The Neighbors Who Feed Us:
Farmworkers and Government Policy
Challenges and Solutions
Alexis Guild & Iris Figueroa*
Farmworkers are not only vital to our economy and food security; they are also vital
to our communities. Farmworkers encounter numerous challenges in their daily lives that
make them among the most vulnerable and underserved populations in the country. A
broad range of policies affects farmworkers’ daily lives yet they have limited influence in
their creation and enforcement. This article summarizes challenges and solutions specific to
immigration, labor, occupational health and safety, and health-care policy. It begins with
the historical exclusion of farmworkers from labor-protective laws and then outlines the
impact of policy and proposed solutions to improve farmworkers’ living and working con-
ditions. We conclude that there need to be robust changes to federal policy to support
farmworkers to live and work with dignity and ensure a sustainable rural economy.
I
NTRODUCTION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
I. A
GRICULTURAL
E
XCEPTIONALISM
. . . . . . . . . . . . . . . . . . . . . . . . . . 159
II. W
HO ARE
F
ARMWORKERS
? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
III. I
MPACT OF
P
OLICY IN
F
ARMWORKER
C
OMMUNITIES
. . . . . . . . 164
A. Immigration Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
B. Immigration Policy Recommendations. . . . . . . . . . . . . . . . . . . . . . 167
1. Guestworker Programs Should Not Be Expanded or
Weakened . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
2. Provide Work Authorization and a Path to Citizenship
for Current Experienced Undocumented Farmworkers . . . . 167
C. Labor Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
D. Labor Policy Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
1. Amend Existing Labor Laws to Ensure Fairness for
Farmworkers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
2. Improve Enforcement of Current Labor Laws . . . . . . . . . . 172
3. Improve Farmworkers’ Access to Legal Services . . . . . . . . . . 173
E. Corporate Social Responsibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
F. Corporate Social Responsibility Recommendations . . . . . . . . . . . 175
1. Enact Policies to Advance Legitimate Corporate Social
Responsibility Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
* Alexis Guild, MPP, is a senior health policy analyst at Farmworker Justice. Iris Figueroa,
JD, is a staff attorney at Farmworker Justice. This article was written with the support of our
Farmworker Justice colleagues. The authors would like to thank these colleagues for their
contributions: Bruce Goldstein, President; Adrienne DerVartanian, Director of Immigration
and Labor; Virginia Ruiz, Director of Occupational and Environmental Health; and Carlos
Ugarte, Director of Health Programs. Farmworker Justice is a national advocacy organization
based in Washington, D.C. Farmworker Justice seeks to empower farmworkers and their fami-
lies to improve their living and working conditions, immigration status, health, occupational
safety, and access to justice. More information can be found at www.farmworkerjustice.org.
158 Harvard Law & Policy Review [Vol. 13
2. Encourage Federal and State Corporate Social
Responsibility Incentives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
G. Occupational Health and Safety Policy . . . . . . . . . . . . . . . . . . . . . 177
H. Occupational Health and Safety Recommendations . . . . . . . . . . 180
1. Strengthen OSHA Safety Standards for Agricultural
Workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
2. Improve Pesticide Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
I. Health-Care Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
J. Health-Care Policy Recommendations. . . . . . . . . . . . . . . . . . . . . . 184
1. Prioritize Farmworkers in National Research and
Funding Initiatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
2. Remove Immigrant Eligibility Restrictions for Federal
Health and Nutrition Programs. . . . . . . . . . . . . . . . . . . . . . . 184
3. Adequately Fund Health Programs in Farmworker
Communities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
C
ONCLUSION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
I
NTRODUCTION
Farmworkers are drivers of economic activity in the United States, both
through their role in the essential task of producing our nation’s food supply
and as consumers of local goods and services. They are integral parts of the
social fabric of their communities, involved in schools, churches, and other
local institutions.
Unfortunately, farmworkers encounter numerous challenges in their
daily lives that make them among the most vulnerable and underserved
populations in the country. Much of our agricultural production continues to
be extremely labor-intensive, requiring people who are able to quickly and
efficiently plant and harvest fruits and vegetables ready for market. They
work in dangerous conditions where they are exposed to pesticides and other
environmental and occupational hazards. Many workers, especially undocu-
mented workers and guestworkers,
1
are reluctant to assert basic workplace
rights due to fear of employer retaliation. Often, that means that workers are
discouraged from taking breaks (water, bathroom, or rest breaks) and forego
seeking medical care, even if they are injured or ill. Further, many
1
The term “undocumented worker” for purposes of this Article means an individual who
does not have legal authorization to work in the United States, either because she or he entered
without inspection or because she or he initially had work authorization which has now ex-
pired. The term “U.S. workers” refers to those individuals who are legally authorized to work
in the United States, including but not limited to U.S. citizens, lawful permanent residents
(LPRs), and current holders of Temporary Protected Status (TPS) or Deferred Action for
Childhood Arrivals (DACA). The term “guestworker,” in turn, means workers who are cur-
rently in the United States on temporary work visas. Though there are various different types
of guestworker visas available under U.S. immigration law, this article uses the terms
“guestworker” and “H-2A worker” interchangeably, as the H-2A visa is the main guestworker
visa used by agricultural workers.
2018] The Neighbors Who Feed Us 159
farmworkers, especially migratory
2
and H-2A workers, live in employer-pro-
vided housing, often in crowded, substandard conditions, isolating them
from the surrounding communities.
3
In addition, their immigration status
affects their ability to access services to support their families’ health. While
low-income U.S. citizens and long-term legal permanent residents may be
eligible for public benefits like food stamps and Medicaid, undocumented
and recently documented immigrants (with limited exceptions) are ineligible
for most public benefits.
4
The poor living and working conditions of farmworkers in the United
States are partly a result of their historical exclusion from federal and state
laws aimed to protect the livelihood and well-being of other workers. This
exclusion is commonly referred to as agricultural exceptionalism.
5
Policies at
the national, state, and local levels directly affect the lives of farmworker
families, yet farmworkers are often overlooked or purposely disadvantaged in
the formation and implementation of these policies. For the purpose of this
article, we will focus on immigration, labor, corporate social responsibility,
occupational health and safety, and health-care policy. Through a discussion
of policy challenges and proposed solutions, we will demonstrate the need to
prioritize farmworkers and empower them to assert their rights.
I. A
GRICULTURAL
E
XCEPTIONALISM
A key factor in the creation and maintenance of agricultural exception-
alism has been the economic strength of agribusiness interests and their abil-
ity to exert a significant influence on public policy. Since the American
Revolution, U.S. society has largely subscribed to an “agrarian ideal” that
views farming as the fundamental industry of society.
6
As a result of this
societal view, agriculture has always held a privileged place in U.S. society,
2
The term “migratory worker” is defined as a worker who travels or moves more than
seventy-five miles for a farm job.
3
See F
ARMWORKER
J
USTICE
, I
SSUE
B
RIEF
: F
ARMWORKER
H
OUSING
Q
UALITY AND
H
EALTH
2 (2015) https://www.farmworkerjustice.org/sites/default/files/FJ%20Housing
%20Issue%20Brief%20FINAL.pdf [https://perma.cc/F58W-Q6X9].
4
The Personal Responsibility and Work Opportunity Act (1996) restricted eligibility for
federal public benefit programs to U.S. citizens and “qualified aliens” defined as lawful perma-
nent residents for more than five years, refugees, asylees, individuals granted a withholding of
deportation or removal, parolees for a period of at least one year, Cuban and Haitian entrants,
certain abused immigrants (including their children or their parents), and certain survivors of
trafficking. See generally T
ANYA
B
RODER ET AL
., N
AT
L
I
MMIGRATION
L
AW
C
TR
., O
VER-
VIEW OF
I
MMIGRANT
E
LIGIBILITY FOR
F
EDERAL
P
ROGRAMS
2 (Dec. 2015), https://
www.nilc.org/wp-content/uploads/2015/12/overview-immeligfedprograms-2015-12-09.pdf
[https://perma.cc/MJY6-GN2E].
5
See, e.g., Greg Schell, Farmworker Exceptionalism under the Law: How the Legal System
Contributes to Farmworker Poverty and Powerlessness, in T
HE
H
UMAN
C
OST OF
F
OOD
:
F
ARMWORKERS
’ L
IVES
, L
ABOR
,
AND
A
DVOCACY
13966 (Charles D. Thompson, Jr. & Me-
linda F. Wiggins eds., 2002); Guadalupe T. Luna, An Infinite Distance?: Agricultural Excep-
tionalism and Agricultural Labor, 1 U. P
A
. J. L
AB
. & E
MP
. L. 487, 48889 (1998).
6
See M
ARGARET
G
RAY
, L
ABOR AND THE
L
OCAVORE
: T
HE
M
AKING OF A
C
OMPRE-
HENSIVE
F
OOD
E
THIC
2126 (2014). See also Luna, supra note 5, at 490.
160 Harvard Law & Policy Review [Vol. 13
and, in turn, in government attention and priorities.
7
Even as agricultural
practices in the United States have largely shifted from subsistence to profit,
8
the “agrarian ideal” narrative still persists.
Agricultural employers have historically had powerful allies in Con-
gress.
9
They have also benefitted from a Cabinet-level agency at their ser-
vice
the U.S. Department of Agriculture (USDA)
since the late
nineteenth century.
10
Growers first cited agricultural labor shortages as early
as the 1890s, and since then the federal government has intervened exten-
sively in the provision of agricultural labor.
11
Currently, agricultural employ-
ers and agribusiness interests are actively involved in policy discussions
through a wide variety of trade associations and industry groups across dif-
ferent sectors and geographic locations
the American Farm Bureau Feder-
ation
12
and Western Growers Association
13
are two prominent examples.
The issue of race has also influenced agricultural policy. Colonial plant-
ers relied on African slaves for agricultural labor, and during the late nine-
teenth and twentieth centuries, farm employers relied increasingly on people
of color and immigrant labor to keep their labor costs low.
14
Some of the
most crucial pieces of labor rights legislation that currently exist in the
United States, including the Fair Labor Standards Act of 1938 (FLSA),
were crafted and implemented during the “New Deal” period of labor re-
forms of the 1930s. To obtain sufficient support for these reforms, President
Roosevelt and his allies had to compromise with Southern congressmen.
These compromises included exclusions of farmworkers and domestic work-
ers from the law’s protections, preserving the plantation system in the
South
a system that rested on the subjugation of racial minorities.
15
These
7
See G
RAY
, supra note 6, at 22.
8
See e.g. U.S. D
EP
T OF
A
GRIC
., T
HREE
D
ECADES OF
C
ONSOLIDATION IN
U.S. A
GRI-
CULTURE
: R
EPORT
S
UMMARY
(March 2018) (noting that by 2015, 51% of the value of U.S.
farm production came from farms with at least $1 million in sales, 90% of which were family
farms (defined as farms operated by people related to one another by blood or marriage)).
9
See C
INDY
H
AHAMOVITCH
, T
HE
F
RUITS OF
T
HEIR
L
ABOR
: A
TLANTIC
C
OAST
F
ARMWORKERS AND THE
M
AKING OF
M
IGRANT
P
OVERTY
, 18701945, at 1113 (1997).
10
See id.
11
See id. at 9.
12
Precursors to this powerful lobbying organization existed by the late 1800s. Upon the
organization’s formal ratification in 1920, it embarked on a self-described “ambitious legisla-
tive agenda” at the federal level. See History, A
MERICAN
F
ARM
B
UREAU
F
EDERATION
, https://
www.fb.org/about/history [https://perma.cc/5FFV-7QQ5]. Currently, the organization’s pol-
icy department spends millions of dollars annually lobbying on a variety of agricultural issues at
both the state and federal levels. See also Ian T. Shearn, Whose Side is the American Farm Bureau
On?, T
HE
N
ATION
(July 16, 2012), https://www.thenation.com/article/whose-side-american-
farm-bureau/ [https://perma.cc/RY4U-UBM9].
13
Western Growers has its own political action committee (PAC) with the stated aim of
“providing critical support to the industry’s friends at key moments.” Political Action Committee,
W
ESTERN
G
ROWERS
, https://www.wga.com/fight [https://perma.cc/H4SB-WGW5]. It pro-
vides funding to candidates for the U.S. Senate and U.S. House of Representatives, as well as
state-level candidates in Arizona and California. See id.
14
See H
AHAMOVITCH
, supra note 9, at 1113.
15
See, e.g., Juan F. Perea, The Echoes of Slavery: Recognizing the Racist Origins of the Agri-
cultural and Domestic Worker Exclusion from the National Labor Relations Act, 72 O
HIO
S
T
. L.J.
2018] The Neighbors Who Feed Us 161
exclusions then continued to have a disparate impact on the racial minorities
that constituted a significant portion of the agricultural labor force during
the second half of the twentieth century
16
and into the twenty-first.
