By Deborah J. Hopkins, June 23, 2026
Sometimes, an employee suffers from a medical condition that renders him unable to work. It’s sad when this happens, but it also requires
the agency to take action because presumably the agency needs someone in the position who can actually perform the work.
When this happens, the agency will often take a nondisciplinary action known as a medical inability to perform removal. If the employee’s performance standards do not contain physical requirements, the agency must show:
- There is a nexus between the medical condition and deficiencies in the employee’s performance, or
- There is a high probability that the medical condition may result in injury to someone.
Fox v. Army, 120 MSPR 529 (2014).
In determining whether an agency has met this burden, the MSPB will consider whether a reasonable accommodation, short of reassignment, exists that would enable the employee to safely and efficiently perform her core duties. Haas v. DHS, 2022 MSPB 36.
Since a removal based on this charge is non-disciplinary, there is no need for a Douglas factors analysis. It comes down to two issues:
- Can the employee do the job, and
- Could he have been accommodated with reassignment.
Brown v. DoI, 2014 MSPB 40.
Sometimes an agency follows the law to the letter, and the former employee still files an appeal. Consider the recent case Le v. VA, AT-0752-23-0641-I-1 (May 26, 2026) (NP). The agency removed the appellant, a GS-13 Pharmacist, for medical inability to perform after he informed the agency of the following medical requirements and restrictions:
- no interaction with his former supervisor, the Associate Chief of Pharmacy Ambulatory Care;
- work “as tolerated;”
- full-time telework;
- inability to sit for long periods of time;
- inability for repetitive gripping or right hand motion twisting;
- only 8-hour shifts with 10-minute breaks as needed;
- limited ability to use a computer keyboard/mouse daily;
- inability to lift, push, or carry more than two pounds;
- 10-minute breaks every 60 minutes; and
- inability to perform CPR or Basic Life Support.
Id. at 2.
On the first requirement, the appellant claimed he could not even “hear or read his former supervisor’s name without exacerbating his medical conditions.” Id. at 5. The agency considered possible accommodations and determined that, because the pharmacy department was small, it could not guarantee the appellant would be able to avoid his former supervisor; it also determined that even if it proscribed a third party to run interference between the appellant and his former supervisor, it still would be impossible to never mention the supervisor in the interactions about the workday. Id.
While many of the other medical limitations may also have rendered the employee medically unable, the Board primarily discussed only the first request. On the issue of reassignment, the MSPB found that appellant did not demonstrate he could perform in any position held or desired with or without reasonable accommodation. Id. As such, the appellant was not a qualified individual with a disability, his failure to accommodate claim failed, and the Board upheld the removal. Id. at 6. [email protected]
Related training:
- Disability Accommodation: Navigating the Interactive Process, July 9
- Advanced Reasonable Accommodation: Granting and Denying Telework in 2026, August 6
- Absence, Leave Abuse & Medical Issues Week, August 24-28
- EEOC Law Week, Sept. 21-25
The information presented here is for informational purposes only and not for the purpose of providing legal advice. Contacting FELTG in any way/format does not create the existence of an attorney-client relationship. If you need legal advice, you should contact an attorney.







Last summer OPM issued a
further when the employee is a qualified individual with a disability, and his leave request doubles as a request for reasonable accommodation.