DOL sees televisits as ‘treatment’ for FMLA leave
The federal Family and Medical Leave Act (FMLA) gives eligible employees of covered employers unpaid, job-protected leave for specified reasons. Eligible employees may take up to 12 workweeks of leave in a 12-month period for, among other things, a serious health condition that makes employees unable to perform their essential job functions, or to care for a spouse, child, or parent with a serious health condition.
Under the FMLA, a “serious health condition” is an “illness, injury, impairment, or physical or mental condition that involves” either:
- Inpatient care, such as an overnight stay in a hospital, hospice center, or residential medical care facility, including any period of incapacity or any subsequent treatment in connection with such inpatient care, or
- Continuing treatment by a health care provider.
The U.S. Department of Labor’s (DOL) FMLA regulations define the term “treatment” to include “examinations to determine if a serious health condition exists and evaluations of the condition.”
The DOL’s regulations also provide that “[t]reatment by a health care provider means an in-person visit to a health care provider.” The DOL added this provision in 2008 to clarify that treatment means an “examination, evaluation, or specific treatment, and does not include, for example, a phone call, letter, email, or text message.”
Back in 2020, the DOL indicated that it would consider telemedicine visits to be in-person visits for purposes of establishing an FMLA-qualifying serious health condition. To be considered an in-person visit, the telemedicine visit must:
- Include an examination, evaluation, or treatment by a health care provider;
- Be permitted and accepted by state licensing authorities; and,
- Be performed via video conference versus a simple phone call.
Key to remember: When employers are trying to determine if an employee or their family member received appropriate treatment for an FMLA-qualifying serious health condition, they must accept treatment via telemedicine.



















































