Lonicki v. Sutter Health Central
Full Opinion (html_with_citations)
Opinion
Under the Moore-Brown-Roberti Family Rights Act (Gov. Code,
We address two issues:
First, does an employerâs failure to invoke the CFRAâs dispute-resolution mechanism of having a health care provider jointly chosen by the parties determine the employeeâs entitlement to medical leave bar the employer from later claiming that the employee did not suffer from a serious health condition and was capable of performing her job? Our answer is âno.â
Second, if a full-time employee, during the period in which medical leave was sought, continued to perform a similar job for another employer on a part-time basis, does that conclusively establish the ability to do the job for the original employer? We conclude that, although that part-time job is evidence of ability to do similar work for the original employer from whom the employee has sought medical leave, that evidence is not conclusive. Here, because the parties have presented contrary evidence as to whether the employee had a serious health condition that made her unable to do her full-time job, there is a disputed issue of fact that must be resolved at trial.
âBecause this case comes before us after the trial court granted a motion for summary judgment, we take the facts from the record that was before the trial court when it ruled on that motion. [Citation.] â âWe review the trial courtâs decision de novo, considering all the evidence set forth in the moving and opposing papers except that to which objections were made and sustained.â â [Citation.] We liberally construe the evidence in support of the party opposing summary judgment and resolve doubts concerning the evidence in favor of that party. [Citation.]â (Yanowitz v. LâOreal USA, Inc. (2005) 36 Cal.4th 1028, 1037 [32 Cal.Rptr.3d 436, 116 P.3d 1123].)
In 1989, Sutter Health Central (defendant) hired plaintiff Antonina Lonicki to work in the housekeeping department at its hospital in Roseville. In 1993, plaintiff became a certified technician in the hospitalâs sterile processing department. Her work performance was good and her attendance was excellent.
In June 1997, the hospital became a level II trauma center. That change, according to plaintiff, led to a major increase in her workload and more stress. The workers in plaintiffâs unit asked for more help, to no avail. In November 1998 the hospital announced that it would lay off three people. In December 1998, plaintiffâs supervisor and the director resigned. They were replaced by Pat Curtis and Steve Jatala, respectively. Actions by Pat Curtis increased plaintiffâs stress. She consulted a doctor.
On July 26, 1999, when plaintiff arrived at work for her 8:00 a.m. shift, supervisor Curtis told her that her new shift would be from noon to 8:30 p.m. Curtis denied plaintiffâs request for a vacation. Plaintiff went home in tears. After talking to her union representative, she telephoned Curtis and said she was too upset to work. That afternoon, Curtis left a message on plaintiffâs telephone answering machine conveying director Steve Jatalaâs request that she get medical authorization for her absence.
Plaintiff called her primary care physician, Dr. Roy Harris, but was told that he was on vacation. His office gave her an appointment the next day with a family nurse practitioner, Joe Lobacarro. Plaintiff saw Lobacarro, who gave her a note for a one-month leave of absence for â[mjedical reasons.â He also referred her to a therapist. Later that day, plaintiff brought the note to her employer; she also filled out a form requesting a one-month leave of absence, which she gave to supervisor Curtis.
On August 2, 1999, director Jatala told plaintiff to see Dr. Michael Cohen, an occupational health physician chosen by defendant employer. Plaintiff did
On August 17, 1999, director Jatala telephoned plaintiff and asked when she would come back to work. Plaintiff replied that on the advice of her doctors, she would return no sooner than August 27. Thereafter Jatala sent a letter to plaintiff stating that he had discussed the matter with plaintiffâs union representative, Mike Egan, and that Jatala would allow plaintiff paid time offânot medical leaveâbut that plaintiff had to return to work by August 23 or face dismissal.
On August 26, plaintiff consulted Dr. Frank Capobianco, a psychiatrist. He wrote her a note stating that she was âdisabled by major depression,â that her symptoms were âwork related,â that she required âsick leave,â and that her medical leave should be extended to September 26, 1999. The next day, plaintiff delivered the note to director Jatala. He told her to go to the human resources department, which told her that she had been discharged for failure to appear for work on August 23 and August 24, 1999.
