Court Opinion

ID: 9942034
Source: CourtListenerOpinion
Date Created: 2024-02-20 14:10:31.465096+00
Date Added: 2024-06-11T13:47:36.061516
License: Public Domain

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Braulio Rivera,                               :
                       Petitioner             :
                                              :   No. 1487 C.D. 2022
                  v.                          :
                                              :   Submitted: December 4, 2023
Unemployment Compensation Board               :
of Review,                                    :
               Respondent                     :

BEFORE:       HONORABLE PATRICIA A. McCULLOUGH, Judge
              HONORABLE LORI A. DUMAS, Judge
              HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge

OPINION
BY JUDGE DUMAS                                             FILED: February 20, 2024

              Braulio Rivera (Claimant) has petitioned this Court to review the
adjudication of the Unemployment Compensation Board of Review (Board), entered
September 6, 2022, which affirmed the decision of a Referee to deny Claimant
unemployment compensation (UC) benefits.1 The Board concluded that Claimant is
ineligible for UC benefits under Section 402(e) of the Unemployment Compensation
Law (Law)2 because he was discharged from work for willful misconduct. We
affirm the Board’s order.

       1
          Claimant commenced this appeal pro se. At some point prior to briefing, Claimant
obtained counsel. See Appl. for Extension of Briefing Schedule, 6/15/23.
        2
          Act of December 5, 1936, Second Ex. Sess., P.L. (1937) 2897, as amended, 43 P.S. §
802(e). Section 402(e) of the Law provides that an employee shall be ineligible for UC for any
week in which his unemployment is due to his discharge from work for willful misconduct. 43
P.S. § 802(e).
                                   I. BACKGROUND3
                 Beginning in December 2019, Claimant was employed fulltime as a
maintenance technician for Housing Development Corporation of Lancaster County
(Employer). His duties involved providing maintenance and service inside the
apartments of elderly residents of an 80-unit complex. Effective November 1, 2021,
and following 60 days’ notice, Employer adopted a COVID-19 policy, which
required its employees to get vaccinated or self-test for the virus weekly and submit
the results before reporting for work each Monday. Employer provided test kits or
reimbursed employees for the cost of the test kits.
                 Claimant requested an exemption from the policy on religious and
constitutional grounds, but Employer denied that request. Claimant refused to
comply with the policy and was thereafter terminated by Employer on November
11, 2021.
                 Claimant applied for UC benefits, which were denied pursuant to
Section 402(e) of Law. Claimant appealed to the Referee, who held an evidentiary
hearing on June 22, 2022. Claimant appeared pro se and conceded that he was aware
of the vaccination policy but contended that he was entitled to a religious exemption
from both vaccination and testing. For its part, Employer provided testimony from
Kimberly Fletcher, Vice President and Chief People Officer, who detailed the
institution of the policy and Employer’s concerns regarding the health and safety of
its residents.
                 The Referee determined that Employer’s directive was reasonable, that
Claimant did not have a sincerely held religious belief regarding vaccination or
testing, and that Claimant had committed willful misconduct by failing to comply.

       3
         Unless otherwise stated, we base the statement of facts on the decision of the Board,
which is supported by substantial evidence of record. See Bd. Dec. & Order, 9/6/22, at 1-2.

                                              2
               Claimant appealed to the Board, which affirmed the Referee, also
concluding that Employer’s directive was reasonable, that Claimant had failed to
articulate a sincerely held religious belief, and that he had accordingly committed
willful misconduct by failing to comply with the directive. See Bd.’s Decision and
Order, 9/6/22, at 2-4. Claimant then appealed to this Court.
                                          II. ISSUES
               On appeal, Claimant disputes the reasonableness of Employer’s policy.
See Claimant’s Br. at 4. He further contends that he had good cause for his refusal
to comply with the policy. See id.
                                     III. DISCUSSION4
                         A. Employer’s Policy was Reasonable
               Claimant baldly asserts that the testing requirement is unreasonable
because it infringes upon his medical privacy. See Claimant’ Br. at 8-11. According
to Claimant, a positive result could expose him to stigma and potential prejudice.
See id.     As a result, Claimant concludes, Employer cannot establish willful
misconduct.5 See id.

