HHS’s Elimination of Disparate Impact to Determine Discrimination: Potential Implications for Health and Health Care - Takeaways - MDSpire
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HHS’s Removal of Disparate Impact as a Standard for Discrimination: Possible Effects on Health and Health Care

  • By

  • Latoya Hill

  • Jameson Floyd

  • Samantha Artiga

  • October 9, 2026

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  • 1

    HHS’s July 23, 2026, final rule removes disparate impact as a basis for finding discrimination under Title VI in HHS-funded programs and activities.

  • 2

    Title VI prohibits discrimination based on race, color, or national origin in federally funded programs, while the Supreme Court has construed it as barring intentional discrimination.

  • 3

    For more than five decades, federal agencies used disparate-impact regulations to address facially neutral policies that disproportionately harmed protected groups.

  • 4

    HHS OCR used disparate-impact reviews to secure voluntary agreements addressing potential care-access barriers at UPMC Braddock and inadequate language assistance at Mee Memorial Hospital.

  • 5

    The brief says removing disparate impact may narrow administrative enforcement and reduce proactive review of policies with disproportionate effects on health and health care.

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