Yvelisse Pelotte, a staff attorney at Community Legal Services of Philadelphia, has drafted a survey and analysis of the barriers to employment in Medicare-funded programs and facilities for people with a criminal record, which is posted below.  While some of these exclusions are short-term and others can be waived by the Secretary of HHS, the statute gives HHS a great deal of latitude in extending exclusions for a lengthy period of time.

The applicable federal statute also contains a very broad definition of disqualifying conviction, specifically extending to expunged convictions and guilty pleas not resulting in conviction.  This means that federal law effectively puts off limits a very large segment of health care jobs, at least temporarily, for people with criminal records the state no longer regards as serious, if it ever did.