ADA Requires Best Available Medical Information in Making Individualized “Direct Threat” Determination

August 2003

The Ninth Circuit recently ruled that the Americans with Disabilities Act requires experts, not generalists, to conclude whether a current or prospective employee poses a threat to himself or others. Employers may have to reevaluate the processes they use to determine whether applicants and employees can perform jobs safely and whether to seek the advice of medical specialists instead of company doctors when making the assessment.

by Paul J. Siegel, Esq.
Jackson Lewis LLP

The U.S. Court of Appeals for the Ninth Circuit ruled on July 23, 2003, that an employer must use the best available medical information when making an individualized assessment under the Americans with Disabilities Act (ADA) of whether an applicant poses a “direct threat” to himself or others. In a case familiar to workplace law and human resources professionals, the Nonth Circuit ruled in Echazabal v Chevron U.S.A. Inc., F2d (9th Cir (2003) that the ADA required more than “the advice of a generalist and an expert in preventive medicine” to conclude that the individual’s medical condition met the “direct threat” requirements. “Before terminating an individual’s livelihood, the ADA requires more,” the court concluded.

In this decision, a divided panel of the Ninth Circuit reversed a ruling of summary judgment in favor of the employer, finding that despite its reliance on medical opinions that concluded a direct threat would have existed if it hired the individual, the employer had failed to make the “individualized assessment” required by the ADA. The U.S. Supreme Court did not review this aspect of the case when it issued its June 2002 ruling in Chevron USA, Inc. v Echazabal, 536 U.S. 73 (2002).

Among other things, the Ninth Circuit's decision arguably requires employers to reevaluate the processes they follow in determining whether applicants and employees can perform jobs safely. It also calls into question the opinions of “company doctors”, who are generalists. It appears now that employers, especially those operating in the Ninth Circuit, must be prepared to argue that their “direct threat” determinations were correct, based on the best available medical evidence. This decision likely will force most employers to retain medical experts to offer opinions concerning the ability of applicants and employees to perform jobs safely. Employers and their counsel also will need to critically evaluate the medical judgment of doctors who, in turn, may need to prepare more detailed medical reports justifying their opinions.


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