Tuesday, August 19, 2014

Sixth Circuit: Moral Disapproval Is Not Sufficient Justification for Medical Exam Under ADA

This morning, a unanimous Sixth Circuit again reversed an employer’s summary judgment decision in an ADA case where an Emergency Medical Technician lost her job for refusing to obtain mental health counseling.  Kroll v. White Lake Ambulance Authority, No. 13-1774 (6th Cir. 8-19-14).  In 2012, the same three judges of the Court had (on a divided basis) reversed the employer’s summary judgment on the grounds that requesting the plaintiff to submit to mental health counseling constituted a request for a medical examination – even if the employer did not seek to know the results or subject of the counseling.  On remand, the trial court again granted the employer summary judgment on the grounds that the employer had received a number complaints about the plaintiff’s erratic and/or dangerous behavior which compromised her ability to safely and competently perform her job duties and which reflected that she posed a direct threat to herself and others.  However, on appeal, the Court of Appeals focused only on the two incidents which the supervisor remembered in his deposition to knowing or believing at the time he required the plaintiff to submit to counseling.  Moreover, the Court found that a jury could believe that the counseling was requested largely because the supervisor morally disapproved of the plaintiff’s extracurricular activities with a married co-worker and men she met at a local bar. In addition, the  Court found that most of the co-worker’s concerns related to off-duty conduct and were not relevant to whether the plaintiff could safely or competently perform her job. 

According to the Court’s opinion, several of the plaintiff’s co-workers testified to her erratic behavior and that they had complained to management about it.  Among other things, she would cry, argue with her married boyfriend on her cell phone, send text messages while driving an ambulance in violation of the employer’s policy and refused to assist a co-worker (who she suspected of also having an affair with the plaintiff’s married boyfriend) administer oxygen to a patient. The plaintiff denied violating the employer’s policy on using cell phones or texting while driving.   After the last incident, the plaintiff’s supervisor conditioned her continued employment on attending counseling with the professional of her choice.  He admitted in his deposition that he did not really question her patient care.  He also admitted that he was compelling counseling because her life was a mess and he thought that he could help her. “[H]is primary concerns regarding Kroll related to her personal life and her sexual relationships.” In addition, the plaintiff
confirmed that Binns told her she would need to attend counseling because of her personal behavior. She testified that, during the meeting following her argument with Osborn, Binns “said I was picking up men from the bar and I was going to end up raped if I just picked up random men from the bar.”  . . . Kroll recalls that Binns explicitly told her that she “needed counseling because of [her] immoral personal behavior.” . . . Although Kroll agreed that she had some emotional problems and that she might have benefitted from some counseling, she refused treatment because she could not afford to pay for it.
The ADA prohibits requiring employees to submit to medical examinations or inquiries unless the employer can prove that they are job related and consistent with business necessity.  This burden can be met where: “(1) the employee requests an accommodation; (2) the employee’s ability to perform the essential functions of the job is impaired; or (3) the employee poses a direct threat to himself or others.”   The Court concluded that the employer could not prove that there were questions about the plaintiff’s ability to perform her essential job functions based on two isolated incidents.  Granted, “a genuine reason may arise when an employee’s “aberrant behavior” raises the concern that an employee’s mental or emotional instability could undermine her ability to complete her job functions effectively in the employer’s work environment.”   Nonetheless, most of the evidence of such behavior cited by the employer had been forgotten (if it had ever been known by her supervisor by the time of his deposition) and, more importantly, related to off-duty behavior:  

Kroll’s behavior is relevant to the assessment of whether she was capable of performing her job only to the extent that it interfered with her ability to administer basic medical care and safely transport patients to the hospital. A reasonable jury could find that Kroll’s emotional outbursts outside of work hours and not in the presence of patients did not impair her ability to perform essential job functions.
Therefore, a jury could reasonably conclude that there was no valid reason for questioning the plaintiff’s professional competence.
Safely transporting patients to the hospital and providing basic medical care were among the essential duties of Kroll’s position as an EMT. Binns knew that an EMT who becomes distracted while driving an ambulance, either because she is using her cell phone or because she is focused on personal concerns, is at a higher risk of causing a traffic accident.  . . . Therefore, had Binns been aware of a pattern of behavior that showed Kroll’s emotional or psychological problems were interfering with her ability to drive an ambulance safely, he might have been justified in ordering a medical examination. In the instant case, however, Binns knew only that Kroll had broken a safety rule once and provided suboptimal care to a patient once. Kroll’s isolated moments of unprofessional conduct might reasonably have prompted Binns to begin internal disciplinary procedures or to provide Kroll with additional training, but they could not support the conclusion that Kroll was experiencing an emotional or psychological problem that interfered with her ability to perform her job functions.
The Court rejected the direct threat defense on a similar basis:
As an EMT employed by an ambulance service, Kroll was undoubtedly employed in a position of public safety. A reasonable jury could find that the emotional behavior observed by Kroll’s coworkers, particularly any distractions while Kroll was driving, could endanger not only herself and her coworkers but also the members of the public she was called upon to aid. Thus, if Binns had been aware of a pattern of conduct in which Kroll succumbed to emotional outbursts while she was driving or providing direct medical care, he might have been justified in concluding that she posed a direct threat to safety. However, as discussed above, Binns knew of only two isolated incidents when Kroll ever behaved in a way that could endanger another person. A reasonable jury could find that Binns could not reasonably have concluded from these missteps that Kroll presented “a significant risk to the health or safety of others.”
Moreover, the employer did not consult any medical information or professional in mandating mental health counseling. The EEOC regulations require an employer to make an individualized assessment of the employee’s threat based on the” employee’s abilities and job functions and “based on a reasonable medical judgment that relies on the most current medical knowledge and/or on the best available objective evidence.” 29 C.F.R. § 1630.2(r).  While the Court was unwilling to precisely define what steps an employer must take, “an employer must do more than follow its own lay intuition regarding the threat posed by an employee’s potential medical condition.”  In this case, there was no evidence that the supervisor “made any kind of medical judgment at all.” 

Therefore, while there is evidence in the record to support a jury verdict in the employer’s favor, there was also enough evidence for a jury to rule in favor of the plaintiff.  Accordingly, summary judgment was inappropriate.
 
For those of you wondering about why there was no Title VII claim, there was evidence that the supervisor had requested male employees exhibiting similar behavior to also submit to mental health counseling.

NOTICE: This summary is designed merely to inform and alert you of recent legal developments. It does not constitute legal advice and does not apply to any particular situation because different facts could lead to different results. Information here can change or be amended without notice. Readers should not act upon this information without legal advice. If you have any questions about anything you have read, you should consult with or retain an employment attorney.