Tag: healthcare

https://www.osha.gov/laws-regs/regulations/standardnumber/1904/1904SubpartEAppB

OSHA High-Hazard Industry Reporting Requirements

The Occupational Safety and Health Administration (OSHA) has updated its reporting rules for businesses in high-hazard industries. The new OSHA high-hazard industry regulations took effect January 1, 2024, with an annual reporting deadline of March 2.

New Rule

The updated regulations require certain employers to submit more comprehensive injury and illness data to OSHA. This requirement is not entirely new. However, the scope and depth of the information now required is more extensive than previous mandates.

Establishments with 100 or more employees in certain “high-hazard” industries must submit detailed reports from their Form 300 (Log of Work-Related Injuries and Illnesses) and Form 301 (Injury and Illness Incident Report) annually. These submissions are in addition to the already required Form 300A (Summary of Work-Related Injuries and Illnesses).

The forms and additional filing information are available here.

OSHA’s Objectives

The rationale behind the enhanced reporting requirement is multifaceted. First, it aims to arm OSHA with the data necessary to identify workplace hazards more effectively and implement strategies to mitigate them. Second, by making some of this data publicly available, OSHA intends to encourage employers to improve workplace safety proactively, knowing that their injury and illness records may be subject to public scrutiny.

Industries in Focus

The rule targets so-called “high-hazard industries”. This broad category includes many aspects of agriculture, healthcare, manufacturing, construction, and entertainment, among other industries.

Click here for a complete list of affected industries, by NAICS codes.

Again, the changes only affect establishments in the designated businesses with 100 or more employees.

OSHA retained pre-existing rules regarding electronic submission of information from Form 300A from establishments with 20-249 employees in certain high-hazard industries and from establishments with 250 or more employees in industries that must routinely keep OSHA injury and illness records.

Strategic Compliance

For employers subject to this rule, the path to compliance involves several key steps. First, it’s crucial to understand whether your business falls within the scope of the relevant “high-hazard” classification. From there, ensuring that your record-keeping practices are up to the task will be vital. This means not only accurately documenting work-related injuries and illnesses but also being prepared to submit this data in the format and timeframe OSHA requires.

Additionally, employers should view this regulation not just as a compliance challenge but as an opportunity to reassess and strengthen their overall approach to workplace safety. Implementing robust safety protocols and fostering a culture of transparency and accountability can help reduce the risk of injuries and illnesses in the first place.

 

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Healthcare Worker Bonus

New York Opens Healthcare Worker Bonus Portal

New York State opened its healthcare worker bonus portal on August 3, 2022. Qualified employers must submit bonus claims for eligible employees based on specified vesting periods. For some workers, claims must be submitted by September 2, 2022. Eligible employees may be entitled to up to $3,000 under the NYS healthcare worker bonus program.

Qualified Employers

The description of employers who may be obligated to obtain bonuses for their workers under this program is somewhat complex.

As summarized by the NYS Department of Health, qualified employers include “certain providers with at least one employee, and that bill for services under the Medicaid state plan or a home or community-based services (HCBS) waiver, providers that have a provider agreement to bill for Medicaid services provided or arranged through a managed care organization or a managed long term care plan, and certain educational institutions and other funded programs.”

The DOH specifies that these include: “certain providers, facilities, pharmacies, and school-based health centers licensed under the state Public Health Law, Mental Hygiene Law, and Education Law, as well as certain programs funded by the Office of Mental Health (OMH), Office for the Aging, Office of Addiction Services and Supports (OASAS), and the Office for People with Developmental Disabilities (OPWDD).”

While this program does apply to public and private schools, the initial portal does not pertain to them. The education portion of the program is planned to open in October 2022, likely with further guidance from the NYS Department of Education.

Who Gets the Bonuses?

Individuals who worked in certain positions for qualified employers during relevant timeframes may be eligible for a bonus under the program. Eligibility extends beyond those with an employment relationship to some independent contractors. Both full- and part-time workers may be eligible.

To qualify for a healthcare worker bonus, an individual must meet all of the following criteria:

  • Were employed by a qualified employer throughout at least one vesting period.
  • Have a title included on the list of Eligible Worker Titles.
  • Not exceed an annualized base salary of $125,000.
  • Not have been suspended or excluded from the Medicaid program during the vesting period.

Eligible Worker Titles

Generally, healthcare workers may qualify for the bonus program if they work in positions that provide hands-on assistance with clinical or non-clinical health or care services. Eligible titles include nurses, counselors, therapists, and physician assistants. But other workers in healthcare settings may qualify, such as custodians, clerks, and food preparation workers.