17
Cur-
rently, as detailed below, many farmworkers are Hispanic immigrants, in-
cluding immigrants who come into the country without work
authorization.
18
In contrast to agricultural employers, agricultural workers do not have
the same opportunities to influence and advocate for government policies.
Agricultural workers are often in an economically vulnerable position and
dependent on their employment to sustain themselves and their families.
They are afraid of retaliation against themselves, their families, or co-work-
ers, which in some cases may take the form of immigration enforcement. All
of these factors combine to make farmworkers hesitant to speak out and
advocate for themselves even when faced with potentially life-threatening
conditions. Furthermore, restrictions on the provision of legal services, such
as the requirement that federally funded legal services organizations only
serve certain categories of immigrants,
19
as well as farmworkers’ limited eco-
nomic resources, mean that many farmworkers are unable to access the legal
services they need in order to fully exercise their rights.
95, 96 (2010) (“During the New Deal Era, the statutory exclusion of agricultural and domestic
employees was well-understood as a race-neutral proxy for excluding blacks from statutory
benefits and protections made available to most whites.”) and Marc Linder, Farm Workers and
the Fair Labor Standards Act: Racial Discrimination in the New Deal, 65 T
EX
. L. R
EV
. 1335,
1336 (1987) (“As a result, New Deal legislation, including the FLSA, became infected with
unconstitutional racial motivation.”). See also H
AHAMOVITCH
, supra note 9, at 11 (“Propo-
nents of the notion of a racialist state have suggested that the New Deal did not just leave Jim
Crow untouched but actually exacerbated racial inequality.”)
16
See e.g. Linder, supra note 15, at 1342 (noting that while Hispanics and blacks ac-
counted for less than 15% of employed persons in the early 1980s, they accounted for at least
half of all agricultural labor); see also D
EBORAH
C
OHEN
, B
RACEROS
: M
IGRANT
C
ITIZENS
AND
T
RANSNATIONAL
S
UBJECTS IN THE
P
OSTWAR
U
NITED
S
TATES AND
M
EXICO
(2011)
(detailing the history of “Braceros,” millions of Mexican workers brought to the United States
to do agricultural labor from the mid-nineteen-forties to the mid-nineteen-sixties) and Bruce
Goldstein & Jessica Felix-Romero, Food Justice: Combating Racism in the Agricultural System,
L
IBERAL
E
DUC
., Fall 2016, at 5657 (summarizing the history of discrimination against peo-
ple of color in the agricultural industry).
17
Within the fifteen-year period from 1999 to 2014, between 75 and 90% of agricultural
workers surveyed self-identified as Hispanic. See Agricultural Worker Tables: Demographic Char-
acteristics: Other Demographics, N
ATIONAL
A
GRICULTURAL
W
ORKERS
S
URVEY
, https://
naws.jbsinternational.com/table/2/3#top [https://perma.cc/NT8B-AKP4].
18
According to the most recent NAWS data, approximately half of all agricultural work-
ers are undocumented. See O
FFICE OF
P
OLICY
D
EV
. & R
ESEARCH
, U.S. D
EP
T OF
L
ABOR
,
F
INDINGS FROM THE
N
ATIONAL
A
GRICULTURAL
W
ORKERS
S
URVEY
(NAWS) 2013-2014,
at 38 (Dec. 2016) [hereinafter DOL NAWS 2013-2014], https://www.doleta.gov/agworker/
pdf/NAWS_Research_Report_12_Final_508_Compliant.pdf [https://perma.cc/L56W-
82P6].
19
Federally funded legal services programs receive funding from the Legal Services Cor-
poration, an independent nonprofit established by Congress in 1974. Such programs are re-
stricted to providing legal services to certain categories of immigrants. For more information
on immigrant eligibility, see generally N
AT
L
I
MMIGRATION
L
AW
C
TR
., LSC-F
UNDED
L
E-
GAL
S
ERVICES
(Mar. 2016), https://www.nilc.org/wp-content/uploads/2016/03/LSC-
funded_services_rev-2016-03.pdf [https://perma.cc/U2PU-EAWD].
162 Harvard Law & Policy Review [Vol. 13
To this day, farmworkers remain excluded from federal overtime and
certain child labor requirements under the FLSA, many state minimum
wage laws and workers’ compensation laws, and many occupational safety
and health protections. The exclusions from labor protections that agribusi-
nesses have achieved contribute to poor working conditions, lower wages,
and less economic stability for workers and their families,
20
further limiting
farmworkers’ ability to influence policy and enforce existing law and exacer-
bating the specific challenges discussed in this article.
II. W
HO ARE
F
ARMWORKERS
?
Before delving into relevant policies, it is important to understand who
are our nation’s farmworkers and their families. Though there is insufficient
data on the exact number of individuals participating in agricultural work,
there are currently an estimated 2.4 million farmworkers in the United
States.
21
According to the National Agricultural Workers Survey (NAWS), a
survey of U.S. crop workers conducted by the U.S. Department of Labor,
about 60% of these workers are married and approximately the same per-
centage have children.
22
The median farmworker parent has two minor chil-
dren living in his or her household.
23
According to the NAWS, approximately 80% of U.S. farmworkers are
Latino, with the vast majority (68%) born in Mexico.
24
Only 27% of
farmworkers were born in the United States.
25
Just under half of all workers
(47%) lack work authorization,
26
though this is likely an underestimate.
27
Some estimates are as high as 70%.
28
Approximately 31% of workers are U.S.
citizens and 21% are legal permanent residents.
29
Only 31% of farmworkers
report being able to speak English well.
30
Spanish tends to be the dominant
language (74%),
31
though there are also farmworkers from regions and coun-
20
See generally DOL NAWS 2013-2014, supra note 18, at 38.
21
See Philip Martin, Immigration and Farm Labor: Policy Options and Consequences, 95
A
M
. J. A
GRIC
. E
CON
. 470 (2013).
22
See DOL NAWS 2013-2014, supra note 18, at 54.
23
See id.
24
See id. at 52.
25
See id.
26
See id.
27
There are few data sets about the demographic characteristics of farmworkers. Data on
immigration status is especially difficult to obtain. The NAWS, while one of the better sources
for farmworker data, has its own shortcomings. Undocumented workers are more reluctant to
share their information with researchers. See, e.g., Alicia Parlapiano, Are You a U.S. Citizen?
How a 2020 Census Question Could Impact States, N.Y. T
IMES
(Mar. 30, 2018), https://
www.nytimes.com/interactive/2018/03/30/us/impact-of-citizenship-question-on-census.html
[https://perma.cc/R2M2-HJWU].
28
See Alfonso Serrano, Bitter Harvest: U.S. Farmers Blame Billion-Dollar Losses on Immi-
gration Laws, T
IME
(Sept. 21, 2012), http://business.time.com/2012/09/21/bitter-harvest-u-s-
farmers-blame-billion-dollar-losses-on-immigration-laws [https://perma.cc/BZ65-8G33].
29
See DOL NAWS 2013-2014, supra note 18, at 12.
30
See id. at 56.
31
See id.
2018] The Neighbors Who Feed Us 163
tries where other languages are primarily spoken, such as Haiti and indige-
nous communities of Mexico and Guatemala.
32
Historically, many workers and their families were migratory, moving
with the harvest. Today, only about 16% of workers are migratory.
33
Some
farmworker families continue to migrate, though they are more likely to set-
tle in a community.
34
There are many reasons why workers choose to settle
in a community, including the instability of migratory work, immigration
laws and policy, and family. Many farmworker families have children who
are enrolled in public schools.
35
For these children, stability promotes aca-
demic success.
36
The majority of farmworkers are seasonal workers.
37
Over the course of
a year, they may work on several farms near their home or they may harvest
and plant during peak season and work in other industries, such as construc-
tion, during the off season. There are some types of agricultural work, such
as tending to vineyards or dairy work that require year-round labor.
Currently, a growing number of the farmworker population is in the
United States on temporary non-immigrant H-2A visas.
38
While fewer than
10% of farmworkers are H-2A workers, their number has grown signifi-
cantly over the last ten years from 76,814 positions certified in FY 2007
39
to
200,049 in FY 2017.
40
Migratory workers, including H-2A workers who
come to the United States to work short-term jobs in agriculture, are more
isolated and vulnerable than those who are settled in local communities.
41
These workers tend to live in employer-provided housing on employer prop-
32
See id. at ii, 3.
33
See id. at 53.
34
See id at 53, 66.
35
See Richard Mines, Children of Immigrants: Health, Adjustment, and Public Assistance, in
C
HILDREN OF
I
MMIGRANTS
: H
EALTH
, A
DJUSTMENT
,
AND
P
UBLIC
A
SSISTANCE
Chapter 12
(Nat’l Research Council & Inst. of Medicine Comm. on the Health & Adjustment of Immi-
grant Children & Families; Hernandez DJ, ed., 1999), https://www.ncbi.nlm.nih.gov/books/
NBK224440/ [https://perma.cc/5UDW-EF2P].
36
See Judy Wiseman, Barriers to Education for Children of Migrant Farm Workers, 13 S
AN
J
OAQUIN
A
GRIC
. L. R
EV
. 49, 4950 (2003).
37
See DOL NAWS 2013-2014, supra note 18, at 5.
38
See generally O
FFICE OF
F
OREIGN
L
ABOR
C
ERTIFICATION
, U.S. D
EP
T OF
L
ABOR
, H-
2A A
NNUAL
P
ERFORMANCE
R
EPORTS
, (Jan. 23, 2018) [hereinafter OFLC, P
ERFORMANCE
R
EPORTS
], https://www.foreignlaborcert.doleta.gov/performancedata.cfm [https://perma.cc/
TNV8-W34F].
39
See O
FFICE OF
F
OREIGN
L
ABOR
C
ERTIFICATION
, U.S. D
EP
T OF
L
ABOR
, F
OREIGN
L
ABOR
C
ERTIFICATION
P
ERFORMANCE
R
EPORT
: O
CTOBER
1, 2006 S
EPTEMBER
30, 2007,
at 25 (2007), https://www.foreignlaborcert.doleta.gov/pdf/FY2007_OFLCPerformanceRpt.
pdf [https://perma.cc/JS6B-3S4M].
40
See O
FFICE OF
F
OREIGN
L
ABOR
C
ERTIFICATION
, U.S. D
EP
T OF
L
ABOR
, S
ELECTED
S
TATISTICS
FY 2017, https://www.foreignlaborcert.doleta.gov/pdf/PerformanceData/2017/
H-2A_Selected_Statistics_FY2017.pdf [https://perma.cc/PRJ8-4UFJ].
41
See H
UMAN
R
IGHTS
W
ATCH
,C
ULTIVATING
F
EAR
: T
HE
V
ULNERABILITY OF
I
MMI-
GRANT
F
ARMWORKERS IN THE
US
TO
S
EXUAL
V
IOLENCE AND
S
EXUAL
H
ARASSMENT
1519 (2012).
164 Harvard Law & Policy Review [Vol. 13
erty.
42
Many lack their own form of transportation, relying on their em-
ployer, a labor contractor, or other workers for rides into town.
Agriculture routinely ranks among the most dangerous occupations in
the United States. Fatalities among workers in the agricultural sector rank
first among workers in all industries.
43
In 2016, 260 farmworkers involved in
crop production suffered fatal injuries.
44
It is estimated that reporting sys-
tems annually miss an average of 77% of occupational injuries and illnesses
in agriculture.
45
Poverty is persistent in farmworker communities. Most farmworkers
earn low annual incomes; 30% of farmworker families have an annual in-
come below the federal poverty level.
46
Many work on a piece rate:
47
the
amount they earn corresponds to the number of containers filled or pounds
harvested. Additionally, few farmworkers receive fringe benefits. Only 35%
of farmworkers reported having health insurance with only 31% reporting
that they receive employer-provided health insurance.
48
III. I
MPACT OF
P
OLICY IN
F
ARMWORKER
C
OMMUNITIES
A. Immigration Policy
Immigration policy plays a fundamental role in the current context and
challenges of agricultural labor in the United States. Throughout the twenti-
eth century, foreign workers proved essential for agricultural labor in rural
communities across the United States, and that trend has continued into the
42
Employers who use the H-2A program are required to provide free housing to their
workers who “cannot reasonably return to their permanent residence at the end of the work
day.” See O
FFICE OF
F
OREIGN
L
ABOR
C
ERTIFICATION
, U.S. D
EP
T OF
L
ABOR
, E
MPLOYER
G
UIDE TO
P
ARTICIPATION IN THE
H-2A T
EMPORARY
A
GRICULTURAL
P
ROGRAM
10 (Jan.
2012), https://www.foreignlaborcert.doleta.gov/pdf/h-2a_employer_handbook.pdf [https://
perma.cc/878Q-EDGY].