       4
          “This Court’s standard of review is limited to determining whether constitutional rights
were violated, whether an error of law was committed, or whether necessary findings of fact are
supported by substantial evidence.” See Gordon Terminal Serv. Co. v. Unemployment Comp. Bd.
of Rev., 211 A.3d 893, 898 (Pa. Cmwlth. 2019) (citing Section 704 of the Administrative Agency
Law, 2 Pa. C.S. § 704). Substantial evidence is relevant evidence that a reasonable person may
accept as adequate to support a finding. Pierce-Boyce v. Unemployment Comp. Bd. of Rev., 289
A.3d 130, 136 (Pa. Cmwlth. 2022).
        In UC cases, the Board is the ultimate fact-finder and resolves issues of credibility and
conflicting evidence. Pierce-Boyce, 289 A.3d at 135. This Court is bound by those findings,
provided they are supported by substantial evidence. See id. at 136. However, “[w]hether or not
an employee’s actions amount to willful misconduct is a question of law subject to review by this
Court.” Gordon Terminal Serv. Co., 211 A.3d at 898 (citation omitted).
        5
          Due to Claimant’s failure to meaningfully develop this argument and failure to support it
with citation to relevant legal authority, he risks waiver. See Ruiz v. Unemployment Comp. Bd. of

                                                3
               In response, the Board asserts that Employer’s policy was reasonable,
that Claimant was aware of the rule, and that Claimant subsequently violated the
rule. See Bd.’s Br. at 6-9. The Board contends that the vaccination or testing was
necessary to protect the health and safety of Employer’s elderly residents, and that
the rule was fair, just, and appropriate to pursue that legitimate interest. See id. at 8.
Additionally, the Board noted Employer’s reasonable accommodation of weekly
testing in lieu of requiring vaccination. See id. at 8-9.
               Willful misconduct is defined as (1) wanton and willful disregard of an
employer’s interests; (2) deliberate violation of an employer’s rules; (3) disregard of
behavioral standards that an employer can rightfully expect from an employee; or
(4) negligence showing an intentional disregard of the employer’s interests or the
employee’s duties and obligations. Pierce-Boyce, 289 A.3d at 135. An employer
must prove the existence of a work rule, the reasonableness of the rule, the claimant’s
knowledge of the rule, and the claimant’s subsequent violation of the rule. Id. at
136.
               “In determining reasonableness, this Court should consider whether
application of the rule or policy under the circumstances is fair and just and
appropriate to accomplish a legitimate interest of the employer.”                      Spirnak v.
Unemployment Comp. Bd. of Rev., 557 A.2d 451, 453 (Pa. Cmwlth. 1989); see also
Brown v. Unemployment Comp. Bd. of Rev., 276 A.3d 322, 328-29 (Pa. Cmwlth.
2022) (holding that a children’s hospital has a legitimate interest in protecting the

Rev., 911 A.2d 600, 605 n.5 (Pa. Cmwlth. 2006) (“When issues are not properly raised and
developed in a brief, or when the brief is inadequate or defective because an issue is not adequately
developed, this Court will not consider the merits of the issue.”); see also Pa.R.A.P. 2119(a).
Nevertheless, because we may discern the argument he attempts to raise on appeal, we decline to
find waiver in this instance.