The NYS Department of Health has established the following “full” list of eligible titles. However, there may still be ambiguity about who qualifies under some titles.

Frontline Direct Care Health and Mental Hygiene Workers

  • Assistant Program or Assistant Site Director
  • Case Manager
  • Certified First Responders
  • Certified Recovery Peer Advocate
  • Clinical Coordinator
  • Counselor – Alcoholism and Substance Abuse (CASAC)
  • Counseling Aide/Assistant – Alcoholism and Substance Abuse
  • Counselor – Rehabilitation
  • Dental Hygienists
  • Dental Assistants
  • Diagnostic Medical Sonographers
  • Dietician/Nutritionist
  • Exercise Physiologists
  • Intake/Screening
  • Licensed Mental Health Counselor (OASAS)
  • Licensed Mental Health Counselor (OCFS)
  • Medical Assistants
  • Mental Hygiene
    • Behavior Intervention Specialist 1
    • Behavior Intervention Specialist 2
    • Counselor
    • Crisis Prevention Specialist
    • Developmental Disabilities Specialist QIDP-Direct Care
    • Developmental Disabilities Specialist/Habilitation Specialist QIDP-Clinical
    • Early Recognition Specialist
    • Intensive Case Manager
    • Intensive Case Manager/Coordinator
    • Job Coach/Employment Specialist
    • Licensed Psychoanalyst
    • Licensed Mental Health Counselor
    • Manager
    • Peer Specialist
    • Residential Treatment Facility (RTF) Transition Coordinator
    • Senior Counselor
    • Supervisor
  • Mental Hygiene Worker
  • Nurses
    • Licensed Practical and Licensed Vocational Nurse
    • Licensed Practical Nurse
    • Nurse Anesthetist
    • Nurse Midwives
    • Nurse Practitioner
    • Nurse Practitioner/Nursing Supervisor
    • Nurse’s Aide/Medical Aide
    • Nursing Assistants
    • Registered Nurse
  • Orderlies
  • Orthotist
  • Other Clinical Staff/Assistants
  • Other Direct Care Staff
  • Paramedic
  • Peer Professional-Non-CRPA (OASAS Only)
  • Pharmacist
  • Pharmacy Technician
  • Phlebotomist
  • Physician Assistant
  • Program or Site Director
  • Prosthetist
  • Psychiatric Aide
  • Psychologist (Licensed)
  • Psychologist (Master’s Level)/Behavioral Specialist
  • Psychology Worker/Other Behavioral Worker
  • Residence/Site Worker
  • Social Worker-Licensed (LMSW, LCSW)
  • Social Worker-Master’s Level (MSW)
  • Speech-Language Pathologist
  • Therapists
    • Activity/Creative Arts Therapist
    • Marriage and Family Counselor/Therapist
    • Occupational Therapist
    • Occupational Therapy Assistant
    • Occupational Therapy Aide
    • Physical Therapist
    • Physical Therapy Assistant
    • Physical Therapy Aides
    • Radiation Therapist
    • Recreational Therapist
    • Respiratory Therapist
    • Speech Therapist
    • All Other Therapists
  • Technologists and Technicians
    • Advanced Emergency Medical Technician
    • Cardiovascular Technologists and Technician
    • Clinical Laboratory Technologists and Technician
    • Dietetic Technician
    • Emergency Medical Technician
    • Magnetic Resonance Imaging Technologist
    • Nuclear Medicine Technologist
    • Ophthalmic Medical Technician
    • Radiologic Technologist
    • Surgical Technologist
    • All Other Health Technologists and Technicians
  • Therapy Assistant/Activity Assistant

All Other Health Care Support Workers

  • Building Attendant
  • Building Service Aide
  • Building Service Worker
  • Clerks
    • Admitting Clerk
    • Admitting Clerk Cashier
    • Critical Care Clerk
    • Discharge Control Clerk
    • Emergency Services Clerk
    • Front Desk Clerk
    • Operating Room Clerk
    • Registration Clerk
    • Unit Clerk
    • Ward Clerk
  • Custodian
  • Dietary Aide
  • Dietary Worker
  • Dining Assistant
  • Dining Aide
  • Environmental Service Aide/Tech
  • Environmental Services Worker
  • Floor Maintenance Worker
  • Food & Nutrition Aide
  • Food Prep/Service Worker
  • Housekeeping Worker and Maid
  • Lead Intake Specialist
  • Maintenance/Physical Plant workers
  • Sanitation Worker
  • Service Worker
  • Support Services Worker
  • Unit Assistant
  • Unit Associate
  • Unit Coordinator
  • Unit Receptionist
  • Unit Secretary

Titles Determined by the Commissioner

  • Medical Fellow
  • Medical Resident

Vesting Periods

Vesting periods are six-month intervals between October 1, 2021, and March 31, 2024, as set forth below.

