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Two decisions recently issued by the National Labor Relations Board (NLRB) significantly alter the supervisory status of healthcare employees. The decisions serve to reclassify whether certain employees qualify for union membership under the National Labor Relations Act (NLRA), which specifically excludes from entitlement those employees categorized as "supervisors." "[The NLRB is] not changing the definition of supervisor. They're just looking at it more carefully and trying to clarify what it really means," says Mary Theresa Metzler, an attorney with Ballard Spahr Andrews & Ingersoll, LLP, in Pittsburgh, and a former attorney for the Pittsburgh division of the NLRB.