with
California Department of Justice
Persons
Persons
Disabilities
Legal Rights of
Disabilities
with
November 2003
Legal Rights of
November 2003
California Department of Justice
Public Inquiry Unit
P.O. Box 944255
Sacramento, CA 94244-2550
(800) 952-5225
Hearing Impaired: (800) 952-5548
http://caag.state.ca.us
OSP 03 80546
ALEGAL RIGHTS OF PERSONS WITH DISABILITIES"
FOURTH EDITION*
PREPARED UNDER THE SUPERVISION OF THE
CALIFORNIA ATTORNEY GENERAL'S
PUBLIC RIGHTS DIVISION
CIVIL RIGHTS ENFORCEMENT SECTION
BILL LOCKYER
Attorney General
RICHARD M. FRANK
Chief Assistant Attorney General
LOUIS VERDUGO, JR
Senior Assistant Attorney General
SUZANNE M. AMBROSE
Supervising Deputy Attorney General
KATHLEEN W. MIKKELSON
REGINA J. BROWN
PHYLLIS W. CHENG
GLORIA L. CASTRO
ANGELA SIERRA
Deputy Attorneys General
For additional information about LEGAL RIGHTS OF PERSONS WITH
DISABILITIES and for copies, please contact the Attorney General's
PUBLIC INQUIRY UNIT, P.O. Box 944255, Sacramento, CA 94244-2550
Telephone: (916) 322-3360; Toll free number: (800) 952-5225; Line for the
hearing impaired: (916) 324-5564; Toll free number: (800) 952-5548.
*Much of the material in this Fourth Edition is an update of the Second and Third
Editions, Marian M. Johnston and Kathleen W. Mikkelson, Deputy Attorneys
General, writers and editors.
TABLE OF CONTENTS
Page
INTRODUCTION i
CHAPTER 1: EMPLOYMENT 1
I. STATE LAW 1
A. Definition of Disability and Medical Condition 1
B. Covered Employers 2
C. Employer Defenses to Discrimination in California 2
D. Employers Must Make Reasonable Accommodations 2
E. Nondiscrimination in Recruitment and Testing 2
F. Complaint Procedures 3
G. Miscellaneous California Employment Discrimination Laws 3
II. FEDERAL LAW 4
A. The Americans With Disabilities Act 4
B. The Federal Rehabilitation Act of 1973 6
CHAPTER 2: HOUSING 10
I. HOUSING DISCRIMINATION 10
II. HOUSING PROGRAMS 11
A. Federal Housing Programs 11
B. California Housing Programs 11
CHAPTER 3: NONDISCRIMINATION IN BUSINESS AND SERVICES 13
I. NONDISCRIMINATION IN PUBLIC ACCOMMODATIONS,
TRANSPORTATION CARRIERS AND BUSINESS
ESTABLISHMENTS
13
A. California Access Law 13
B. Discrimination Based on Disability 14
II. NONDISCRIMINATION IN STATE-SPONSORED PROGRAMS
AND ACTIVITIES AND IN PUBLIC PLACES
14
III. NONDISCRIMINATION IN INSURANCE COVERAGE 14
A. Life, Annuity, or Disability Insurance 14
B. Health Insurance 15
C. Automobile Insurance 15
D. Insurance Appeal Procedures 16
IV. NONDISCRIMINATION IN LICENSING AND LICENSED
SERVICES
16
TABLE OF CONTENTS
Page
CHAPTER 4: ACCESS 17
I. ACCESS TO BUILDINGS AND FACILITIES 17
A. Federal Law 17
B. California Law and Regulations 19
II. ACCESS TO POLLING PLACES AND THE VOTING PROCESS -
STATE AND FEDERAL ELECTIONS 26
A. State Elections 26
B. Federal Elections 27
III. ACCESS TO TRANSPORTATION 27
A. Driving and Parking 27
B. Mass Transit and Interstate Transportation 29
C. Air Travel 34
IV. ACCESS TO TELECOMMUNICATIONS 36
A. Telephone Systems 36
B. Television Broadcasting 38
CHAPTER 5: EDUCATION 39
I. THE RIGHTS OF CHILDREN WITH DISABILITIES IN PRIMARY
AND SECONDARY EDUCATION
39
A. All Children With Disabilities Have a Right to a AFree,
Appropriate, Public Education@ 39
B. The Law 39
C. A Free, Appropriate, Public Education 40
D. Eligibility & Procedures 43
E. Administrative & Judicial Review 48
II. PRESCHOOL EDUCATION 51
A. Children Younger Than Five May Be Eligible For Special
Education Benefits 51
B. Eligible Preschool Children Have the Same Rights as School
Age Children
51
III. POST-SECONDARY EDUCATION 52
A. General Law - Section 504 52
B. What is a AProgram or Activity?@ 52
C. Nondiscrimination in Admissions, Recruitment, and
Accommodation 52
D. Nondiscrimination in Housing 53
E. Nondiscrimination in Financial Aid 53
F. Nondiscrimination in Nonacademic Services 53
TABLE OF CONTENTS
Page
CHAPTER 6: PARENTAL RIGHTS 54
I. PARENTAL FITNESS 54
II. CHILD CUSTODY 54
III. ADOPTION 54
CHAPTER 7: PROGRAMS AND SERVICES 55
I. IN HOME SUPPORTIVE SERVICES (IHSS) 55
II. REHABILITATION SERVICES 55
A. Eligibility for Services 55
B. What Vocational Rehabilitation Services Are 55
C. Application Procedures 56
D. The Rehabilitation Appeal Process 56
III. INDEPENDENT LIVING CENTERS 56
IV. REGIONAL CENTERS 57
A. The Regional Center Appeal Procedure 57
V. COMMUNITY MENTAL HEALTH SERVICES 57
CHAPTER 8: BENEFITS 58
I. INCOME BENEFITS 58
A. Social Security Disability Insurance and Supplemental
Security Income (SSI)
58
B. State Disability Insurance 60
C. Worker=s Compensation 60
D. Special Needs Allowance for Persons With Guide Dogs 61
E. Decreased Energy Rates 61
II. TAX AND BUSINESS BENEFITS 61
A. Tax Benefits 61
B. Business Loans & Enterprises to Persons With Disabilities 62
CHAPTER 9: HEALTH CARE 63
I. HEALTH CARE BENEFITS 63
A. Medicare 63
B. MediCal 63
C. Hill-Burton Hospitals 64
TABLE OF CONTENTS
Page
D. California Children=s Services (CCS) 64
E. Genetically Handicapped Person=s Program 64
II. RIGHT TO MEDICAL TREATMENT 65
A. Medical Care for Newborns With Disabilities 65
B. Infant Care Review Committees 66
III. RIGHT TO CONSENT TO MEDICAL TREATMENT 66
A. Right of a Conservatee to Refuse Medical Treatment 66
B. Durable Power of Attorney for Health Care 66
C. Limited Right to Die 67
D. Sterilization of Persons With Disabilities 67
CHAPTER 10: CIVIL RIGHTS OF PERSONS WITH MENTAL AND DEVELOPMENTAL
DISABILITIES 68
I. CIVIL RIGHTS OF PERSONS WITH DEVELOPMENTAL
DISABILITIES 68
A. Federal and State Rights 68
B. Institutionalization of Persons With Developmental Disabilities 69
C. Rights of Persons With Developmental Disabilities in
Institutions 69
D. Judicial Hearing to End Institutionalization 70
II. CIVIL RIGHTS OF PERSONS WITH MENTAL DISABILITIES 70
A. The Lanterman-Petris-Short (LPS) Act 70
B. Rights of Persons With Mental Disabilities 70
C. Commitment Procedures 71
D. Certification For Intensive Treatment 72
E. Judicial Hearing 72
F. Involuntary Detention Beyond 14 Days 7
3
G. Conservatorship Procedures 73
H. Mental Health Advocacy Programs 73
DIRECTORY OF SERVICES 75
INTRODUCTION
California and Federal Law
This handbook discusses both California and federal laws that protect the rights of individuals
with disabilities. California and federal law should be examined together to get a complete picture of the
law on a particular topic. In some areas California law provides more legal protection or is more
comprehensive; in other areas, federal law is more helpful.
Statutes, Regulations, and Cases
"The law" usually consists of a combination of statutes, regulations, and cases. Statutes are laws
passed by legislators either in the state Capitol or in Congress. Statutes are generally fairly short and
often do not describe the details of how the law will be enforced or what specifically will constitute a
violation of law.
Various government agencies are often charged with developing regulations to carry out the
mandates of statutes. These regulations usually describe the "nuts and bolts" of a statute's
administration.
Finally, when cases go to court, judges issue opinions which resolve disputes in interpreting
statutes and regulations.
