability Act (HIPAA) and Americans with Disabilities Act (ADA). Continue reading →

September 15, 2021

Vaccine Mandate for Healthcare Providers

By Kim Stanger

On September 9, 2021, President Biden announced that the federal vaccine mandate for nursing facilities will be extended to most other healthcare workers. Unfortunately, the announcement raised more questions than it answered. Here is what we do and do not know so far; we may have to wait for the October regulations to learn the specifics. This article supplements our September 10 client alert “Vaccine Mandates Q&A” and focuses on the mandate applicable to healthcare workers. Continue reading →

August 24, 2021

FDA Fully Approves Pfizer-BioNTech COVID-19 Vaccine: Implications for Employers

Yesterday, the U.S. Food and Drug Administration (FDA) granted “full approval” to the Pfizer-BioNTech COVID-19 vaccine for individuals 16 years of age and older. In other words, the Pfizer-BioNTech vaccine (which will now be marketed as “Comirnaty”) has received the top level of clearance a medical drug can possibly obtain from the U.S. government. Many employers and healthcare providers are now wondering how this latest news affects them, particularly with regards to vaccination mandates. Continue reading →

July 2, 2021

OSHA’S New ETS: Are Public Hospitals Covered?

By Robert Ayers

OSHA’s new healthcare emergency temporary standard (ETS) does not specifically exclude state and local healthcare systems, such as county hospitals. However, pursuant to Section 3(5) of the OSH Act, “any State or political subdivision of a State” is not an “employer” for purposes of the Act, and is therefore excluded from its coverage, including standards promulgated thereunder. 29 U.S.C. § 652(5); StarTran, Inc. v. OSHRC, 608 F.3d 312, 313-314 (5th Cir. 2010). Continue reading →

June 16, 2021

New Physician Assistant Collaboration Rules for Idaho

By Kim Stanger

Idaho has joined several other states in revamping requirements for physician assistants (aka physician associates) effective July 1, 2021. The new law removes the requirement for individually identified supervising physicians and delegation of services agreements in favor of general oversight and/or collaborative practice agreements. Continue reading →

April 27, 2021

Prepare for Changes Under New Mexico Senate Bill 152

by Little West and Kaitlyn Luck

On April 5, 2021, the Governor of New Mexico signed Senate Bill 152 (SB152) into law. SB 152 amends the Continuing Care Act (Section 24-17-4 NMSA 1978, (the Act) to address issues that have arisen involving the solvency of Continuing Care Communities, with little or no equity to cover shortfalls, and the disproportionate impacts that occur from the need to relocate residents on very short notice. Continue reading →

April 14, 2021

HIPAA, Business Associates, and the Conduit Exception

By Kim Stanger

The HIPAA privacy and security rules impose significant requirements on covered entities and their business associates; violations may result in penalties ranging from $119 to $59,522 per violation. (45 CFR § 160.404; 45 CFR § 102.3; 85 FR 2879). “Business associates” are generally those entities that create, receive, maintain or transmit protected health information (“PHI”) on behalf of a covered entity (45 § CFR 160.103, definition of business associate); thus, most entities that handle data for healthcare providers or their business associates will become business associates and subject to HIPAA requirements, including data storage, data transmission, and cloud services providers unless an exception applies. Continue reading →

March 25, 2021

Directed Referrals: New Stark Rules

By Kim Stanger

Under the federal Stark law, hospitals and other healthcare employers may require that employed or contracted physicians refer items or services to the hospital or another designated provider subject to certain limits. (42 CFR § 411.354(d)(4); see https://www.hollandhart.com/requiring-referrals-from-employees-and-contractors). Effective January 19, 2021, CMS modified the rules for such directed referral requirements in physician agreements. If they have not done so, hospitals and other providers will need to update their physician agreements if they want to require employed or contracted physicians to refer designated health services to the employer. Continue reading →