                                                 4
health and safety of its patients and may make business decisions requiring
employees to be vaccinated yearly against the flu).
              Employer provided testimony that it required either vaccination or
weekly testing because the COVID-19 pandemic was a serious health and safety
issue, and it needed to protect its vulnerable elderly residents as well as its
employees. See Notes of Testimony (N.T.), 6/22/22, at 11. Employer never required
vaccination; employees who objected to vaccination on religious or medical grounds
could, instead, submit to weekly swab testing. See id. at 12-13.
              The Referee and the Board both determined that Employer’s directive
was reasonable given the nature of the COVID-19 virus and the vulnerability of its
elderly residents. See Ref.’s Order, 6/23/22, at 2; see also Bd.’s Dec. & Order,
9/6/22, at 2-4. Additionally, the Board concluded that periodic testing for COVID-
19 was a reasonable accommodation for employees who objected to vaccination on
religious grounds. See Bd.’s Dec. & Order at 2.
              As an administrator of housing for elderly residents, Employer has a
legitimate interest in protecting their health and safety, as well as the health and
safety of its employees, during a pandemic. See, e.g., Brown, 276 A.3d at 328-29.
Employer made a business decision requiring either testing or vaccination to
accomplish that goal. Brown, 276 A.3d at 329. This was fair, just, and appropriate
under the circumstances to accomplish this legitimate interest. See Spirnak, 557
A.2d at 453. Accordingly, neither the Referee nor the Board erred in determining
that the policy was reasonable and Claimant’s failure to comply constituted willful
misconduct.6 See Gordon Terminal Serv. Co., 211 A.3d at 898.

       6
         Claimant does not challenge the other elements required to prove a prima facie case of
willful misconduct, namely, the existence of a work rule, the claimant’s knowledge of the rule,
and the claimant’s subsequent violation of the rule. Pierce-Boyce, 289 A.3d at 136.

                                              5
                      B. Claimant Failed to Establish Good Cause
               Claimant asserts that he had good cause to violate Employer’s policy.
See Claimant’s Br. 9. According to Claimant, the vaccines available “had only
received emergency authorization from the [United States Food and Drug
Administration.]” Id. Therefore, Claimant continues, “[i]t is undisputed that the
fear of ill effects . . . [are] widespread . . . among citizens of the United States . . . .”
Id. Finally, Claimant states that the vaccines available “entail serious health risks,”
although he concedes that the “frequency of those risks is low.” Id. For these
reasons, Claimant believes that his vaccine refusal is “per se reasonable.” Id.
               Claimant also contends that he had good cause for refusing to submit
to COVID-19 testing. See id. at 10. According to Claimant, COVID-19 was “a
feared disease known to potentially cause long-term illness,” and that the weekly
testing requirement infringed upon his medical privacy and exposed him to “stigma
and potential prejudice.”7 Id.
               For its part, the Board rejects Claimant’s argument that he had good
cause for refusal to submit to either vaccination or testing. See Bd.’s Br. at 9-10
(citing in support Brown, 276 A.3d at 322).8 The Board asserts that Claimant had an
obligation to comply with the employer’s reasonable directives related to the health

       7
          Claimant has abandoned any argument regarding his request for a religious exemption.
See generally Claimant’s Br. In its decision, the Board noted that it was prohibited from denying
unemployment compensation benefits based on the First Amendment, U.S. CONST. amend. I,
right to free exercise of religion. See Bd.’s Dec. and Order, 9/6/22, at 3. However, the Board
determined that Claimant had not articulated how his beliefs regarding the vaccination and testing
were in any way connected to his religion or faith. See id. Accordingly, the Board found this
explanation not credible. See id. Claimant had failed to elaborate on the foundation of his belief,
and his sole explanation—concern about the effects of vaccination or testing—was a non-religious
or medical concern. See id. at 4.
        8
          In Brown, this Court held that a flu vaccine policy is fair and just where it allows medical
or religious exemptions, even where the employer had rejected a form document submitted by the
claimant asserting her right not to give consent. Brown, 276 A.3d at 328-29.