An analysis of statutes, regulations, and cases yields the current state of rights and protections,
which change over time as the law changes.
What Action Can Individuals Take?
Complaints - Many agencies are authorized to allow people who believe they have experienced
discrimination or have been denied other rights to file a complaint. The agency may then investigate the
complaint, and if it finds that violations of law have occurred, the agency can impose various sanctions
on the violator and award various remedies to the individual who filed the complaint (complainant).
Lawsuits
- Individuals who experience discrimination or other violations of law can often file a
lawsuit in a court. It may be necessary to go through the agency (administrative) complaint process first.
Contact the responsible agency as soon as possible to find out when and if you can file a lawsuit.
Although you may file a lawsuit by yourself without an attorney, you should probably talk with a legal
organization or private attorney if you plan to do so.
i
CHAPTER 1
EMPLOYMENT
This chapter discusses state and federal statutes which promote access to employment
opportunities for individuals with disabilities.
I. STATE LAW
The Fair Employment and Housing Act (FEHA) protects the right of individuals to seek, obtain,
and hold employment without discrimination on the basis of physical or mental disability or medical
condition. It also prohibits retaliation against a person who has opposed unlawful discriminatory
practices under the FEHA or participated in an investigation into unlawful employment practices. (Gov.
Code, ' 12940, subd. (h).) The FEHA also prohibits harassment on the basis of a person=s disability.
(Gov. Code, ' 12940, subd. (j).)
A. Definition of Disability and Medical Condition
1. Disability
The definition of "disability" under the FEHA includes both physical and mental disabilities.
a. Physical disability
Physical disability includes having any physiological disease, disorder, condition, cosmetic
disfigurement or anatomical loss, or having a record of such impairment, or being regarding as having
or having had such an impairment, that:
$ affects one or more body systems (neurological, immunological, musculoskeletal, special
sense organs, respiratory, speech organs, cardiovascular, reproductive, digestive,
genitourinary, hemic, lymphatic, skin and endocrine); and
$ limits a major life activity without regard to mitigating measures, such as medications,
assistive devices, prosthetics or reasonable accommodations; or
$ any other health impairment that requires special education or related services. (Gov.
Code, ' 12926, subd. (k).)
b. Mental disability
Mental disability includes any mental or psychological disorder, such as mental retardation,
organic brain syndrome, emotional or mental illness, and specific learning disabilities that limit a major
life activity, or having a history of such impairment or being regarded as having or having had such an
impairment. Mental disability includes any mental or psychological disorder or condition that requires
special education or related services. (Gov. Code, ' 12926, subd. (i).) Mental disability does not
include sexual behavior disorders, compulsive gambling, kleptomania, pyromania or current unlawful
drug use.
1
2. Medical Condition
The FEHA also forbids discrimination in employment on the basis of medical condition.
"Medical condition" refers to 1) any health impairment related to or associated with a diagnosis of
cancer or a record or history of cancer; and 2) genetic characteristics. (Gov. Code, '' 12926,
subd. (h), and 12940, subd. (a).)
B. Covered Employers
California employment discrimination law covers nearly all employers. An "employer" for
purposes of the FEHA includes anyone regularly employing five or more persons, whether full or part-
time; any person acting as an agent of an employer, directly or indirectly; state and local governments;
employment agencies; and labor organizations. (Gov. Code, ' 12926, subd. (d)). For purposes of
harassment, an employer includes anyone regularly employing one or more persons. In comparison,
federal law requires employment of 15 or more employees before an employer will be covered, whether
the disability is physical or mental. (42 U.S.C ' 12111(5)(A).)
C. Employer Defenses to Discrimination in California
An employer may refuse to hire or may discharge a person with a physical disability if the
person is unable to perform the essential functions of the job even with reasonable accommodation.
Also, the employer may refuse to hire or may discharge an individual with a disability who cannot
perform the essential functions of the job in a manner which would not endanger his or her health, or the
health and safety of others even with reasonable accommodation. These two defenses require a case by
case evaluation of each person=s abilities and limitations with regard to the specific job in question.
In addition, an employer may discriminate against a whole group of persons with disabilities if
the absence of a particular disability is a bona fide occupational qualification (BFOQ). For example, an
employer may be able to refuse to hire any person with back problems for a job which requires heavy
lifting. However, employers can rely upon a BFOQ defense to exclude a group of people only if the
employer can prove that all or almost all members of the excluded group cannot presently perform the
job in a safe manner. (Sterling Transit Co. v. Fair Employment Practice Commission (1981) 121
Cal.App3d 791.)
D. Employers Must Make Reasonable Accommodations
Employers must make reasonable accommodations for applicants and employees with
disabilities, unless the accommodation would impose an undue hardship on the employer. Examples of
reasonable accommodations include making facilities accessible and restructuring jobs, which might
include reassigning or transferring an employee, developing part-time or modified work schedules,
acquiring or modifying equipment, minor restructuring of the work site, and providing readers or
interpreters. (Cal. Code Regs., tit. 2, ' 7293.9.)
E. Nondiscrimination in Recruitment and Testing
Employers must give equal consideration to individuals with disabilities in recruitment activities
and are required to make reasonable accommodations during the recruitment process. For example,
2
during the interview process, employers may be required to provide interpreters for individuals with
hearing impairments or provide rooms which are accessible to wheelchairs. Employers may not ask
general questions about an applicant's physical or mental condition. Specific questions about an
applicant's present physical or mental fitness, medical condition, physical condition or medical history
are permissible only if they are directly related to the job in question. An employer may only make an
inquiry or conduct an examination after an offer of employment has been made, provided that it is job-
related and consistent with business necessity, and that all entering employees in similar positions are
subjected to the same inquiry or exam. An individual who would be disqualified from employment as a
result of a physical exam must be allowed to submit independent medical opinions for consideration
before a final determination is made. The exam results are confidential; however, supervisors may be
informed of restrictions on or accommodations with respect to an individual's duties, and first aid and
safety personnel may be informed of the condition if the condition may require emergency treatment.
(Gov. Code, ' 12940, subds. (d), (e), and (f); Cal. Code Regs., tit. 2, ' 7294.0.)
Employers may not use testing criteria which discriminate, unless the criteria are job-related and
no alternative testing method is available. The employer must ensure that test results accurately reflect
the applicant's job skills or aptitude for the job, rather than merely reflecting the applicant's disability.
Tests of physical agility or strength cannot be used, unless those physical skills are precisely what the
test is designed to measure. To accomplish this, the employer must reasonably accommodate the
applicant's disability during pre-employment testing, such as by making the site physically accessible.
Other forms of accommodations may include providing readers and interpreters, allowing more time for
test-taking, and administering alternate tests or individualized assessments. (Cal. Code Regs., tit. 2, '
7294.1.)
F. Complaint Procedures
If you believe that you have been discriminated against, you may file a complaint with the
Department of Fair Employment and Housing (DFEH) within one year of the occurrence of the alleged
discriminatory act. If you did not learn of the act of discrimination until after a year had passed, the
period for filing may be extended up to 90 days. After the complaint is filed, two avenues of relief are
available. The DFEH may attempt to resolve the matter through conciliation and, if necessary, an
administrative hearing before the Fair Employment and Housing Commission (FEHC). (Gov. Code,
'' 12963.7, subd. (a), and 12965.) Alternatively, the DFEH may issue a "right to sue letter" which
allows you to file a lawsuit against the employer directly in court. (Gov. Code, ' 12965.) However,
you must file with the DFEH and receive a right-to-sue letter before a court will hear your case.
G. Miscellaneous California Employment Discrimination Laws
In addition to the FEHA, there are a number of other California laws that protect disabled
employees. State agencies must make reasonable accommodations for an otherwise qualified individual's
physical or mental limitations, unless such accommodations would impose a hardship on the agency's
operations. (Gov. Code, ' 19230 et seq.) Also, any program or activity funded by the state must not
discriminate against persons with disabilities. (Gov. Code, ' 11135 et seq.) Other anti-discrimination
statutes provide that:
$ No otherwise qualified person may be denied the right to receive a teaching credential, training,
or to engage in practice teaching, on the grounds that the person is an individual with a
disability. (Educ. Code, '' 44337 and 44338.)
3
$ No person may be denied state employment because of blindness or color blindness, unless
normal eyesight is absolutely necessary for the job. (Gov. Code, ' 19701.)
$ Discrimination based on physical handicap or medical condition against potential employees on
public works projects is prohibited. (Lab. Code, ' 1735.) (Some specific exceptions to this
policy are set forth in Gov. Code, ' 12940 et seq.)