43
According to the Dept. of Labor’s Bureau of Labor Statistics, agriculture’s fatal work
injury rate was 23.2 per 100,000 full-time equivalent employees (FTEs). This rate is the high-
est fatality rate compared to other industries such as construction, mining, and transportation.
See B
UREAU OF
L
ABOR
S
TATISTICS
, U.S. D
EP
T OF
L
ABOR
, N
UMBER AND
R
ATE OF
F
ATAL
W
ORK
I
NJURIES
, B
Y
I
NDUSTRY
, 2016, https://www.bls.gov/charts/census-of-fatal-occupa-
tional-injuries/number-and-rate-of-fatal-work-injuries-by-industry.htm [https://perma.cc/
7Y47-7DLJ]. See also Agricultural Safety, N
ATIONAL
I
NSTITUTE OF
O
CCUPATIONAL
S
AFETY
AND
H
EALTH
(Apr. 12, 2018), https://www.cdc.gov/niosh/topics/aginjury/default.html
[https://perma.cc/JT9Q-33TX].
44
See B
UREAU OF
L
ABOR
S
TATISTICS
, U.S. D
EP
T OF
L
ABOR
, C
ENSUS OF
F
ATAL
O
C-
CUPATIONAL
I
NJURIES
, 2016, at 1920 (2016), https://www.bls.gov/iif/oshwc/cfoi/
cfch0015.pdf [https://perma.cc/TXB6-EYUB].
45
See J. Paul Leigh et al., An Estimate of the U.S. Government’s Undercount of Nonfatal
Occupational Injuries and Illnesses in Agriculture, 24 A
NNALS OF
E
PIDEMIOLOGY
254, 257
(2014).
46
See DOL NAWS 2013-2014, supra note 18, at iii.
47
See id. at 22.
48
See id. at 42.
2018] The Neighbors Who Feed Us 165
twenty-first century.
49
As discussed earlier in the article, the vast majority of
U.S. farmworkers are immigrants.
50
Unfortunately, the increased focus on
indiscriminate immigration enforcement, rise in deportations, and other re-
cent immigration enforcement actions
51
have worsened an already untenable
situation for farmworkers and their families and created a tangible fear in
farmworker communities throughout the country, exacerbating their vulner-
ability and isolation. Due to this increased immigration enforcement,
farmworkers and their families are hesitant to leave their homes for fear of
encountering immigration enforcement. Therefore, they are less likely to en-
gage in community activities, run errands, or attend medical appointments.
The increasingly hostile attitude toward immigrants instills such fear that
many farmworker families are reluctant to access government programs and
benefits that they may need and for which they may be eligible.
Agricultural employers are also concerned about what heightened im-
migration enforcement may mean for their labor force. As a result of these
factors and others, agricultural employers are increasingly turning to the H-
2A temporary agricultural worker visa program to find workers.
52
The H-2A
temporary agricultural worker program is a labor certification program that
permits agricultural employers who are unable to find U.S. workers to apply
for foreign workers on temporary work permits.
53
The H-2A program does
not have an annual cap on the number of visas issued, and it has roughly
tripled in size in the last decade.
54
The H-2A program is inherently flawed:
55
the workers are tied to their
employer and dependent on them for present and future employment. H-2A
workers hold a temporary non-immigrant status with no opportunity or path
to become citizens. Although recruitment fees are illegal under the program,
49
See C
ONG
. R
ESEARCH
S
ERV
., F
ARM
L
ABOR
S
HORTAGES AND
I
MMIGRATION
1 (Nov.
9, 2009), https://www.everycrsreport.com/reports/RL30395.html [https://perma.cc/L2R9-
AK4K].
50
According to NAWS, in 20132014 approximately 73% of all farmworkers were born
outside the United States. The overwhelming majority (68%) were born in Mexico. See DOL
NAWS 2013-2014, supra note 18, at i.
51
See, e.g., U.S. I
MMIGRATION AND
C
USTOMS
E
NF
T
, U.S. D
EP
T OF
H
OMELAND
S
EC
.,
F
ISCAL
Y
EAR
2017 ICE E
NFORCEMENT AND
R
EMOVAL
O
PERATIONS
R
EPORT
12 (2017),
https://www.ice.gov/sites/default/files/documents/Report/2017/iceEndOfYearFY2017.pdf
[https://perma.cc/435J-24RK].
52
In fiscal year 2017, over 200,000 H-2A worker positions were certified on the program,
and applications increased by 14.9% from fiscal year 2016. See O
FFICE OF
F
OREIGN
L
ABOR
C
ERTIFICATION
, U.S. D
EP
T OF
L
ABOR
, H-2A T
EMPORARY
A
GRICULTURAL
L
ABOR
C
ERTI-
FICATION
P
ROGRAM
- S
ELECTED
S
TATISTICS
, FY 2017, https://www.foreignlaborcert.doleta.
gov/pdf/PerformanceData/2017/H-2A_Selected_Statistics_FY2017.pdf [https://perma.cc/
BSP5-9Q7M].
53
See 8 U.S.C. § 1101(a)(h)(ii)(A) (Supp. II 2014).
54
See O
FFICE OF
F
OREIGN
L
ABOR
C
ERTIFICATION
, U.S. D
EP
T OF
L
ABOR
, F
OREIGN
L
ABOR
C
ERTIFICATION
P
ERFORMANCE
R
EPORT
O
CTOBER
1, 2006 S
EPTEMBER
30, 2007
22 (2007); id. at 25; see also OFLC, P
ERFORMANCE
R
EPORTS
, supra note 38.
55
See F
ARMWORKER
J
USTICE
, N
O
W
AY TO
T
REAT A
G
UEST
: W
HY THE
H-2A A
GRI-
CULTURAL
V
ISA
P
ROGRAM
F
AILS
U.S.
AND
F
OREIGN
W
ORKERS
12 (2011), https://www.
farmworkerjustice.org/sites/default/files/documents/7.2.a.6%20No%20Way%20To%20Treat%
20A%20Guest%20H-2A%20Report.pdf [https://perma.cc/X73V-PMXA].
166 Harvard Law & Policy Review [Vol. 13
many H-2A workers are charged fees by recruiters in their countries of ori-
gin, meaning that they have already accumulated a significant debt by the
time they arrive in the United States, exacerbating their position of vulnera-
bility.
56
Once they arrive at the job, workers are often expected to satisfy
productivity requirements that test the limits of human endurance.
57
The H-2A program includes limited protections focused on U.S. work-
ers’ rights, such as recruitment obligations for U.S. workers, a minimum
wage requirement, and employer-provided housing and transportation to of-
fer protections against the displacement of U.S. workers and to prevent ad-
verse effects on the wages and working conditions of U.S. workers. Many of
these protections were developed in response to abuses that previously ex-
isted under the Bracero guestworker program.
58
With increased use of the H-2A program have come agribusiness at-
tempts to strip away the modest but critically important protections in the
current program, including efforts to limit government oversight, eliminate
many recruitment requirements, lower wage standards, and shift the costs of
housing and transportation to workers,
59
all of which would result in down-
ward pressure on all workers’ wages and working conditions with increased
56
See, e.g., I
NT
L
L
ABOR
R
ECRUITMENT
W
ORKING
G
RP
., T
HE
A
MERICAN
D
REAM
U
P
FOR
S
ALE
: A B
LUEPRINT FOR
E
NDING
I
NTERNATIONAL
L
ABOR
R
ECRUITMENT
A
BUSE
7
(2013), https://fairlaborrecruitment.files.wordpress.com/2013/01/final-e-version-ilrwg-re-
port.pdf [https://perma.cc/V4R7-5KFN] and J
ORNALEROS
S
AFE
, M
EXICAN
H-2A
F
ARMWORKERS IN THE
U.S.: T
HE
I
NVISIBLE
W
ORKFORCE
14 (2010-2013), http://
www.globalworkers.org/sites/default/files/EXECUTIVE%20SUMMARY%20Jornaleros%20
SAFE.pdf [https://perma.cc/M323-UWMV] (“42.6% of those interviewed for this study re-
ported having to pay to receive an offer or obtain a job. In spite of the fact that it is illegal to
charge someone for hiring them, almost half of all contractors continue to do so.”).
57
One way in which employers impose these productivity standards is through the use of
“piece rates,” meaning that workers are not paid hourly wages, but by the amount of a given
crop that they pick. F
RITZ
M. R
OKA
, C
OMPENSATING
F
ARM
W
ORKERS
T
HROUGH
P
IECE
R
ATES
: I
MPLICATIONS ON
H
ARVEST
C
OSTS AND
W
ORKER
E
ARNINGS
(2015), http://
edis.ifas.ufl.edu/fe792 [https://perma.cc/8J2G-BE4W]. For example, a recent H-2A order
stated that workers are expected to cut 100 sticks of tobacco per hour. Often, though produc-
tion standards are not explicitly stated in their job orders, workers are threatened with losing
their jobs if they do not pick a certain amount or at a certain rate. Id.
58
During World War II, the U.S. Congress responded to agricultural growers’ worries
about a worker shortage by approving the temporary entry of migrants from Mexico to do
agricultural work. This program, which became known as the “Bracero” program, became the
largest guestworker program in U.S. history, employing more than four million Mexican work-
ers. It was characterized by severe labor abuses and was abolished in 1964. For more informa-
tion on the Bracero program, see generally B
RACERO
H
ISTORY
A
RCHIVE
, http://
braceroarchive.org/ [https://perma.cc/MVE4-282X]; E
RNESTO
G
ALARZA
, M
ERCHANTS OF
L
ABOR
: T
HE
M
EXICAN
B
RACERO
S
TORY
(1964); K
ITTY
C
ALAVITA
, I
NSIDE THE
S
TATE
:
T
HE
B
RACERO
P
ROGRAM
, I
MMIGRATION
,
AND THE
I.N.S. (1992); E
RASMO
G
AMBOA
,
M
EXICAN
L
ABOR AND
W
ORLD
W
AR
II: B
RACEROS IN THE
P
ACIFIC
N
ORTHWEST
, 1942-
1947 (2000); D
EBORAH
C
OHEN
, B
RACEROS
: M
IGRANT
C
ITIZENS AND
T
RANSNATIONAL
S
UBJECTS IN THE
P
OSTWAR
U
NITED
S
TATES AND
M
EXICO
(2001); J
OSE
R
ADOLPHO
J
ACOBO
, L
OS
B
RACEROS
: M
EMORIES OF
B
RACERO
W
ORKERS
, 1942-1964 (2004).
59
See F
ARMWORKER
J
USTICE
, R
EP
. G
OODLATTE
S
“A
GRICULTURAL
G
UESTWORKER
A
CT
” W
OULD
C
ONDEMN
A
GRICULTURAL
W
ORKERS TO
E
XPLOITATIVE
W
ORKING
C
ONDI-
TIONS
4 (2018), https://www.farmworkerjustice.org/sites/default/files/Goodlatte%20Fact%20
Sheet%20-%20UpdatedFeb2018.pdf [https://perma.cc/37B2-9TGF].
2018] The Neighbors Who Feed Us 167
displacement of domestic workers and a likelihood of abuses of vulnerable
guestworkers.
There are also continued efforts to expand the H-2A program to year-
round industries and to create a new, more expansive guestworker program
including sectors beyond what are traditionally considered agriculture. This
proposed expansion of the H-2A program to year-round industries would
likely result in displacement of the current workforce and lower wages for
agricultural workers in these sectors, including dairy and poultry, among
others.
60
The H-2A program currently focuses on temporary or seasonal ag-
ricultural work because it is premised on the idea that it may be difficult to
find U.S. workers for seasonal jobs that yield lower annual incomes than
year-round jobs. That same logic does not apply to year-round employment.
These proposed changes to the H-2A guestworker program, as well as
the trend of increasing use of the program, could result in the massive dis-
placement of farmworkers who have been doing agricultural work for years
and even decades, and who have established themselves in the rural commu-
nities in which they work. In turn, the agricultural guestworkers replacing
them would have to accept low wages and poor working conditions, while
being separated from their spouses and children and never having the oppor-
tunity to join the communities where they work or the society they feed.
B. Immigration Policy Recommendations
1. Guestworker Programs Should Not Be Expanded or Weakened.
The
H-2A program is fundamentally flawed. It allows foreign workers to be ex-
ploited, while at the same time negatively impacting the job opportunities,
wages, and working conditions of U.S. workers. If eliminating the H-2A
guestworker program is not feasible for now, the focus should be on re-
forming the program based on labor migration program models that shift
control over the labor migration process from employers to workers, elevate
labor standards for all agricultural workers, respond to established labor mar-
ket needs, respect family unity, and ensure equity and access to justice.