                                                  6
and safety of its communities, and that he chose not to comply even though he was
informed his failure to comply would lead to termination. See id. at 10-11.
             Once an employer establishes that an employee committed willful
misconduct, the burden shifts to the employee to establish good cause for his actions.
Woodring v. Unemployment Comp. Bd. ofac Rev., 284 A.3d 960, 964 (Pa. Cmwlth.
2022). “The employee can establish good cause where his actions are justified or
reasonable under the circumstances.” Id. (internal quotations omitted). Courts
evaluate whether good cause existed for an employee’s actions by considering all
the attendant circumstances. Halloran v. Unemployment Comp. Bd. of Rev., 188
A.3d 592, 597 (Pa. Cmwlth. 2018). It is the claimant’s burden of proof to show that
his actions were justifiable or reasonable. See Arbster v. Unemployment Comp. Bd.
of Rev., 690 A.2d 805, 809 (Pa. Cmwlth. 1997).
             An employee does not commit willful misconduct if his employer’s
directive directly threatens the employee’s health or safety.          Dougherty v.
Unemployment Comp. Bd. of Rev., 686 A.2d 53, 54 (Pa. Cmwlth. 1996). However,
a claimant’s subjective beliefs alone do not establish good cause for failing to
comply with an employer’s directive. Id. at 55.
             Instantly, Claimant has vaguely alluded to “ill effects” and “serious
health risks” but failed to describe them more specifically. See id. At best, with
regard to testing, Claimant has offered speculative claims regarding “stigma” that he
could potentially suffer if he was diagnosed with COVID-19. See Claimant’s Br. at
8-9. He has failed to support these bald assertions with any evidence. See generally
N.T. The Board did not credit these assertions, and on this record, we will defer to
the Board’s findings. See Bd.’s Dec. & Order at 2-3; see Pierce-Boyce, 289 A.3d at
136.

                                          7
             Under these circumstances, Claimant’s subjective beliefs do not
support his refusal to abide by Employer’s policy. See Dougherty, 686 A.2d at 55.
His refusal was neither justified nor reasonable. See id. Thus, he failed to establish
good cause for his misconduct. See Woodring, 284 A.3d at 964.
                                IV. CONCLUSION
             Because Employer’s policy was reasonable and because Claimant
failed to establish good cause for his failure to comply with this policy, the Board
appropriately found that he was disqualified for UC benefits under Section 402(e).
See Brown, 276 A.3d at 328-29; Woodring, 284 A.3d at 964; Dougherty, 686 A.2d
at 55; Spirnak, 557 A.2d at 453. Accordingly, we affirm.

                                          LORI A. DUMAS, Judge

                                          8
         IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Braulio Rivera,                       :
                       Petitioner     :
                                      :   No. 1487 C.D. 2022
                  v.                  :
                                      :
Unemployment Compensation Board       :
of Review,                            :
               Respondent             :

                                    ORDER

      AND NOW, this 20th day of February, 2024, the order of the Unemployment
Compensation Board of Review, entered September 6, 2022, is AFFIRMED.

                                      LORI A. DUMAS, Judge
              IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Braulio Rivera,                               :
                     Petitioner               :
                                              :
              v.                              :   No. 1487 C.D. 2022
                                              :
Unemployment Compensation                     :   Submitted: December 4, 2023
Board of Review,                              :
                 Respondent                   :

BEFORE:       HONORABLE PATRICIA A. McCULLOUGH, Judge
              HONORABLE LORI A. DUMAS, Judge
              HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge

DISSENTING OPINION
BY JUDGE McCULLOUGH                                        FILED: February 20, 2024

              Braulio Rivera (Claimant) did not comply with the Housing
Development Corporation of Lancaster County’s (Employer) COVID-19 policy for
two reasons. First, he expressed that he did not want to get the COVID-19 vaccine
for medical reasons. He did not want to put something in his body where “the
future effects on his body were unknown.”                 (Board’s Decision and Order,
September 6, 2022, Finding of Fact No. 7, at 3) (emphasis added). Second, he
expressed his concern that testing, and the results of that testing would violate his
constitutional right to medical privacy.1