After obtaining a right-to-sue letter from the Department of Fair Employment and Housing, plaintiff sued defendant employer for violating the CERA by firing her and by failing to follow CERA procedures when questioning the validity of her sick leave. Defendant moved for summary judgment. As pertinent here, defendant argued that plaintiff was not entitled to medical leave under the CERA because, in the period for which she sought medical leave, she had a part-time job at a different hospital (Kaiser) where her tasks were substantially similar to those she was hired to perform at defendantâs hospital in Roseville. This part-time job with Kaiser, defendant asserted, showed that plaintiff did not have a âserious health conditionâ that made her âunable to perform the functionsâ of her full-time job for defendant, as required under the CERA. (§ 12945.2, subd. (c)(3)(C).) Thus, according to defendant, plaintiff did not qualify for CERA medical leave, and hence her discharge by defendant did not violate the CERA.
The trial court rejected plaintiffâs estoppel argument. It agreed with defendant that plaintiffâs part-time job at Kaiser during her leave of absence from defendantâs employment âshowed that she could perform the essential functions of her jobâ for defendant. The court granted defendantâs motion for summary judgment. Plaintiff appealed from the ensuing judgment of dismissal, which the Court of Appeal later affirmed. We granted plaintiffâs petition for review.
II
The CFRA applies to companies with 50 or more employees; it allows an employee up to 12 weeks of unpaid âfamily care and medical leaveâ if the employee has worked for the company for more than a year, and has at least 1,250 hours of service during the previous year. (§ 12945.2, subd. (a).) Grounds for the leave are family needs such as the birth or adoption of a child, serious illness of a family member, or, as relevant here, when âan employeeâs own serious health condition . . . makes the employee unable to perform the functions of the position of that employee . . . .â (§ 12945.2, subd. (c)(3)(C), italics added.) The CFRA defines a â â[s]erious health conditionâ â as âan illness, injury, impairment, or physical or mental condition that involves either of the following: [][] (A) Inpatient care in a hospital, hospice, or residential health care facility, [f] (B) Continuing treatment or continuing supervision by a health care provider.â (§ 12945.2, subd. (c)(8).)
The employer may require the employee to submit a certification by the employeeâs health care provider, which âshall be sufficient if it includes all of the following: [f] (A) The date on which the serious health condition commenced. [1] (B) The probable duration of the condition, [f] (C) A statement that, due to the serious health condition, the employee is unable to perform the function [sic] of his or her position.â (§ 12945.2, subd. (k)(l).)
An employer who âhas reason to doubt the validity ofâ the employeeâs health certification âmay require, at the employerâs expense, that the employee obtain the opinion of a second health care provider, designated or approved by the employer, concerning any information certified . . . .â
During the employeeâs medical leave, the employer must continue to provide the employee with health benefits (§ 12945.2, subd. (f)), and upon return to work the employee must be given the same seniority as before the leave. (§ 12945.2, subd. (g).)
The CFRA is modeled after federal legislation, the Family and Medical Leave Act of 1993. (29 U.S.C. §§ 2601-2654; hereafter the FMLA.) The language of the CFRA provisions at issue here is virtually identical to the language of their counterparts in the FMLA.
Ill
Plaintiff contends that defendantâs failure to use the CFRAâs dispute-resolution procedure discussed in part II, ante, estops defendant from asserting that when plaintiff sought medical leave, she did not suffer from a serious health condition that made her unable to do her job at defendant employerâs Roseville hospital.
Here, as permitted under the CFRA, defendant employer did require plaintiff to see a second health care provider, chosen by defendant; that provider, unlike plaintiffâs own health care provider, concluded that plaintiff did not have a serious health condition and was able to perform her job for defendant. But defendant never availed itself of the CFRA provision that allows an employer faced with two conflicting medical opinions to refer the matter to a third health care provider, whose opinion is final and binding on both parties. Defendantâs failure to do so, plaintiff contends, bars it from challenging plaintiffâs claim of having a serious health condition that made her unable to do her job at defendantâs Roseville hospital.
