ATT D27 RH excusal process maps.pdf

PDF 122 KB Posted

Attached to
AM 4- Q201--Kosciusko CBOC Services (new Long Term) 586
Solicitation number
36C25625R0028
Issued by

About this file

This file contains two process flow diagrams detailing procedures for handling medical staff requests to be excused from abortion-related duties at VA facilities. The first diagram outlines the Coats-Snowe process, which applies specifically to physicians (MDs and DOs), residents, fellows, and medical students requesting to be excused from performing, training for, referring, or arranging induced abortions. This process involves coordination between the employee, supervisor, and Reasonable Accommodation Coordinator (RAC) using VA Forms 10-328 and 10-329.

The second diagram shows the Religious Accommodations and Exemptions process for all other VA employees requesting to be excused from abortion or reproductive care duties based on religious beliefs or moral grounds. This process follows a similar but more extensive workflow using VA Forms 10-328 and 10-330, including additional steps for consultations and meetings between the RAC, supervisor, and employee. Both processes are governed by specific federal laws - the Coats-Snowe Amendment (42 U.S.C. § 238n) for medical staff and Title VII Accommodation (42 U.S.C. § 2000e-16) and Religious Freedom Restoration Act (42 U.S.C. § 2000bb-1) for other employees.

View the file

Other files

File Type Posted
36C25625R0028 Am 0004.docx DOCX document
Attachment 2 AM 3 Amended price schedule.docx DOCX document
36C25625R0028 0003.docx DOCX document
Attachment 1 AM 3 Answers to Questions Kosciusko CBOC 2-11-2025.xlsx XLSX spreadsheet
36C25625R0028 0002.docx DOCX document
36C25625R0028 0001.docx DOCX document
ATT D26 VA Signage Design Manual.pdf PDF
ATT D4 KEY PERSONNEL.docx DOCX document
ATT D8 Mammogram Tracking SOP.pdf PDF
ATT D16 PLMS-SERVICE-MANUAL.pdf PDF
ATT D2 Rules of Behavior.pdf PDF
ATT D18 Suicide Prevention Policy.pdf PDF
ATT D31 CONFLICT OF INTEREST VHA Directive 1660 03.pdf PDF
ATT D14 Medication Reconciliation.pdf PDF
ATT D28 Past Performance Questionnaire.docx DOCX document
ATT D24 Veteran Resident Right and Responsibilities.pdf PDF
ATT D11 Clinical Guidance Medication Abortion mife-miso.pdf PDF
ATT D6 SCA Wage Determination 2015-5823 rev 24 dtd 7-22-2024.pdf PDF
ATT D1 Quality Assurance Surveillance Plan.docx DOCX document
ATT D12 Employee Guide to Reproductive Health Excusal Requests.pdf PDF
ATT D30 Davis Bacon Act Wage Determination MS20240046 dtd 1-5-2024.pdf PDF
ATT D22 F-11-82 Communicating Test Results to Providers and Patients.pdf PDF
36C25625R0028.docx DOCX document
ATT D9 Cervical Tracking SOP.pdf PDF
ATT D15 Anticoagulation Therapy Management.pdf PDF
ATT D10 Clinical guidance - Medication Abortion misoprostol alone.pdf PDF
ATT D17 Ancillary Testing Policy.pdf PDF
ATT D20 Remote Patient Monitoring - Home Telehealth Manual.pdf PDF
ATT D19 Telehealth Operations Manual.pdf PDF
ATT D25 EOC Guide.pdf PDF
ATT D29 PAST PERFORMANCE REFERENCES.docx DOCX document
ATT D13 Clinical Guidance Pregnancy Options Counseling.pdf PDF
ATT D23 Health Info Mgmt and Health Record Documentation -Pen and Ink- Policy.pdf PDF
ATT D21 Telehealth Clinical-Business- and Technical Operations Policy.pdf PDF
ATT D7 Kosciusko Stats.docx DOCX document
ATT D5 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING.pdf PDF
ATT D3 CONTRACTOR CERTIFICATION IMM.docx DOCX document
Show all 37

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Coats-Snowe: Covers physicians (MD and DO), residents (physician), fellows (physician), and medical students (physician trainees) requests to be excused from:

- performing induced abortion,

- providing or receiving training on induced abortion,

- providing referrals for training or for induced abortions, and

- making arrangements for training or for induced abortions.

