𝐅𝐞𝐝𝐞𝐫𝐚𝐥 𝐂𝐨𝐧𝐭𝐫𝐚𝐜𝐭𝐨𝐫 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞 𝐒𝐡𝐢𝐟𝐭𝐬 & 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐃𝐞𝐛𝐭 𝐑𝐞𝐩𝐨𝐫𝐭𝐢𝐧𝐠: 𝐖𝐡𝐚𝐭 𝐇𝐑 𝐋𝐞𝐚𝐝𝐞𝐫𝐬 𝐍𝐞𝐞𝐝 𝐭𝐨 𝐊𝐧𝐨𝐰
- Tony Alexander
- 6 days ago
- 3 min read
Updated: 6 days ago

Federal Contractor Compliance Shifts & Medical Debt Reporting: What HR Leaders Need to Know
The regulatory shifting sands demand not just adaptation—but vigilant leadership. Federal contractors and all employers face a dual challenge: affirmative action rollbacks for some groups, maintained obligations for others, and evolving rules around medical debt visibility that reshape how financial wellness programs must adapt.
Here’s what HR leaders must do—and what’s at stake.
Federal Contractor Compliance Shifts
Affirmative Action Rollbacks: EO 11246 Repealed (EO 14173)
The repeal of Executive Order 11246 dismantles decades of mandated affirmative action requirements for federal contractors. While this reduces compliance burdens, it leaves companies exposed if they misstep on equal opportunity commitments.
HR Strategy:
Voluntarily sustain DEI frameworks.
Create internal diversity scorecards.
Keep audit-ready records despite reduced oversight.
Legal Risk:
Discrimination claims via EEOC.
Reputational exposure and loss of federal contracts.
False Claims Act liability if DEI is misrepresented.
Veteran & Disability Plans Maintained
Requirements under Section 503 (individuals with disabilities) and VEVRAA (protected veterans) remain binding.
HR Strategy:
Strengthen outreach to veteran/disability networks.
Audit accommodation policies.
Train hiring managers on equitable assessment.
Legal Risk:
OFCCP enforcement: fines, debarment.
ADA violations and litigation.
Medical Debt & Credit Reporting
New Rule on Debt Visibility
Recent regulatory reforms sought to remove medical debt from credit reports, aiming to improve credit access for millions. However, the rule was quickly challenged in court, leaving HR leaders in a state of uncertainty.
HR Strategy:
Reevaluate reliance on credit checks in hiring.
Expand financial wellness programs with medical cost education.
Enhance EAPs with medical bill navigation and dispute support.
Adjust relocation or loan policies to account for credit report changes.
Legal Risk:
FCRA noncompliance if credit-check practices aren’t updated.
Disparate impact claims tied to background screening.
Privacy risks around financial and medical information.

Compliance Risk Matrix
Topic | HR Strategy | Legal Risk | Mitigation |
EO 11246 Repeal | Voluntarily sustain DEI, track progress, maintain records | Discrimination lawsuits; reputational fallout; False Claims Act liability | Continue internal reporting; seek counsel; align with civil rights laws |
Veteran & Disability Obligations | Strengthen AAPs, partnerships, and accommodations policies | OFCCP penalties; ADA lawsuits; contract loss | Regular audits; employee training; partner with advocacy groups |
Medical Debt Rule | Update hiring/credit-check practices; expand financial wellness | FCRA violations; disparate impact claims; privacy breaches | Ensure FCRA compliance; reduce reliance on credit checks; protect data |
Rule Reversal Uncertainty | Monitor evolving rulings; prepare for different enforcement outcomes | Legal uncertainty; employee mistrust | Stay agile; communicate clearly; scenario-plan HR and compliance policies |
Final Thoughts
Legal compliance is non-negotiable—but it doesn’t have to be robotic. HR has the power to transform mandates into moments of solidarity, equity, and foresight.
Federal contractors: The repeal of EO 11246 is not a hiatus from responsibility—it’s a call to self-govern with integrity.
All employers: The medical debt rule—and its legal limbo—reminds us that financial stress persists regardless of regulation.
Bottom line: the rules may change, but the risks remain. HR leaders must elevate from reactive compliance to proactive governance.
Sources
Maynard Nexsen – President Trump Rescinds Executive Order 11246 Impacting Federal Contractor Affirmative Action Requirements (2025). Link
Wikipedia – Executive Order 14173 (2025). Link
Reuters – Executive Orders Changing the Landscape of Employer DEI Programs (Feb. 27, 2025). Link
Consumer Financial Protection Bureau – CFPB Finalizes Rule to Remove Medical Bills from Credit Reports (Jan. 2025). Link
Commonwealth Fund – Federal Rule on Medical Debt: Explainer (Feb. 2025). Link
Times of India – Credit Scores at Risk: US Judge Reverses Biden-era Medical Debt Rule (Feb. 2025). Link
Undue Medical Debt – Rule Banning Medical Debts from Credit Reports Reversed Right Before Implementation (2025). Link
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