To determine the merits of plaintiffâs argument, we need to examine the statutory language. âOur task is to discern the Legislatureâs intent. The statutory language itself is the most reliable indicator, so we start with the statuteâs words, assigning them their usual and ordinary meanings, and construing them in context. If the words themselves are not ambiguous, we presume the Legislature meant what it said, and the statuteâs plain meaning governs. On the other hand, if the language allows more than one reasonable construction, we may look to such aids as the legislative history of the
Here, the pertinent statutory language does not require an employer faced with two conflicting health care provider opinions to obtain a binding decision from a third health care provider, and it does not say that an employer who fails to obtain such a decision will be barred, in litigation with the employee, from claiming that the employee did not suffer from a serious health condition making the employee unable to work. What the statutory language denotes is a legislative intent to offer the employer a choice of obtaining or not obtaining a binding decision from a third health care provider, if there is a difference of opinion between plaintiffâs health care provider and the one designated by the employer. Subdivision (k)(3)(C) of section 12945.2 simply states that an employer may resort to that remedy. (See § 14 [â âShallâ is mandatory and âmayâ is permissive.â].)
Justice Morenoâs concurring and dissenting opinion concludes otherwise. He relies on subdivision (k)(l) of section 12945.2, which, as previously mentioned {ante, at p. 208), provides that a certification by the employeeâs health care provider âshall be sufficient if it includes all of the following: [f] (A) The date on which the serious health condition commenced, [f] (B) The probable duration of the condition, [f] (C) A statement that, due to the serious health condition, the employee is unable to perform the function [sz'c] of his or her position.â (Italics added.) By using the italicized three words, the concurring and dissenting opinion concludes, the Legislature intended to provide that an employerâs only way to challenge the validity of a certification is by a two-step process: First, the employer must insist that the employee be examined by the employerâs health care provider; second, if this health care provider concludes that medical leave is not warranted, the employer and the employee must jointly choose a third health care provider to resolve the dispute.
Putting aside for a moment the meaning of the three words on which the concurring and dissenting opinion relies, the location of those wordsâin subdivision (k)(l) of section 12945.2âis noteworthy. This subdivision of the CFRA has nothing to do with the third health care provider; rather, it discusses the employerâs right to insist on a certification showing that the employee suffers from a condition that necessitates medical leave. It would be odd, to say the least, for the Legislature to have placed language requiring employers to use a third health care provider in such a provision. This is
Had the Legislature intended to take such a dramatic step, surely it would have expressed that intent in a subdivision pertaining to the third health care provider, rather than a subdivision dealing solely with employee certifications. And instead of the three ambiguous words âshall be sufficient,â surely the Legislature would have used clear and unambiguous language similar to that used in subdivision (k)(3)(D) of section 12945.2, where it said the decision of the third health care provider âshall be considered to be final and shall be binding on the employer . . . .â
In any event, as explained below, subdivision (k)(l) of section 12945.2 does not require an employer to submit disputes regarding an employeeâs entitlement to medical leave to a third health care provider.
