Skip to main content


U.S. flag
      An official website of the United States government
              Here’s how you know
        Here’s how you knowDot gov**Official websites use .gov**
                 A **.gov** website belongs to an official government organization in the United States.
                  HTTPS**Secure .gov websites use HTTPS**
                 A **lock** (A locked padlock) or **https://** means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. 
  Menu Close
          HHS Search (civil-rights)
    Search
        








  
  
    

  
      

                                      About HHS
    
                        
                              
      
      
      Programs & Services
    
                        
                              
      
      
      Grants & Contracts
    
                        
                              
      
      
      Laws & Regulations                  
Civil Rights
  Information for Individuals
    
                        
                                            
      
      
      Filing a Complaint
    
                        
                                            
      
      
      Information for Providers
    
                        
                                            
      
      
      Newsroom

              

    



Breadcrumb
    HHS
                              Civil Rights Home
                              For Providers
                              Clearance Medicare Providers
                              Requirement for Facilities with 15 or More Employees


    

    

    Navigate to:
  Civil Rights for Providers of Health Care and Human Services
                                            
            
            Provider Obligations
    
                                                  
                                            
            
      
      
      
      Civil Rights Clearance for Medicare Provider Applicants
    
                                                                
                                                                  
            
      
      
      
      Compliance & Enforcement
                          
            
            Resolution Agreements
    
                                                  
                                            
            
      
      
      
      Enforcement Examples
    
                                                  
                                            
            
      
      
      
      Training
    
                                                  
                                            
            
      
      
      
      Resources for Covered Entities
    
                                                                
                                                                  
            
      
      
      
      Civil Rights Laws, Regulations & Guidance
                          
            
            Regulatory Initiatives
    
                                                  
                                            
            
      
      
      
      Regulations Enforced by OCR
    
                                                  
                                            
            
      
      
      
      Civil Rights and COVIDText resize icon

                    




Requirement for Facilities with 15 or More Employees








  
  
    

  
      





Applicable Regulatory Citations:

**Section 504 of the Rehabilitation Act of 1973:**

**45 CFR Part 84§84.7 Designation of responsible employee and adoption of grievance procedures.**

(a)*Designation of responsible employee.* A recipient that employs fifteen or more persons shall designate at least one person to coordinate its efforts to comply with this part.

(b) *Adoption of grievance procedures.* A recipient that employs fifteen or more persons shall adopt grievance procedures that incorporate appropriate due process standards and that provide for the prompt and equitable resolution of complaints alleging any action prohibited by this part. Such procedures need not be established with respect to complaints from applicants for employment or from applicants for admission to postsecondary educational institutions.

See Policy Examples Section for an example of a Section 504 Grievance Procedure.

**Section 1557 of the Affordable Care Act: 45 C.F.R. Part 92**

§ 92.7 Designation of responsible employee and adoption of grievance procedures.

(a) Designation of responsible employee. Each covered entity that employs 15 or more persons shall designate at least one employee to coordinate its efforts to comply with and carry out its responsibilities under Section 1557 and this part, including the investigation of any grievance communicated to it alleging noncompliance with Section 1557 or this part or alleging any action that would be prohibited by Section 1557 or this part. For the Department, including the Federally-facilitated Marketplaces, the Director will be deemed the responsible employee under this section.

(b) Adoption of grievance procedures. Each covered entity that employs 15 or more persons shall adopt grievance procedures that incorporate appropriate due process standards and that provide for the prompt and equitable resolution of grievances alleging any action that would be prohibited by Section 1557 or this part. For the Department, including the Federally-facilitated Marketplaces, the procedures for addressing complaints of discrimination on the grounds covered under Section 1557 or this part will be deemed grievance procedures under this section.

See Policy Examples Section for an example of a Section 1557 Grievance Procedure.

                    
  


Content created by Office for Civil Rights (OCR) Content last reviewed December 12, 2023Back to top
    Contact HHS
    
                        
                                            
      
      
      Careers
    
                        
                                            
      
      
      HHS FAQs
    
                        
                                            
      
      
      Nondiscrimination NoticeHHS Archive
    
                        
                                            
      
      
      Accessibility Statement
    
                        
                                            
      
      
      Privacy Policy
    
                        
                                            
      
      
      Viewers & PlayersBudget/Performance
    
                        
                                            
      
      
      Inspector General
    
                        
                                            
      
      
      Web Site Disclaimers
    
                        
                                            
      
      
      EEO/No Fear ActFOIA
    
                        
                                            
      
      
      The White House
    
                        
                                            
      
      
      USA.gov
    
                        
                                            
      
      
      Vulnerability Disclosure Policy
        Sign Up for Email Updates

Receive the latest updates from the Secretary, Blogs, and News Releases.

Sign Up
  HHS Headquarters
          200 Independence Avenue, S.W.
                  Washington, D.C. 20201
                  Toll Free Call Center: 1-877-696-6775​Disclaimer Policy: Links with this icon () mean that you are leaving the HHS website.
              The Department of Health and Human Services (HHS) cannot guarantee the accuracy of a non-federal website.
                  Linking to a non-federal website does not mean that HHS or its employees endorse the sponsors, information, or products presented on the website. HHS links outside of itself to provide you with further information.
                  You will be bound by the destination website's privacy policy and/or terms of service when you follow the link.
                  HHS is not responsible for Section 508 compliance (accessibility) on private websites.For more information on HHS's web notification policies, see Website Disclaimers.
              Continue
                  Go back