Workers should have the freedom to choose and switch employers and the
ability to obtain a path to U.S. citizenship, thus reducing the employer con-
trol and related worker vulnerability currently present in the H-2A and other
guestworker programs. At the very least, the limited wage and labor protec-
tions that are currently in the program should be maintained and effectively
enforced and the program should not be expanded to additional job catego-
ries or occupations, such as year-round work or non-agricultural jobs.
2. Provide Work Authorization and a Path to Citizenship for Current Ex-
perienced Undocumented Farmworkers.
Instead of expanding abusive
60
See Daniel Costa & Jennifer Rosenbaum, Using the H-2A Guestworker Program for Year-
round Agricultural Jobs Would Lower Wages for Farmworkers, E
CON
. P
OL
Y
I
NST
.: W
ORKING
E
CON
. B
LOG
(Mar. 19, 2018, 12:30 PM), https://www.epi.org/blog/using-the-h-2a-guest
worker-program-for-year-round-agricultural-jobs-would-lower-wages-for-other-farmworkers/
[https://perma.cc/STQ2-YHSU].
168 Harvard Law & Policy Review [Vol. 13
guestworker programs, the first step towards a modern agricultural labor sys-
tem must be to ensure that the farmworkers who are currently here are given
authorization to work in the United States as well as a pathway toward earn-
ing permanent immigration status and citizenship. Farmworkers should not
be limited to accepting undocumented status or mere temporary work per-
mits. Current undocumented farmworkers and their family members should
be given a viable path to citizenship, a policy change that would recognize
the reality of agricultural labor in this country.
61
Farmworkers should have
the same economic and democratic freedoms that apply to other residents
and workers in the United States and be able to fully participate in the com-
munities where they live.
In May 2017, Senator Dianne Feinstein of California and Representa-
tive Luis Gutierrez of Illinois introduced the Agricultural Worker Program
Act of 2017.
62
The bill would establish a path to lawful residency and citi-
zenship for undocumented farmworkers who have been consistently em-
ployed in U.S. agriculture and meet other requirements.
63
This proposal is
known colloquially as the “blue card” program because eligible workers can
first earn a “blue card” and then apply for a “green card” after continuing to
work in agriculture for three to five years.
64
A similar program was included
in a 2013 comprehensive immigration bill that passed in the Senate
65
but
unfortunately was never brought to a vote in the House.
Some of the most vocal Congressional opponents of a pathway to citi-
zenship for agricultural workers also oppose a pathway to citizenship for
other undocumented individuals in the United States. An often cited reason
for opposing a pathway to citizenship for undocumented workers is that im-
migrant workers will take jobs away from domestic U.S. workers.
66
The irony
behind this argument is that providing a pathway to citizenship would actu-
ally limit employers’ current ability to exploit workers’ undocumented status
for lower wages and working conditions,
67
thus improving labor standards
for all workers and leveling the playing field for employers. Reform of our
61
Farmworkers interviewed by the NAWS in 20132014 had an average of 16 years of
U.S. farm work. See DOL NAWS 2013-2014, supra note 18, at 29.
62
See Agricultural Worker Program Act, S. 1034, 115th Congress (2017); Agricultural
Worker Program Act, H.R. 2690, 115th Congress (2017).
63
See id.
64
See id.
65
See Border Security, Economic Opportunity, and Immigration Modernization Act,
S.744, 113th Congress (2013) (the bill was passed in the Senate by a 6832 vote).
66
See Brennan Hoban, Do Immigrants “Steal” Jobs from American Workers?, B
ROOKINGS
N
OW
(Aug. 24, 2017), https://www.brookings.edu/blog/brookings-now/2017/08/24/do-im-
migrants-steal-jobs-from-american-workers/ [https://perma.cc/E82B-RM2H].
67
A 2018 report by the Migration Policy Institute notes that immigrants are twice as
likely as native born workers to be employed in industries where violations of core labor stan-
dards are widespread. Current immigration law undermines workplace protections by deterring
foreign-born workers from filing complaints. See A
NDREW
E
LMORE
& M
UZAFFAR
C
HISHTI
,
M
IGRATION
P
OLICY
I
NST
., S
TRATEGIC
L
EVERAGE
: U
SE OF
S
TATE AND
L
OCAL
L
AWS TO
E
NFORCE
L
ABOR
S
TANDARDS IN
I
MMIGRANT
-D
ENSE
O
CCUPATIONS
1 (Mar. 2018), https:/
/www.migrationpolicy.org/sites/default/files/publications/StateLaborStandardsEnforcement_
FinalWeb.pdf [https://perma.cc/ZH2L-R3FN].
2018] The Neighbors Who Feed Us 169
current immigration system is a necessary stepping stone not just towards
stabilizing the agricultural labor force but also towards addressing some of
the myriad challenges faced by farmworkers. The uncertainty and vulnerabil-
ity of undocumented status further exacerbates the severe challenges facing
farmworkers in the other areas discussed below.
C. Labor Policy
As discussed earlier, farmworkers are excluded from many of the pro-
tections afforded to workers in other sectors of the U.S. economy due to a
history of agricultural exceptionalism.
68
Discrimination in U.S. immigration
and labor laws has persisted, depriving farmworkers of fundamental human
and democratic rights, including basic workplace rights such as freedom of
association.
69
Some of the protections that farmworkers have been excluded
from include organizing and bargaining rights in the NLRA and certain
protections of the FLSA. Farmworkers are excluded from the NLRA, which
forbids employer retaliation against workers for joining, organizing, or sup-
porting a labor union. The NLRA also establishes a structure for unions and
employers to engage in collective bargaining. However, since its enactment,
the NLRA has specifically excluded agricultural workers, thus depriving
them of the law’s protections.
70
The FLSA, in turn, guarantees most workers a minimum hourly wage
and also requires that most employees be paid a premium for overtime
work.
71
Though the FLSA now applies the minimum wage provisions to
most agricultural workers, many agricultural workers employed on small
farms and certain other farms are excluded from this provision.
72
Farmworkers are also still excluded from the right to overtime pay.
73
This is
particularly significant because farmworkers’ hours vary by season, crop, and
task, and most farmworkers work an average of more than forty hours per
week,
74
yet they are not compensated above their base wage rate for these
extra hours. The lack of an overtime premium leads some employers to re-
quire an extraordinarily high number of work hours per week, which can
lead to injury caused by fatigue and interference with family obligations.
Similarly, FLSA’s child labor provisions offer less protection to those
working in agriculture than in other industries. For most jobs, the minimum
68
See infra “Agricultural Exceptionalism.”
69
See H
UMAN
R
IGHTS
W
ATCH
, U
NFAIR
A
DVANTAGE
: W
ORKERS
F
REEDOM OF
A
SSO-
CIATION IN THE
U
NITED
S
TATES UNDER
I
NTERNATIONAL
H
UMAN
R
IGHTS
S
TANDARDS
17378 (Aug. 2000), https://www.hrw.org/reports/pdfs/u/us/uslbr008.pdf [https://perma.cc/
9XZ4-5LPX].
70
See id. at 14; see also Michael H. LeRoy & Wallace Hendricks, Should Agricultural La-
borers Continue to be Excluded from the National Labor Relations Act? 48 E
MORY
L.J. 489, 490
(1999).
71
See 29 U.S.C. §§ 206, 207(a) (2012).
72
See 29 U.S.C. § 213(a)(6) (2012 & Supp. II 2014).
73
See 29 U.S.C. § 213(b)(12) (2012 & Supp. II 2014).
74
See DOL NAWS 2013-2014, supra note 18, at 2022.
170 Harvard Law & Policy Review [Vol. 13
age at which a person can work is sixteen years old (with few exceptions);
75
in agriculture, a highly hazardous industry, the minimum age at which a
person can work is fourteen years old (with many exceptions).
76
An esti-
mated 400,000500,000 children between the ages of twelve and seventeen
are working in U.S. agriculture.
77
The principal federal labor law for farmworkers is the Migrant and Sea-
sonal Agricultural Worker Protection Act (“AWPA”).
78
Congress enacted
AWPA in 1983 to replace an earlier law, the Farm Labor Contractor Regis-
tration Act of 1963 (“FLCRA”). FLCRA focused on regulating farm labor
contractors (“FLCs”),
79
who were notorious for refusing to pay workers their
wages and subjecting farmworkers to debt peonage and even slavery. In en-
acting AWPA, Congress established labor law obligations on the part of the
growers who employ farmworkers even if the growers use the services of
FLCs.
80
These protections are particularly significant due to the widespread
use of FLCs in agricultural employment, which poses unique challenges for
workers’ ability to obtain redress for labor violations.
The AWPA includes the following requirements: agricultural employ-
ers must disclose terms of employment at the time of recruitment and com-
ply with those terms;
81
employers, when using FLCs to recruit, supervise, or
transport farmworkers, must confirm that the FLCs are registered with and
licensed by the U.S. Department of Labor;
82
providers of housing to
farmworkers must meet local and federal housing standards;
83
and transport-
ers of farmworkers must use insured vehicles that meet basic federal safety
standards.
84
However, AWPA specifically excludes H-2A workers
85
and, like
75
See 29 U.S.C. § 203(l) (2012).
76
See 29 U.S.C. § 213(c)(1)(C) (2012 & Supp. II 2014); see also H
UMAN
R
IGHTS
W
ATCH
, F
INGERS TO THE
B
ONE
: U
NITED
S
TATES
F
AILURE TO
P
ROTECT
C
HILD
F
ARMWORKERS
(June 2, 2000), https://www.hrw.org/report/2000/06/02/fingers-bone/united-
states-failure-protect-child-farmworkers [https://perma.cc/9L3E-C46Y].
77
See A
SS
N OF
F
ARMWORKER
O
PPORTUNITY
P
ROGRAMS
, C
HILDREN IN THE
F
IELDS
:
T
HE
F
ACTS
Y
OU
S
HOULD
K
NOW
4 (2018), https://www.mediavoicesforchildren.org/mvc-
commentary/2018/2/6/children-in-the-fields-the-facts-you-should-know [https://perma.cc/
3GF2-B7A3].
78
See 29 U.S.C. § 1801 et seq. (2012).
79
For the purposes of this paper, the term “farm labor contractor,” or “FLC,” refers to
labor intermediaries, often called “crewleaders,” who fulfill a variety of roles, including recruit-
ing and hiring job applicants, transporting and housing workers, and supervising workers in
the field. Some labor contractors are quite large and have subcontractors. Under AWPA, the
term “farm labor contractor” is defined as “any person, other than any agricultural employer, an
agricultural association, or an employee of an agricultural employer or agricultural association,
who, for any money or other valuable consideration paid or promised to be paid, performs any
farm labor contracting activity.” See 29 U.S.C. § 1802(7).
80
See 29 U.S.C. § 1822 (2012).
81
See 29 U.S.C. § 1822(c) (2012).
82
See 29 U.S.C. § 1811 (2012).
83
See 29 U.S.C. § 1823 (2012).
84
See 29 U.S.C. § 1841 (2012).
85
See 29 U.S.C. § 1802(8)(b)(ii) (2012).
2018] The Neighbors Who Feed Us 171
FLSA, it does not apply to small employers, although this exemption does
not include farm labor contractors.
86
The farm labor contracting system poses a significant challenge for de-
fending farmworkers’ labor rights. Some farm operators hope to avoid com-
pliance with labor laws by hiring FLCs, crew leaders, or other intermediaries
and denying that they are the “employer” of the farmworkers in their fields.
Congress has adopted a broad definition of employment relationships in
FLSA and AWPA so that a farmworker is, in most cases, an “employee,”
and a grower using the services of an FLC is responsible as a joint employer
with the FLC.
87
Joint employer liability helps reduce abuses associated with
the subcontracting of labor by requiring a grower to share responsibility for
compliance with employment law obligations. However, there are currently
efforts underway to undo this broad definition of employment relationships,
making it far more difficult, if not impossible, to hold more than one busi-
ness as an employer of a worker.
88
Such proposals to end joint employer
status would encourage businesses to use FLCs that provide workers at low
cost by violating basic labor protections.
Another issue, and one that affects farmworker women especially, is the
high prevalence of sexual harassment and assault in agricultural work. Agri-
cultural work is covered by the Equal Employment Opportunity Act
(“EEOA”), also known as Title VII, which protects workers from unlawful
sex discrimination, including sexual harassment in the workplace.
89
How-
ever, investigations by news agencies and human rights organizations have
highlighted this serious problem in agricultural work.
90
As an example of the
prevalence of this problem, as part of the “#MeToo” movement
a recent
effort to highlight the prevalence of sexual assault and harassment across
industries
in November 2017 farmworker women sent an open letter to
Hollywood actresses noting that they shared a common experience of being
preyed upon by individuals in positions of power.
