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The Family and Medical Leave Act allows employee leave-taking for chiropractic care, but the i's must be dotted and the t's crossed
Backs across America must collectively be giving out, as employee questions about medical certification from chiropractors are on the increase.
So, I'll hit this one head on: Is a chiropractor considered a health care provider under the Family and Medical Leave Act (FMLA)? And are there any special rules that apply to them? Yes and yes.
Are Chiropractors "Health Care Providers"?
Chiropractors are considered health care providers but only to the extent that their work with the patient involves, as the FMLA puts it, "treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist."
That's a mouthful.
Let's break it down. Where medical certification is provided through a chiropractor, two factors must be present: 1) the chiropractor must actually have taken an x-ray of the back; and 2) the x-ray and treatment from the chiropractor must relate to subluxation (i.e., misalignment) of the spine.
If these factors are present, the chiropractor is considered a "health care provider," and therefore the treatment and any time off due to incapacity (because of the misalignment of the spine) is covered by the FMLA. The time off work could be continuous or intermittent.
[SHRM members-only toolkit: Managing Family and Medical Leave]
How have the Courts Interpreted Situations involving Chiropractors?
There are very few cases dealing with chiropractors, but a few recent cases give you a flavor of what courts have required where chiropractors are concerned:
Insights for Employers
In determining whether you are required to grant FMLA leave in situations involving chiropractic care, you should confirm through medical certification:
Anything short of this is not protected by FMLA.
Jeff Nowak is a Chicago-based partner and co-chair of the labor and employment practice at Franczek Radelet P.C. and author of the FMLA Insights blog, where this article originally appeared. Amanda Bast, a legal intern at the firm, assisted with the research. © 2017 Franczek Radelet P.C. All rights reserved. Republished with permission.
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