employer may term<strong>in</strong>ate the employee permanently. 146 With<strong>in</strong> one year of term<strong>in</strong>ationbased on disability, the former employee has the right to request a new medicalexam<strong>in</strong>ation, with a physician of the employer’s choice. 147 If the former employee isfound fit to return to work, s/he may be re<strong>in</strong>stated if the position is vacant, or to a similaror lower-level vacant position, or else will be put on a “preferred list” for futurevacancies. 148The NYCRR and the Civil Service <strong>Law</strong>s may operate together, <strong>in</strong> that once a personhas been denied return to work under the NYCRR, follow<strong>in</strong>g voluntary medical leave,courts have determ<strong>in</strong>ed that he/she can then be placed on de facto <strong>in</strong>voluntary leave,and the Civil Service <strong>Law</strong>s then apply, mean<strong>in</strong>g that under Section 73, the employeecan be permanently term<strong>in</strong>ated one year later. 149 However, <strong>in</strong> another <strong>in</strong>stance, a statecourt found that when an employee was term<strong>in</strong>ated after be<strong>in</strong>g found unfit to return towork follow<strong>in</strong>g voluntary leave under the NYCRR, the employee did not have the right toappeal the physician’s f<strong>in</strong>d<strong>in</strong>g before he was term<strong>in</strong>ated, as he would have under CivilService <strong>Law</strong> Section 72, despite the fact that his leave had become <strong>in</strong>voluntary. 150While the relationship between the laws is not always consistently <strong>in</strong>terpreted by thecourts, either can be a basis for term<strong>in</strong>ation based on disability.There have been limited attempts to use federal or state civil rights laws to challengedisability-based term<strong>in</strong>ations under the Civil Service <strong>Law</strong>. 151 However, it is not clear thatthe <strong>New</strong> <strong>York</strong> Civil Service system complies with the ADA or NYSHRL, both of whichprovide for leave time as a reasonable accommodation and both of which would appearto require re<strong>in</strong>statement upon return to work.In sum, the Civil Service <strong>Law</strong>s give government employers a high level of discretion <strong>in</strong>determ<strong>in</strong><strong>in</strong>g whether employees are fit to work with disabilities or medical limitations.There is some concern that, because the state agencies are “repeat customers,” suchemployer-chosen medical providers may be more <strong>in</strong>cl<strong>in</strong>ed to f<strong>in</strong>d employees unfit forwork than necessary. It should be acknowledged that <strong>in</strong> practice <strong>in</strong> some, though not all,civil service sectors, the employer who orders a medical exam<strong>in</strong>ation may be a smaller146 N. Y. Civil Service <strong>Law</strong> § 73.147 Id.148 Id.149 See, e.g., Wells v. Johnson, 856 N.Y.S.2d 292 (N.Y.A.D. 3rd Dept. 2008); Cooperman v.Commissioner, Dept. of Correctional Services, 394 N.Y.S.2d 324(N.Y. App. Div. 3rd Dept. 1977).150 See, e.g., Sheeran v. <strong>New</strong> <strong>York</strong> <strong>State</strong> Dept. of Transp. 68 A.D.3d 1199 (N.Y.A.D. 3 Dept. 2009).151 See, e.g., Brady v. Dammer, 573 F.Supp.2d 712 (N.D.N.Y. 2008) (exam<strong>in</strong>ation under Section 72 isnot an adverse employment action subject to the ADA); Jones v. <strong>New</strong> <strong>York</strong> City Hous<strong>in</strong>g Authority, 104F.3d 350 (2d Cir. 1996) (employee who made threats was not qualified); Baum v. Rockland County, 161Fed App’x 62 (2nd Cir. 2005) (requir<strong>in</strong>g a medical exam<strong>in</strong>ation is not an adverse employment action);Mair-Headley v. County of Westchester, 41 A.D. 3d 600 (N.Y. App. Div. 2nd Dept 2007) (employer notrequired to create a new light-duty position as a reasonable accommodation under the ADA). Courtshave found <strong>in</strong> favor of pla<strong>in</strong>tiffs follow<strong>in</strong>g term<strong>in</strong>ation, where the pla<strong>in</strong>tiff’s disability was caused by aworkplace <strong>in</strong>jury covered by workers’ compensation, Ross v. Town Bd. of Town of Ramapo, 78 A.D.2d656 (N.Y. App. Div. 3rd Dept. 1980), or when the employer term<strong>in</strong>ated an employee who had been foundfit to return to work by the employer’s chosen physician, Bodnar v. <strong>New</strong> <strong>York</strong> <strong>State</strong> Thruway Authority, 52A.D.2d 345 (N.Y. App. Div. 3rd Dept 1976).To learn more go to http://www.nymakesworkpay.org21