91
Many farmworker wo-
men continue to endure this behavior for fear of retaliation, including the
fear of being reported to immigration authorities and job loss for themselves
or their family members who may work with the same employer.
86
See 29 U.S.C. § 1803(a)(2) (2012).
87
See Bruce Goldstein, Marc Linder, Laurence E. Norton II & Catherine K. Ruckel-
shaus, Enforcing Fair Labor Standards in the Modern American Sweatshop: Rediscovering the
Statutory Definition of Employment 46 UCLA L. R
EV
. 983, 984 (1999).
88
See Save Local Business Act, H.R. 3441, 115th Congress (2017).
89
See 42 U.S.C. § 2000e (2012) (defining industries and employers for purposes of the
Equal Employment Opportunities subchapter of Title 42).
90
See generally Frontline: Rape in the Fields (PBS television broadcast June 25, 2013),
https://www.pbs.org/wgbh/frontline/film/rape-in-the-fields/ [https://perma.cc/J4AT-ABEE];
see also, e.g., H
UMAN
R
IGHTS
W
ATCH
, C
ULTIVATING
F
EAR
: T
HE
V
ULNERABILITY OF
I
MMI-
GRANT
F
ARMWORKERS IN THE
U.S.
TO
S
EXUAL
V
IOLENCE AND
S
EXUAL
H
ARASSMENT
(2012), https://www.hrw.org/sites/default/files/reports/us0512ForUpload_1.pdf [https://
perma.cc/4F4T-UJTZ].
91
See Alianza Nacional de Campesinas, Editorial, 700,000 Female Farmworkers Say They
Stand With Hollywood Actors Against Sexual Assault, T
IME
(Nov. 10, 2017), http://time.com/
5018813/farmworkers-solidarity-hollywood-sexual-assault/ [https://perma.cc/DV7D-
XDCA].
172 Harvard Law & Policy Review [Vol. 13
Beyond federal labor laws, many state laws also discriminate against
farmworkers by excluding them from important protections such as the min-
imum wage, overtime, and workers’ compensation.
92
Some states have en-
acted state laws to provide farmworkers with some of the labor rights
enjoyed by other workers. Most notably, California is unique in providing
farmworkers with protection to organize labor unions and engage in collec-
tive bargaining under the state’s Agricultural Labor Relations Act
(“ALRA”).
93
Additionally, in 2016, California passed a law that will gradu-
ally extend overtime pay to agriculture for more than forty hours of work, a
significant victory for farmworkers.
94
D. Labor Policy Recommendations
1. Amend Existing Labor Laws to Ensure Fairness for Farmworkers.
We should continue to strive to achieve basic fairness in our labor system
and undo the discriminatory legacy of agricultural exceptionalism. The Fair
Labor Standards Act (FLSA) should be amended to: raise the federal mini-
mum wage and ensure coverage for all farmworkers of the minimum wage
protections; extend equal child labor prohibitions to agriculture; and end the
exclusion of agricultural workers from overtime pay.
The Migrant and Seasonal Agricultural Worker Protection Act
(“AWPA”) should be strengthened and updated, including by increasing the
outdated levels of damages a court can impose on defendants. Employers
should not be able to incorporate violations of farmworkers’ rights as a lim-
ited cost of doing business. In addition, AWPA’s protections should extend
to H-2A workers and all farmworkers, regardless of the size of their employ-
ers. The law’s regulation of FLCs and their use by farm owners should be
strengthened to reduce abuses. In addition, the law should grant
farmworkers the right to engage in concerted activity for their mutual aid
and protection free from retaliation, similar to the right granted to most
other workers, including the freedoms to join together to demand better job
terms, to strike, and to demand collective bargaining.
2. Improve Enforcement of Current Labor Laws.
Government enforce-
ment of existing employment and labor laws should be substantially im-
proved in quantity and quality to protect farmworkers and law-abiding
businesses from the practices of unscrupulous agricultural employers and
their labor contractors. Both federal and state departments of labor should be
given adequate monetary resources to perform their enforcement obligations.
Those resources should be used to address systemic abuses, ensuring ac-
92
See O
XFAM
A
MERICA
, I
NVENTORY OF
F
ARMWORKER
I
SSUES AND
P
ROTECTIONS IN
THE
U
NITED
S
TATES
ii (Mar. 2011), https://www.oxfamamerica.org/static/oa3/files/inven-
tory-of-farmworker-issues-and-protections-in-the-usa.pdf [https://perma.cc/82AY-LTLK].
93
See Agricultural Labor Relations Act of 1975, C
AL
. L
AB
. C
ODE
§ 1140 (West 2017).
94
See C
AL
. L
AB
. C
ODE
§§ 857864 (West 2017).
2018] The Neighbors Who Feed Us 173
countability and liability of farm operators when using FLCs who engage in
wage theft, labor trafficking, and other abuses.
Anti-retaliation protections must also be strengthened to ensure that
workers who serve as whistleblowers are able to regularize their immigration
status if needed. The fear of immigration enforcement and deportation is a
very strong deterrent for would-be whistleblowers. The practical ability to
remain in the country would allow workers to provide key information, in-
cluding testifying in court if needed. Special attention should also be paid to
eradicating widespread sexual harassment and other discrimination against
women farmworkers and to combatting discrimination against indigenous
workers.
3. Improve Farmworkers’ Access to Legal Services.
Federally funded
legal aid programs should be permitted to represent undocumented immi-
grant farmworkers and to bring class actions. This will ensure that there is
actual accountability from employers who violate the law, as federal and state
agencies’ limited resources make it difficult for the government to identify
and sanction all bad actors. To encourage private attorneys to accept
farmworker cases, AWPA should also be amended to enable successful
plaintiffs in litigation to obtain statutory damage awards in higher amounts
and obtain attorneys’ fees and expenses (similar to FLSA and the Equal
Employment Opportunity Act). These reforms are essential stepping stones
to achieving broader structural change because, as discussed above,
farmworkers are often unable to afford legal services.
E. Corporate Social Responsibility
For decades, farmworkers have suffered as each level of the economic
structure in agriculture has sought to evade responsibility for the way
farmworkers are treated. Supermarkets and fast-food chains have said they
cannot control how employees on farms are treated.
95
Farmers have said they
are “price takers” subject to the economic power of the supermarkets, brands,
and restaurant chains and therefore cannot afford to pay workers more.
96
Farmworker organizations have long appealed to consumers to apply pres-
sure on supermarket chains and other large buyers of fruits, vegetables, and
milk to exert their influence with farms. Farm labor unions such as United
Farm Workers (UFW) and the Farm Labor Organizing Committee
95
See Carli Teproff, Farmworkers to Publix: A penny more can change lives, M
IAMI
H
ER-
ALD
(May 18, 2014) http://www.miamiherald.com/news/local/community/miami-dade/coral-
gables/article1964653.html [https://perma.cc/J8PZ-TS39]; Farmworkers Call for Wendy’s Boy-
cott Over Tomato Buying, F
OOD
L
OGISTICS
(Mar. 4, 2016), https://www.foodlogistics.com/
sustainability/news/12178019/farmworkers-call-for-wendys-boycott-over-tomato-buying
[https://perma.cc/CMV5-N5TH].
96
See Z
IPPY
D
UVALL
, A
MERICAN
F
ARM
B
UREAU
S
TATEMENT TO THE
U.S. S
ENATE
C
OMMITTEE ON
E
NVIRONMENT AND
P
UBLIC
W
ORKS
5 (Feb. 7, 2018) and Addendum to
attached letter 2, https://www.epw.senate.gov/public/_cache/files/9/a/9ad09eaa-1166-4227-
9cb2-d3b59dd2f422/017DB0E861AD60F63AAB69D2E8B94FC2.duvall-testimony-02.07.
18.pdf [https://perma.cc/9K49-FET6].
174 Harvard Law & Policy Review [Vol. 13
(FLOC) have advanced campaigns for union organizing and collective bar-
gaining through the use of consumer boycotts against grocery chains as well
as farms that had identifiable brands.
97
In recent years, farmworker organiza-
tions have tapped into consumers’ demand to know more about how their
food is produced. Corporations have begun to respond to this market
pressure.
98
Many major corporations that sell food to consumers have established
monitoring systems under which the corporation or a third-party examines
conditions on farms
inside and outside the United States
to determine
compliance with certain standards, especially food safety.
99
Some corpora-
tions expect their suppliers to operate consistently with internationally-rec-
ognized labor standards, including prohibitions against forced labor;
employment of young children; discrimination based on race, gender, and
other characteristics; and retaliation for exercising freedom of association.
100
Some corporations have adopted requirements regarding compliance with
applicable labor laws and basic occupational safety and health standards with
the goal of preventing occupational injuries, illnesses, and deaths.
101
There have been criticisms of corporations for adopting weak labor
standards and ineffective compliance mechanisms.
102
In an effort to demon-
97
See S
USAN
F
ERRISS
& R
ICARDO
S
ANDOVAL
, T
HE
F
IGHT IN THE
F
IELDS
: C
ESAR
C
HAVEZ AND THE
F
ARMWORKER
M
OVEMENT
125157 (1997); William Serrin, Migrant
Workers Organize a Boycott of Campbell, N.Y. T
IMES
(Jul. 2, 1984); Patrick O’Neill, ‘Enjoy
Some Good Mt. Olive Pickles Tonight’: Boycott ends as company agrees to negotiate with
farmworkers’ union, increase pay, and increase worker protections, I
NDY
W
EEK
(Sept. 22, 2004);
Manoj Dias-Abey, Justice on Our Fields: Can “Alt-Labor” Organizations Improve Migrant Farm
Workers’ Conditions?, 53 H
ARV
. C.R.-C.L. L. R
EV
. 168, 180181 (2018).
98
See generally J
OHN
B
OWE
, N
OBODIES
: M
ODERN
A
MERICAN
S
LAVE
L
ABOR AND THE
D
ARK
S
IDE OF THE
N
EW
G
LOBAL
E
CONOMY
(2007); M
ICHAEL
E. C
ONROY
, B
RANDED
!:
H
OW THE
‘C
ERTIFICATION
R
EVOLUTION
IS
T
RANSFORMING
G
LOBAL
C
ORPORATIONS
(2007).
99
See Wal-Mart Stores, Inc., Food Safety Requirements for Food and Beverage Suppliers
(2017) https://cdn.corporate.walmart.com/6d/f3/05fffa84417f8e89f62ab756c998/2017-sup-
plier-food-safety-requirements.pdf [https://perma.cc/QXN2-BN98].
100
Such standards are found in the Declaration on Fundamental Principles and Rights at
Work and its Follow-up issued by the International Labor Organization, which is a unit of the
United Nations. See generally I
NT
L
L
ABOR
O
RG
., D
ECLARATION ON
F
UNDAMENTAL
P
RIN-
CIPLES AND
R
IGHTS AT
W
ORK AND ITS
F
OLLOW UP
(June 15, 2010), http://www.ilo.org/
wcmsp5/groups/public/
-ed_norm/
-declaration/documents/publication/wcms_467653.pdf
[https://perma.cc/7E6S-G8FV]. These standards are intended as basic minimum standards
that should be required by governments that belong to the UN and the ILO. See id. at 3.
101
See, e.g., Supply Chain Transparency: Disclosure - California Transparency in Supply
Chains Act of 2010, A
LBERTSON
S
, https://shop.albertsons.com/ecom/content/supply
%20chain%20transparency [https://perma.cc/8745-4XNS].
102
See Jennifer Gordon, The Problem with Corporate Social Responsibility, W
ORKER
-
D
RIVEN
S
OCIAL
R
ESPONSIBILITY
N
ETWORK
(Jul. 11, 2017), https://wsr-network.org/re-
source/the-problem-with-corporate-social-responsibility/?sf_paged=9 [https://perma.cc/
DXR6-XJNM]; Brian Finnegan, AFL-CIO, R
ESPONSIBILITY
O
UTSOURCED
: S
OCIAL
A
U-
DITS
, W
ORKPLACE
C
ERTIFICATION AND
T
WENTY
Y
EARS OF
F
AILURE TO
P
ROTECT
W
ORKER
R
IGHTS
(2013); Stephanie Clifford & Steven Greenhouse, Fast and Flawed Inspec-
tions of Factories Abroad, N.Y. T
IMES
(Sept. 1, 2013); https://www.nytimes.com/2013/09/02/
business/global/superficial-visits-and-trickery-undermine-foreign-factory-inspections.html
[https://perma.cc/N8FW-6CA6]; Gillian B. White, All Your Clothes Are Made with Exploited
Labor, T
HE
A
TLANTIC
(June 3, 2015); G
ENEVIEVE
L
E
B
ARON
, P
ENELOPE
K
YRITSIS ET AL
.,
2018] The Neighbors Who Feed Us 175
strate the legitimacy of their systems and their good faith, some corporations
retain third parties to conduct audits and certify compliance with standards.