II. FEDERAL LAW
A. The Americans With Disabilities Act
The Americans With Disabilities Act (ADA) (42 U.S.C. ' 12101, et seq.) is the federal law
equivalent of the FEHA. Title I of the ADA prohibits discrimination on the basis of disability by
employers that employ 15 or more employees with respect to hiring and all terms and conditions of
employment. (42 U.S.C. ' 12111(5)(A).) Title I does not apply to the federal government. (42 U.S.C.
' 12111(5)(B).)
The discrimination prohibited by the ADA includes segregating, limiting or classifying any job
applicant or employee because of a disability in a manner adversely affecting the individual's status or
opportunities. (42 U.S.C. ' 12112(a) & (b).) Discrimination can include failing to make a reasonable
accommodation for an individual's physical or mental impairments, or using employment tests and
standards that tend to screen out persons with disabilities, unless such tests or standards are shown to be
job-related or consistent with business necessity. (42 U.S.C. '' 12112 and 12113.)
The ADA prohibits discrimination or retaliation against anyone who has opposed acts or
practices unlawful under the ADA, has asserted a claim under the ADA, or has assisted in the assertion
of such a claim by acting as a witness or aiding in the investigation of ADA violations.
(42 U.S.C.
' 12203.)
1. Definition of Disability
The ADA protects Aqualified persons@ with a disability. The definition of Adisability@ under the
ADA includes both physical and mental impairments that substantially limit one or more of the major life
activities, a record of such impairments, or being regarded as having such impairments.
(42 U.S.C. ' 12102(2).) In determining whether an individual is substantially limited in one or more
major life activities, employers may consider the effect of any mitigating measures
s.
For purposes of the ADA's employment protections, employees or applicants currently engaged
in the illegal use of drugs are specifically excluded. (42 U.S.C. ' 12114.) Additionally, the definition
of disability does not include homosexuality and bisexuality, transvestism, transsexualism, pedophilia,
exhibitionism, voyeurism, gender identity disorders not resulting from physical impairments or other
sexual behavior disorders, compulsive gambling, kleptomania, or pyromania. (42 U.S.C. ' 12211.)
2. Employers Must Reasonably Accommodate Disabilities
The ADA prohibits covered employers from failing to provide reasonable accommodation to the
known physical or mental limitations of an otherwise qualified individual, unless the employers can
4
demonstrate that such accommodation would impose an undue hardship. (42 U.S.C. ' 12112(b)(5)(A)
and (B).)
a. Reasonable Accommodation
The determination of what constitutes a "reasonable accommodation" required by the ADA will
depend on specific circumstances and might include modified work schedules, job restructuring, changes
to work areas or equipment, and similar adjustments. (42 U.S.C. ' 12111(9)(A) and (B).)
b. Undue Hardship
An employer may be excused from the obligation to make an accommodation where it can be
demonstrated that undue hardship would result to the employer's business. Where undue hardship will
result, the accommodation is not reasonable and will not be required. "Undue hardship" is defined as
any action requiring significant difficulty or expense, taking into account a number of factors, including
cost, complexity and impact on the work performed. (42 U.S.C. ' 12111(10).)
3. Nondiscrimination in Recruitment and Testing
Under the ADA, a covered employer may not conduct pre-employment medical or psychological
examinations, nor can an employer make pre-employment inquiries regarding the existence, nature or
severity of an applicant's disabilities. However, the employer may make inquiries about an applicant's
ability to perform job-related duties. (42 U.S.C ' 12112(d)(2).)
Once an employer has made an offer of employment, the employer may require a medical
examination or inquiry. Such exams or inquiries may only be required if required of all new employees,
regardless of disability. Medical exams or inquiries which use criteria to screen out employees with
disabilities may only use such criteria if it can be shown that the exclusionary criteria are job-related and
consistent with business necessity. Any information resulting from such examinations or inquiries must
be maintained in a separate confidential file, but may be shared with supervisors and managers for safety
or other significant job performance reasons. (42 U.S.C.
' 12112(d)(3).)
Employers may not require medical exams or make inquiries of an employee regarding the
nature or severity of a disability unless it is shown to be job-related and consistent with business
necessity. (42 U.S.C. ' 12112(d)(4).)
Employment tests that tend to screen out individuals with disabilities are prohibited by the ADA
unless shown to be job-related for the position in question and justified by business necessity. The ADA
requires that employment tests be administered in a manner that ensures a fair reflection of the skills and
aptitudes actually needed to perform the job. (42 U.S.C. ' 12112(b)(6) & (7).)
4. Complaint Procedures
The ADA gives the federal Equal Employment Opportunity Commission (EEOC) the primary
authority to enforce the ADA=s prohibitions against discrimination in employment based upon disability
or perceived disability. Accordingly, an individual who believes that he or she has been the victim of
5
employment discrimination because of a disability can file a complaint with the EEOC for investigation.
A complaint must be filed with EEOC before a private lawsuit can be filed. (42 U.S.C. ' 12117.)
B. The Federal Rehabilitation Act of 1973
The Rehabilitation Act of 1973 (the AAct@) prohibits the federal government, federal contractors,
and employers who receive federal financial assistance from discriminating against Aqualified disabled
individuals@ in employment. (29 U.S.C. ' 701 et seq.) This protection extends to all aspects of
employment, including recruitment, hiring, promotion, benefits, social or recreational programs,
termination, and any other term, condition or privilege of employment.
1. Federal Agencies
The Rehabilitation Act applies to the entire federal government and to all federal agencies in
their capacity as employers. Each agency of the executive branch, including the U.S. Postal Service,
must have an affirmative action plan for the recruitment, hiring, placement, and advancement of
individuals with disabilities. The plan must include a description of the way special needs of persons
with disabilities are being met.
a. Prohibitions
Under the Rehabilitation Act, discrimination against a "qualified individual with a handicap"
who is a federal employee or an applicant for a federal job is prohibited. (29 C.F.R. ' 1614.101.)
Federal employees who are hired under an "excepted service" program, that is, certified by a vocational
rehabilitation counselor, are also protected, and must be given the same equal employment rights as
other federal employees.
b. Federal Employer Responsibilities
Federal agencies must make reasonable accommodations for a known limitation of an otherwise
qualified applicant or employee with a disability, unless the agency can demonstrate that the
accommodations would impose an undue hardship. Reasonable accommodations include, but are not
limited to, making facilities accessible, restructuring jobs, changing work schedules, acquiring
equipment or devices, changing exams and providing readers and interpreters. In determining whether
accommodations would impose an undue hardship on the operation of an agency, factors to be
considered include the overall size of the agency's program, the number and type of facilities, the size of
the budget, and the nature and the cost of the accommodations. (29 C.F.R. '' 1614.102(a)(8) and
1614.203(b).)
An agency may not use employment tests or other ways of selecting employees which tend to
screen out qualified individuals with disabilities, unless the agency can prove that the test score or
selection process is related to the specific job in question and that other testing or selection methods are
unavailable. The employment test must reflect an applicant's or employee's ability to perform the
functions of the job, rather than focusing on an individual's disability, unless the disability is directly
related to the skills being measured for the job. (29 C.F.R. ' 1614.203(b).)
Agencies may not ask whether a job applicant is disabled or inquire about the nature and
severity of the disability. An agency may ask whether an applicant is able to meet, with or without
6
reasonable accommodations, the qualifications and responsibilities of the position. A pre-employment
medical exam may be required only if all new employees are required to take such an exam and the
exam results are not used to discriminate unlawfully. (29 C.F.R. ' 1614.203(b).)
An agency may ask an applicant to volunteer information about his or her disability if it is made
clear that the information will only be used to monitor the effectiveness of the agency's affirmative
action programs. It must be clear that the information is requested on a voluntary basis and that
information obtained will be kept confidential. However, such information can be provided to managers
and other personnel, where appropriate, to inform them that the individual is eligible for affirmative
action. The information may also be provided to government officials investigating agency compliance
with equal employment opportunity laws. (29 C.F.R. ' 1614.203(e).)
c. Complaint Procedure for Discrimination by Federal Agencies
If you are an employee of a federal agency and you believe that you have been discriminated
against in employment because of a physical or mental disability, you may file a complaint with the
EEOC or you may file a lawsuit in federal court. However, you must pursue the administrative
remedies available through your agency before filing a lawsuit or lodging a complaint with the EEOC.
You must bring the matter to the attention of the Equal Opportunity Counselor employed by your agency
within a specified time period. If the matter is not resolved to your satisfaction, you may then appeal to
the EEOC. (29 C.F.R. ' 1614.401.) You also have the option to file a lawsuit, which may be filed
within 90 days of your agency's final action or 180 days after the filing of the complaint, if there has
been no decision. (29 C.F.R. ' 1614.407.) A lawsuit may also be filed if you are not satisfied with a
decision of the EEOC.
