OSHA has recently strengthened the Department of Labor’s whistleblower protection provisions of Health Care Reform. The Department of Labor’s whistleblower rules generally prohibit an employer from discharging, intimidating, blacklisting, or disciplining any employee in connection with a protected activity. OSHA expanded what is considered a protected activity to include the receipt of a premium tax credit or cost-sharing reduction; providing information to the government or employer about an act or omission that the employee reasonably believes to be in violation of specified Health Care Reform rule; testifying or assisting with a proceeding concerning such a violation; and refusing to participate in an activity the employee reasonably believes to be a violation. While these new whistleblower protections have received little press, they are a key element in helping the government enforce the provisions of Health Care Reform.