There are numerous auditing firms and there are also firms that audit the
auditors and grant accreditation to auditors.
103
Most of these systems have
little or no involvement of workers in the companies that are audited and
therefore are criticized by worker organizations and others for being at best
ineffective and at worst fraudulent.
104
There are several projects based in the United States in which
farmworker organizations are directly involved with growers and other busi-
nesses in the food supply chain to develop and implement codes of conduct
and compliance mechanisms as well as other forms of cooperation to ad-
vance mutual interest. Some examples of these corporate social responsibility
initiatives include: the Agricultural Justice Project (AJP),
105
the Domestic
Fair Trade Association (DFTA),
106
the Equitable Food Initiative (EFI),
107
and the Fair Food Program (FFP).
108
All have established standards regard-
ing farmworkers’ conditions that are intended to be adopted by businesses in
the food supply chain and certification or other mechanisms to ensure com-
pliance with those standards. While they differ in their standards, member-
ship, and approaches, all include in their goals improvements in
farmworkers’ conditions.
109
F. Corporate Social Responsibility Recommendations
1. Enact Policies to Advance Legitimate Corporate Social Responsibility
Programs.
Laws requiring disclosure of conduct in supply chains can serve
as a useful tool to advance meaningful corporate social responsibility pro-
grams to improve labor conditions.
110
The California Transparency in Sup-
U
NIV
.
OF
S
HEFFIELD
, C
ONFRONTING
R
OOT
C
AUSES
: F
ORCED
L
ABOR IN
G
LOBAL
S
UPPLY
C
HAINS
5960, 6468 (2018).
103
See generally C
ONROY
, supra note 98.
104
See F
INNEGAN
, supra note 102, at 1316, 2530; Jill Ebenshade, Corporate Social Re-
sponsibility: Moving from Checklist Monitoring to Contractual Obligation, in A
CHIEVING
W
ORK-
ERS
’ R
IGHTS IN THE
G
LOBAL
E
CONOMY
51, 5357 (Richard P. Applebaum & Nelson
Lichtenstein eds., 2016), https://wsr-network.org/wp-content/uploads/2018/05/Jill-Esben
shade-EsbenshadeCornellChapter.pdf [https://perma.cc/PZ27-J8EU]; Gordon, supra note
102, at 46; Garret Brown, The Corporate Social Responsibility Mirage, I
NDUSTRIAL
S
AFETY
AND
H
YGIENE
N
EWS
(May 1, 2017), https://wsr-network.org/wp-content/uploads/2017/12/
ISHN-CSR-mirage-May-2017-rev.pdf [https://perma.cc/UY5V-XRZW].
105
See A
GRIC
. J
USTICE
P
ROJECT
, www.agriculturaljusticeproject.org [https://perma.cc/
D8KH-4DQC].
106
See D
OMESTIC
F
AIR
T
RADE
A
SS
N
, www.thedfta.org [https://perma.cc/GAW3-
FZTK].
107
See E
QUITABLE
F
OOD
I
NITIATIVE
, www.equitablefood.org [https://perma.cc/X3HY-
GZH3].
108
See F
AIR
F
OOD
P
ROGRAM
, www.fairfoodprogram.org [https://perma.cc/V9R7-
ADNS]. Manoj Dias-Abey, supra note 97, at 197205.
109
We do not provide details about their systems because the purpose of this article is to
highlight potential government policies that could advance these programs. See the programs’
individual websites, supra notes 105108, for more information.
110
See F
INNEGAN
, supra note 102, at 4849.
176 Harvard Law & Policy Review [Vol. 13
ply Chains Act of 2010 requires corporations doing business in the state and
grossing more than one hundred million dollars to report annually on the
efforts they are making, if any, to address human trafficking and slavery in
their global supply chains.
111
Although the statute is weak in the sense that
specific actions other than disclosure are not required, the obligation to dis-
close is a strong motivation for companies to take some action. The narrow
focus on trafficking and slavery does not reach other forms of exploitative
and dangerous employment practices, but companies must disclose whether
they are addressing issues related to the use of labor contractors and
recruiters, who are often used by farms as intermediaries to effectuate ex-
ploitative conditions.
More states, and ultimately the federal government, should consider
enacting such disclosure laws and improving on the California statute. Dis-
closure would be more helpful if the law required disclosures regarding ef-
forts to investigate and address additional topics including wage theft, sexual
harassment, and dangerous working conditions. Currently, the California
law does not directly allow for lawsuits when a company provides misleading
or false information about its corporate social responsibility efforts; a cause
of action for such misconduct would strengthen the law’s impact. The law
would also be more helpful to consumers and workers if it applied to more
than the largest corporations.
112
2. Encourage Federal and State Corporate Social Responsibility Incentives.
Federal and state incentives for cooperation among farmworkers, agricul-
tural businesses, retailers, restaurant chains, other sellers of agricultural prod-
ucts, and consumers could achieve voluntary changes in the food supply
chain that result in empowerment of farmworkers and improved wages and
working conditions, as well as enhanced productivity. Possible incentives in-
clude government promotion of products that earn labels from systems that
operate with integrity and measurably improve wages and working condi-
tions on farms. Federal and state laws require school districts, the military,
and other public entities that purchase fruits and vegetables to adopt pro-
curement policies that give preference to worker-centric certification sys-
tems.
113
Agencies that enforce wages-and-hours and occupational safety laws
could allocate their limited resources to target audits and investigations on
companies that are not participating in credible corporate social responsibil-
ity projects.
114
111
C
AL
. C
IV
. C
ODE
§ 1714.43 (2012) (West, Westlaw with urgency legislation through
Ch. 9 of 2018 Reg. Sess.).
112
See F
INNEGAN
, supra note 102, at 4849.
113
See F
INNEGAN
, supra note 102, at 55; Lars H. Gulbrandsen, Dynamic governance inter-
actions: Evolutionary effects of state responses to non-state certification programs, R
EGULATION
&
G
OVERNANCE
8, 7492 (2014), https://onlinelibrary.wiley.com/doi/epdf/10.1111/rego.12005
[https://perma.cc/2MFP-XYYZ].
114
See D
AVID
W
EIL
, B
OSTON
U
NIV
., I
MPROVING
W
ORKPLACE
C
ONDITIONS THROUGH
S
TRATEGIC
E
NFORCEMENT
: A R
EPORT TO THE
W
AGE AND
H
OUR
D
IVISION
3038 (May
2010), https://www.dol.gov/whd/resources/strategicEnforcement.pdf [https://perma.cc/
8YZM-96UL].
2018] The Neighbors Who Feed Us 177
G. Occupational Health and Safety Policy
Agricultural exceptionalism is also pervasive when it comes to occupa-
tional health and safety, despite the fact that agricultural work is one of the
most dangerous, physically straining, and potentially hazardous types of
work. Furthermore, there is significant lack of training for workers about
occupational hazards in agricultural work, particularly culturally and linguis-
tically appropriate training.
Agriculture is explicitly exempted from most occupational health and
safety standards.
115
Some of the standards that exempt agriculture include
protections against electrocution
116
and unguarded machinery
117
and require-
ments for ladder safety.
118
Some other serious safety and health hazards
farmworkers face include lack of adequate sanitation; vulnerability to heat
stress; musculoskeletal injuries caused by lengthy stooping, lifting, and cut-
ting in harvesting crops; injuries from farm machinery or equipment; and
exposure to pesticides. The U.S. Occupational Safety and Health Adminis-
tration (OSHA) has not issued adequate standards to address these hazards.
Moreover, even where these standards exist, their effectiveness is limited be-
cause Congress prohibits OSHA from using federal funding to enforce these
standards on smaller farms.
119
OSHA did not issue its Field Sanitation Standard (FSS) until 1987,
120
when it was finally forced to do so by order of a federal court.
121
The FSS
requires that covered employers provide accessible toilets, potable drinking
water, and hand-washing facilities to hand-laborers in the field. However,
although hundreds of workers have died and thousands more have been seri-
ously injured due to excessive heat exposure at work,
122
there is still no fed-
115
See 29 C.F.R. § 1928.21 (2018) (noting agricultural exemption from Occupational
Safety and Health Administration standards beyond those specifically listed).
116
See 29 C.F.R. § 1910.301 et seq. (2018).
117
See 29 C.F.R. § 1910.212 (2018).
118
See 29 C.F.R. § 1910.23 (2018).
119
See O
CCUPATIONAL
S
AFETY AND
H
EALTH
A
DMIN
., U.S. D
EP
T OF
L
ABOR
, CPL 02-
00-051, E
NFORCEMENT
E
XEMPTIONS AND
L
IMITATIONS UNDER THE
A
PPROPRIATIONS
A
CT
(2017), https://www.osha.gov/pls/oshaweb/owadisp.show_document
?p_table=DIRECTIVES&p_id=1519 [https://perma.cc/GF6N-8XU2].
120
See 29 C.F.R. § 1928.110 (2018).
121
Farmworker Justice Fund, Inc. v. Brock, 811 F.2d 613, 633 (D.C. Cir. 1987).
122
This information is based on an analysis of aggregated data from the Bureau of Labor
Statistics. See Occupational Injuries and Illnesses and Fatal Injuries Profiles,B
UREAU OF
L
ABOR
S
TATISTICS
, U.S. D
EP
T OF
L
ABOR
, https://data.bls.gov/gqt/InitialPage [https://perma.cc/
3ZRE-8DCW]. Other research articles discuss the prevalence of heat-related illness in agri-
culture. See Heat-Related Deaths Among Crop Workers
United States, 1992-2006, CDC
(2008), https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5724a1.htm [https://perma.cc/
QEG8-FXQD]; Larry L. Jackson & Howard R. Rosenberg, Preventing Heat-Related Illness
Among Agricultural Workers, 15 J. A
GROMED
. 3, 200215 (2010), www.bu.edu/sph/files/2012/
08/Jackson_2010_Preventing_Heat-related_Illness_Among_Agricultural_Workers.pdf
[https://perma.cc/44EF-DZGU]; Nancy L. Fleischer et al., Public Health Impact of Heat-Re-
lated Illness Among Migrant Farmworkers, 44 A
M
. J.
OF
P
REVENTIVE
M
ED
. 3, 199206, https:/
/www.ncbi.nlm.nih.gov/pubmed/23415115 [https://perma.cc/W5KA-MBQG]; Thomas A.
Arcury et al., Heat Illness Among North Carolina Latino Farmworkers, 57 J. O
CCUP
E
NVIRON
178 Harvard Law & Policy Review [Vol. 13
eral OSHA standard to protect these workers from the preventable and
tragic health effects of excessive heat exposure. This lack of action at the
federal level is particularly concerning given that the effects of heat exposure
are likely to increase in the coming years as a result of climate change.
123
There is also no OSHA standard relating to musculoskeletal injuries. In
November 2000, following a ten-year battle between business and labor over
rules designed to eliminate workplace musculoskeletal disorders, OSHA is-
sued an ergonomics standard,
124
but it was repealed by Congress a year
later.
125
Although there is an OSHA standard that requires farm machinery
to be equipped with safety guards and shields, such as protective devices for
tractors,
126
the statute specifically exempts most farm equipment manufac-
tured prior to 1976.
127
One of the greatest hazards for the health of both farmworkers and
their families is exposure to pesticides. Farmworkers have one of the highest
rates of chemical exposures among U.S. workers. However, although
OSHA’s rules regarding hazardous workplace chemicals apply to
farmworkers, they exclude the regulation of pesticides. Furthermore, the au-
thority to regulate pesticides and their potential effects on agricultural work-
ers is not under OSHA even though, as noted above, it is the government
agency tasked with ensuring safe working conditions for most workers. In-
stead, this authority is under the U.S. Environmental Protection Agency
(EPA), which also has primary responsibility for approving, restricting, and
banning the use of agricultural pesticides. Unfortunately, the EPA’s stan-
dards and decisions have been more responsive to the demands of pesticide
manufacturers and agribusiness than to the safety and health concerns of
farmworkers and their families.
The EPA recently revised two important worker protection regulations
related to the use of pesticides: the Agricultural Worker Protection Standard
(WPS) (revised in 2015) and the Certification of Pesticide Applicators
(CPA) rule (revised in 2016).
128
The revised rules include measures to ensure
timely and effective access to pesticide application information,
129
a mini-
mum age of 18 for handling all classes of pesticides,
130
protection from drift-
ing pesticides,
131
anti-retaliation protections,
132
enhanced applicator
M
ED
. 12, 12991304 (Dec. 2015), https://www.ncbi.nlm.nih.gov/pubmed/26641825 [https://
perma.cc/ZKL3-2REG].
