In Victoria, Texas, the Citizens Medical Center has implemented a hiring policy that is “virtually unheard of” in the medical field: All potential employees must have a body mass index of less than 35. As explained by The Texas Tribune, a BMI of 35 translates roughly to a weight of 210 pounds for someone who is 5-foot-5, and 245 pounds for someone who is 5-foot-10.

The Tribune reports that applicants for positions at Citizens Medical are screened by a physician “to assess their fitness for work,” including their BMI. David Brown, the CEO of the hospital said that while some obese job candidates have been turned away since the policy was implemented, existing workers who become obese over the course of their employment are not terminated. Brown also said that the hospital “also offers to help heavy job candidates get their body mass index down. We have some people who are applicants and they know the requirements, and we try and help them get there but they’re not interested,” he said. “So that’s fine, they can go work somewhere else.”