Christine Klimek v. CentraCare Health System

No. 25-1837 · United States Court of Appeals for the Eighth Circuit · June 15, 2026 · No. 25-1837

Summary

The Eighth Circuit considered Christine Klimek’s claims under the Americans with Disabilities Act and Minnesota Human Rights Act arising from CentraCare Health System’s denial of her medical exemption from a COVID-19 vaccination requirement. The court held that genuine issues of material fact existed regarding whether vaccination or in-person work was an essential job function, whether CentraCare engaged in the interactive accommodation process in good faith, and whether working remotely was a reasonable accommodation. The court reversed summary judgment for CentraCare and remanded for further proceedings.

Court
United States Court of Appeals for the Eighth Circuit
Writing for the Court
Erickson, Circuit Judge; Shepherd, Circuit Judge; Grasz, Circuit Judge
Jurisdiction
United States Court of Appeals for the Eighth Circuit
Decision date
June 15, 2026
Docket number
25-1837
Procedural posture
Klimek appealed the District of Minnesota's grant of summary judgment to CentraCare and dismissal of her ADA and Minnesota Human Rights Act failure-to-accommodate claims.
Standard of review
The grant of summary judgment is reviewed de novo, viewing the evidence in the light most favorable to the nonmoving party and affirming only if there is no genuine dispute of material fact and the moving party is entitled to judgment as a matter of law.
Precedential value
Published and precedential Eighth Circuit opinion
Parties
Christine Klimek v. CentraCare Health System
Disposition
reversed_and_remanded

Topics

reasonable accommodationada discriminationdisability discriminationstandard of reviewappellate procedure

Practice areas

employment lawada / disabilitycivil rightshealth law

Questions Presented

  1. Whether genuine disputes of material fact existed as to whether Klimek was a qualified individual with a disability and whether CentraCare's vaccination policy or in-person patient care constituted an essential job function.
  2. Whether genuine disputes of material fact existed as to whether CentraCare failed to engage in the ADA interactive process and failed to make a good-faith effort to identify a reasonable accommodation.
  3. Whether Klimek presented sufficient evidence that continuing to work remotely was a possible reasonable accommodation and whether CentraCare established undue hardship.

Holdings

  1. A vaccination exemption is an accommodation, not an essential job function, and an employer's designation of a policy as essential is not conclusive. The relevant inquiry was whether in-person patient care was a fundamental duty of Klimek's particular position, and the record created a genuine dispute on that question.
  2. Klimek presented sufficient evidence to create a genuine issue of material fact as to whether her placement on involuntary unpaid leave was causally connected to her alleged disability.
  3. The record permitted a reasonable jury to find that CentraCare knew of Klimek's disability and requested accommodation, failed to make a reasonable effort to determine an appropriate accommodation, and cut off the interactive process.
  4. Klimek presented sufficient evidence that continuing to work from home was a reasonable accommodation, and CentraCare did not establish undue hardship through hypothetical evidence that it might have recalled her to in-person work.

Key quotations

Adding the label of “policy” to a task does not render it an essential job function, and a duty does not become essential by the employer’s ipse dixit. (5)
Based on this definition, an “accommodation” cannot also be an “essential function.” (5)
But an undue hardship cannot be proved by hypothetical facts, and “must be sufficiently real rather than speculative.’” (12)

Factual background

Klimek developed Complex Regional Pain Syndrome, also known as Reflex Sympathetic Dystrophy, after a workplace injury and had previously received a permanent medical exemption from at least some vaccinations. In 2021, while working remotely as a clinical documentation integrity specialist, she requested a medical exemption from CentraCare's COVID-19 vaccination requirement and explained that she could continue performing her duties from home. CentraCare denied the request twice without explanation, required vaccination as a condition of continued employment, and placed Klimek on involuntary unpaid leave, effectively ending her employment.

Procedural history

Klimek, a registered nurse employed by CentraCare, sued after CentraCare denied her request for a medical exemption from its COVID-19 vaccination requirement and placed her on involuntary unpaid leave. Following discovery, the parties filed cross-motions for summary judgment. The district court granted CentraCare's motion, concluding that compliance with the vaccination policy was an essential job function, that the requested exemption was unrelated to Klimek's disability, and that CentraCare had made a good-faith effort to assist her. The Eighth Circuit reversed and remanded because genuine disputes of material fact remained.

Remand instructions

Remanded for further proceedings consistent with the opinion.

Court Document

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