Vesting
Period
Vesting Period
Start Date
Vesting Period
End Date
Employer Submission
Start Date
Employer Submission
Close Date
OneOctober 1, 2021March 31, 2022August 3, 2022September 2, 2022
TwoApril 1, 2022September 30, 2022October 1, 2022October 31, 2022
ThreeOctober 1, 2022March 31, 2023April 1, 2023May 1, 2023
FourApril 1, 2023September 30, 2023October 1, 2023October 31, 2023
FiveOctober 1, 2023March 31, 2024April 1, 2024May 1, 2024

Qualified employers eligible workers in any vesting period must provide them with an Employee Attestation Form that must be returned before the applicable submission date.

Healthcare Worker Bonus Payments

Healthcare worker bonus payment amounts depend on hours worked during a vesting period:

  • 20-30 hours per week: $500
  • 30-35 hours per week: $1,000
  • 35+ hours per week: $1,500

Employees may receive a bonus for up to two vesting periods per qualifying employer. No employee can receive more than $3,000 under the program.

Employer Obligations

Qualifying employers must file through the Healthcare Worker Bonus Program Portal within a month after each vesting period in which they have eligible employees. (By September 2, 2022, for the initial October 1, 2021 – March 31, 2022 vesting period).

Once the employer receives the bonus money for the vesting period, it must pay the bonuses out to workers within 30 days.

Employers who do not identify, claim, and pay bonuses for at least 90% of bonus-eligible workers may be penalized up to $1,000 per violation. The Office of the Medicaid Inspector General will audit payments.

 

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Legal Questions for New York Employers in 2017

5 Big Legal Questions for New York Employers in October 2017

In July, I discussed 5 Big Legal Questions for New York Employers.  Three months later, we’re still dealing with the same issues. Let’s update where we are.

Question 1: Healthcare???

July Prediction:  Obamacare reigns for the foreseeable future, probably into 2018. Republicans will need to slow down and construct a fully workable alternative before repealing and replacing . . . before the mid-term elections next November. Wild card:  This is Congress’ lead issue, and one that affects tens of millions of Americans. Republican leadership may make significant concessions in any other area to get something through.

October 2017 Update: Multiple Senate attempts to repeal/replace the Affordable Care Act have come up short. Most recently, on October 17, 2017, Senators Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) announced a bi-partisan healthcare plan. The deal would extend subsidies to health insurance companies for two years. President Trump eliminated the subsidies by Executive Order a week earlier. Initial reports suggest that Trump may not support the stop-gap measure. It’s not yet clear when or whether the Senate would vote on the plan. Or whether the House of Representatives would also accept the approach.

Scorecard: So far, the prediction was sound. Senate Republicans didn’t quite “slow down” as forecast. Rather, Senator John McCain (R-Arz.) cast a deciding vote against repeal in late July. He also helped prevent later repeal efforts. To date, the Affordable Care Act is still in place, albeit eroding slowly through the President’s actions. The powers that be don’t all agree on what to do, but everyone knows something has to be done. We’re still in wait-and-see mode, as predicted in July.

Question 2: FLSA Salary Threshold???

July prediction:  The DOL will come out of litigation later this year or early next year with the preserved right to set a salary level for the exemptions. Over the next year or so, they will propose a new rule with a salary requirement somewhere between $455 and $913. The new threshold will probably be close to the midpoint of those two numbers. Wild card:  Congress could amend the FLSA to fundamentally alter the related exemptions. Any such amendments would likely make more employees exempt and/or simplify the classification of employees as exempt/non-exempt. For example, a salary only test for non-manual workers would presumably reduce administrative burden on employers and reduce the risk of costly litigation.

October 2017 Update: On August 31, 2017, a U.S. District Court in Texas issued its final ruling that the Department of Labor exceeded its authority when it implemented the 2016 rules increasing the exemption salary level requirements. The decision permanently invalidates the rule, and DOL, which now agrees with the court, is not appealing. On July 26, 2017, the the DOL issued a Request for Information on Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales and Computer Employees under the FLSA. The comment period ended in September.

