Guide

Restrictive covenants you would impose: enforceability and ethics

Summary

Whether you can put a non-compete on your own hires depends first on your state, and the ground is moving. Non-competes are governed primarily by state law: some states bar them for most workers, some limit them, and some enforce reasonable ones. A federal rule to ban most of them was set aside in court. Before drafting anything, learn what your state allows — and weigh the continuity-of-care ethics before you decide a covenant is worth it.

By Gale Editorial · Updated 2026-07-27. Every figure cited to a dated source. How we write.

Can you put a non-compete on your own clinicians?

It depends first on your state, and the ground is moving. Non-competes are governed primarily by state law: some states bar them for most workers, some limit them by wage or profession, and some enforce reasonable ones. A federal effort to ban most non-competes — the FTC's 2024 rule — was set aside by a federal district court in 2024, so as of July 2026 it is not in effect and state law controls while appeals proceed 1.

Before drafting anything, find out what your state actually allows. A covenant your state will not enforce is worse than none, because it signals bad faith without protecting you — and, as the ethics section below explains, it can create a problem even where it is legal.

What a restrictive covenant is — and the milder alternatives

"Restrictive covenant" is an umbrella for several clauses that are not equally enforceable. A non-compete bars a departing clinician from practicing within an area for a time; a non-solicit bars them from actively recruiting your clients or staff; a confidentiality clause protects your records and business information; and a notice period buys an orderly transition.

Courts and legislatures treat the narrower clauses far more favorably than a broad non-compete. For a solo practice, a well-drafted non-solicit plus confidentiality plus a reasonable notice period often protects the real asset — continuity and information — without the enforceability and ethics problems a non-compete carries.

  • Non-compete — broadest, most often challenged or barred.
  • Non-solicitation — narrower; protects client and staff relationships.
  • Confidentiality — protects records and business information.
  • Notice period — secures an orderly handoff.

You are an employer now — the rules a covenant can't override

Imposing a covenant means you are an employer, and a covenant sits on top of employment duties it cannot waive. Federal anti-discrimination laws phase in by headcount — Title VII and the ADA at fifteen employees, the ADEA at twenty — so most solo employers fall below those federal thresholds and are reached first by state law, the same place non-compete rules live 2.

No agreement can contract around the Fair Labor Standards Act's minimum wage, overtime, and recordkeeping duties for non-exempt staff 3. You are also picking up the other duties of a small employer — workers' comp where your state requires it, unemployment insurance, and the small-employer thresholds that phase in by size. Whether the role is W-2 vs 1099 for admin work matters here too, because the misclassification audit can undo the savings a contractor looked like. And regardless of any covenant, you must screen every hire against the OIG exclusion list, because no federal health-program payment may be made for services furnished by an excluded person, and the LEIE is the public check 4. A covenant is a small clause inside this larger frame, not a substitute for it.

The ethics problem a non-compete creates in clinical care

Enforceability is only half the question; the other half is your professional ethics. A non-compete that prevents a departing clinician from continuing to see their established clients can force those clients to lose their provider or switch practices against their preference — which runs into professional norms around continuity of care, client welfare, and free choice of provider.

Many licensing boards and professional codes treat a client's right to continuity and choice as paramount, so a covenant that reads as "the clients are mine" can be both unenforceable and an ethics complaint waiting to happen. The defensible posture is to protect your business information and prevent active solicitation, while leaving the client free to follow the clinician they trust. Write the covenant to protect the practice, never to hold clients hostage.

If you use one, make it narrow, reasonable, and state-specific

Assume a court will scrutinize every term, and draft accordingly. The covenants most likely to survive are narrow: a modest geographic radius or a specific client list rather than a whole metro, a short duration, and a legitimate interest — protecting confidential information and referral relationships, not simply blocking competition.

Because the enforceable scope is set by your state and, for some clauses, by wage thresholds, this is the part you do with an attorney licensed in your state, not from a template pulled off the internet. Put the covenant in its own signed clause with its own consideration, keep it consistent with the compensation and expectations you set elsewhere, and revisit it whenever your state's law or the federal litigation changes. The genuine trigger for counsel here is not optional; it is the difference between a clause that holds and one that collapses in court.

