Insight

Texas Supreme Court Holds Morbid Obesity, Unconnected to Physiological Disorder or Condition, Is Not a Disability

Texas Employment Law Update

Russell D. Cawyer

Russell D. Cawyer

July 17, 2023 05:11 PM

Texas Supreme Court Holds Morbid Obesity, Unconnected to Physiological Disorder or Condition, Is Not a Disability

By Russell Cawyer on July 5, 2023

Posted in Case Summaries, Disability, Discrimination

In a rare employment case issuing from the Texas Supreme Court, the Court held that morbid obesity, without some evidence that it is caused by an underlying physiological disorder or condition, does not qualify as a disability under state anti-discrimination laws. The case arose following the termination of a medical resident who was employed by Texas Tech University’s Health Sciences Center (the “Center”). Dr. Niehay was a medical resident in the Center’s Emergency Department. She brought suit under the Texas Commission on Human Rights Act (“TCHRA”), claiming that her employer terminated her employment because it regarded her morbid obesity as a disability and then discriminated against her by terminating her employment because of her obesity.

Dr. Niehay is 5’9” tall and weighed as much as 400 pounds with a body mass index of 59.07. Morbid obesity is defined as having a body mass index in excess of 40. Likely as a result of her obesity, Dr. Niehay had performance issues that caused her co-workers to complain about her performance. After repeated complaints about her performance, attendance, professionalism and patient care, the employer terminated her from the residency program. She brought suit arguing disability discrimination on account of her morbid obesity..

On the record before the Texas Supreme Court, there was no evidence that Dr. Niehay’s obesity was caused by a physiological disorder or condition, or that staff of the employer regarded her obesity as being caused by such disorder or condition. The Court distinguished obesity that is caused by an underlying disorder or condition from obesity that is a physical characteristic caused by a person’s lifestyle choices or eating habits.

This case will have very limited impact on Texas employment litigation. As the Center noted in its Brief, and the Court repeated in its opinion, in the thirty years since the passage of the ADA, the Texas state courts have reported only three cases where morbid obesity was the disability. Thus, these cases are not frequently brought. Moreover, most employees bringing a disability discrimination claim based on morbid obesity should have little trouble presenting some evidence that the employee’s obesity is caused or contributed to by some underlying psychological disorder or condition.

The opinions in Texas Tech Health Sciences Ctr. v. Niehay are available here (Majority, Concurring & Dissenting)

Print:

Email this postTweet this postLike this postShare this post on LinkedIn

Lawyers in Columbus, Ohio

Trending Articles

How to Sue for Defamation: Costs, Process and What to Expect


by Bryan Driscoll

Learn the legal standards, costs and steps involved when you sue for defamation, including the difference between libel and slander.

Group of people holding papers with speech bubbles above them

2026 Best Lawyers Awards in Canada: Marking 20 Years of Excellence


by Jamilla Tabbara

Honoring Canada’s most respected lawyers and spotlighting the next generation shaping the future of law.

Shining Canadian map marking the 2026 Best Lawyers awards coverage

The Family Law Loophole That Lets Sex Offenders Parent Kids


by Bryan Driscoll

Is the state's surrogacy framework putting children at risk?

family law surrogacy adoption headline

Best Lawyers 2026: Discover the Honorees in Brazil, Mexico, Portugal, South Africa and Spain


by Jamilla Tabbara

A growing international network of recognized legal professionals.

Map highlighting the 2026 Best Lawyers honorees across Brazil, Mexico, Portugal, South Africa and Sp

Algorithmic Exclusion


by Bryan Driscoll

The Workday lawsuit and the future of AI in hiring.

Workday Lawsuit and the Future of AI in Hiring headline

Unenforceable HOA Rules: What Homeowners Can Do About Illegal HOA Actions


by Bryan Driscoll

Not every HOA rule is legal. Learn how to recognize and fight unenforceable HOA rules that overstep the law.

Wooden model houses connected together representing homeowners associations

Holiday Pay Explained: Federal Rules and Employer Policies


by Bryan Driscoll

Understand how paid holidays work, when employers must follow their policies and when legal guidance may be necessary.

Stack of money wrapped in a festive bow, symbolizing holiday pay

Reddit’s Lawsuit Could Change How Much AI Knows About You


by Justin Smulison

Big AI is battling for its future—your data’s at stake.

Reddit Anthropic Lawsuit headline

US Tariff Uncertainty Throws Canada Into Legal Purgatory


by Bryan Driscoll

The message is clear: There is no returning to pre-2025 normalcy.

US Tariff Uncertainty Throws Canada Into Legal Purgatory headline

The 2026 Best Lawyers Awards in Chile, Colombia and Puerto Rico


by Jamilla Tabbara

The region’s most highly regarded lawyers.

Map highlighting Chile, Colombia and Puerto Rico for the 2026 Best Lawyers Awards

UnitedHealth's Twin Legal Storms


by Bryan Driscoll

ERISA failures and shareholder fallout in the wake of a CEO’s death.

United healthcare legal storm ceo murder headline

Florida Rewrites the Rules on Housing


by Laurie Villanueva

Whether locals like it or not.

Florida Rewrites the Rules on Housing headline

Alimony Explained: Who Qualifies, How It Works and What to Expect


by Bryan Driscoll

A practical guide to understanding alimony, from eligibility to enforcement, for anyone navigating divorce

two figures standing on stacks of coins

Can a Green Card Be Revoked?


by Bryan Driscoll

Revocation requires a legal basis, notice and the chance to respond before status can be taken away.

Close-up of a U.S. Permanent Resident Card showing the text 'PERMANENT RESIDENT'

New Texas Family Laws Transform Navigating Divorce, Custody


by Bryan Driscoll

Reforms are sweeping, philosophically distinct and designed to change the way families operate.

definition of family headline

Why Skechers' $9.4B Private Equity Buyout Sparked Investor Revolt


by Laurie Villanueva

Shareholder anger, a lack of transparency and a 'surprising' valuation.

Skechers shareholder lawsuit headline