<strong>Disability</strong> & <strong>Employment</strong> <strong>Law</strong> <strong>in</strong> <strong>New</strong> <strong>York</strong> <strong>State</strong>:Analysis and Recommendationspart of a larger state agency. In these <strong>in</strong>stances, the choice of physician will not actuallybe up to the employee’s direct supervisor, and will be determ<strong>in</strong>ed by a regional orumbrella entity, such as Civil Service Department Health Services. 152 Thisorganizational distance may reduce the likelihood that an immediate supervisor oremployer would be able to bias or exploit the medical exam<strong>in</strong>ation process unfairly.However, <strong>in</strong> the event that an employee believes an employer’s decision is unfair or amedical review is not accurate, the statutes provide limited prospects for appeal.Employees may <strong>in</strong>troduce external medical evidence <strong>in</strong> appeals processes before acourt, but as noted above, courts have repeatedly found for employers, even whereemployees presented their own medical evidence.As a po<strong>in</strong>t of comparison, it is notable that worker’s compensation processes <strong>in</strong> <strong>New</strong><strong>York</strong> do, <strong>in</strong> contrast, allow workers to qualify for benefits, based on their own choice ofphysician. 153 An <strong>in</strong>surance carrier may also order an <strong>in</strong>dependent medical review, butthe worker’s self-selected physician is not presumptively less credible <strong>in</strong> any appeals orhear<strong>in</strong>gs. Accord<strong>in</strong>g to the EEOC, under the ADA, an employer may only require anemployee to submit to an employer-chosen medical review if the employee provides<strong>in</strong>sufficient documentation of disability for a reasonable accommodation. 154 However, anemployer may <strong>in</strong>sist on its own choice of physician for purposes of determ<strong>in</strong><strong>in</strong>g whetheran employee poses a direct threat. 155IV <strong>New</strong> <strong>York</strong> City<strong>New</strong> <strong>York</strong> City’s Human Rights <strong>Law</strong> 156 provides:16. (a) The term "disability" means any physical, medical, mental orpsychological impairment, or a history or record of such impairment.(b) The term "physical, medical, mental, or psychological impairment"means:(1) An impairment of any system of the body; <strong>in</strong>clud<strong>in</strong>g, but notlimited to: the neurological system; the musculoskeletal system; thespecial sense organs and respiratory organs, <strong>in</strong>clud<strong>in</strong>g, but notlimited to, speech organs; the cardiovascular system; thereproductive system; the digestive and genito-ur<strong>in</strong>ary systems; thehemic and lymphatic systems; the immunological systems; the sk<strong>in</strong>;and the endocr<strong>in</strong>e system; or(2) A mental or psychological impairment.152 See, e.g., Sheeran v. <strong>New</strong> <strong>York</strong> <strong>State</strong> Dept. of Transp., 68 A.D.3d 1199 (N.Y.A.D. 3rd Dept. 2009)(where Department of Transportation employee was exam<strong>in</strong>ed by medical professionals selected by theCivil Service Department Employee Health Physician).153 See <strong>New</strong> <strong>York</strong> <strong>State</strong> Workers Compensation Board, Workers’ Compensation: On the Job Injury orIllness, http://www.wcb.state.ny.us/content/ma<strong>in</strong>/Workers/Workers.jsp (last visited March 25, 2010).154 See EEOC Enforcement Guidance: <strong>Disability</strong> Related Inquiries and Medical Exam<strong>in</strong>ations ofEmployees Under the Americans with Disabilities Act, Question 11,http://www.eeoc.gov/policy/docs/guidance-<strong>in</strong>quiries.html#8.155 Id. Question 12.156 <strong>New</strong> <strong>York</strong> City Adm<strong>in</strong>istration Code § 8, http://www.nyc.gov/html/cchr/html/hrlaw.html.22