May an employer charge a job applicant for the cost of a post-offer medical review, when the employer believes that the applicant has a medical impairment? The Ninth Circuit holds "no" under the ADA, affirming a judgment on behalf of an employee who was asked to pay for his own MRI.
So far, There has been relatively little case law on the question of when, under Title I of the Americans with Disabilities Act, an employer's medical examination may be deemed job-related and consistent with business necessity under the provisions of 42 U.S.C. § 12112(d)(4)(A). The Sixth Circuit - nearly two years to the day after its first opinion in this long-running case - remands the claim a second time for a jury trial on this issue.
Not all of the protections under the Americans with Disabilities Act are limited to disabled persons. The AD also protects employees from undergoing unconsented medical exams, unless the employer can show that the exam is job-related and consistent with business necessity (42 U.S.C. § 12112(d)(4)(A)). In this Eleventh Circuit case, the panel holds that an employee does not need to be disabled to have standing to bring suit under this section. The panel, nonetheless, affirms summary judgment for the employer, finding that it made out its job-related/business-necessity defense as a matter of law.
While the Americans with Disabilities Act protects medical information about employees disclosed to an employer as a result of "medical examinations and inquiries," 42 U.S.C. § 12112(d), such protection is not infinitely elastic. The Seventh Circuit, affirming summary judgment in this ADA case, holds that the employer must "already kn[o]w something [i]s wrong with the employee before initiating the interaction in order for that interaction to constitute a 42 U.S.C. § 12112(d)(4)(B) inquiry." Fortunately for disabled employees, such circumstances are usually within their control if they are willing to come straight with their bosses about their work-related needs at the beginning of the relationship.
The Sixth Circuit holds in a 2-1 panel decision that an employer's demand that an employee "receive psychological counseling" and "see a mental health counselor as a condition to keeping her employment" may constitute a prohibited "medical examination" under 42 U.S.C. § 12112(d)(4)(A). The unanimous panel also holds that the employee need not actually submit to the demand to have standing to challenge it.