By stating that an employeeâs certification âshall be sufficientâ if it contains the commencement date that the employeeâs health condition began, the âprobable duration of the condition,â and a statement that the condition renders the employee unable to do the job, subdivision (k)(l) of section 12945.2 limits the type of information that an employer can require an employee to provide in a certification. For example, an employer may not require an employee seeking medical leave to provide detailed intimate and private information about a serious psychiatric condition that has made the employee unable to do the work, nor may the employer deny the employeeâs request for medical leave for failing to provide such information. This statutory provision also limits an employerâs right, in litigation arising out of an employeeâs medical leave request, to claim that the employer acted reasonably because the information provided by the employee was inadequate: If an employer fires an employee who has given the employer a facially valid certification in support of a request for medical leave and the employee then sues for violation of the CERA, the employer may not defend the suit by asserting that the employee, when requesting leave, provided insufficient evidence that the employee fell within the provisions of the CERA. But subdivision (k)(l) of section 12945.2 does not limit the employerâs choice of legal remedies. It does not say that when an employer questions the validity of an employeeâs medical leave request that is supported by a valid certification, the employerâs only recourse is to submit the
Our conclusion finds support in Rhoads v. F.D.I.C. (4th Cir. 2001) 257 F.3d 373, a federal appellate decision. There, the court construed the dispute-resolution provisions of the FMLA, which, as we noted earlier, are identical to those in the CFRA. The court stated: âThe FMLA provides only that an employer âmayâ seek a second, or third, opinion if it questions the validity of an employeeâs proffered medical certification of her condition. [Citations.] Because the term âmayâ is permissive, the plain language of the statute indicates that an employer who questions the validity of a certification has the option of seeking a second and third opinion, without being required to do so. Moreover, the plain language of the [FMLA] does not suggest that an employer must pursue these procedures or be forever foreclosed from challenging whether an employee suffered from a serious health condition; and nothing in the legislative history of the FMLA explicitly supports that interpretation.â (Rhoads v. F.D.I.C., supra, 257 F.3d at pp. 385-386.) Two other federal circuit courts have reached the same conclusion. (Novak v. Metrohealth Medical Center (6th Cir. 2007) 503 F.3d 572, 579; Stekloff v. St. Johnâs Mercy Health Systems (8th Cir. 2000) 218 F.3d 858, 860 (Stekloff).)
To the contrary are three federal trial court decisions and an appellate court decision from the State of Louisiana, which plaintiff has cited and which we discuss below.
In Sims v. Alameda-Contra Costa Transit Dist. (N.D.Cal. 1998) 2 F.Supp.2d 1253 (Sims), the employer took disciplinary action against a bus driver after he failed to come to work for two weeks, concluding that the absence was unexcused. The employer never asked the driver, who said he had a back problem and furnished corroborating notes from two physicians and a chiropractor, to submit to an examination by the employerâs health care provider. After the employer discharged the driver in the wake of another unexcused absence occurring two months thereafter, the driver sued under both the FMLA and the CFRA, claiming that his back problem was a serious health condition and that his two-week absence was therefore statutorily authorized medical leave.
The federal trial court in Sims concluded that because the employer had not used the dispute-resolution procedures of the FMLA and CFRA, it was barred from challenging the accuracy of the physician notes that the driver had
Under both the CFRA and its federal counterpart, the FMLA, an employee is entitled to medical leave when, because of a serious health condition, the employee cannot perform the assigned jobâs duties. If an employer doubts the validity of such a claim, nothing in either law precludes the employer from denying the employeeâs request for medical leave and discharging the employee if the employee does not come to work. Of course, an employer embarking on that course risks a lawsuit by the employee and perhaps a finding by the trier of fact that the employerâs conduct violated the employeeâs rights under either the CFRA or the FMLA, or both, by denying the requested medical leave. To avoid such risks, the employer can resort to the dispute-resolution mechanism provided for by both laws.
To summarize: Defendant employerâs failure to use the CFRAâs dispute-resolution procedureâobtaining a binding determination by a third health care provider when there are two conflicting opinionsâdoes not bar it from asserting, in this litigation, that it was justified in firing plaintiff because she did not meet the statutory requirement of having a serious health condition that made her unable to do her job.
IV
As discussed earlier, the CFRA entitles a full-time employee to take medical leave of up to 12 weeks' when the employee has a âserious health condition that makes the employee unable to perform the functions of the position of that employee.â (§ 12945.2, subd. (c)(3)(C).) Here, it is undisputed that, during the time plaintiff claims she had a serious health condition
In granting defendantâs motion for summary judgment, the trial court ruled that plaintiffâs ability to work part-time for Kaiser in a job that was similar to the one she had at defendantâs hospital, at a time when she claimed that because of a serious medical condition she could not do her job for defendant, conclusively demonstrated that she was able to perform her duties at defendantâs hospital. The Court of Appeal affirmed the trial court, reasoning that under the CFRA an employer must grant medical leave only if the employee is unable to perform the employeeâs essential job functions âgenerally, rather than for a specific employer.â
Plaintiff challenges the Court of Appealâs holding, arguing that the relevant inquiry is whether a serious health condition made her unable to do her job at defendantâs hospital, not her ability to do her essential job functions âgenerally,â as the Court of Appeal concluded. She is right. Neither the CFRA nor the FMLA, after which the CFRA was modeled, has language supporting the Court of Appealâs holding.
