*By Patrick J. Hoban
While employers have been busy thinking about "affordability" and "standard measurement periods" to ensure that they comply with the Patient Protection and Affordable Care Act (PPACA), the Department of Labor (DOL) has opened a new front in the PPACA compliance battle. Specifically, the Occupational Safety and Health Administration (OSHA) issued interim final rules addressing employee whistleblower and retaliation claims under PPACA Section 1558 on February 27, 2013 (Interim Rules).
The Interim Rules, which took effect upon publication, prohibit an employer from retaliating against an employee for, among other things, receiving a federal tax credit or subsidy to purchase insurance through a health insurance exchange; reporting a potential violation of the law's consumer-protection provisions (such as the prohibition on denying health coverage to individuals with pre-existing conditions) and/or assisting or participating in a related government proceeding or investigation. Beginning January 1, 2014, the Interim Rules will apply to insurers whether or not they employ the complaining employee. Similar to other rights created by the Fair Labor Standards Act (and enforced by most courts), employees may not waive the rights created under PPACA Section 1558 (i.e., they cannot be released by agreement).
To initiate a claim under the Interim Rules, employees must file a complaint with OSHA within 180 days of an alleged violation and OSHA will investigate the complaint. If OSHA finds reasonable cause for a violation, it will issue an order, including required remedial action. An employer may appeal and request a hearing before an administrative law judge (ALJ) within 30 days and may appeal an ALJ's decision to a Department of Labor "Administrative Review Board." An employer may also appeal a final administrative decision to a federal court of appeals. If there is no final administrative decision within 210 days of the filing of an employee complaint, the employee may initiate an action in federal district court and obtain a jury trial.
A recently issued OSHA fact sheet concerning the Interim Rules lists potentially retaliatory employer actions as including: termination or layoff; "blacklisting;" demotion; denial of overtime or promotion; discipline; denial of benefits; failure to hire; intimidation; threats; and reduction of pay or hours. Claims made under these provisions will be analyzed under the familiar burden shifting standard applied to employment discrimination, and retaliation claims. The Interim Rules provide for remedies including back pay, front pay, compensatory damages, and reinstatement.
As PPACA's full-implementation date of January 1, 2014 draws closer, employers must ensure that they consider this new source for potential liability as they do existing employment laws prior to acting.
*Patrick J. Hoban, an OSBA Certified Specialist in Labor and Employment Law, practices in all areas of private and public sector labor relations. For more information about PPACA or labor & employment law, please contact Pat (pjh@zrlaw.com) at 216.696.4441.