123
See P
HYSICIANS FOR
S
OCIAL
R
ESPONSIBILITY
, C
LIMATE
C
HANGE AND
H
EALTH
:
T
HE
E
FFECTS OF
H
EAT
(2015), http://www.psr.org/environment-and-health/climate-change
/results-impacts/heat-effects-fact-sheet-0514.pdf [https://perma.cc/WX63-UCBW].
124
See Ergonomics Program; Final Rule, 65 Fed. Reg. 68,261 (Nov. 14, 2000) (to be
codified at 29 C.F.R. pt. 1910).
125
See Ergonomics Rule Disapproval, Pub. L. No. 107-5, 115 Stat. 7 (2001).
126
See 29 C.F.R. § 1928.57 (2011).
127
See id. at § 1928.57(a)(3).
128
See 40 C.F.R. § 170 (2015); 40 C.F.R. 171 (2016).
129
See 40 C.F.R. §§ 170.409 and 503 (2015).
130
See id. §§ 170.309(c), 313(c), and 501(c)(3)(xii).
131
See id. § 170.505(a) and (b).
132
See id. § 170.315
2018] The Neighbors Who Feed Us 179
competency standards,
133
and adequate training and supervision of pesticide
applicators.
134
Although the revisions to these rules were the result of a
multi-year, multi-stakeholder process, agribusiness groups have successfully
lobbied the EPA to propose changes that would reverse some of these im-
portant safeguards in the revised rules.
135
As a result, the EPA has an-
nounced that it will begin a new rule-making process in 2018,
136
potentially
undoing some of these important protections.
The EPA is also responsible for conducting health risk assessments as
part of its authority to regulate pesticides and ban a specific pesticide in cases
where there is no safe use. Recent decisions regarding various highly toxic
pesticides, however, have shown that the agency’s procedures do not ade-
quately address the particular risks borne by farmworkers and their families.
For example, the EPA recently ordered that chlorpyrifos, a pesticide linked
to neurodevelopmental disorders in children and acute poisonings of
farmworkers,
137
can continue to be used in agriculture, overruling the clear
recommendation of its own staff without citing any compelling contrary evi-
dence. The EPA failed to consider, among other things, the full extent of
exposure for farmworker communities, including the length of exposure
throughout the workday
138
and the potential for exposure through drift, vola-
tilization, or take-home residue.
139
Another overarching challenge for farmworker occupational health and
safety is widespread underreporting, not just of pesticide-related incidents,
but of other injuries and illnesses. Agricultural workers may be hesitant to
come forward to report incidents because they fear retaliation, including but
not limited to, possible immigration enforcement.
140
Accurate reporting is
also hindered by the unique features of the agricultural workforce described
earlier in the article, including the migratory and seasonal nature of the
workforce, limited English language skills, and economic vulnerability.
141
133
See id. § 170.501(c)(xiii).
134
See id. § 170.401 and 501.
135
See P
ETITION FOR
R
ULEMAKING
, https://www.epa.gov/sites/production/files/2017-
01/documents/wps_petition_dec._21-508.pdf [https://perma.cc/HP7T-53AW]. See also Paul
Shukovsky, EPA to Consider Reducing Farmworker Pesticide Protections, B
LOOMBERG
N
EWS
,
(Dec. 13, 2017), https://www.bna.com/epa-consider-reducing-n73014473148/ [https://
perma.cc/X85Q-P5B5].
136
See Pesticides; Agricultural Worker Protection Standard; Reconsideration of Several
Requirements and Notice About Compliance Dates, 82 Fed. Reg. 60,576 (Dec. 21, 2017) (to
be codified at 40 C.F.R. pt. 170); Pesticides; Certification of Pesticide Applicators Rule; Re-
consideration of the Minimum Age Requirements, 82 Fed. Reg. 60,195 (Dec. 19, 2017) (to be
codified at 40 C.F.R. pt. 171).
137
See James R. Roberts, Catherine J. Karr & Council on Environmental Health, Pesticide
Exposure in Children, 130 P
EDIATRICS
e1765 (2012).
138
E
ARTHJUSTICE ET AL
., F
ARMWORKER AND
C
ONSERVATION
C
OMMENTS ON
C
HLORPYRIFOS
R
EVISED
H
UMAN
H
EALTH
R
ISK
A
SSESSMENT
6769 (Apr. 30, 2015).
139
See id. at 4549.
140
See E
LMORE
& C
HISHTI
, supra note 67, at 12.
141
See Letter from Sammy Almashat, Staff Researcher, Pub. Citizen’s Health Research
Group, to David Michaels, Assistant Sec’y of Labor for Occupational Safety and Health 9
(Sept. 1, 2011), https://www.citizen.org/sites/default/files/petition-for-a-heat-standard-
090111.pdf [https://perma.cc/AMP7-PB7R].
180 Harvard Law & Policy Review [Vol. 13
Additionally, workers are sometimes unaware of the particular risks they are
exposed to because they have not been adequately trained on the symptoms
of pesticide poisoning, heat stress, or other health conditions that may be
caused or exacerbated by their working conditions. This hesitancy, combined
with a lack of adequate training for workers, allows dangerous conditions to
remain unaddressed and proliferate, ultimately resulting in a higher inci-
dence of injuries and deaths.
H. Occupational Health and Safety Recommendations
1. Strengthen OSHA Safety Standards for Agricultural Workers.
OSHA
should end its policy of excluding agricultural employers and their workers
from occupational safety standards for general industry and should provide
farmworkers with safeguards that are at least equivalent to those provided in
other occupations. Additionally, OSHA’s Field Sanitation Standard should
be strengthened to address prevention of heat-related illness.
142
Congress
must also stop inserting an annual appropriations rider that prohibits en-
forcement of OSHA standards on small farms.
2. Improve Pesticide Safety.
The revised Agricultural Worker Protec-
tion Standard (WPS) and Certification of Pesticide Applicators (CPA) rule
should be fully implemented and current efforts underway to roll back or
weaken these rules should be rejected. EPA should demand better informa-
tion about farmworkers’ pesticide exposures and implement stronger protec-
tions for workers and their families. The implementation and enforcement
of worker safety standards for pesticides in agriculture should be shifted from
state departments of agriculture to state health, labor, or environmental
agencies. The methods for evaluating the safety of agricultural pesticides to
which farmworkers are exposed should be strengthened. Additionally, pesti-
cide use and illness incident reporting should be required on a national level.
California is one of the few states that require pesticide applicators and
growers to report pesticide use and health-care providers to report suspected
pesticide poisoning incidents.
143
Such information is necessary for making
important decisions regarding medical treatment, public health, and pesti-
cide regulation.
I. Health-Care Policy
Farmworkers are often overlooked in the design, development, and im-
plementation of federal health policy. Federal funding, including grants and
contracts, is rarely earmarked specifically for farmworkers. Few federal re-
search initiatives account for the unique needs and realities of farmworker
142
See id. at 1415.
143
For more details on this program and its impact, see C
AL
. D
EP
T OF
P
ESTICIDE
R
EG-
ULATION
, A G
UIDE TO
P
ESTICIDE
R
EGULATION IN
C
ALIFORNIA
C
HAPTER
8: P
ROTECT-
ING
W
ORKERS AND THE
P
UBLIC
64 (2017), http://www.cdpr.ca.gov/docs/pressrls/dprguide/
chapter8.pdf [https://perma.cc/93BN-XSJD].
2018] The Neighbors Who Feed Us 181
communities. As a result, there are limited opportunities for research, creat-
ing a catch-22 for farmworkers and their advocates. In the absence of timely
and relevant data on farmworker health, risks, and needs, government offi-
cials who wish to make evidence-based decisions often decline to improve
policies or programs.
In 1962, Congress passed the Migrant Health Act, creating a system of
federally-funded clinics to serve farmworkers and their families.
144
Today,
there are 174 community health centers that receive funding from the federal
government to provide health care to farmworkers and their families (more
commonly referred to as migrant health centers).
145
Yet farmworkers are less
likely to access health care than the general population. Thirty-eight percent
of workers reported not using any U.S. health services in the last two years,
146
compared with 8.9% of the general population.
147
Fewer than 25% of
farmworkers and their families went to a health center in 2016.
148
While the reasons for the low utilization are numerous, the most signif-
icant barrier is cost. Only 35% of farmworkers have health insurance.
149
Un-
insured or underinsured workers and their families can receive care at a
health center at a discounted cost. The centers’ sliding fee scale adjusts the
cost of the health-care visit based on a patient’s family size and income.
150
Access to dental care and specialty care, such as dermatology, physical ther-
apy, and endocrinology, is limited in rural communities and health centers
often do not have the capacity or resources to offer specialized health services
144
The Community Health Center Program was authorized under the Public Health Ser-
vice Act. See Bipartisan Budget Act of 2018, Pub. L. 115-123, 132 Stat. 282, 287 (to be
codified at 42 U.S.C. § 254b-2). In 1996, the Health Centers Consolidation Act consolidated
migrant health centers, along with health centers that serve homeless populations and public
housing residents, under Section 330 of the Public Health Service Act. See Health Centers
Consolidation Act of 1996, Pub. L. 104-299, 110 Stat. 3626 (Oct. 11, 1996). Health centers
that serve migratory and seasonal agricultural workers, commonly referred to as migrant health
centers, are designated under section 330(g) of the Public Health Service Act.
145
See 2016 National Health Center Data, B
UREAU OF
P
RIMARY
H
EALTH
C
ARE
, U.S.
D
EP
T OF
H
EALTH AND
H
UMAN
S
ERVS
. (2016) [hereinafter 2016 N
ATIONAL
H
EALTH
C
ENTER
D
ATA
], https://bphc.hrsa.gov/uds/datacenter.aspx?fd=MH [https://perma.cc/
Q6ZK-E235].
146
See DOL NAWS 2013-2014, supra note 18, at 73.
147
See N
AT
L
C
TR
.
FOR
H
EALTH
S
TATISTICS
, C
TRS
.
FOR
D
ISEASE
C
ONTROL AND
P
RE-
VENTION
, A
MBULATORY
C
ARE
U
SE AND
P
HYSICIAN
O
FFICE
V
ISITS
1 (May 3, 2017), http://
www.cdc.gov/nchs/fastats/physician-visits.htm [https://perma.cc/3ZG2-5KP7].
148
In 2016, health centers served 957,529 agricultural workers and their families. See 2016
N
ATIONAL
H
EALTH
C
ENTER
D
ATA
, supra note 145.
149
See DOL NAWS 2013-2014, supra note 18, at 72.
150
Community Health Centers are required to have a sliding fee discount schedule for
patients who are uninsured or underinsured. The amount the patient pays for health center
services is based on her or his income and family size. Health centers determine their sliding
fee schedule based on locally prevailing rates, among other considerations. The discounts are
only available to patients up to 200% of the Federal Poverty Level. See Chapter 9: Sliding Fee
Discount Program, H
EALTH
R
ES
.
AND
S
ERVS
. A
DMIN
., H
EALTH
C
ENTER
C
OMPLIANCE
M
ANUAL
(Jan. 2018), https://bphc.hrsa.gov/programrequirements/compliancemanual/chap-
ter-9.html#titletop [https://perma.cc/V64U-AKJ7].
182 Harvard Law & Policy Review [Vol. 13
beyond preventative care.
151
Even with health insurance, specialized care can
be expensive and hard to access.
152
Workers who have health insurance reported that they utilized health-
care services more frequently.
153
The main sources of health insurance for
farmworkers are employer-provided health insurance, Medicaid/CHIP (the
Children’s Health Insurance Program), and the Affordable Care Act (ACA)
marketplaces.
154
Thirty-seven percent of farmworkers are enrolled in Medi-
caid.
155
Under the Personal Responsibility and Work Opportunity Act
(PRWORA) of 1996, eligibility for federal benefit programs, including but
not limited to Medicaid and the Supplemental Nutrition Assistance Pro-
gram (SNAP, also commonly referred to as food stamps), was restricted to
individuals who are U.S. citizens or “qualified aliens.”
156
Therefore, while the
majority of farmworkers do not qualify for Medicaid or SNAP, the majority
of their children, who are U.S. citizens, do qualify for these programs. Ac-
cording to the NAWS, while only 37% of workers have health insurance
through the government, 82% of their children have government-provided
coverage.
157
Furthermore, some states use their own funds to expand Medi-
caid eligibility to immigrants who do not meet the “qualified alien” defini-
tion but are lawfully present.
158
These states include New York and
California,
159
which also have large farmworker populations.
151
See Kate Samuels et al., Transforming Rural Health Care: High-Quality, Sustainable Ac-
cess to Specialty Care, B
ROOKINGS
I
NSTITUTE
: H
EALTH
A
FFAIRS BLOG
(Dec. 5, 2014), https:/
/www.brookings.edu/opinions/transforming-rural-health-care-high-quality-sustainable-ac-
cess-to-specialty-care/ [https://perma.cc/7C28-NZR6].