       1
          Claimant raised religious grounds as a reason for noncompliance below, but the
Unemployment Compensation Board of Review (Board) rejected this as not credible and not
supported by the facts. The Board also held that Claimant’s beliefs amounted to non-religious
concerns. It explained that “[w]hen [C]laimant testified that he objected to both the COVID-19
vaccination and the testing because he did not know what could affect him down the road, it
amounted to a nonreligious concern/medical concern, not a religious one.” (Board’s Decision
(Footnote continued on next page…)
       An Employee’s Refusal to Get the COVID-19 Vaccine for Medical
       Reasons is not Willful Misconduct
               The Majority affirms the Board on the basis that Claimant’s medical
claims of safety and privacy were unfounded. (Majority Op. at 7.) For the reasons
that follow, I must disagree.
              “An employer seeking to prove willful misconduct by a policy violation
must demonstrate the existence of the policy, its reasonableness, and its violation.”
Klampfer v. Unemployment Compensation Board of Review, 182 A.3d 495, 500 (Pa.
Cmwlth. 2018). “The employer must also show that the [claimant] intentionally or
deliberately violated” the policy. Chester County Charter School v. Unemployment
Compensation Board of Review, 138 A.3d 50, 54 (Pa. Cmwlth. 2016). This Court
must determine whether the policy at issue was reasonable and whether the claimant
had good cause for violating it. Klampfer, 182 A.3d at 500. The claimant bears the
burden of proving good cause by demonstrating that her conduct was justifiable and
reasonable under the circumstances. Kelly v. Unemployment Compensation Board
of Review, 747 A.2d 436, 439 (Pa. Cmwlth. 2000). In other words, if Claimant had
good cause for his non-compliance with Employer’s policy, it is not to be construed
as willful misconduct. Without willful misconduct, Employer might still be able to
terminate Claimant for non-compliance with a reasonable policy, but Claimant
would not be denied unemployment compensation.
              This case presents an example of the concerns that I articulated in my
dissent in Brown v. Unemployment Compensation Board of Review, 276 A.3d 322,
333 (Pa. Cmwlth. 2022), wherein I explained that the citizens of this Commonwealth

and Order at 3) (emphasis added). Claimant does not assert before this Court that the Board erred
in this respect or that he had religious reasons for rejecting the vaccine and testing.
                                           PAM - 2
have a protected common law right to exercise autonomy over their medical
treatment and asserting that legal right should not amount to willful misconduct or
serve as the basis for denying one unemployment compensation benefits. As noted
in my dissent in Brown, which I incorporate herein by reference, in Pennsylvania,
courts have adopted the common law right to self-determination. Our Supreme
Court has recognized this right and that it is the basis for the concept of informed
consent. Shinal v. Toms, 162 A.3d 429, 452 (Pa. 2017) (“the right to be free from
bodily invasion developed the doctrine of informed consent”). Specifically, and as
also noted by the United States (U.S.) Supreme Court, “[n]o right is held more
sacred, or is more carefully guarded by the common law, than the right of every
individual to the possession and control of his own person, free from all restraint or
interference of others unless by clear and unquestionable authority of law.” Union
Pacific Railway Co. v. Botsford, 141 U.S. 250, 251 (1891). In Cruzan by Cruzan v.
Director, Missouri Department of Health, 497 U.S. 261, 269 (1990), then-Chief
Justice Rehnquist stated that “[e]very human being of adult years and sound mind
has a right to determine what shall be done with his own body.”
             Here, Claimant was concerned that each available variety of the
COVID-19 vaccine had only received emergency authorization from the U.S. Food
and Drug Administration.      The Board recognized Claimant’s objection to the
COVID-19 vaccination and testing because he did not want to “put something in
[his] body that [he did not] know what it is” and “did not know what could affect
[him] down the road.” (Board’s Decision and Order, at 3.)
             “The goal of the informed consent doctrine ‘is to provide the patient
with material information necessary to determine whether to proceed with the given
procedure or to remain in the present condition.’” Sinclair by Sinclair v. Block,

