The Missouri Human Rights Act (MHRA) prohibits employment practices that discriminate on the basis of mental or physical disability (MO Rev. Stat. Sec. 213.055). The MHRA covers private employers with six or more employees and all state and local government agencies, regardless of size. Like the federal Americans with Disabilities Act (ADA), the state law prohibits an employer from asking a job applicant about the existence, nature, or severity of an applicant's physical or mental impairment. An employer may only ask applicants whether they are able to perform specific job-related functions.
Preemployment medical examinations. The MHRA authorizes an employer to conduct a preemployment medical examination that relates to minimum physical standards for employment if:
• The examination is given to all applicants in the same job category regardless of mental or physical impairment.
• The examination measures only the ability to perform the essential functions of the job in question.
• Examination results are given the same consideration in employment decisions for all applicants regardless of mental or physical impairment.
• Medical examinations and other assessments must take into account the degree to which the person has compensated for his or her limitations and the degree of rehabilitation received.
• All medical records must be kept confidential (8 MO Admin. Regs. Sec. 60-3.060).
Exceptions to confidentiality. Employers may inform:
• Supervisors and managers about work restrictions or necessary accommodations
• First-aid and safety personnel if the medical condition may require emergency treatment
• The Human Rights Commission if relevant information is requested during an investigation