DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-74,321

BELOIT HEALTH SYSTEMS/BELIOT CLINIC
THE HEALTH INFORMATION MANAGEMENT TRANSCRIPTON DEPARTMENT
BELOIT, WISCONSIN

Negative Determination Regarding Eligibility
To Apply for Worker Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended ("Act"), 19 U.S.C. § 2273, the Department of Labor
herein presents the results of an investigation regarding
certification of eligibility to apply for worker adjustment
assistance.
Workers of a firm may be eligible for worker adjustment
assistance if they satisfy the criteria of subsection (a), (c)
or (f) of Section 222 of the Act, 19 U.S.C. § 2272(a), (c), (f).
For the Department of Labor to issue a certification for workers
under Section 222(a) of the Act, 19 U.S.C. § 2272(a), the
following three criteria must be met:
I. The first criterion (set forth in Section 222(a) (1) of the
Act, 19 U.S.C. § 2282(a) (1)) requires that a significant
number or proportion of the workers in the workers' firm
must have become totally or partially separated or be
threatened with total or partial separation.

II. The second criterion (set forth in Section 222(a) (2) of
the Act, 19 U.S.C. § 2272(a) (2)) may be satisfied in one
of two ways:
(A) Increased Imports Path:
(i) sales or production, or both, at the workers' firm
must have decreased absolutely, AND
(ii) (I) imports of articles or services like or directly
competitive with articles or services produced or
supplied by the workers' firm have increased, OR
(II)(aa) imports of articles like or directly
competitive with articles into which the
component part produced by the workers' firm was
directly incorporated have increased; OR
(II)(bb) imports of articles like or directly
competitive with articles which are produced
directly using the services supplied by the
workers' firm have increased; OR
(III) imports of articles directly incorporating
component parts not produced in the U.S. that are
like or directly competitive with the article
into which the component part produced by the
workers' firm was directly incorporated have
increased.

(B) Shift in Production or Supply Path:
(i)(I) there has been a shift by the workers' firm to a
foreign country in the production of articles or
supply of services like or directly competitive with
those produced/supplied by the workers' firm; OR
(i)(II) there has been an acquisition from a foreign
country by the workers' firm of articles/services that
are like or directly competitive with those
produced/supplied by the workers' firm.

III. The third criterion requires that the increase in imports
or shift/acquisition must have contributed importantly to
the workers' separation or threat of separation. See
Sections 222(a)(2)(A)(iii) and 222(a)(2)(B)(ii) of the Act,
19 U.S.C. §§ 2272(a)(2)(A)(iii), 2272(a)(2)(B)(ii).

Section 222(d) of the Act, 19 U.S.C. § 2272(d), defines the
terms "Supplier" and "Downstream Producer." For the Department
to issue a secondary worker certification under Section 222(c)
of the Act, 19 U.S.C. § 2272(c), to workers of a Supplier or a
Downstream Producer, the following criteria must be met:
(1) a significant number or proportion of the workers in
the workers' firm or an appropriate subdivision of the
firm have become totally or partially separated, or
are threatened to become totally or partially
separated;

(2) the workers' firm is a Supplier or Downstream Producer
to a firm that employed a group of workers who
received a certification of eligibility under Section
222(a) of the Act, 19 U.S.C. § 2272(a), and such
supply or production is related to the article or
service that was the basis for such certification; and

(3) either
(A) the workers' firm is a supplier and the component
parts it supplied to the firm described in paragraph
(2) accounted for at least 20 percent of the
production or sales of the workers' firm; or
(B) a loss of business by the workers' firm with the firm
described in paragraph (2) contributed importantly to
the workers' separation or threat of separation.