2. Federal Contractors
All government contractors and subcontractors with contracts of $10,000 or more must take
affirmative action in hiring and promoting otherwise qualified individuals with disabilities.
1/
The Office
of Federal Contract Compliance Programs (OFCCP) of the Department of Labor has developed
regulations for complying with this law, located in Section 503 of the Rehabilitation Act. (29 U.S.C.
' 793; 41 C.F.R. ' 60-741 et seq.)
Contractors may conduct a medical exam prior to employment, provided that the exam is given
after an offer of employment is made, all entering employees in the same job class are subjected to the
exam, and the results are not used to discriminate unlawfully. The results of such exams must be kept
confidential, except that supervisors and managers may be informed of work restrictions based on the
disability. First aid and safety personnel may be informed if the condition might require emergency
treatment, and government officials investigating the contractor's compliance with the Rehabilitation Act
may be informed. (41 C.F.R. ' 60-741.23.)
Contractors must make reasonable accommodations for an applicant or employee with a
disability, unless accommodation would impose an undue hardship on the contractor's business.
(41 C.F.R. ' 60-741.44(d).)
1. But see Adarand Constructors, Inc. v. Pena (1995) 515 U.S. 200, declaring that all racial
classifications in the awarding of contracts are subject to strict scrutiny.
7
a. Complaint Procedure for Discrimination by Federal Contractors
If you believe that you have been discriminated against by a government contractor, you may file
a formal complaint with the U.S. Department of Labor. The complaint must be filed with the Director
of the OFCCP within 300 days of the occurrence of the alleged violation. This time limit may be
extended for good cause. (41 C.F.R. ' 60-741.61(b).)
3. Recipients of Federal Funds
The Rehabilitation Act is also designed to eliminate discrimination on the basis of disability in
programs or activities which receive federal financial assistance. (29 U.S.C. ' 794.)
a. Protections
No "otherwise qualified" individual with a disability can, solely by reason of his or her
disability, be: 1) excluded from participation in, 2) be denied the benefits of, or 3) be subjected to
discrimination under any program or activity receiving federal money or administered by a federal
agency. An "otherwise qualified" individual with a disability is one who meets a program's
requirements in spite of his or her disability. However, a program may have to justify its requirements
by showing that they are valid and necessary. (29 U.S.C. ' 794; 28 C.F.R. ' 41.32.)
b. Responsibilities of Employers Who Receive Federal Funds
Recipients of federal financial assistance may not discriminate on the basis of disability in any
area of employment, including recruitment, hiring, promotion, rate of pay, job assignment, or any
terms, conditions or privileges of employment. Employers must make reasonable accommodations for
employees' and job applicants' disabilities.
An employer may not conduct a pre-employment medical exam unless it is required of all
applicants and the results are not used to discriminate. Except as described below, the employer may
not ask whether an applicant is disabled or inquire about the nature and severity of the disability. The
employer may ask whether an individual is able to perform job-related functions.
The employer may ask about disabilities not related to job performance only for affirmative
action or other legitimate purposes. There must be a clear statement explaining that providing the
information is voluntary, that the information will be kept confidential, and that there is no penalty for
withholding information. The employer may give such information to supervisors and managers, first
aid and safety personnel, and government officials investigating compliance with the Act.
A recipient of federal funds may not use criteria which tend to screen out individuals with
disabilities, unless the criteria are job-related and alternative criteria or testing methods are unavailable.
c. Complaint Procedures for Discrimination by Recipients of Federal
Funds
If a funding recipient violates the law, the agency which provided the funds may enforce
compliance by terminating federal funding to the program or activity affected or by any other legally
authorized means. If you believe that you have experienced discrimination, you generally must file a
8
written complaint within 180 days from the date of the alleged discrimination with the agency that
provides funds for the particular employer. If the agency finds that the recipient did not violate the
provisions of the Act, then you may appeal to federal court. In most cases, you can also go directly to
federal court and bypass the entire administrative process.
9
CHAPTER 2
HOUSING
I. HOUSING DISCRIMINATION
STATE LAW
Individuals with physical and mental disabilities have the right under state law to rent, lease, or
buy housing accommodations free from discrimination due to a disability. (See Chapter 1 for definitions
of disability; Civ. Code, '' 51, 54, subd.(b), and 54.1; Gov. Code, '' 12926, subds. (i) and (k), 12955
and 12955.3.)
A person renting, leasing or providing real property for compensation must use the same criteria
for selection of disabled and non-disabled individuals. An "owner" includes anyone who rents or sells
housing, including another renter with a lease, a real estate agent or broker, a salesperson, or a state or
local government agency. (Gov. Code, ' 12927, subd. (e); Civ. Code, ' 54.1.) The FEHA also
prohibits disability discrimination by financial institutions and persons making, printing or publishing
advertisements. (Gov. Code, ' 12955, subds. (c) and (e).)
It is illegal to refuse to sell, rent, or lease housing to an individual because the person has a
disability, or to assert that housing is not available when it actually is available. All housing
accommodations are covered under state law, except, under certain circumstances, those in which only
one room is rented in a single family residence. (Civ. Code, ' 54.1; Gov. Code, ' 12927,
subd. (c)(2)(A).)
Equal access to housing for individuals with disabilities includes the right of a person with a
visual impairment to keep a guide dog, a person with a hearing impairment to keep a signal dog, or any
other person with a disability to keep a service dog, even if pets are not ordinarily allowed in the
residence. (Civ. Code, ' 54.1, subd. (b)(6)(A).) Tenants can be held liable for damages to real and
personal property caused by guide dogs, signal dogs or service dogs. (Civ. Code, '' 54.1,
subd. (b)(6)(B) and 54.2.) Any person who rents, leases or otherwise provides real property to persons
with disabilities may not deny them the right to make reasonable modifications at their expense to
accommodate their disabilities if they agree to restore the premises to its pre-existing conditions. (Civ.
Code, ' 54.1, subd. (b)(3)(A).) An owner may not discriminate against an individual with a disability
who is dependent on a spouse's income if the spouse is included on the rental agreement or lease, but
together a couple must meet the owner's credit and financial requirements. (Civ. Code, ' 54.1,
subd. (b)(7).)
A person discriminated against on the grounds of disability pursuant to Civil Code section 54.1
can ask the local district attorney, city attorney, the Department of Rehabilitation acting through the
Attorney General, or the Attorney General to bring an action to enjoin the violation, or to seek other
remedies, or he or she may bring a private legal action. (Civ. Code, '' 55 and 55.1.)
A person can file a complaint with DFEH for a violation of the FEHA within one year from the
date upon which the discrimination occurred or can file a suit on his or her own behalf. (Gov. Code, ''
12980 and 12989.1.)
10
FEDERAL LAW
The federal Fair Housing Amendments Act of 1988 (42 U.S.C. ' 3601 et seq.) requires a
landlord to permit housing accommodations to be made accessible to individuals with disabilities at the
expense of the renter with a disability if the renter agrees to pay reasonable costs of restoring the
premises to its original condition after the renter leaves and if such modification is necessary to afford
the renter full enjoyment of the premises. However, an owner may not require the renter with a
disability to pay for reasonable wear and tear of the premises. Renting for purposes of this Act includes
leasing, subleasing or otherwise granting for consideration the right to occupy premises not owned by the
occupant. (42 U.S.C. ' 3602(e).) There is an exemption in the Act for certain single-family houses and
certain rooms or units in fourplexes. (42 U.S.C. ' 3603.) Furthermore, the Act requires that all new
rental housing, ready for occupancy 30 months after September 13, 1988, be designed and constructed
so as to be accessible to individuals with disabilities. New rental housing covered by this section of the
Act includes only buildings consisting of four or more units if such buildings have one or more
elevators; and ground floor units in other buildings consisting of four or more units. (42 U.S.C. '
3604(f)(7)(A) and (B).)
If you believe that you have experienced discrimination in housing, you may either file a lawsuit
or you may file a complaint with HUD, not later than one year after the discriminatory act has occurred
and HUD may pursue legal remedies on your behalf. (42 U.S.C. '' 3610 and 3612.)
II. HOUSING PROGRAMS
Both the federal government and the State of California recognize that there is a shortage of
suitable housing and have set national and state goals to provide decent housing for all. Funds are
provided to nonprofit agencies to build low income housing. Eligible individuals with disabilities and
their families may apply for housing constructed through these projects. The federal and state housing
programs are discussed below.
