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All Disabled Americans
Who is disabled under the ADA?

Contents:

1. Is anyone with a physical or mental impairment protected?

2. The definition of disability.

3. The impact of case law on who is disabled.

4. Where does this leave me?

Is anyone with a physical or mental impairment protected?

When Congress was debating the bill that became the Americans with Disabilities Act (ADA) the goal was to stop discrimination against people with disabilities. The first thing stated in the Public Law passed by Congress is; "To establish a clear and comprehensive prohibition of discrimination on the basis of disability." Congress went on to state; "historically, society has tended to isolate and segregate individuals with disabilities, and, despite some improvements, such forms of discrimination against individuals with disabilities continue to be a serious and pervasive social problem". Congress also stated in this civil rights law that; "individuals with disabilities continually encounter various forms of discrimination, including outright intentional exclusion, the discriminatory effects of architectural, transportation, and communication barriers, overprotective rules and policies, failure to make modifications to existing facilities and practices, exclusionary qualification standards and criteria, segregation, and relegation to lesser services, programs, activities, benefits, jobs, or other opportunities". It is clear that Congress intended to put a stop to this discrimination.

In order to stop discrimination against people with disabilities Congress had to define who is a person with a disability. When prohibiting discrimination against people of different ethnic backgrounds, different religions, different skin colors, the definition was rather easy. The task of defining who is a person with a disability was more difficult and has proven to be much more complex than ever imagined by Congress.

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THE-DEFINITION-OF-DISABILITY

The ADA states that a person is disabled for the purposes of the ADA if the person has a physical or mental impairment that "substantially limits one or more of the major life activities of such individual". So, it takes more than having a physical or mental impairment, the impairment must be substantially limiting. This is the first "prong" of the three prong definition of disability contained in the ADA.

There are two other ways for a person to be considered disabled under the ADA. If a person has a record of having an impairment that limited one or more major life activities the person can be considered disabled under the ADA even if the person no longer has the impairment but faces discrimination due to having had such an impairment. This is the second "prong" of the three prong definition of disability. This is most often seen in the area of employment when a person has a history of alcoholism or drug abuse. A person with such a history who is in recovery would no longer be impaired or substantially limited. But such people are often denied employment because of the history. The ADA makes it unlawful to discriminate against a person because of that person's history of having an impairment that was substantially limiting of the person's ability to engage in major life activities.

The ADA also defines a person as disabled if the person is regarded as having a disability. This is again easiest to illustrate in the employment setting. A person who has had treatment for cancer and who is in remission is often seen as being disabled and can be passed over for promotions or even demoted when returning to work after an absence for cancer treatment. That person is not disabled due to a physical or mental impairment but is regarded as being disabled by the employer and faces discrimination due to being regarded as disabled. The "regarded as prong" of the definition of disability, the third "prong" also applies to people who are disfigured from injury or birth defect and who are thereby regarded as disabled and treated in discriminatory ways. An example is a child with a facial disfigurement rejected by a private pre-school because of concerns of other children's reactions.

Most people who seek the protection against discrimination under the ADA are people who do have a physical or mental impairment and who believe they fall under the first prong of the definition of disability. To fall under this definition the physical or mental impairment must result in a substantial limitation of the person's ability to engage in one or more major life activities. This definition was taken word for word from the definition of "handicap" contained in the Rehabilitation Act that has been federal law since 1973. In the 17 years between the passage of the Rehabilitation Act and the passage of the ADA there was little debate over who qualified as a person with a disability. Though Congress did not in either law define the term "substantially limited" and did not provide an exhaustive list of major life activities, in most cases people with physical or mental impairments who claimed to be disabled were accepted as people with disabilities. However, with the passage of the ADA millions of people became interested in seeing discrimination against them, or what they perceived as discrimination, stopped. Many federal judges decided that Congress had gone to far in the sweeping provisions of the ADA and have worked diligently to reduce the scope of this civil rights law.

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THE IMPACT OF CASE LAW ON WHO IS DISABLED

One of the first ADA cases to get to the Supreme Court of the United States (SCOTUS) actually expanded the scope of ADA protection beyond what many expected. In that case a woman who was HIV+ but not sick in anyway was deemed to be disabled under the ADA because being HIV+ substantially limited her ability to engage in the major life activity of reproduction. Most people who worked on the language of the ADA, and most members of Congress, had not considered reproduction in writing the language of the ADA. Unfortunately, for those who feel that the protections of the ADA should be as broad as possible, that was the only SCOTUS decision that has expanded the definition of who is disabled.

