COVID-19 UPDATE
Department of Labor Issues Regulations on Exemptions for Small Businesses Under the Families First Coronavirus Response Act

On April 1, the ADA issued an  interim recommendation  that dentists keep their offices closed to all but  urgent and emergency procedures  until April 30 at the earliest.

Dentists around the country continue to navigate the unprecedented business challenges presented by the COVID-19 pandemic. The American Dental Association has learned more from the Department of Labor about what business and employment provisions could mean for you. 

The second legislative package Congress developed in response to the coronavirus pandemic, H.R. 6201, the Families First Coronavirus Response Act (FFCRA), included provisions regarding emergency paid sick leave and the expansion of Family and Medical Leave Act (FMLA).

Under the paid sick leave provisions, employers could be required to pay two weeks of sick leave to employees under certain circumstances, including:

  1. The employee is subject to a federal, state, or local quarantine or isolation order;
  2. The employee has been advised by a health care provider to self-quarantine;
  3. The employee is experiencing symptoms of COVID-19 and seeking a medical diagnosis;
  4. The employee is caring for an individual to which points 1 or 2 apply;
  5. The employee is caring for a child if the child’s school or place of care has been closed; or,
  6. The employee is experiencing any other substantially similar condition specified by the Secretary of Health and Human Services in consultation with the Secretaries of Labor and the Treasury.

Under the FMLA provisions, employers could be required to pay for up to 10 weeks of leave, but only for those employees who must care for their children because their school or child care center is closed.

However, H.R. 6201 gave the Secretary of Labor the authority to exempt businesses with fewer than 50 employees from the requirement that they provide paid sick leave and extended family medical leave when the child’s school or place of care has been closed if “such requirements would jeopardize the viability of the business as a going concern.”

The ADA and other dental organizations sent a  letter  to the Department of Labor (DOL) asking that small dental practices be included under this exemption. We additionally asked that the Secretary “not require each dental practice to apply for an exemption.”

On April 1, the DOL issued a  rule  implementing H.R. 6201. This rule says that a small business with fewer than 50 employees may claim the exemptions if:

  1. The leave would cause the small employer’s expenses and financial obligations to exceed available business revenue and cause the small employer to cease operating at a minimal capacity;
  2. The absence of the employee or employees would pose a substantial risk to the financial health or operational capacity of the small employer because of their specialized skills, knowledge of the business, or responsibilities; or,
  3. The small employer cannot find enough other workers who are able, willing, and qualified, and who will be available at the time and place needed, to perform the labor or services the employer or employees requesting leave provide, and these labor or services are needed for the employer to operate at a minimal capacity. 

An authorized officer of the business has to determine that the business meets one or more of these criteria, and the business must document that it meets those criteria. That documentation should be kept on file by the business for four years but it does not need to be sent to the DOL.

The ADA has checked with the DOL and they have confirmed that  dental office owners are not required to pay paid sick leave or extended family leave—if the employee has a child whose school or daycare is closed due to COVID-19—as long as they meet at least one of the three criteria above .

The DOL has additional information for employers and employees on COVID-19 that can be found  here .

The ADA and KDA will keep you informed on relevant legislative updates in the weeks to come. For more COVID-19 resources, please visit:

ADA Will Share Paycheck Protection Program Information as Soon as it Becomes Available

The ADA is waiting for clear guidance from the Small Business Administration (SBA) on the best way to help dentists considering applying for Paycheck Protection Program 7(a) loans.

The agency was set to allow banks and other preferred lenders to begin dispensing these loans  beginning April 3 . However, the guidelines for borrowers and lenders continues to change, according to ADA staff.

The new 7(a) loans were created as part of the Coronavirus Aid, Relief and Economic Security (CARES) Act, the third legislative relief package in response to the COVID-19 pandemic that was signed into law March 27.

The new loans were intended help smaller employers keep their employees on the job or hire them back with their salaries and benefits at the same level as before the effects of virus changed their work situation.

Under the provisions in the CARES Act, employers can use the money from the 7(a) loan to pay for payroll and benefit expenses, as well as mortgage/rental payments or utility expenses. Additionally, some of the 7(a) loan dollars that are used for payroll expenses, benefits, and nonpayroll expenses will be eligible for some loan forgiveness, according to the SBA.

The ADA will not be issuing any guidance until there is a clear understanding of the terms of the 7(a) program .

The ADA continues to recommend that dentists consult with their financial advisors to determine if this loan would be the best fit for their practice.
Kansas Dental Association • 5200 SW Huntoon • Topeka, KS 66604 • 785-272-7360 • ksdental.org