Scorecard: Still on track. The court decision invalidating the Obama-era rule did not prohibit the DOL from setting a new salary level. For now, the pre-existing $455 weekly salary requirement remains in place. The DOL’s Request for Information foreshadows new rules. It’s still reasonable to assume they will increase the salary level. But the court’s decision almost guarantees that the new threshold will be below $913 per week.

Question 3: Federal Paid Family Leave???

July Prediction:  Nothing meaningful happens in 2017 at least. It’s hard to fathom this Congress touching paid family leave with Obamacare still on the books. It’s also hard to imagine them tackling paid family leave in connection with healthcare, which is already complicated enough in its own right. Wild card:  If the Democrats make significant inroads in the 2018 elections, this could be an issue where the White House reaches across the aisle beginning in 2019.

October 2017 Update:  Republicans in Congress haven’t taken up this issue. With significant tax cuts on the table, funding new federal leave mandates for workers probably isn’t.

Scorecard: As predicted. There is growing popular support on this issue. And President Trump is, if unwittingly, on board. But it’s still not a Republican priority, even among labor and employment issues.

Question 4: New York State Paid Family Leave???

July 2017 Prediction:  Many employers will not make deductions until they better understand the program. For some, this will be after final regulations are issued. For others, it will be very late in 2017 when they finally realize they have to pay for this additional component of their disability insurance policy. There will be frustration by both employees and employers when the deductions start, not to mention when employees become eligible for leave. Because the leave is administered as an insurance benefit, employers will not have full control, yet still may have to simultaneously adhere to FMLA requirements and maintain adequate staff to get the work done. Wild card:  If/when some form of federal paid family leave takes effect, New York employers may have a nightmare scenario of trying to simultaneously understand and live with both sets of laws.

October 2017 Update:  The New York Workers’ Compensation Board (WCB) issued final regulations on the Paid Family Leave Program on July 19th. (That was the same day I published the original post addressing this question. I was not yet aware of the final rules when it went up. I was at the time attending a conference where the General Counsel of the WCB later spoke about Paid Family Leave!) The final regulations appear to require employers to notify employees who are eligible to waive participation in the Paid Family Leave Program. Earlier this month, the WCB finally issued an opt-out form for employers to present to employees for this purpose.

Scorecard: Looking good. Employers who haven’t spoken to their disability insurance carrier about their Paid Family Leave premiums should do so immediately. Depending on the anticipated costs and payment due dates, employers may want to begin making deductions. Before doing so, they should allow eligible employees to opt out.

Question 5: NLRB???

July 2017 Prediction:  Employers who have changed policies and procedures to satisfy the Obama Board won’t rush to change them back. But they may be less conservative in other areas, such as dealing with unions regarding current/potential bargaining units. It will take several years for a Republican majority to decide cases in all areas touched by the Obama NLRB. But the NLRB could act relatively quickly to change the “quickie” union election rules issued by the Obama Board. That could perhaps occur by early 2018. Wild card:  The Republican Congress may try to amend the National Labor Relations Act to more swiftly, comprehensively, and dramatically undue the Obama Board’s actions. Although there have already been bills proposed to do this (which is not unusual of Republican lawmakers), it’s too soon to tell whether any such efforts will take priority and gain enough support before the 2018 elections.

October 2017 Update:  The Senate has confirmed Republican attorneys Marvin Kaplan and William Emanuel as Members of the National Labor Relations Board. This gives Republicans a 3-2 majority on the Board. Peter Robb, President Trump’s nominee to become the NLRB’s General Counsel, is now waiting for a vote by the Senate and for Richard Griffin’s term to end at the beginning of November. The only potential wrinkle in the equation towards more employer-friendly decisions is that Chairman Miscimarra’s term will end in December. He will not continue for another term. So Trump must nominate another Board member to fill his spot. Any gap between expiration of Miscimarra’s term and confirmation of a new Board member would leave the NLRB with a temporary 2-2 Republican-Democrat deadlock.

Scorecard: Too early to tell. Everything is still trending towards a reversal of key Obama-Board decisions. But it remains to be seen how quickly the new Republican members can change course. There is even some speculation that the Board will become more aggressive than ever in setting policy by rulemaking. This way, they wouldn’t have to wait for new cases to bring critical issue back before the NLRB for adjudication. Opponents would likely challenge the Board’s authority to proceed in that fashion.

Looking Ahead

These won’t be the only legal questions for New York Employers in the coming months. I’ll check back in with updates on these issues and others.

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