A. Federal Housing Programs
Under federal law, a "disabled household" is defined as one or more persons, at least one of
whom is an adult (18 years of age) who has a disability, or the surviving member or members of any
such household who were living with the deceased member at the time of death. A "person with a
disability" is a person who has a physical, mental, or emotional impairment which is expected to be of
long-continued and indefinite duration, substantially impedes his or her ability to live independently and
is of a nature that such ability could be improved by more suitable housing conditions. A person shall
also be considered to have a disability if such person has a developmental disability. (42 U.S.C.
' 8013(k)(2); 24 C.F.R. ' 891.305.) Note that federally financed residences must also meet access
requirements. (24 C.F.R. ' 891.500 et seq.) Families which qualify may receive rent supplement
payments. (24 C.F.R. ' 891.610.) Income levels for determining eligibility are set by HUD.
(24 C.F.R. ' 891.750.) Contact HUD to determine if you may qualify.
B. California Housing Programs
California has implemented several housing programs to further the goals of its housing policy.
Individuals and families that qualify are eligible to rent or buy housing financed by state or federal
funds. Under California law, a "handicapped family" is defined as one in which an individual or the
11
head of a household is suffering from an orthopedic disability which impairs his or her mobility or a
physical disability which affects his or her ability to obtain employment. Also included are individuals
or heads of families with developmental disabilities or mental disorders. To be eligible, an individual
with a disability must also require special facilities or care in the home. (Health and Saf. Code,
' 50072.) Shared housing arrangements in which at least one person is disabled or elderly are supported
by housing payment assistance. (Health and Saf. Code, ' 19902 et seq.)
$ Elderly individuals or individuals with disabilities must be allocated not less than 20
percent nor more than 30 percent of the units constructed under the Rental Housing
Construction Program. (Health and Saf. Code, ' 50736, subd. (a).)
$ As a part of the de-institutionalization process for individuals with disabilities, the state
will provide housing assistance payments during the transition period from an institution
to an independent setting. Individuals with physical or mental disabilities are qualified
for assistance if they are eligible for rehabilitation, educational, or social services from a
public agency. (Health and Saf. Code, ' 50680 et seq.)
Funds for housing programs are provided by federal, state, and local agencies. These agencies
will take into account your current income in determining your eligibility for these programs. These
financing programs have been designed to meet the needs of low and moderate income individuals and
families. Contact HUD, the California Department of Housing and Community Development, the
California Housing and Infrastructure Finance Agency and your local housing authority for information
about housing programs in your area.
12
CHAPTER 3
NONDISCRIMINATION IN
BUSINESSES AND SERVICES
I. NONDISCRIMINATION IN PUBLIC ACCOMMODATIONS, TRANSPORTATION
CARRIERS AND BUSINESS ESTABLISHMENTS
A. California Access Law
Under California law, persons with disabilities are entitled to full and equal access to places of
accommodation, transportation carriers, lodging places, recreation and amusement facilities, and other
business establishments where the general public is invited. This rule applies to medical facilities,
including hospitals, clinics and physicians' offices. Persons with both physical and mental disabilities
are protected. (Civ. Code, ' 54.1.) A person with a disability or a trainer of guide, signal or service
dogs has the right to be accompanied by a guide dog, signal dog, or service dog without being required
to pay an extra charge or to leave a security deposit, although if with a trainer, the dog must be on a
leash and tagged as a guide, signal or service dog. (Civ. Code, '' 54.1, subd. (b)(6)(A), and 54.2;
Food & Agr. Code, '' 30850 and 30852.) However, such persons can be liable for any provable
damage done to the premises or facility by the dog. (Civ. Code, '' 54.1, subd. (c), and 54.2,
subds. (a) and (b).) Under this nondiscrimination law, an establishment is not required to make
structural modifications in order to facilitate access by persons with physical disabilities. (Marsh v.
Edwards Theatres Circuit, Inc. (1976) 64 Cal.App3d 881.) However, other laws which mandate
structural modification may apply to these establishments. (See Chapter 4 for an in-depth discussion of
access under the Americans with Disabilities Act (ADA) (42 U.S.C. ' 12101 et seq.).)
Civil Code section 54.7 authorizes zoos and wild animal parks to prohibit guide, signal or
service dogs from accompanying persons with disabilities in areas where patrons of the park are not
separated from zoo or park animals by physical barriers. However, any mode of transportation provided
to the general public must be offered free to persons with visual-impairments who would otherwise use a
guide dog or persons in wheelchairs who would otherwise use a service dog.
If you believe that your right of admittance to or enjoyment of one of these facilities has been
violated, you may file a lawsuit. (Civ. Code, ' 54.3) The Attorney General, a city attorney, a district
attorney, or the Department of Rehabilitation acting through the Attorney General may also file suit.
(Civ. Code, ' 55.1.) The DFEH also has jurisdiction to handle a complaint for violation of Civil Code
sections 51, 51.5, 54, 54.1 and 54.2. (Gov. Code, ' 12948.)
It is a misdemeanor to interfere with the right of a person with a disability to be accompanied by
a guide dog, signal dog or service dog in public conveyances or accommodations. (Pen. Code,
' 365.5.) It is a misdemeanor to intentionally interfere with the use of a guide dog by harassment or
obstruction. (Pen. Code, ' 365.6.) It is also a misdemeanor to knowingly or fraudulently represent
yourself to be the owner or trainer of a guide, signal or service dog. (Pen. Code, ' 365.7.) It is an
infraction for any person to permit a dog owned, harbored or controlled by him or her to cause injury or
death to any guide, signal or service dog performing its duties. (Pen. Code, ' 600.2.)
13
B. Discrimination Based on Disability
Persons with disabilities are protected from discrimination in any business establishment open to
the public. The Unruh Civil Rights Act (Civ. Code, ' 51) forbids all arbitrary discrimination by
business establishments on the basis of disability. "Business establishment" has been broadly defined by
the courts and generally includes housing, hotels and motels, theaters, shopping centers, restaurants, and
all forms of transportation. Under this nondiscrimination law, an establishment is not required to make
structural modifications in order to facilitate access by persons with physical disabilities.
A victim of discrimination has several legal remedies under the Unruh Act. You may file a
complaint with the DFEH, which may investigate and litigate violations of the Unruh Act. You may also
file a lawsuit to recover damages. (Civ. Code, ' 52.) Finally, if you believe that a person or group of
persons is engaged in a conduct of resistance to any of the rights guaranteed by the Unruh Act, and that
conduct is intended to deny the full exercise of those rights you should contact the Attorney General, city
attorney, or district attorney, who may then file suit. (Civ. Code, ' 51 et seq.) A violation of the ADA
is also considered to be a violation of the Unruh Act. (Civ. Code, ' 51,
subd. (f).)
II. NONDISCRIMINATION IN STATE-SPONSORED PROGRAMS AND ACTIVITIES AND IN
PUBLIC PLACES
No person may be denied the benefits of, or be unlawfully subjected to, discrimination under any
program or activity either funded directly or assisted financially by the state. (Gov. Code,
' 11135.) Individuals with disabilities have the same right as the general public to the full and free use
of streets, highways, sidewalks, walkways, public buildings, medical facilities, including hospitals,
clinics and physician's offices, public facilities and other public places. (Civ. Code, ' 54.) A violation
of the ADA will also be a violation of this section, and the DFEH will have jurisdiction to handle a
complaint for violation of this section. (Gov. Code, ' 12948.)
III. NONDISCRIMINATION IN INSURANCE COVERAGE
A. Life, Annuity, or Disability Insurance
It is illegal to discriminate against persons with disabilities in life, annuity or disability
insurance. Specifically, insurers providing individual or group life, annuity, or disability insurance
cannot refuse to insure, or limit the amount or kind of coverage available, or charge a different rate for
the same coverage solely because a person is blind, partially blind, or has a physical or mental
impairment. A physical or mental impairment is defined as any physical, sensory, or mental impairment
which substantially limits one or more of a person's major life activities. An insurer may refuse to
insure, limit coverage, or charge different rates only if based on sound actuarial principles or actual and
reasonably anticipated experience. (Ins. Code, '' 10144, 10145.)
Every policy of disability insurance which covers hospital, medical, or surgical expenses on a
group basis must offer coverage to members of the group with physical disabilities under the same terms
and conditions as are offered to other group members. The group policies are not required to cover
hospital, medical, or surgical expenses which arise as a direct result of an individual's physical
disability. (Ins. Code, ' 10122.1.)
14
Life and disability income insurers are prohibited from making unfair distinctions between
individuals when insuring for the risk of AIDS or AIDS-related conditions (ARC). There are mandatory
and uniform standards for HIV testing and for determining insurability. Strict confidentiality is required
of personal information obtained through testing. (Ins. Code, ' 799 et seq.)
