News & Announcements

Ninth Circuit Holds Employer Violated ADA by Requiring Employee to Pay for Follow-Up Medical Exam

Posted Tuesday, September 11, 2018 6:28 am

In an opinion filed on August 29, the U.S. Court of Appeals for the Ninth Circuit found a violation of the Americans with Disabilities Act (ADA) when an employer conditioned a job offer on a prospective employee obtaining an MRI at his own expense.  EEOC v. BNSF Ry. Co., No. 16-35457 (9th Cir. Aug. 29, 2018).


BNSF Railway Company extended Russel Holt a conditional job offer as a senior patrol officer, contingent on his completion of BNSF’s medical evaluation process.  During the process, Holt disclosed a back injury he had suffered four years earlier.  Although Holt did not have any current symptoms and three reviewing doctors agreed he had no limitations that would prevent him from performing the position, BNSF's medical officer requested a current MRI on Holt's back due to the “uncertain prognosis” of his back condition.  BNSF told Holt he had to pay for the MRI himself.  Holt did not get the MRI and BNSF treated the job offer as if Holt had declined it.

Holt filed a charge with the Equal Employment Opportunity Commission (EEOC), which sued BNSF for disability discrimination in violation of the ADA.

Ninth Circuit Finds ADA Violation

The Ninth Circuit concluded that BNSF discriminated against Holt because of his perceived disability by conditioning his job offer on obtaining an MRI at his own expense.  In arriving at its decision, the Ninth Circuit noted the following:

  • The EEOC conceded that BNSF could have required Holt to get an MRI if it had offered to pay for it. Although the ADA authorizes testing that may disproportionately affect persons with disabilities, it does not authorize employers to further burden a prospective employee with the cost of the testing.
  • Where an employer requests a medical test at the applicant’s cost only from applicants with a perceived or actual disability, the employer is imposing an additional financial burden on a person with a disability because of that person’s disability.
  • The Court’s holding applies regardless of how expensive or inexpensive the medical test at issue, as well as the employee’s ability to pay.
  • Requiring employers to pay for follow-up medical testing discourages unnecessary and burdensome testing of individuals with disabilities and prevents employers from abusing their ability to require testing.

Following this decision, employers requiring a post-offer, pre-employment medical exam should pay the cost of any follow-up testing or risk charges of an ADA violation.

Feature of the Month:

Returning to the Workplace: Administrative and Strategic Considerations (Phase 1)

This article provides resources and information as companies prepare to reopen and have employees return to the workplace.

Learn More

Subscribe to Our Training Events Updates

Subscribe to our training events notices to get in early on upcoming events.

Back to top

Email Sign Up


If you are a member, please login below to manage your subscription. Otherwise, click "Continue to Subscribe"


Continue to Subscribe


Fill out the fields below to receive HEC emails.

How did you hear about HEC?

I would like to receive the following:

News & Updates
Training Events Notices