Workers of a firm may also be considered eligible if they
are publicly identified by name by the International Trade
Commission as a member of a domestic industry in an
investigation resulting in a category of determination that is
listed in Section 222(f) of the Act, 19 U.S.C. § 2272(f).
The group eligibility requirements for workers of a firm
under Section 222(f) of the Act, 19 U.S.C. § 2272(f), can be
satisfied if the following criteria are met:
(1) the workers' firm is publicly identified by name by
the International Trade Commission as a member of a
domestic industry in an investigation resulting in--
(A) an affirmative determination of serious injury or
threat thereof under section 202(b) (1);
(B) an affirmative determination of market disruption
or threat thereof under section 421(b)(1); or
(C) an affirmative final determination of material
injury or threat thereof under section
705(b)(1)(A) or 735(b)(1)(A) of the Tariff Act of
1930 (19 U.S.C. 1671d(b)(1)(A) and
1673d(b)(1)(A));
(2) the petition is filed during the 1-year period
beginning on the date on which--
(A) a summary of the report submitted to the
President by the International Trade Commission
under section 202(f)(1) with respect to the
affirmative determination described in paragraph
(1)(A) is published in the Federal Register under
section 202(f)(3); or
(B) notice of an affirmative determination described
in subparagraph (1) is published in the Federal
Register; and
(3) the workers have become totally or partially
separated from the workers' firm within--
(A) the 1-year period described in paragraph (2); or
(B) notwithstanding section 223(b)(1), the 1-year
period preceding the 1-year period described in
paragraph (2).

The investigation was initiated in response to a petition
filed on June 30, 2010 on behalf of workers of Beloit Health
Systems/Beliot Clinic, the Health Information Management
Transcription Department, Beloit, Wisconsin (BHS/BC). The
workers are engaged in employment related to the supply of
medical records transcription services, and are separately
identifiable by service supplied.
The petition states "services are being outsourced to a
foreign country." Attached to the petition is an undated letter
from Clear Choice Transcription (CCT) that welcomes the
addressee as a new employee and states that CCT is a
"domestic/offshore company." The letter also states that
employment with Clear Choice Transcription cannot begin until
the address submits a CCT Independent Contract Agreement.
The investigation reveals that on January 1, 2010, Beloit
Clinic and Beloit Memorial Hospital merged and became Beloit
Health Systems/Beliot Clinic (BHS/BC). BHS/BC decided to no
longer perform functions related to medical transcriptions.
Subsequently, BHS/BC sold its medical transcription services
function to CCT and separated employees who performed medical
transcription services functions. Because BHS/BC did not retain
any control or involvement of medical transcription services
functions, CCT is not a successor-in-interest for purposes of
the Trade Act, as amended. Following the purchase of the
medical transcription services function from BHS/BC, CCT offered
employment opportunities to select former employees of BHS/BC.
With respect to Section 222(a) of the Act, the
investigation revealed that Criterion II has not been met
because there was no increase in imports by BHS/BC or a
customers of BHS/BC of the supply of medical transcription
services (or like or directly competitive services) and no
shift to/acquisition from a foreign country by BHS/BC of the
supply of medical transcription services (or like or directly
competitive services).
With respect to Section 222(c) of the Act, the
investigation revealed that Criterion (2) has not been met
because the workers did not supply a service to a firm that
employed a worker group eligible to apply for Trade Adjustment
Assistance (TAA).
Finally, the group eligibility requirements under Section
222(f) of the Act, 19 U.S.C. § 2272(f), have not been met
because Beloit Health Systems/Beliot Clinic has not been
identified by name in an affirmative finding of injury by the
International Trade Commission.
Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of Beloit Health
Systems/Beliot Clinic, the Health Information Management
Transcription Department, Beloit, Wisconsin, who are engaged in
employment related to the supply of medical records
transcription services, are denied eligibility to apply for
adjustment assistance under Section 223 of the Act, 19 U.S.C. §
2273.
Signed in Washington, D.C., this 13th day of August, 2010

/s/ Del Min Amy Chen
______________________________
DEL MIN AMY CHEN
Certifying Officer, Office of
Trade Adjustment Assistance