B. Health Insurance
No insurance plan or nonprofit hospital service corporation providing individual or group health
care service can limit the extent or kind of coverage available, refuse to cover, or charge a different rate
solely because of an individual's physical or mental impairment. A plan can only refuse to insure, limit
coverage, or charge different rates if based on sound actuarial principles or underwriting practices.
(Health & Saf. Code, ' 1367.8; Ins. Code, ' 11512.19.)
A group health plan cannot discriminate against individuals with disabilities or groups with
members who have disabilities, although it may reasonably exclude coverage for services related to the
disabling condition. (Health & Saf. Code, ' 1373, subd. (f).) Life and disability income insurers are
prohibited from requiring an HIV antibody test if the results would be used to determine eligibility for
hospital, medical or surgical insurance coverage or for coverage under a hospital service plan or health
care service plan. (Ins. Code, ' 799.09.)
An insurer may not delay more than 60 days in the payment or provision of hospital, medical or
surgical benefits for AIDS or AIDS-related complex for the purpose of investigating whether the
condition arose prior to commencement of coverage. However, this 60-day period does not include any
time during which the insurer awaits medical information from a health care provider. (Ins. Code, '
790.03, subd. (h)(16).)
C. Automobile Insurance
Automobile insurers cannot discriminate against persons with disabilities. Insurers cannot refuse
to issue automobile insurance or charge higher rates solely because of a person's disability. A
Ahandicapped person@ is defined for purposes of this law as an individual who has suffered an impairment
of physical ability, hearing, or speech which has been compensated for, when necessary, by vehicle
equipment adaptation or modification. The insurer may require a person with a disability to furnish
proof that he or she has qualified for a new or renewed driver's license since the occurrence of the
disabling condition. (Ins. Code, ' 11628.5.)
No insurer may refuse to insure the owner of a motor vehicle solely because the owner is blind.
However, an insurer may exclude from coverage under the policy injuries and damages incurred while
the insured vehicle is operated by an unlicensed owner who is blind. An insurer cannot raise the
premiums or cancel the policy of an insured person who is blind solely because the operators of the
insured vehicle are changed frequently. (Ins. Code, ' 11628.7.)
An insurer may cancel or fail to renew an automobile insurance policy only if a premium is not
paid, there is a substantial increase in the hazard insured against, or there is fraud. The criteria by
which an insurer must determine automobile insurance premiums are: the insured's driving safety
record, the number of miles he or she drives annually, and the number of years of driving experience he
or she has had. Good Driver Discount policies may be purchased by anyone whose driving record
15
permits, regardless of disability. (Ins. Code, '' 1861.02 and 1861.03.) The insurance industry,
whether life, health, or automobile, must provide full and equal services, regardless of blindness or other
physical disability. (Ins. Code, ' 1861.03; Civ. Code, '' 51, 53.)
D. Insurance Appeal Procedures
If you believe that you have been discriminated against in health, disability or auto insurance,
you may file a written complaint with the California Insurance Commissioner requesting that the
Commissioner review the manner in which a rate, plan, system or rule has been applied by an insurer.
In addition, you may file a written request for a public hearing before the Commissioner. If you do not
agree with the decision of the Commissioner, then you may appeal the decision in a court of law. (Ins.
Code, ' 1858 et seq.)
The Unruh Act also provides legal remedies for those who have been discriminated against by
the insurance industry. (Civ. Code, ' 51; Ins. Code, ' 1861.03.)
IV. NONDISCRIMINATION IN LICENSING AND LICENSED SERVICES
It is unlawful for a licensing board to require any examination or establish any other qualification
for licensing that has an adverse impact on persons with disabilities, unless the practice can be
demonstrated to be job related. (Gov. Code, ' 12944, subd. (a).) Complaints of discrimination can be
filed with the Department of Fair Employment and Housing. (Gov. Code, ' 12960.)
The Department of Consumer Affairs licenses many professions and services. Architects,
nurses, physicians, auto repair persons, beauticians, and funeral directors are all licensed professionals.
People who hold licenses issued by the state are subject to disciplinary action if they discriminate against
persons with disabilities. The holder of the license is not required to permit an individual to participate
in, or benefit from, the licensed activity where the individual poses a direct threat to the health or safety
of others. A Adirect threat@ is defined as a significant risk to health or safety of others that cannot be
eliminated by a modification of policies, practices, or procedures or by the provision of auxiliary aids
and services. (Bus. & Prof. Code, ' 125.6.)
Complaints of discrimination can be made to the board or commission within the Department of
Consumer Affairs, which is charged with the regulation of the particular profession. To file a complaint
to any board or commission within the Department of Consumer Affairs, contact the Consumer
Information Division at (916) 445-1254 or (800) 952-5210.
16
CHAPTER 4
ACCESS
Access is a critical issue for persons with disabilities. Lack of access to buildings and other
facilities is an obstacle in obtaining employment, education, housing, entertainment, health care and
other services. Lack of access to polling places and the voting process denies persons with disabilities
the opportunity to participate in one of the most important rights of citizenship. Lack of access to
transportation services hinders the ability of persons with disabilities to live independent lives. Lack of
access to telecommunications services limits the ability of persons with disabilities to obtain information
and has often posed a threat to safety.
I. ACCESS TO BUILDINGS AND FACILITIES
Both California and federal laws address the goal of increasing physical access and removing
architectural barriers. California law requires that publicly funded buildings and facilities and privately
funded public accommodations be accessible to persons with disabilities. (Civ. Code, ' 4450 et seq., and
Health & Saf, Code, ' 19955 et seq.) In 1968, Congress passed the Architectural Barriers Act (ABA) (42
U.S.C. ' 4151, et seq.), which marked the beginning of a new federal policy toward individuals with
disabilities. The Americans with Disabilities Act (ADA) further expands the right to accessible public
buildings and public accommodations under federal law. In the case of the ADA, there is also an
affirmative obligation to make access improvements to existing facilities, even though no remodeling has
occurred, where it is readily achievable to do so.
A. Federal Law
1. Federal Buildings
The ABA is based in part on earlier laws passed to ensure that individuals with disabilities were
not excluded from access to federal buildings and facilities or discriminated against in services or
programs. The ABA was passed to ensure that persons with disabilities would have access to buildings
and structures designed, altered, or built with federal funds after August 12, 1968. Coverage extends to
any portion of a building or facility, including access routes, doors, common use areas, telephones, curb
ramps, drinking fountains, seating, and restroom facilities. Roads, walks, parking lots, parks, and other
outdoor areas are also included. Public housing is also included, although most privately owned residences
are not.
The Act is enforced by the Architectural and Transportation Barrier Compliance Board
(AATBCB@), which has developed guidelines for accessible design. You may complain to the ATBCB
about noncompliance with the ABA. The Board will investigate the complaint, and if a violation is found,
the Board can take action to correct the violation. If you are not satisfied with the Board's action, you may
seek review of the case in court. (29 U.S.C. ' 792.)
All public works projects receiving federal grants must have proper accessibility standards
incorporated into their plans. The ATBCB is authorized to ensure that any construction or renovation
complies with these standards. (42 U.S.C. ' 6705(g).)
17
2. State and Local Government Buildings
The ADA provides that no qualified individual with a disability shall be excluded from
participation in, or denied the benefits, services, programs, or activities of a public entity. Also, a public
entity may not discriminate in any other manner against an individual due to a disability. This means that
no state or local government, governmental agency, or other instrumentality of government may
discriminate on the basis of a disability where the individual is otherwise qualified to receive a benefit or
service or to participate in a program. (42 U.S.C. '' 12131 and 12132.) It is considered discrimination
under the ADA for a governmental organization to fail to provide physical access for individuals with
disabilities to its buildings and facilities, public transportation services, and other services.
State and local governments must provide access to their facilities and services. However, a state
or local government does not necessarily have to make every facility accessible. If alterations would
threaten the historic nature of a facility, fundamentally alter the nature of a service or program, or present
an undue financial or administrative burden, then other methods of compliance may be used. Some
examples of other methods of compliance include redesigning equipment, making structural modifications,
delivering services at alternate accessible sites, making home visits, assigning of aides to beneficiaries,
using accessible rolling stock or other conveyances, or constructing new facilities.
If you feel that you are being discriminated against by a state or public entity, you may file a
complaint with the United States Department of Justice. The United States Attorney General will either
investigate the complaint or will refer your complaint to an appropriate government agency. If the
complaint cannot be resolved, then the United States Attorney General may file a civil action to force the
state or public agency to comply. (42 U.S.C. ' 12133; 29 U.S.C. ' 794(a); 28 C.F.R. ' 35.170 et seq.;
Duvall v. County of Kitsap (9
th
Cir. 2001) 260 F.3d 1124, 1138.) You may also file your own lawsuit.