The better retention tool is usually not a covenant

For most solo practices, the covenant is solving the wrong problem. People rarely leave a practice they are paid and treated well in, and a covenant does nothing to fix the reasons clinicians actually go. Benchmark your compensation against published data — the Bureau of Labor Statistics posts wage distributions for psychologists and related roles you can use as a reference 5 — and pair fair pay with a real career path.

Add reasonable caseloads, benefits at micro scale where you can afford them, and a voice in how the practice runs. A non-solicit protects you at the edges; competitive pay and a good place to work protect you at the center. Decide covenants, compensation, and expectations as one coherent offer, not three separate afterthoughts.

Common questions

It depends entirely on your state, and the law is unsettled. Some states bar non-competes for most workers, some limit them by wage or profession, and some enforce reasonable ones. A 2024 federal rule to ban most non-competes was set aside in court, so as of 2026 state law governs while appeals continue. Confirm your own state's rule with an attorney licensed there before drafting anything, because an unenforceable covenant can do more harm than good.

For most solo practices, yes. A non-solicitation clause bars a departing clinician from actively recruiting your clients or staff without barring them from practicing at all, so courts treat it more favorably and it avoids the continuity-of-care ethics problem a non-compete creates. Paired with a confidentiality clause and a reasonable notice period, a non-solicit usually protects the real asset — your information and referral relationships — with far less legal and ethical exposure.

A non-compete can trap clients between losing their provider and switching practices they did not choose, which collides with professional norms around continuity of care and free choice of provider. Many boards and ethics codes treat the client's welfare and choice as paramount, so a covenant written to keep clients rather than protect the business can invite an ethics complaint. Protect your information and prevent solicitation; leave the client free to follow their clinician.

Yes. Before and during employment you must screen each hire against the OIG List of Excluded Individuals and Entities, because no federal health-program payment may be made for services furnished by an excluded person. The LEIE is free and public. This is separate from any restrictive covenant and applies regardless of role. Build periodic re-screening into your onboarding and payroll routine so an exclusion that appears later does not slip through.

Narrowness and a legitimate interest. Courts favor a modest geographic or client-list scope, a short duration, and a clear purpose — protecting confidential information and referral relationships rather than simply blocking competition. The enforceable limits are set by your state, so draft the clause with a locally licensed attorney, give it its own consideration, and revisit it whenever your state's law or the federal litigation shifts. A template pulled from another state is a liability.

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References

  1. 1.Federal Trade Commission (2024). Noncompete Rule. Federal Trade Commission (FTC). linkThe FTC's 2024 non-compete rule and its being set aside in court — the basis for stating non-competes are governed by state law as of July 2026, with the as-of framing.
  2. 2.U.S. Equal Employment Opportunity Commission (2026). Employers. U.S. Equal Employment Opportunity Commission. linkThat federal EEO laws phase in by employee count (15 for Title VII/ADA, 20 for ADEA), so a small employer is reached first by state law.
  3. 3.U.S. Department of Labor (2026). Fair Labor Standards Act. U.S. Department of Labor (Wage and Hour Division). linkThat the FLSA's wage, overtime, and recordkeeping duties cannot be waived by any employment agreement.
  4. 4.HHS Office of Inspector General (2026). Exclusions Program. HHS Office of Inspector General (OIG). linkThat OIG exclusion bars federal-program payment for an excluded person's services and the LEIE is the public screening check for new hires.
  5. 5.U.S. Bureau of Labor Statistics (2025). Occupational Employment and Wages: Clinical and Counseling Psychologists. U.S. Bureau of Labor Statistics (OES 19-3033). linkBLS wage distributions used to benchmark competitive pay as the retention alternative to a covenant.

https://www.gale.care/for-providers/hsc-restrictive-covenants-yours · 5 sources. Competitor details are cited to dated public sources and maintained as they change; figures are estimates, not commitments. Synthetic demonstration.

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