                                      PAM - 3
M.D., 633 A.2d 1137, 1141 (Pa. 1993). “The doctrine presupposes that the patient
has a choice to exercise.” Id.
              Here, with no consideration of a citizen’s right to self-determination
and informed consent, the Board summarily denied Claimant’s medical claim,
giving this issue short shrift, even appearing to belittle Claimant. Although the
Board noted that Claimant did not want to put something into his body where the
future effects on his body were unknown, it found he did not raise a sufficient
medical claim. It is beyond cavil that experimental vaccines could pose unknown
risks, as they had not been subjected to the stringent testing otherwise required for
vaccines not permitted to market before completion of such testing. Pursuant to
Section 360bbb-3 of the Federal Food, Drug, and Cosmetic Act, which governs
emergency use authorization of medication, the Secretary of the U.S. Department of
Health and Human Services may authorize the use of a drug that “is not approved,
licensed, or cleared for commercial distribution under [Sections 355, 360(k), 360b,
360e, 21 U.S.C. §§ 355, 360(k), 360b, 360(e)]” where “there is no adequate,
approved, and available alternative.” 21 U.S.C. § 360bbb-3.2 In other words, the

       2
       Section 360bbb-3(c) sets forth the criteria for issuance of an authorization of the use of
an unapproved a drug in an emergency, as follows:

              (c) Criteria for issuance of authorization

              The Secretary may issue an authorization under this section with
              respect to the emergency use of a product only if, after consultation
              with the Assistant Secretary for Preparedness and Response, the
              Director of the National Institutes of Health, and the Director of the
              Centers for Disease Control and Prevention (to the extent feasible
              and appropriate given the applicable circumstances described in
              subsection (b)(1)), the Secretary concludes--

(Footnote continued on next page…)
                                 PAM - 4
           (1) that an agent referred to in a declaration under subsection (b) can
           cause a serious or life-threatening disease or condition;

           (2) that, based on the totality of scientific evidence available to the
           Secretary, including data from adequate and well-controlled clinical
           trials, if available, it is reasonable to believe that--

                  (A) the product may be effective in diagnosing, treating, or
                  preventing--

                          (i) such disease or condition; or

                          (ii) a serious or life-threatening
                          disease or condition caused by a
                          product authorized under this section,
                          approved or cleared under this
                          chapter, or licensed under section 351
                          of the Public Health Service Act, [42
                          U.S.C. §§ 201-300aaa-13] for
                          diagnosing, treating, or preventing
                          such a disease or condition caused by
                          such an agent; and

                  (B) the known and potential benefits of the product, when
                  used to diagnose, prevent, or treat such disease or condition,
                  outweigh the known and potential risks of the product,
                  taking into consideration the material threat posed by the
                  agent or agents identified in a declaration under subsection
                  (b)(1)(D), if applicable;

           (3) that there is no adequate, approved, and available
           alternative to the product for diagnosing, preventing, or treating
           such disease or condition;

           (4) in the case of a determination described in subsection
           (b)(1)(B)(ii), that the request for emergency use is made by the
           Secretary of Defense; and

           (5) that such other criteria as the Secretary may by regulation
           prescribe are satisfied.

(Footnote continued on next page…)
                                 PAM - 5
federal exemption from testing for drugs (including vaccines) provides that testing
can be averted in an emergency, and if no remedy exists. Unquestionably, from the
beginning differing medical opinions began to emerge concerning the current
existence of claimed remedies, e.g., Ivermectin, hydroxychloroquine, etc. But, the
question before us here is not a scientific or medical one concerning the actual
efficacy of other remedies, or the actual need for emergency vaccines to be sent to
market. Quite simply, the straightforward question we address is whether the
people, and in particular this Claimant, still have a right to medical autonomy,
informed consent and self-determination.3
               Indisputably, as noted above, there was and is conflicting information
in the public domain, and considering such, or even without the existence of any
conflicting information, Claimant sufficiently expressed his medical right not to take
the COVID-19 vaccine as good cause for non-compliance with the policy. Whether
it was his claim of lack of medical certainty as to what impact the untested vaccines
would have on his person, or his desire to not have something injected into his body,4

