以前，我们 已报告 美国哥伦比亚特区地方法院如何在 UPMC布拉多克诉哈里斯案 that 提供者 of healthcare services are subject to federal equal employment opportunity mandates applicable to government contractors and 分包合同ors. Today, more than six months later, that decision continues to have legs.
实际上，美国劳工部最近的一项决定’s（DOL）行政审查委员会（ARB）显示了联邦合同合规计划办公室（OFCCP）对医疗保健提供者进行调查的积极程度。 ARB’的决定，于 OFCCP诉奥兰多佛罗里达医院，也显示了辩论的激烈程度，许多行业团体和民权团体都在问题的两旁排队。
TRICARE is a federal government program designed to provide medical and dental care for members of the U.S. armed services, certain former members of the armed services and their dependents. Florida Hospital of Orlando (Hospital) 分包合同s with Humana Military 健康care 服务 (HMHS) to provide healthcare services for TRICARE beneficiaries. The ARB concluded that the Hospital, HMHS and TRICARE form an “综合医疗保健提供系统。”
上诉的主要问题是医院是否是《美国联邦法规》第41卷第2条规定的分包商第60-1.3（1）条，其中定义了“subcontract”如同承包商与任何人之间的任何安排“[f]or the purchase, sale or use of personal property or 非个人服务 which, in whole or in part, is necessary to the performance of any 上 e or more contracts.” In concluding that the Hospital was a 分包合同or, the ARB relied upon and embraced several elements of the district court’s decision in UPMC布兰多克.
解决医院与HMHS之间的分包合同是否用于“非个人服务，”ARB依靠并拥护地方法院’评估以确定医疗服务合同是否适用于“nonpersonal services” requires an examination of the extent to which the prime contractor controls the delivery of services by the 分包合同or. The ARB found that even though TRICARE and HMHS impose standards of care and require reporting (including reporting of information regarding medical staff qualifications and privileges), the Hospital operated independently and, therefore, the contract was for 非个人服务.
此外，ARB还依赖 UPMC布兰多克 确定医院所做的工作对于执行HMHS是必要的’之所以与TRICARE签订合同，是因为没有医院，HMHS无法提供服务。最后看 UPMC布兰多克, the ARB rejected the argument that the Hospital had not agreed to be a 分包合同or (i.e., thereby agreeing to subject itself to OFCCP jurisdiction).
For all of these reasons, the ARB concluded that the Hospital was a 分包合同or.
这个决定不是医院的最终决定； ARB将问题退回给ALJ，以进一步考虑医院是否因为TRICARE计划的付款构成联邦财政援助而不受OFCCP管辖。但是，很明显， UPMC布兰多克 这项决定将使OFCCP可以更轻松地对与与负责向联邦政府雇员提供医疗服务的实体签订合同的医疗服务提供者进行调查。