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HIV Discrimination in the Workplace

This month, the American Civil Liberties Union (ACLU) released its findings regarding civil rights violations against people with HIV/AIDS. The ACLU's survey of community based AIDS service providers detailed continuing concerns of discrimination in the workplace.

HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immune Deficiency Syndrome). HIV is a life-long infection that weakens the body's natural ability to fight off disease. AIDS is the most serious stage of HIV infection.

The estimated number of diagnoses of AIDS through 2002 in the United States is 886, 575. With over 128,000 reported AIDS cases, California has the second highest number of AIDS cases after New York.

From April to June of 2003, 5,965 new cases of HIV infection were reported in California. According to the Joint United Nations Programme on HIV/AIDS, an estimated 42 million people worldwide are living with HIV/AIDS. Approximately 5 million people acquired HIV in 2002 alone. Most of these cases affect adults of working age. Moreover, according to a CDC report, an estimated 280,000 people living in the United States do not know they are infected because they have not been tested.

Recent Lawsuit Filed By ACLU

On the same day that the ACLU released its survey, it also filed a lawsuit on behalf of an HIV-positive 19-year old Nebraska woman against a local restaurant for illegal discrimination. Priscilla Doe, who is suing under a pseudonym to protect her privacy, was allegedly fired from her job as a hostess at a restaurant in the small town where she lives when the owner learned that she was HIV positive. According to the complaint, Priscilla was hired as a hostess at the restaurant in August of 2002. She got along well with the owners until May 9, 2003 when she was called just before she was to report to work and allegedly fired over the phone. Priscilla claims that she later learned from other employees that the owners fired her because they found out that she was HIV-positive.

Employer's Obligations in California

Employers are prohibited under both state and federal law from discriminating against an employee with HIV infection.

The federal Americans with Disabilities Act applies to employers with 15 or more employees. The ADA prohibits discrimination against individuals with physical or mental impairments that substantially limit one or more major life activities, have a record of impairment, or are regarded as having such an impairment. Individuals with clinical HIV disease or AIDS meet the definition of disabled.

A 1998 decision by the United States Supreme Court, Bragdon v. Abbot (1998) 524 U.S. 624, held that asymptomatic HIV qualifies as a disability if the individual can prove that his or her status substantially limits a major life activity.

Employees may further argue that even if asymptomatic they were "regarded as" disabled by the employer and discriminated against on that basis.

California law prohibiting discrimination against the disabled is broader than the federal ADA and applies to employers with five or more employees. Government Code section 12900 et seq. prohibits discrimination against the disabled. Disability is broadly defined as a physical or mental impairment that simply "limits" (as opposed to the ADA requirement of "substantially limits") a major life function. Fair Employment and Housing Commission regulations establish that disabled person include individuals with HIV infection or AIDS or who are perceived as having AIDS. (California Code of Regulations, Title 2, 7293.5 et seq.)

California also prohibits employers from requiring HIV testing as a condition of employment and prohibits using HIV test results for determining an individual's suitability for employment. (Health and Safety Code 120980.) Similarly, Health and Safety Code section 121025 prohibits use of public health records pertaining to AIDS to determine employability.

Furthermore, California law mandates that employers establish procedures to keep all employee medical records and information confidential and protect them from unauthorized use and disclosure. A violation of this law is a misdemeanor and allows an employee to collect damages, attorney's fees, and the costs of litigation. (Civil Code 56.35.) Individuals who negligently or willfully disclose the results of an individual's HIV test to a third party without a written authorization may be liable for civil and criminal penalties. (Health and Safety Code 120980.)

Tips for Employers

Some studies have estimated that as many as two-thirds of large businesses have employees affected with HIV or AIDS. Recent medical breakthroughs and new treatments enable people living with HIV or AIDS to remain in the workplace longer and even return to work after being on disability. There are several things employers can do to prevent discrimination against HIV positive employees.

  • Educate the workforce about HIV infection and AIDS. Provide accurate and up-to-date information to employees from trained professionals.
  • Provide the same employment opportunities to employees with HIV/AIDS as to anyone else.
  • Maintain the confidentiality of an employee's HIV positive status. Maintain such information in a confidential file separate from the employee's personnel file.
  • Prohibit gossip or rumors about employees suspected of being, or confirmed as, HIV positive.
  • Be sure employees know where to go if they observe or experience HIV-related discrimination.
  • Refuse to tolerate "AIDS jokes"; treat them like ethnic or racial jokes;
  • Engage in the interactive reasonable accommodation process with employees who are HIV positive when required.