Pertinent here is this statement from a leading treatise on employment litigation: âA showing that an employee is unable to work in the employeeâs current job due to a serious health condition is enough to demonstrate incapacity. The fact that an employee is working for a second employer does not mean he or she is not incapacitated from working in his or her current job.â (Chin et al., Cal. Practice Guide: Employment Litigation (The Rutter Group 2006) f 12:266, p. 12-28 (rev. # 1, 2006).) Some six years earlier, in Stekloff, supra, 218 F.3d 858, a federal appellate court made the same point.
The plaintiff in Stekloff worked as a psychiatric nurse. After an argument with her supervisor, she left work, and thereafter obtained a note from her physician recommending that she not return to work for two weeks. When the employer fired her for âjob abandonment,â she sued, claiming violation of the FMLA. The federal trial court ruled that the employer was entitled to summary judgment because, at the time of discharge, the plaintiff was working part time as a nurse for a different employer. The federal court of appeals disagreed. It held: â[A] demonstration that an employee is unable to work in his or her current job due to a serious health condition is enough to show that the employee is incapacitated, even if that job is the only one that the employee is unable to perform.â (Stekloff, supra, 218 F.3d at p. 861.) The
Stekloff involved the FMLA, whereas here it is the CFRA that is at issue. But, as we observed earlier, the CFRA is modeled after the FMLA, and the language of the CFRA provision at issue here is virtually identical to the language of its counterpart in the FMLA.
When a serious health condition prevents an employee from doing the tasks of an assigned position, this does not necessarily indicate that the employee is incapable of doing a similar job for another employer. By way of illustration: A job in the emergency room of a hospital that commonly treats a high volume of life-threatening injuries may be far more stressful than similar work in the emergency room of a hospital that sees relatively few such injuries. Also, the circumstance that one job is full time whereas the other is part time may be significant: Some physical or mental illnesses may prevent an employee from having a full-time job, yet not render the employee incapable of working only part time.
The Court of Appeal here expressed concerns about abuse of the CFRAâs medical leave provisions by employees who, like plaintiff here, assert stress-related claims: â[Ejveryone would like to hold a job as stress free as possible. [Citation.] But stress inheres in most jobs, and personality conflicts with coworkers, particularly supervisors, can arise. If an employee is entitled to make legal demands on an employer merely because his or her boss creates stress, . . . âsupervisors would no longer be able to manage effectively, without fear of constant demands for transfer by their increasingly hypersensitive employees.â â
Those concerns raise issues of policy that should be addressed to the Legislature rather than this court, whose task is limited to construing the laws enacted by the Legislature. Both the CFRA and its federal counterpart, the FMLA, allow medical leave for a stress-related condition, as long as the condition is so serious as to prevent the employee from doing the assigned job. Indeed, a federal regulation interpreting the FMLA expressly states that
Defendant employer here considers it significant that one of those federal regulations (29 C.F.R. § 825.115 (2007)) defines an employeeâs inability to perform essential functions of the assigned job by reference to the Americans with Disabilities Act of 1990. (42 U.S.C. § 12101 et seq.; hereafter ADA.) According to defendant, âcourts applying the ADA have not found a qualifying disability, where the employeeâs claim is limited to a specific shift or supervisor.â At issue here is not plaintiffâs ability to work a particular shift, but whether her part-time work for a different employer conclusively established her ability to work full time for defendant. Also, the ADA is a distinct statutory scheme, whose provisions do not resemble those in either the FMLA or its California counterpart, the CFRA. That distinction is expressly recognized in the federal regulations interpreting the FMLA: âADAâs âdisabilityâ and FMLAâs âserious health conditionâ are different concepts, and must be analyzed separately.â (29 C.F.R. § 825.702(b) (2007).)
