The U.S. Equal Employment Opportunity Commission (EEOC) has filed a lawsuit against Mid-Michigan Home Health Hospice, a home care company, alleging that it discriminated against a Black certified nursing assistant (CNA) by denying her patient assignments based on the alleged racial preferences of clients. The complaint further states that the company retaliated against the CNA when she complained about the discriminatory practice, ultimately leading to her termination. This legal action, filed under Title VII of the Civil Rights Act of 1964, underscores the federal agency’s commitment to combating racial discrimination in the workplace, even when such discrimination is purportedly driven by client demands.
Allegations of Race-Based Patient Assignments
According to the EEOC’s complaint, the Black CNA was hired by Mid-Michigan Home Health Hospice with the expressed desire to work full-time. However, the lawsuit claims that the company consistently failed to provide her with a full caseload. A pivotal moment occurred when a white CNA was hired and immediately assigned more work than the Black CNA. When the Black CNA inquired about this disparity, she was allegedly informed that certain patients harbored race-based preferences and did not wish to be served by Black caregivers.
The complaint further details instances where the CNA was allegedly bypassed for patient assignments in a geographical area conveniently located near her residence. Instead, she was frequently scheduled to travel up to 90 miles away to care for patients. During these extended trips, she was reportedly required to use her personal vehicle and was not reimbursed for mileage or fuel costs. This alleged pattern of discriminatory assignment and inadequate compensation contributed to her inability to achieve her desired full-time work status and subjected her to undue hardship.
Retaliation and Termination
The EEOC’s lawsuit also includes allegations of retaliation. It is claimed that when the Black CNA voiced her concerns about the discriminatory patient assignments and the disparate treatment she was receiving, Mid-Michigan Home Health Hospice took adverse action against her. This culminated in her termination from employment. The EEOC contends that this termination was not based on her performance or any legitimate business reason, but rather as a direct consequence of her protected activity of complaining about racial discrimination.

EEOC’s Stance on Customer Preference
Kenneth Bird, EEOC Regional Attorney, issued a strong statement emphasizing the agency’s position on the matter. "Customer preference is not a defense to race discrimination," Bird stated in a press release accompanying the lawsuit announcement. He further elaborated that Mid-Michigan’s alleged decision to withhold assignments from the Black CNA due to her race was illegal. Equally unlawful, according to Bird, was the company’s subsequent decision to fire her for reporting this discriminatory practice.
The EEOC’s stance aligns with its recent guidance on Diversity, Equity, and Inclusion (DEI) related discrimination. This guidance explicitly states that "Basing employment decisions on the racial preferences of clients, customers, or coworkers constitutes intentional race discrimination" and is "just as unlawful as decisions based on an employer’s own discriminatory preferences." This principle reinforces the employer’s responsibility to ensure a workplace free from discrimination, regardless of the source of the discriminatory impetus.
Legal Framework and Precedents
Title VII of the Civil Rights Act of 1964 is the cornerstone federal legislation prohibiting employment discrimination based on race, color, religion, sex, and national origin. The law applies to employers with 15 or more employees, including private employers, state and local governments, and labor organizations. The EEOC is the federal agency responsible for enforcing Title VII and other federal anti-discrimination laws.
The legal principle that an employer cannot discriminate based on the discriminatory preferences of its clients or customers is well-established. In the landmark case of Diaz v. Pan American World Airways, Inc. (1971), the Fifth Circuit Court of Appeals ruled that an airline could not refuse to hire female flight attendants based on the preference of its male passengers, stating that such a policy was discriminatory and violated Title VII. This precedent has been consistently upheld in subsequent legal interpretations and enforcement actions by the EEOC.
Background Context of Home Healthcare Industry
The home healthcare industry, while vital for providing care to aging populations and individuals with disabilities, often involves direct in-home client interactions. This can create unique challenges related to employee assignments and client preferences. However, as the EEOC’s action highlights, these unique circumstances do not grant employers a license to violate anti-discrimination laws.

The industry is characterized by a diverse workforce, and the clients served also represent a wide spectrum of backgrounds. In recent years, there has been increased scrutiny on labor practices within the healthcare sector, particularly concerning fair treatment of employees and the prevention of discrimination. Data from the Bureau of Labor Statistics indicates a growing demand for home health aides and personal care aides, suggesting that such employment disputes could affect a significant portion of the workforce. For instance, the U.S. Bureau of Labor Statistics projected that employment of home health and personal care aides is projected to grow 25 percent from 2022 to 2032, much faster than the average for all occupations. This growth underscores the importance of ensuring equitable employment practices within this expanding sector.
Mid-Michigan Home Health Hospice’s Response
When contacted for a comment regarding the lawsuit, Mid-Michigan Home Health Hospice did not provide a response. The company’s silence in the face of these serious allegations leaves the specifics of their defense, if any, to be determined through the legal proceedings.
Broader Implications and Expert Analysis
The implications of this lawsuit extend beyond the immediate parties involved. It serves as a potent reminder to employers across all industries that discriminatory practices, whether originating from management, employees, or clients, are unacceptable and legally actionable. The Pincus & Currier law firm, in a 2022 blog post, highlighted the risks associated with ignoring or condoning racist behavior from customers. "Failing to step in could lead to a lawsuit, because your employee may feel that you condone racism in the workplace," the post cautioned. This advice underscores the proactive role employers must play in addressing and mitigating discriminatory incidents.
The EEOC’s continued focus on race discrimination cases, even when the alleged discriminatory intent stems from external parties like clients, signals a robust enforcement approach. This case will likely be closely watched by other home care agencies and employers in client-facing roles. It reinforces the legal obligation of businesses to create and maintain an inclusive work environment where all employees are treated equitably, irrespective of the prejudices of those they serve. The outcome of this litigation could further shape employer responsibilities and employee protections within the home healthcare sector and beyond, emphasizing that accommodating discriminatory client preferences is not a viable business strategy and carries significant legal and ethical ramifications.
