Friday, June 19, 2015

DOL Updates FMLA Medical Certification Forms to Include GINA Safe Harbor Warning to Physicians

Last month, the DOL published new FMLA Medical Certification forms to include safe harbor language from the Genetic Information Non-Discrimination Act (GINA) advising healthcare providers in cryptic language to not include genetic information, genetic tests or family medical histories when responding to the FMLA requests for information about the employee.  The new forms are good until May 31, 2018. This is probably a good time to remind employers who request medical information about employees (concerning FMLA and ADA requests) to include similar language in their requests for medical information in order to avoid violating GINA.

GINA prohibits employers from requesting or using genetic information from or about employees.  Genetic information has been defined to include family medical histories.  If an employer lawfully requests medical information about an employee (pursuant to, for instance, an FMLA leave request, FMLA return to work notice, and/or ADA reasonable accommodation) and then receives genetic information in response to the lawful request, the employer can still be liable for violating GINA unless it specifically directed the healthcare provider to NOT provide genetic information.  In particular, the GINA regulations create a safe harbor for employers if they provide the following disclaimer (or something similar) with a request for medical information:

The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers and other entities covered by GINA Title II from requesting or requiring genetic information of an individual or family member of the individual, except as specifically allowed by this law. To comply with this law, we are asking that you not provide any genetic information when responding to this request for medical information. `Genetic information' as defined by GINA, includes an individual's family medical history, the results of an individual's or family member's genetic tests, the fact that an individual or an individual's family member sought or received genetic services, and genetic information of a fetus carried by an individual or an individual's family member or an embryo lawfully held by an individual or family member receiving assistive reproductive services.”

The new FMLA medical certification form for individual employees contains the following language directed to the healthcare provider as though they are intimately familiar with the terms of the GINA regulatory definitions:

 Do not provide information about genetic tests, as defined in 29 C.F.R. § 1635.3(f), genetic services, as defined in 29 C.F.R. § 1635.3(e), or the manifestation of disease or disorder in the employee’s family members, 29 C.F.R. § 1635.3(b).

Employers are also not liable for inadvertent receipt of genetic information or for receiving information lawfully acquired under the FMLA when medical/family leave is sought to care for an ill family member, whose medical history is directly relevant to the FMLA leave request.  The GINA regulations specifically provide that it does not violate the Act to request information about family medical history:

Where the covered entity requests family medical history to comply with the certification provisions of the Family and Medical Leave Act of 1993 (29 U.S.C. 2601 et seq.) or State or local family and medical leave laws, or pursuant to a policy (even in the absence of requirements of Federal, State, or local leave laws) that permits the use of leave to care for a sick family member and that requires all employees to provide information about the health condition of the family member to substantiate the need for leave.

In light of this, the FMLA medical certification form concerning a family member’s serious health condition contains a slightly different warning to physicians about GINA:

 Do not provide information about genetic tests, as defined in 29 C.F.R. § 1635.3(f), or genetic services, as defined in 29 C.F.R. § 1635.3(e).

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 be changed or 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.