A landmark decision by the SCOTUS is known as the UAL v. Sutton decision. In that case the SCOTUS disagreed with the regulatory law written by the U.S. Department of Justice (DOJ). In that regulatory law the DOJ stated: "The question of whether a person has a disability should be assessed without regard to the availability of mitigating measures, such as reasonable modifications or auxiliary aids and services. For example, a person with hearing loss is substantially limited in the major life activity of hearing, even though the loss may be improved through the use of a hearing aid. Likewise, persons with impairments, such as epilepsy or diabetes, that substantially limit a major life activity, are covered under the first prong of the definition of disability, even if the effects of the impairment are controlled by medication."

The SCOTUS ruled that a person's impairment must be evaluated in the context of medications and appliances that are available and that mitigate the person's impairment, a reversal of the position taken by the DOJ in the regulatory law. This change in the law, rulings of the SCOTUS are the final word, not the regulatory law written by the DOJ, took the ADA protection against discrimination away from millions of people who suddenly were no longer disabled under the ADA. People who were substantially limited in walking but less limited when using a cane no longer are disabled under the ADA. People with epilepsy who have infrequent seizures thanks to effective medications lost the protection of the ADA. People who were substantially limited due to mental illness who became somewhat more functional due to medications no longer qualify for the protection of the ADA. Only those who are substantially limited in a major life activity even when using available medications and/or appliances qualify under the ADA subsequent to the UAL v. Sutton decision. The SCOTUS directly attacked the language of the regulatory law by clearly stating that a person with diabetes who has the diabetes under control through diet and insulin does not qualify for the protection of the ADA.

The next major blow to the Congressional intent that the coverage of the ADA be as broad as possible came through the SCOTUS decision in the case known as Toyota v. Williams. With the court having the clear intent of reducing the number of people protected by the ADA they used the lack of a definition of "substantial limitation" in the ADA to write their own narrow definition. In that case the plaintiff was limited in the major life activity of performing manual tasks due to impairments that limited her use of her arms and hands. The SCOTUS in their ruling stated that because she could use her hands to brush her hair and to brush her teeth her limitation was not substantial and she was not disabled under the ADA. With this ruling it was clear that a limitation had to be an almost total limitation before the SCOTUS would view the limitation as "substantial".

These two SCOTUS decisions have become the foundation of compelling case law used by the United States District Courts and the United States Circuit Courts of Appeals in determining whether people coming before the courts qualify for the protection of the ADA. An example of how this works to limit who is protected by the ADA can be seen in a case in New York State where the plaintiff was a woman who was limited in her ability to walk due to a physical impairment. In the district court order in that case the judge first referred to UAL v. Sutton in rejecting any information as to the woman's limited ability to walk without assistance and only looked and her limitation in walking when using a cane. Then the judge referred to Toyota v. Williams in deciding that the limited distance this woman had been able to walk with the help of a cane resulted in her limitation in walking not being substantial. Her lawsuit was dismissed by the judge concluding that she did not qualify for the protection of the ADA.

Another rather convoluted case that shows the impact of the UAL v. Sutton decision concerns a woman who was limited in her ability to breath, clearly a major life activity. She had been fired from her job because her employer would not allow her to bring her portable oxygen to work. The court looked at her limitation in breathing only in the context of the oxygen she used, an appliance or medication that mitigated her impairment. Because when using oxygen her blood oxygen levels were normal (not the case when not using oxygen) the court concluded that she was not substantially limited in the major life activity of breathing. However, because it was clear from inner office memos that her employer regarded her as disabled she won her case based on being regarded as disabled even though the court found her to have no substantial limitation of any major life activity.

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WHERE DOES THIS LEAVE ME?

The determination of disability must be made on a case by case basis. Congress was very clear in stating this in the law. Many people have said that only a federal judge can determine if a person is disabled. Actually, as shown in Toyota v. Williams, only the Supreme Court of the United States can have the final word on whether or not an individual is disabled under the ADA (though most cases where it is concluded that a person is or is not disabled are not appealed and very few are ever appealed to the SCOTUS). But a reasonable conclusion can be reached by understanding what is stated in the law and what has been decided by the courts. In order to be protected by the ADA as a person with a disability under the first prong of the ADA definition you must have a physical or mental impairment. The impairment must limit your ability to engage in one or more major life activities. This limitation must continue to be substantial even when medications and/or appliances serve to mitigate the impairment or the limitations that result from the impairment.

To be deemed to be disabled under the second prong of the ADA definition of disability you must have a history of being disabled and the discrimination at question must have occurred based on that history. To be disabled under the third prong of the ADA you must be able to document or establish to the satisfaction of the court that you were regarded as being disabled and that the discriminatory treatment at issue was because of you being regarded as being disabled. Most cases that have involved people disabled under the second or third prong of the definition of disability are employment (ADA Title I cases). One case, decided in the summer of 2005, was the first case where the court ordered an employer to provide a "reasonable accommodation" to a person who was deemed to be disabled under the third prong, the "regarded as" prong of the ADA definition of disability.

 

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