152
Health insurance deductibles and co-pays, especially for out-of-network services, can
result in high out-of-pocket costs for specialty care services. See Mabel C. Ezeonwu, Specialty-
care Access for Community Health Clinic Patients: Processes and Barriers, 11 J. M
ULTIDISCIPLI-
NARY
H
EALTHCARE
109, 112113 (2018), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC
5826087/pdf/jmdh-11-109.pdf [https://perma.cc/ZH82-8X2W].
153
See DOL NAWS 2013-2014, supra note 18, at 43.
154
See id. at 42. Note that NAWS data does not distinguish between Medicaid/CHIP and
ACA marketplaces. The NAWS data was collected at the beginning of ACA implementation.
NAWS data was collected from 2013 to 2014. Full ACA implementation, including the mar-
ketplaces, began in January 2014.
155
See id.
156
See 8 U.S.C. §§ 1641(b), 1642(a)(1) (2012).
157
See DOL NAWS 2013-2014, supra note 18, at 4243.
158
Under Section 214 of the Children’s Health Insurance Program Reauthorization Act
(CHIPRA), states have the option to provide Medicaid and CHIP coverage to “lawfully resid-
ing” children and pregnant women. See Children’s Health Insurance Program Reauthorization
Act of 2009, Pub. L. No. 111-3, 123 Stat. 56 § 214 (2009) (codified as amended at 42 U.S.C.
§ 1396b(v) (2012)). Some states have gone beyond CHIPRA, using state funds to expand
Medicaid eligibility to additional groups of immigrants. For example, California’s Medicaid
program (Medi-Cal) is open to all lawfully residing adults up to 138% of the Federal Poverty
Level, pregnant women up to 322% of the Federal Poverty Level, and children up to 266% of
the Federal Poverty Level. See T
HE
H
ENRY
J. K
AISER
F
AMILY
F
OUND
., M
EDICAID IN
C
ALI-
FORNIA
(June 2017), http://files.kff.org/attachment/fact-sheet-medicaid-state-CA [https://
perma.cc/E8T8-CQVJ].
159
In May 2016, California further expanded Medi-Cal eligibility to undocumented chil-
dren (SB 75). See SB 75 - Full Scope Medi-Cal for All Children, C
AL
. D
EPT
. H
EALTH
C
ARE
S
ERVICES
(Aug. 31, 2017), http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/sb-
75.aspx [https://perma.cc/AG3U-ABRQ]. According to data from the UC Berkeley Labor
2018] The Neighbors Who Feed Us 183
Under the ACA, more workers and their families have gained access to
health insurance because anyone who is lawfully present in the United
States, with the exception of Deferred Action for Childhood Arrivals
(DACA) program recipients, is eligible to purchase health insurance in the
ACA’s marketplace.
160
If their household income is below 400% of the fed-
eral poverty level, they qualify for financial assistance to lower the cost of
health insurance.
161
Some farmworkers and their families who were previ-
ously ineligible for Medicaid or health insurance from their employer are
able to enroll in affordable and comprehensive health insurance through the
ACA marketplaces. H-2A workers are among those who are eligible to en-
roll in health insurance and to receive financial assistance.
162
Although there is little research providing quantitative data, anecdot-
ally, the ACA has increased farmworker health insurance enrollment, espe-
cially among H-2A workers. In North Carolina, for example, more than two
thousand H-2A workers have enrolled in health insurance.
163
Unfortunately,
despite any progress made, there are still numerous barriers to enrollment in
farmworker communities. One of the biggest barriers to enrollment is insuf-
ficient availability of in-person assistance. Farmworkers especially rely on in-
person assistance to enroll in health insurance.
164
In-person assisters not only
help enroll workers, they also provide education about the U.S. health-care
system prior to enrollment and help enrolled workers connect to health-care
services, pay their premiums, and understand notices from their health insur-
ance plan and the marketplace post-enrollment. Many of these in-person
assisters are from health centers or community organizations that received
funding from the Centers for Medicare and Medicaid Services (CMS) to
Center, the San Joaquin Valley and other rural areas of California experienced some of the
greatest gains in Medi-Cal coverage. See UC B
ERKELEY
C
TR
.
FOR
L
AB
. R
ESEARCH AND
E
DUC
., D
ATA
B
RIEF
7 (Mar. 2017), http://laborcenter.berkeley.edu/pdf/2017/Medi-Cal-Ex-
pansion-under-AHCA.pdf [https://perma.cc/35V7-8SMX].
160
See Immigration status and the Marketplace
,
H
EALTHCARE
.
GOV
, https://
www.healthcare.gov/immigrants/immigration-status/ [https://perma.cc/F8F3-7D33]; Cover-
age for lawfully present immigrants, H
EALTHCARE
.
GOV
, https://www.healthcare.gov/immi-
grants/lawfully-present-immigrants/ [https://perma.cc/F5DL-4BLV].
161
See Amendment of 1986 Code, Pub. L. No. 115-97, Title I, § 11002(d)(1)(E), 131
Stat. 2060 (2017) (to be codified at 26 U.S.C. § 36B(a)(3)(A)(i)).
162
Individuals on non-immigrant visas (including H-2A workers) are among those con-
sidered lawfully present under the ACA. See Immigration status and the Marketplace, supra note
160. They are eligible to enroll in health insurance in the ACA marketplaces and are eligible
for subsidies to reduce the cost of health insurance. See F
ARMWORKER
J
USTICE
, T
HE
A
F-
FORDABLE
C
ARE
A
CT AND
H-2A A
GRICULTURAL
W
ORKERS
: F
REQUENTLY
A
SKED
Q
UES-
TIONS
2 (2015), https://www.farmworkerjustice.org/sites/default/files/Brief_ACA_H2A_
FINAL%202015.pdf [https://perma.cc/7QQG-9HTD].
163
Interview with A. Pollard, North Carolina Community Health Center Association, via
phone in June 2016. Farmworker Justice works with the North Carolina Community Health
Center Association to provide training and technical assistance to health center staff on H-2A
workers and ACA outreach and enrollment.
164
Between May and October 2015, FJ conducted focus groups with farmworkers and
community health workers (promotores de salud) to learn about their health-care needs and
barriers to health-care and health-insurance access. The focus groups were held in New York,
Maryland, Michigan, California, and Arizona. In total, FJ staff met with forty agricultural
workers and sixty promotores de salud.
184 Harvard Law & Policy Review [Vol. 13
provide enrollment assistance. Recent cuts to these outreach and enrollment
programs
165
further reduce access to in-person assistance in farmworker com-
munities, where funding for these programs was already insufficient.
J. Health-Care Policy Recommendations
1. Prioritize Farmworkers in National Research and Funding Initiatives.
The U.S. Department of Health and Human Services (HHS), which
oversees the health center program as well as the National Institutes of
Health, should expand its capacity and capability to focus on and address
health issues specific to farmworkers and their families. It is important to
prioritize farmworkers when drafting and evaluating funding for research,
especially in rural communities. Farmworker advocates and community-
based organizations should be involved throughout the process, creating op-
portunities with and for farmworker communities. Further, there must be
active and meaningful participation of farmworkers and the organizations
that represent and serve them on national boards and advisory groups that
influence health policy.
166
Their active participation would ensure effective
planning and delivery of health promotion, preventive, and treatment ser-
vices that reflect the needs of farmworker communities.
2. Remove Immigrant Eligibility Restrictions for Federal Health and Nu-
trition Programs.
Congress should remove certain eligibility restrictions
for federal health and nutrition programs, specifically SNAP and Medicaid,
under PRWORA. While 53% of farmworkers have legal status in the
United States,
167
only 31% are U.S. citizens.
168
A large number of
farmworkers, therefore, are not eligible for these federal programs due to
their immigration status, despite their lawful status. All lawfully present in-
dividuals should be able to access SNAP and health insurance to support
their health and well-being. At the very least, all states should elect to ex-
pand Medicaid and CHIP eligibility to lawfully-residing children and preg-
nant women. Currently, twenty states offer coverage to lawfully-residing
pregnant women under the Children’s Health Insurance Program
165
In August 2017, the Centers for Medicare and Medicaid Services (CMS) announced
that it would cut funding to assister programs as well as advertising to promote open enroll-
ment in the marketplaces. Funding for advertising was cut by 90% from $100 million to $10
million and funding for assister programs was cut by 42% from about $62 million to about $36
million. See CMS Announcement on ACA Navigator Program and Promotion for Upcoming En-
rollment, C
ENTERS FOR
M
EDICARE
& M
EDICAID
S
ERVICES
(Aug. 31, 2017), https://
www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/
2017-08-31-3.html [https://perma.cc/L36F-8MH6].
166
Examples of national boards and advisory groups include the HHS’ Advisory Commit-
tee on Minority Health and the National Advisory Committee on Rural Health and Human
Services. See generally Dep’t of Health and Human Services, National Advisory Committee on
Rural Health & Human Services, H
EALTH
R
ESOURCES AND
S
ERVICE
A
DMINISTRATION
(Nov. 2017), https://www.hrsa.gov/advisory-committees/rural-health/index.html [https://
perma.cc/9BWD-2A59].
167
See DOL NAWS 2013-2014, supra note 18, at i.
168
See id.
2018] The Neighbors Who Feed Us 185
Reauthorization Act of 2009 (CHIPRA).
169
We acknowledge that there is
likely to be resistance to these ideas, especially given the current political
climate as it relates to health care and immigration. However, research
shows that there are economic benefits to expanded health insurance cover-
age. These benefits include improved education and employment outcomes
for the individual; health-care systems also benefit because high rates of un-
insured put considerable financial strain on hospitals and health centers, ad-
versely impacting community access to health care.
170
Federal agencies must also ensure that they maintain the privacy and
protection of information of applicants to federal programs such as SNAP,
Medicaid, and the ACA marketplace. Information provided by applicants
must not be shared with immigration enforcement agencies. This is espe-
cially important for farmworkers who are in mixed-immigration status fami-
lies, where one (or more) family member is undocumented. These families
may be reluctant to enroll eligible family members in these programs if there
are not assurances that their information will be protected. Educational re-
sources for these programs must explicitly state that information is not
shared with immigration authorities. This message should be reinforced by
enrollment assisters and organization outreach staff during informational
sessions with farmworker and immigrant communities.
3. Adequately Fund Health Programs in Farmworker Communities.
Community and migrant health centers need guaranteed and sufficient
funding to properly serve the health needs of farmworker communities. In-
vestments should be made in outreach and enabling services, including
transportation and interpretation. Furthermore, resources should be priori-
tized to support the development and integration of health information
technology in health centers. States should expand telemedicine opportuni-
ties in health centers and rural health clinics to facilitate access to specialty
care providers. Finally, funding for in-person assistance programs should be
restored and prioritized to support health insurance access in farmworker
and other vulnerable, hard-to-reach communities. Without sufficient fund-
ing, many programs have been forced to cut their outreach and enrollment
services, disproportionately affecting rural communities where there are
fewer resources.
C
ONCLUSION
Farmworkers and their families are valuable members of our rural com-
munities. Yet farmworkers are often excluded from and overlooked by our
federal policies and programs. As a result, farmworker communities are
169
See The Children’s Health Insurance Program, G
EORGETOWN
U
NIV
. H
EALTH
P
OLICY
I
NST
. C
TR
.
FOR
C
HILDREN AND
F
AMILIES
(Feb. 6, 2017), https://ccf.georgetown.edu/2017/
02/06/about-chip/ [https://perma.cc/E4MK-4BTJ].
170
See S
HANNON
M
C
C
ONVILLE ET AL
., P
UB
. P
OL
. I
NST
. C
AL
., H
EALTH
C
OVERAGE
AND
C
ARE FOR
U
NDOCUMENTED
I
MMIGRANTS
1 (Nov. 2015), http://www.ppic.org/con-
tent/pubs/report/R_1115SMR.pdf [https://perma.cc/Z69Z-E9VR].
186 Harvard Law & Policy Review [Vol. 13
among the most vulnerable, disadvantaged, and underserved in the United
States. While discussed separately in this article, immigration, labor, occupa-
tional health and safety, and health-care policy are intertwined when it
comes to the daily lives of farmworker families. Underlying all of these issues
are immigration status and our broken immigration system. Meaningful im-
migration reform with a path to citizenship would help empower
farmworkers to advocate for improved policies in their workplaces and in
government while ensuring a stable workforce. Ending the fear of arrest and
deportation for law-abiding undocumented farmworkers would enable fami-
lies to access health care, attend school functions, and in other ways partici-
pate in the communities that they enrich. Our recommended improvements
would be steps toward true and sustainable revitalization of these communi-
ties, as well as an acknowledgement of the crucial role that farmworkers play
for the present and future of rural America.