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TAW-96753  /  Baylor Scott & White Health (All Cities, TX)

Petitioner Type: State
Impact Date: 02/25/2020
Filed Date: 02/26/2021
Most Recent Update: 07/22/2021
Determination Date: 07/22/2021
Expiration Date: 07/22/2023

UNITED STATES DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-96,753

BAYLOR SCOTT & WHITE HEALTH
INFORMATION SERVICES (IS), HEALTH INFORMATION MANAGEMENT (HIM),
REVENUE CYCLE, ENTERPRISE WIDE ANALYTICS, AND CORPORATE FINANCE
ALL CITIES, TEXAS

Certification Regarding Eligibility
To Apply for Trade Adjustment Assistance for Workers

In accordance with Section 223 of the Trade Act of 1974, as amended ("the Act"), 19 U.S.C.
§ 2273, the Department of Labor ("Department") herein presents the results of an investigation
regarding certification of eligibility to apply for Trade Adjustment Assistance ("TAA") for workers.

The investigation was initiated in response to a TAA petition dated February 25, 2021 and
filed on February 26, 2021 by a State Workforce Office, on behalf of workers and former workers of
Baylor Scott & White Health, Information Services (IS), Health Information Management (HIM),
Revenue Cycle, Enterprise Wide Analytics, and Corporate Finance, All Cities, Texas (hereafter
referred to as the "worker group"). In accordance with 20 C.F.R. 618.110 a worker group is
defined as, ""¦inclusive of teleworkers and staffed workers." The group of workers was originally
described as consisting of "finance and accounting" workers at locations in Dallas and Temple,
Texas. In conversations with the workers' firm, the scope was expanded to include workers in
five different departments spread across dozens of locations in Texas (Waco, Lakeway, Plano,
Temple, Frisco, Austin, Forth Worth, Grapevine, Irving, Lubbock, Llano, Waxahachie, Denton,
Round Rock, Dallas, Carrolton, Greenville, McKinney, Buda, Rowlett, Brenham, College Station,
Garland, and Marble Falls).

The worker group is engaged in activities related to the supply of various healthcare
support functions including IT, finance, billing, medical records, coding, analytics, etc. and are not
separately identifiable by service.

The petition alleged that worker separations, or threats thereof, were due to certain
healthcare support functions being outsourced to third parties outside the United States.

During the course of the investigation, the Department collected information from the
petitioner(s), the workers' firm, and other relevant sources.

The group eligibility requirements for workers of a firm under Section 222(a) of the Act,
19 U.S.C. § 2272(a), are satisfied if the following criteria are met:

Employment Criterion

(1) A significant number or proportion of the workers in such workers' firm have become
totally or partially separated, or are threatened to become totally or partially separated.
20 C.F.R. 618.225(b)(2)(i)(B) states that an "analysis of separation data must generally
consist of a: "(1) Comparison of employment on the petition date to employment on the date that is
1 year prior to the petition date; (2) Review of employment activity during the 1-year period prior
to the petition date; and (3) Review of evidence provided by the workers' firm regarding actual and
threatened separations that occur, or are scheduled to occur, after the petition date."

The Department determines that the employment criterion has been met.

Shift/Acquisition Criterion

(2)(B)(i)(I) there has been a shift by the workers' firm to a foreign country in the production
of articles or the supply of services like or directly competitive with articles which
are produced or services which are supplied by such firm; or

(II) such workers' firm has acquired from a foreign country articles or services that
are like or directly competitive with articles which are produced or services which
are supplied by such firm;
According to 20 C.F.R. 618.225(b)(2)(ii)(B), "Analysis of shift data must generally consist
of a: (1) Comparison of shift/acquisition data on the petition date to shift/acquisition data that is
1 year prior to the petition date; (2) Review of shift/acquisition activity during the 1-year period
prior to the petition date; and (3) Review of evidence provided by the workers' firm regarding shift/
acquisition activity scheduled to occur after the petition date."

The Department determines that the shift criterion has been met.

Contributed Importantly Criterion

(ii) the shift described in clause (i)(I) or the acquisition of articles or services described
in clause (i)(II) contributed importantly to such workers' separation or threat of
separation.
Sec. 222(c) of the Trade Act and 20 C.F.R. 618.110 defines contributed importantly as "a
cause that is important but not necessarily more important than any other cause."

According to 20 C.F.R. 618.225(b)(2)(iii), "(A) Analysis of impact of shift activity on
worker separations must generally consist of determining: (1) Whether there are one or more events
or factors that sever or lessen the causal nexus between the shift activity and worker separations
or threat of separation; (2) What percentage of the workers' firm sales or production declines was
attributable to the firm's shift activity; (3) Whether operations at the workers' firm domestic facility
or facilities decreased at the same or at a greater rate than operations at the foreign facility or
facilities; and (4) Whether there are other events or factors that mitigate or amplify the impact
of shift activity on the workers' firm. (B) The impact may be determined using a quantitative or
qualitative analysis."

The Department determines that the contributed importantly criterion has been met.
Conclusion

After careful review of the facts obtained in the investigation, I determine that workers of
Baylor Scott & White Health, Information Services (IS), Health Information Management (HIM),
Revenue Cycle, Enterprise Wide Analytics, and Corporate Finance, All Cities, Texas, who are
engaged in activities related to the supply of various healthcare support functions including IT,
finance, billing, medical records, coding, analytics, etc. meet the worker group certification criteria
under Section 222(a) of the Act, 19 U.S.C. § 2272(a). In accordance with Section 223 of the Act,
19 U.S.C. § 2273, I make the following certification:

"All workers of Baylor Scott & White Health, Information Services (IS), Health Information
Management (HIM), Revenue Cycle, Enterprise Wide Analytics, and Corporate Finance,
All Cities, Texas, who became totally or partially separated from employment on or after
February 25, 2020 through two years from the date of certification, and all workers in
the group threatened with total or partial separation from employment on the date of
certification through two years from the date of certification, are eligible to apply for
adjustment assistance under Chapter 2 of Title II of the Trade Act of 1974, as amended."

Signed in Washington, D.C. this 22nd day of July, 2021.

/s/ Hope D. Kinglock
_______________________
HOPE D. KINGLOCK
Certifying Officer, Office of
Trade Adjustment Assistance