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COVID-19
          PANDEMIC                   Sanctity of Contracts
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        stated in the contract
        or  discussed  by  the
        parties during nego-
        tiation.
          Second, the event
        must make perform-
        ance  impracticable
        —  not  simply  im-
        practical,  a  lower
        threshold.  A  mere
        change  in  difficulty
        or  expense  will  not
        do;  the  event  must
        be  far  outside  the
        normal  range.  Con-
        tracts  are  sanctified
        because  parties  can
        allocate  their  risk
        prior to entering the
        agreement.  Courts
        will likely assume the
        parties  intentionally
        chose  who  would
        bear  certain  risks.
        The  event  must  be
        extreme  and  pose
        unreasonable difficulty, expense, injury, or loss if the party was  likely the obligation to pay salary payments resumes even though
        forced to perform.                                     the patient volume cannot bear the expense.
          As an additional requirement of impracticability, reasonable ef-  Permanently losing good employees or falling into legal disputes
        forts must have been made to overcome the event’s obstacles to  are among the last things we want to face while addressing the pres-
        perform the contract. Like force majeure being a measure of miti-  sures of a global pandemic. Though it may be difficult to avoid dis-
        gation, impracticability must be present in spite of reasonable ef-  ruptions in a practice’s revenues, when an employment contract
        forts to perform. A pandemic may prohibit patients from coming  does not contemplate force majeure, the next best step may be ne-
        to the clinic, which may affect the practice’s ability to provide pa-  gotiation. While not universally applicable, what is working among
        tients for the employed physician to see. Telehealth, staggering pa-  practices to maintain the business and avoid acrimony is the em-
        tient appointments, health screenings upon arrival, and limiting  ployer and employee agreeing to interim changes to the employment
        clinic occupancy are all measures that help the parties perform de-  agreement. The physician-employee’s workload in many practices
        spite the event and might defeat the excuse of impracticability or  will obviously be reduced during quarantine. Similarly, the practice’s
        shorten its reprieve.                                  reduced revenues will make paying the physician’s salary much more
          Returning  to  the  employment  relationship,  impracticability  challenging, if not impossible. Coming to the table with this under-
        might apply. A physician may be employed as a staff physician  standing may allow the employee and employer to agree on a tem-
        under a contract with a fixed term, a monthly salary and an obli-  porary amendment to the contract where the employee will accept
        gation to give 90 days’ notice before terminating the employment  a reasonable reduction in pay until the crisis has passed.
        relationship without cause. If COVID-19 caused the closing of  Keeping in mind that everyone is enduring the COVID-19 crisis
        the practice, does the employer have to keep paying the employed  together may help practices avoid losing valued employees and cre-
        physician or can performance be suspended? Texas is an “at will”  ate legal disputes. But contemplation of these events in future con-
        state that allows an employer to fire an employee without cause  tracts with thorough force majeure provisions will help insulate
        and without notice. But the employment contract requires notice  from further loss without having to rely on the “maybes” and the
        to end the employment relationship. If the contract has a force  “it depends on the situation” legal principles.
        majeure clause, it may excuse the payment but not excuse the ob-
        ligation to give notice. If the contract is silent on government ac-  Michael Kreager and Trenton Brown are attorneys at the Kreager Mitchell
        tion or epidemics, the government closure could create a pay  Law Firm in San Antonio, and are members of  the BCMS Circle off  Friends
        holiday while the clinic is closed. When the clinic reopens, it is  Program.

         20  San Antonio Medicine   •  June 2020
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