(See Hason v. Medical Board of California (2002) 279 F.3d 1167 [holding that Congress validly
abrogated state sovereign immunity in enacting Title II of the ADA, thus allowing suits by private
individuals in federal court against states and their agencies. However, this issue continues to be the
subject of litigation nationwide. Therefore, the holding in Hason may be affected by future litigation.].)
3. Privately-Owned Buildings
The ADA further provides that no individual shall be discriminated against on the basis of
disability by any person who owns, leases or operates a place of public accommodation. A person with
a disability is entitled to full and equal enjoyment of the goods, services, facilities, privileges,
advantages, or accommodations offered at any place of public accommodation. (42 U.S.C. ' 12182.)
The term "public accommodation" refers to any business or establishment open to the public.
(28 C.F.R. ' 36.104.) For example, restaurants, movie theaters, hotels, shops, amusement parks,
hospitals, and bowling alleys are all considered public accommodations. A place of public
accommodation is required to facilitate access by modifying policies, practices, or procedures, providing
auxiliary aids and services, and removing architectural barriers where such removal is "readily
achievable" (easily accomplished and able to be carried out without much difficulty or expense).
Modifying policies, practices or procedures may not be required if a place of public
accommodation can show that such modification would fundamentally alter the nature of the goods,
18
services, facilities, privileges, advantages or accommodations being offered. Additionally, the provision
of auxiliary aids and services is not required if it is established that it would result in an undue burden
(significant difficulty or expense). Where a public accommodation can demonstrate that barrier removal
is not readily achievable, it shall make its services available through alternate methods, if those are
readily achievable. Examples of alternatives are curb service or home delivery; retrieving merchandise
from inaccessible shelves or racks; or relocating activities to accessible locations.
(28 C.F.R. ' 36.301 et seq.)
Examples of actions that may be required to be taken to remove architectural barriers include:
installing ramps and curb cuts; repositioning shelves, telephones, bathroom dispensers, vending
machines, display racks or furniture; adding raised markings on elevator control buttons; installing
flashing alarm lights; widening doors; installing offset hinges to widen doorways; eliminating turnstiles
or providing alternative accessible paths; installing accessible door hardware and grab bars in toilet
stalls; rearranging toilet partitions to increase maneuvering space; insulating lavatory pipes under sinks
to prevent burns; installing raised toilet seats and full length bathroom mirrors; repositioning paper towel
dispensers in bathrooms; creating designated accessible parking spaces; installing an accessible paper cup
dispenser at an existing inaccessible water fountain; removing high pile, low density carpeting; and
installing vehicle hand controls. (28 C.F.R. ' 36.304.)
All new facilities must be designed so that they are readily accessible and usable by persons with
disabilities unless structurally impracticable. If an alteration is made to a facility, then the area altered
must be made accessible. Whenever a facility is altered so that an area containing a primary function is
affected, the alteration must also be made in such a manner that the path to the bathrooms, telephone,
and drinking fountains serving the altered area are readily accessible. However, an exception to this rule
is where the alterations to the path of travel, telephones, bathrooms or drinking fountains would be
disproportionate in cost and scope to the planned alteration. Also, an elevator is not required for
facilities of less than three stories or which have less than 3,000 square feet per story unless the building
is a shopping center or mall, professional office of a health care provider, or unless the United States
Attorney General otherwise determines. (42 U.S.C. ' 12183.) A public accommodation is required to
maintain in operable condition the facilities and equipment required to be readily accessible to and usable
by persons with disabilities, although isolated or temporary interruptions in service due to maintenance
or repairs are allowed. (28 C.F.R. ' 36.211.)
If you feel that you have been discriminated against by a place of public accommodation, then
you may file a complaint with the United States Department of Justice or you may file your own lawsuit.
(42 U.S.C. '' 12188, 2000a-3(a); 28 C.F.R. ' 36.501 et seq.)
B. California Laws and Regulations
1. State and Local Government Buildings and Facilities
California law requires that all buildings, structures, sidewalks, curbs, and related facilities,
constructed with public funds and, under certain circumstances, buildings and facilities leased by state or
local government, must be accessible to and usable by persons with disabilities. (Gov. Code, ' 4450 et
seq.) Buildings constructed before 1968 are not required to be accessible unless structural alterations or
repairs are made. If a building is altered, the area of alteration as well as the path of travel to and from
key facilities (such as restrooms) serving the area must be made accessible.
19
Complaints alleging that a public building or facility which was constructed or altered with state
funds is inaccessible should be lodged with California Division of the State Architect. Complaints
alleging that a public building constructed with local funds is inaccessible should be lodged with the
appropriate local government, usually through the building official or public works director, in the
jurisdiction where the building or facility is located. Any unauthorized deviations from state building
standards that are detected at a state or local government building or facility must be corrected within 90
days of confirmation of the violation. (Gov. Code, ' 4452.)
A district attorney, city attorney, or the California Attorney General may bring an action to
enforce compliance with this law. (Gov. Code, ' 4458.) However, as a general rule, the Attorney
General will not consider a complaint lodged against a local government unless it is established that the
complaint was first lodged with the appropriate local authority, the local authority has failed to respond
appropriately within a reasonable period of time, and the complaint alleges a significant pattern or
practice of non-compliance with state access laws and regulations.
California law also prohibits state and local governments from holding public meetings in
buildings or facilities that are inaccessible to persons with disabilities. (Gov. Code, '' 11131 and
54961, subd. (a).) Violations of these laws should, in the first instance, be brought to the attention of
the state or local agency that has conducted or intends to conduct a meeting in an inaccessible facility. In
the case of a local agency, if the local agency continues to hold meetings in an inaccessible facility, a
complaint may be lodged with the California Attorney General.
2. Privately Funded Public Accommodations
California law also requires that public accommodations constructed with private funds after
July 1, 1970, be accessible to individuals with disabilities. Facilities constructed before July 1, 1970,
must be made accessible when any alterations, structural repairs, or additions are made. Similar to the
ADA, state law requires that the altered area and the path of travel and key facilities serving the area
being altered be made accessible.
The building department of every city and county is required to enforce state access laws and
regulations with respect to privately funded public accommodations located in their jurisdictions.
(Health & Saf. Code, ' 19958.) Complaints alleging that a privately funded accommodation is out of
compliance with state access laws and regulations should be lodged with the local building official in the
jurisdiction where the public accommodation is located. Violations that are confirmed to exist must be
corrected within 90 days of such confirmation.
A district attorney, city attorney, the Department of Rehabilitation, or the Attorney General can
bring an action to enforce California=s laws requiring that privately funded public accommodations be
accessible to individuals with disabilities. (Health & Saf. Code, ' 19958.5.) However, here again, as
a general rule, the Attorney General will not consider a complaint unless it is established that the
complaint was first lodged with the appropriate local building department and that the local building
department has failed to respond appropriately within a reasonable period of time. The Attorney
General may review the decision of the local building department to determine whether it has abused its
discretion in resolving a complaint. Additionally, the Attorney General may investigate complaints that
allege a local building department is engaged in a pattern or practice of failing to adequately enforce
state access laws and regulations against privately funded public accommodations. The Attorney
20
General may file a civil action if he determines that a building department is engaged in such a pattern or
practice. Lastly, private parties may also enforce compliance with state access laws and regulations
against privately funded public accommodations. (Donald v. Café Royale, Inc., supra, 218 Cal.App.3d
168, 183 (held that an individual may initiate an action to enforce compliance with the standards set forth
in Health and Safety Code, section 19955, et seq.).
3. California Access Regulations
In addition to the general state access statutes discussed above, California regulations provide a
comprehensive set of requirements covering almost all important areas of accessibility for persons with
physical and sensory disabilities. California's regulations are found at Volume 1, Chapter 11, of the
1998 California Building Code and are designed to comply with the requirements of the ADA. A copy
of the relevant portion of the California Building Code may be acquired through the Division of the State
Architect or may be found in your local law library in the California Building Code. In addition, your
city or county building department should have a copy available, and helpful guides may also be
purchased from private publishers. Tax deductions are available for individuals who repair or remodel
buildings or vehicles in order to increase access for persons with disabilities, as long as they comply with
state or federal access standards. Deductions shall not exceed $15,000 for any taxable year and may also
cover emergency egress/safe area refuge systems in compliance with state or federal regulations. (Rev.
and Tax Code, ' 24383.)
These regulations, some of which are discussed below, set specific accessibility requirements
which apply to buildings and facilities covered by the access statutes. Exceptions may be granted from
some of the requirements, but only if compliance would pose an unreasonable hardship. Even when
unreasonable hardship is demonstrated, some form of "equivalent facilitation" must usually be provided
to make the facility usable by persons with disabilities.