We therefore conclude that under section 12945.2âs subdivision (c)(3)(C), which entitles an employee to medical leave when suffering from a âserious health conditionâ that âmakes the employee unable to perform the functions of the position of that employeeâ (italics added), the italicized phrase refers to the job assigned to the employee by his or her employer, it does not refer, as the Court of Appeal here held, to âan inability to perform the essential job functions generally, rather than for a specific employer.â
In this case, plaintiffâs ability, during the period when she was seeking medical leave from defendant employer, to work part time for a different hospital (Kaiser), doing tasks virtually identical to those she claimed she was unable to perform for defendant, is strong evidence that she was capable of doing her full-time job at defendantâs Roseville hospital. But that evidence is not dispositive, as it is contradicted by plaintiff and her treating psychologist. Thus, whether plaintiff did have a serious health condition that made her unable to do her full-time job for defendant is a disputed issue of fact to be resolved at trial. Consequently, the trial court erred in granting defendantâs summary judgment motion on the ground that plaintiffâs ability to work part
Disposition
The judgment of the Court of Appeal is reversed, and the matter is remanded to that court for further proceedings consistent with this opinion.
George, C. J., and Werdegar, J., concurred.
Unless otherwise stated, all further statutory citations are to the Government Code.
Director Jatala appears to have believed that union representative Egan was acting as plaintiff s representative, and that the agreement described in the letter was a settlement of the dispute that Egan had agreed to on plaintiffs behalf. Plaintiff, however, denies that she ever authorized Egan to negotiate on her behalf.
The CFRA states that an employee is entitled to medical leave based on a âserious health condition that makes the employee unable to perform the functions of the position of that employee.â (§ 12945.2, subd. (c)(3)(C), italics added.) The CFRAâs federal counterpart, the FMLA, says that an employee is entitled to medical leave when the employee suffers from a âserious health condition that makes the employee unable to perform the functions of the position of such employee.â (29 U.S.C. § 2612 (a)(1)(D), italics added.) The slight difference in wordingââthatâ versus âsuchââis insignificant.
According to Justice Chinâs concurring and dissenting opinion, the Legislature intended to bar a full-time employee from seeking medical leave under the CFRA when the employee continues to perform a similar job for another employer on a part-time basis. But that opinion does not identify any CFRA provision so stating. Instead, that opinion merely asserts that the Legislatureâs intent â âis apparent from the incorporation of the âessential functionsâ standard applicable to discrimination cases.â â (Conc. & dis. opn. of Chin, J., post, at p. 218.) But the âessential functionsâ standard that, according to Justice Chin, makes the Legislatureâs intent â âapparent,â â does not appear anywhere in the CFRA or its federal counterpart, the FMLA; it appears only in an administrative regulation. Because neither the Legislature in the CFRA nor Congress in the FMLA expressly incorporated that standard, it sheds little light on their intent.
Justice Chinâs concurring and dissenting opinion also asserts that an employee claiming to suffer from a serious health condition may not seek medical leave while âsuccessfully performing the essential functions of an identical job for a similar employer, on a part-time basis.â (Conc. & dis. opn. of Chin, J., post, at p. 217.) But plaintiffâs part-time job for Kaiser was not identical to her job at defendantâs Roseville hospital, even though the two jobs were similar: The latter job required longer hours and (plaintiff alleges) more stressful working conditions. The significance, if any, of those differences is a disputed issue of fact to be decided at trial. The opinion also asserts that âthe CFRA âwas not intended to shift the balance of power to a capable but unwilling employee.â â (Id. at p. 218.) But here plaintiff denies that she was capable but unwilling-, rather, she claims she was incapable but willing, a matter for the trier of fact to decide.