Applicable Law: Coats-Snowe Amendment (42 U.S.C. § 238n)

Employee communicates Request to be Excused

Supervisor sends to Reasonable Accommodation Coordinator (RAC) (if request not made to

RAC)

RAC confirms employee information and starts Intake

Form (VA Form 10-328)

RAC contacts employee to collect the rest of the information needed for Intake Form (VA Form 10-328)

RAC makes determination about appropriate process

RAC completes COATS-SNOWE

NOTIFICATION OF OPT OUT

FORM (VA Form 10-329), Sections I and II

RAC sends VA Form 10-329 to employee

Employee reviews VA Form 10- 329 for accuracy and returns form to RAC

RAC sends VA Form 10-329 to Supervisor for acknowledgement

Supervisor returns completed VA Form 10-329 to RAC

RAC provides completed VA Form 10-329 to employee and supervisor on same email string, completes tracking on Intake Form (VA Form 10-328), and closes request

Coats-Snowe General Process Map

Religious Accommodations and/or Exemptions cover all employees requesting to be excused from providing, participating in, or facilitating abortions or any aspect of reproductive care due to sincerely held religious beliefs or morals; or due to a substantial burden on their exercise of religious beliefs. Note: Physicians and physician trainees should be processed under Coats-Snowe when applicable to the request.

Applicable Laws:

(TVII Accommodation 42 U.S.C. § 2000e-16) (RFRA Exemption 42 U.S.C. § 2000bb-1)

Employee communicates Request to be Excused

Supervisor sends to Reasonable Accommodation Coordinator (RAC) if request not made to RAC

RAC confirms employee information and starts Intake

Form (VA Form 10-328)

RAC contacts employee to collect the rest of the information needed for Intake Form (VA Form 10-328)

RAC makes determination about appropriate process for employee situation

RAC completes EXEMPTION

AND ACCOMMODATION

FORM, Sections I and II (VA Form 10-330)

RAC sends EXEMPTION AND

ACCOMMODATION FORM (VA

Form 10-330) to employee

Employee reviews for accuracy, completes section III, and returns EXEMPTION AND

ACCOMMODATION FORM (VA

Form 10-330) to RAC

If necessary, RAC consults with Supervisor or clinical POC to understand employee’s request

RAC sends EXEMPTION AND

ACCOMMODATION FORM (VA

Form 10-330) to supervisor and sets up appointment to discuss request

RAC, Supervisor, and Employee meet if necessary

Supervisor completes Section IV of EXEMPTION AND

ACCOMMODATION FORM (VA

Form 10-330) and signs.

Returns form to RAC

RAC facilitates employee signature on EXEMPTION AND

ACCOMMODATION FORM (VA

Form 10-330)

RAC provides completed

EXEMPTION AND

ACCOMMODATION FORM (VA

Form 10-330) to employee and supervisor on same email string

RAC completes tracking on Intake Form (VA Form 10-328) and closes requests

Accommodation & Exemption General Process Map

Coats-Snowe: Covers physicians (MD and DO), residents (physician), fellows (physician), and medical students (physician trainees) requests to be excused from: �- performing induced abortion,�- providing or receiving training on induced abortion, �- providing referrals for training or for induced abortions, and�- making arrangements for training or for induced abortions.�Applicable Law: Coats-Snowe Amendment (42 U.S.C. § 238n)
Religious Accommodations and/or Exemptions cover all employees requesting to be excused from providing, participating in, or facilitating abortions or any aspect of reproductive care due to sincerely held religious beliefs or morals; or due to a substantial burden on their exercise of religious beliefs. Note: Physicians and physician trainees should be processed under Coats-Snowe when applicable to the request. ��Applicable Laws: �(TVII Accommodation 42 U.S.C. § 2000e-16)�(RFRA Exemption 42 U.S.C. § 2000bb-1)

File details come from the government source that posted it. Updated .