21 U.S.C. § 360bbb (emphasis added).

       3
         As it turns out, Claimant’s concerns were not entirely unfounded. See Centers for Disease
Control, Selected Adverse Events Reported after COVID-19 Vaccination, September 12, 2023
(detailing reports of anaphylaxis and Guillain-Barre Syndrome (GBS) after COVID-19
vaccination and reporting that the Johnson and Johnson/Janssen (J&J/Janssen) COVID-19
vaccination is no longer available in the United States due to higher than expected rates of GBS
and Thrombosis with Thrombocytopenia Syndrome following the J&J/Janssen vaccination); Yale
Medicine, May 17, 2023, The Link Between J&J’s COVID-19 Vaccine and Blood Clots: What
You Need to Know (reporting that the FDA put a pause on the J&J vaccine in 2021 after
discovering life threatening blood clots associated with the vaccine.

       4
         In fact, COVID-19 vaccine hesitancy is not uncommon in the U.S. population and
globally. See G. Troiano, A. Nardi, Vaccine Hesitancy in the Era of COVID-19, Public Health,
Volume 194, 2021; Time Trends, Factors Associated with, and Reasons for COVID-19 Vaccine
Hesitancy: A Massive Online Survey of U.S. Adults from January-May 2021, King WC,
(Footnote continued on next page…)
                                 PAM - 6
Claimant exercised his right to self-determination, medical autonomy and informed
consent. As such, while it is clear that Claimant did not comply with Employer’s
policy to take a vaccine or testing requirements, he established sufficient good cause
not to do so in exercising his right to self-determination. The question here is not
whether an employer may terminate an employee for non-compliance with a
reasonable policy, but whether in doing so when an employee has demonstrated
good cause for non-compliance, the employee can be denied unemployment
compensation for willful misconduct. In accordance with my dissent in Brown, I
would conclude that because Claimant exercised his right to medical autonomy,
informed consent and self-determinations as his reasons for non-compliance with
Employer’s policy, he cannot be construed to have committed willful misconduct.

       Refusal to Submit to Testing Without Assurances that Test Results
       Would Remain Private and Confidential is Not Willful Misconduct
               Regarding Claimant’s refusal to submit to testing, I agree with the
Majority in general, that periodic testing of employees for COVID-19 has been
recognized as a reasonable accommodation by employers for those employees who
do not receive a vaccination. Because COVID-19 is recognized as contagious and
presents potential health risks for the elderly, whose homes Claimant would enter to
provide maintenance work for Employer, the Employer’s testing alternative would
not be deemed to be unreasonable on its face. Indeed, testing of employees who do
not take the vaccine is recognized by the Equal Employment Opportunity

Rubinstein M, Reinhart A, Mejia R PLOS ONE 16 (12) (2021); L. Palamenghi, S. Barello, S.
Boccia, and G. Graffigna, Mistrust in Biomedical Research and Vaccine Hesitancy: the Forefront
Challenge in the Battle Against COVID-19 in Italy, Eur. J. Epidemiol., vol. 35, no. 8, pp. 785-788
(Aug. 2020).

                                           PAM - 7
Commission (EEOC) and Americans with Disabilities Act (ADA), 42 U.S.C. §§
12101-12213, as an alternative accommodation. Other accommodations include
wearing a face mask, working at a social distance from coworkers or non-employees,
working a modified shift, and the opportunity to telework.
               However, there are standards with which employers must comply in
order to conduct such testing. Specifically, if an employer implements screening
protocols that include COVID-19 viral testing, the ADA requires that any mandatory
medical test of employees be “job-related and consistent with business necessity”
based on relevant facts.            Moreover, an employer must keep all medical
information, including results of testing, vaccination information, an employee’s
temperature and symptoms, and the employee’s COVID-19 diagnosis confidential
and it must store it separately from their personnel files. See EEOC – Technical
Questions and Answers-What You Should Know About COVID-19 and the ADA,
the Rehabilitation Act, and Other EEO Laws, https:/www.eeoc.gov/wysk/what-you-
should-know-about-covid-19-and-ada-rehabilitation-act-and-other-eeoc-laws (last
visited February 16, 2024).
               Here, Claimant argued before the Board that the testing was “against
his constitutional rights” and the Board concluded that he was “afforded no First
Amendment protections.”[5] (Board Decision at 3.) Claimant expounds in his Brief

       5
          Claimant has a constitutional right not to have his personal medical matters revealed. See
In re June 1979 Allegheny County Investigating Grand Jury, 415 A.2d 73, 77-78 (Pa. 1980) (“The
privacy interest of the patients . . . is the interest in avoiding disclosure of personal matters. This
privacy interest finds explicit protection in the Pennsylvania Constitution, art. 1, § 1 [Pa. Const.
art 1, § 1], which provides, in pertinent part: ‘All men . . . have certain inherent and indefeasible
rights, among which are those . . . of acquiring, possessing, and protecting property and reputation
. . . .’ Disclosure of . . . medical data concerning the individual patient could, under certain
circumstances, pose such a serious threat to a patient’s right not to have personal matters revealed
that it would be impermissible under either the United States Constitution or the Pennsylvania
Constitution.”)
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that “Employer was infringing on [his] medical privacy and potentially exposing
[him] to stigma and potential predudice (sic) should he test positive.” (Claimant’s
Br. at 10.)
              The Majority discounts Claimant’s privacy concerns, stating that “[a]t
best, with regard to testing, Claimant has offered speculative claims regarding the
‘stigma’ that he could potentially suffer if he was diagnosed with COVID-19.”
Majority Opinion, at 7. However, contrary to the Majority’s reasoning, it was not
necessary for Claimant to explain the stigma attached to a positive COVID-19 test
any more than he did. A COVID-19 viral test is a medical examination within
the meaning established by the ADA. It is beyond cavil that one’s private medical
information cannot be publicly disclosed.       While the ADA and EEOC have
established that testing is a reasonable accommodation for COVID-19 vaccines, the
testing must be done in accord with mandatory standards.
              Under our unemployment compensation law, once Claimant raised
legitimate medical privacy concerns about Employer’s testing, it was incumbent
upon Employer to come forward with evidence that its policy complied with EEOC
and ADA standards. The Board summarily denied Claimant’s assertion that such
testing violated his medical right to privacy without making any assessment on the
record of whether Employer has policies and procedures in place that would protect
Claimant’s medical privacy rights in the results of the COVID-19 testing. As part
of its determination of whether Claimant established good cause for non-
compliance, the Board should have required Employer to show that its testing
protocols complied with ADA guidelines. There is nothing in the record concerning
what Employer does with the test results, who in Employer’s organization would
have access to such test results, procedures in place to maintain the confidentiality

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of the results, or what assurances are given to employees that the test results would
not be revealed to other employees or staff. The Board did not assess Employer’s
compliance with EEOC and ADA standards for such testing, nor does the Majority
discuss this. I submit this was error. The Board’s decision fell far short of analyzing
necessary factors for testing, and for the medical exemption in general, resulting in
a failure to ensure compliance with EEOC and ADA standards for testing. Unlike
the Majority’s view, I believe, like the ADA and EEOC, that Claimant’s claim for
privacy of the testing information is a valid concern. As already noted, the ADA
considers such testing to be medical treatment. This right cannot be taken lightly in
any scenario.
                                  CONCLUSION
             In light of the above, and based on my dissent in Brown, Claimant’s
exercise of his rights to medical autonomy, self-determination, informed consent and
privacy, provided good cause not to comply with Employer’s mandate and should
not be construed as willful misconduct. As such, I would reverse the Board and
allow Claimant to receive unemployment compensation benefits. Accordingly, I
must respectfully dissent.

                                            ________________________________
                                            PATRICIA A. McCULLOUGH, Judge

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