In addition to the regulations, California has enacted specific statutes directed at providing access
to various types of facilities. For example, stadiums, public parks and gas stations are all addressed by
specific laws.
a. Restrooms, Drinking Fountains and Public Telephones Must Be
Accessible
Buildings open to the public must have signs posted which indicate the location of restroom
facilities accessible to persons with disabilities. Signs on restroom doors must be in the shape of a circle
for women's restrooms, a triangle for men's restrooms, and a triangle interposed upon a circle for
unisex restrooms. (1998 California Building Code, hereafter ACBC,@' 115B.5; see also 1998 California
Plumbing Code, section 1501 et seq. for additional accessibility requirements involving water closets,
urinals, lavatories, showers, bathtubs, drinking fountains and sinks.)
Toilet facilities must have sufficiently wide doorways and must have grab bars. Restroom
components, such as waste paper baskets and sinks, must be accessible. Where bathing facilities are
provided for the public, clients, or employees, at least one such facility (and not less than one percent of
all facilities) must be accessible. A certain number of lockers must also be accessible. (CBC
'' 1115B.4, 1115B.4.1, 1115B.8, 1115B.9 and 1115B.6.)
21
At least half but not less than one of the water fountains must be accessible and must be placed
so that they do not pose a danger to persons with visual impairments. (CBC '' 1105.4.1; 1117B.1, 2.)
On floors where public telephones are provided, at least one must be accessible. On any floor
where two or more banks of multiple telephones are provided, at least one in each bank shall be
accessible. A reasonable number of public telephones provided, but always at least one on each floor or
bank, shall be equipped with a volume control which is hearing-aid compatible and which is signed.
Text telephones must be also provided under certain circumstances. (CBC ' 1117B.2.9 et seq.)
b. Entrances and Paths of Travel Must Be Accessible
All primary and exterior ground-floor exit doors to buildings and facilities shall be made
accessible to individuals with disabilities. (CBC ' 1120A.1.1.) Both doors of double doors designated
as a public entrance must be kept unlocked during normal business hours. (Health & Saf. Code,
' 13011.)
Paths of travel must be accessible. There are also accessibility requirements for handrails;
ramps; striping for persons with visual impairments; level landings; wheel guides; detectable warnings;
and door pressure, surfaces and hardware. (CBC '' 1102A et seq.; 1102B; 1114B.1.2; 1127B.1 et
seq.; and 1133B.2.5 et seq.; Gov. Code, ' 4460.)
c. Stadiums, Grandstands, Sports Facilities, Auditoriums, Theaters, and
Related Entertainment Facilities Must Be Accessible
Any entertainment facility approved for construction after January 1, 1985, must provide seating
or accommodations for persons with disabilities in a variety of locations to allow for a range of
admission prices, to the extent that this variety can be provided while meeting fire and public safety
requirements of the State Fire Marshall. Both private and public entertainment centers are covered by
this law, including theaters, concert halls, and stadiums. No lesser standard of accessibility or usability
shall be applied than under the ADA. (Health & Saf. Code, ' 19952.) A district attorney, city attorney,
the Department of Rehabilitation acting through the Attorney General, or the California Attorney
General can bring an action to correct a violation of this section. In addition, if you believe that you
have been denied access required by this law, you can bring an action in court. (Health & Saf. Code, ''
19953 and 19954.)
In stadiums and other sports facilities, spectator seating, the customer side of ticket booths,
participation areas, clubrooms and locker rooms must satisfy accessibility requirements, with certain
exceptions for hardships when equivalent facilitation is provided. (CBC '' 1104B.4 and 1115B.6.4.)
In auditoriums and theaters, seating and toilet facilities for persons with disabilities must be
accessible from the lobby or from a primary entrance.
Seating spaces must be available for both individuals who use wheelchairs and individuals who
are semi-ambulant. All such seating must comply with fire and public safety requirements. Assistive
listening systems must be installed in stadiums, theaters, auditoriums, lecture halls and similar areas
when these areas have fixed seats and where audible communications are integral to the use of the space.
(CBC '' 1104B.3.2; 1104B.3.8; 1104B.4.2; and 1105B.4.8.2.)
22
Stages and orchestra pits must be accessible to persons with physical disabilities, and ticket
booths and refreshment stands must be accessible on both the customer and employee sides. (CBC
' 1104B.3.10-12.)
d. Curbs and Sidewalks Must Be Accessible
Any curb or sidewalk intended for public use that is constructed with public or private funds
must be accessible, regardless of where it is located. (Health & Saf. Code, ' 19956.5; Gov. Code,
' 4450; 57 Ops.Cal.Atty.Gen. 186 (1974).) The curb or sidewalk must be easily accessible by means of
ramps or other devices. To ensure that the ramp is easily accessible, no one may park within three feet
of any sidewalk access ramp which is next to a crosswalk and is designated by either a sign or by red
paint. (Veh. Code, ' 22522.)
A major concern for individuals with disabilities who use wheelchairs is the availability of curb
ramps. Alterations to the curb, sidewalk, or street require the removal of barriers or the construction of
ramps or other devices to aid accessibility. If the government, or a private entity, builds a new street or
sidewalk, then it must be made accessible to individuals with disabilities if it is to be used by the public.
Whenever a local government resurfaces a street, the government has made an alteration and is
therefore required to alter the curb to provide ramps or slopes at the intersections if they do not already
exist.
e. Historical Buildings
Historical buildings may be subject to case-by-case review when alterations are planned, rather
than a strict application of standard access regulations. Alternative building regulations have been
developed for use when an historical building is restored or relocated. (Health & Saf. Code, ' 18950 et
seq.; CBC ' 1135 B.)
f. Gas Stations
Gas stations must provide persons with disabilities with refueling service at the self-service
price, unless only one employee is on duty or only two employees are on duty, one of whom is assigned
exclusively to the preparation of food. Individuals must display a disabled plate or placard from the
Department of Motor Vehicles in order to receive this benefit. In addition to other remedies available, a
gas station owner or employee who disregards this law commits an infraction and may be fined. Gas
stations must post signs indicating whether or not they provide fueling services for persons with
disabilities. These signs shall include toll-free numbers maintained by the Department of Rehabilitation
for the purpose of seeking information about enforcement of the laws. Card readers at gasoline fuel
dispensing facilities are also required to be accessible. (See CBC ' 1101C et seq.) Local law
enforcement agencies are authorized to investigate violations, upon the verified complaint of an
individual or public agency, and to levy the above-mentioned fines. An individual with a disability or
public agency may file a complaint with the California Attorney General, a district attorney, or a city
attorney, who may bring an action to correct a violation. (Bus. & Prof. Code, ' 13660.)
g. Outdoor Recreation, Parks and Recreational Facilities
California's policy is to increase accessibility to the state's scenic, natural, historic, and cultural
resources. The policy includes, but is not limited to, walking trails, bikeways, horseback riding trails,
23
public roads, boat docks, picnic areas, cross-country ski trails, and heritage corridors. (Pub. Resources
Code, ' 5070.5.)
Access regulations require that campsites, beaches, picnic areas, boat docks and fishing piers,
parking lots, highway rest areas and portions of trails and paths be usable by persons with disabilities.
Nature and educational trails must be made accessible to persons with vision impairments by the
provision of rope guidelines, raised Arabic numerals or symbols, and accessible information and guide
signs. Where the natural environment would be materially damaged by compliance with these
regulations, such areas will be subject to the regulations only to the extent that such damage will not
occur. If permanent facilities are provided, then at least one kind of permanent functional area or
facility, as applicable, shall be accessible to persons with disabilities, including a sanitary facility for
each sex; at least one picnic table and one table for each 20 tables, or fraction thereof provided;
information and display areas; drinking fountains; at least one parking space; and curb ramps at
pedestrian ways, where appropriate. Automobile access and accessible path of travel shall not be
provided if compliance would create an unreasonable hardship. (CBC ' 1132B.2.)
Individuals with disabilities who receive state aid may be eligible for a Golden Bear Pass
allowing free day use access to most state parks for the individuals with disabilities and his or her
spouse. The pass is available from the Department of Parks and Recreation. (Pub. Resources Code,
' 5011.)
At least a portion of playground equipment purchased by public agencies operating playgrounds
as of January 1, 1979, shall be accessible and usable to all persons, regardless of physical condition,
whenever equipment is available at a comparable cost and quality to standard equipment. (Pub.
Resources Code, ' 5411.)
h. Signs and Identification
The International Symbol of Accessibility must be displayed at accessible building entrances and
in the lobbies of buildings which have been remodeled to provide accessible sanitary facilities. (CBC ''
1114A and 1117A.3.)
i. Clear Floor or Ground Space
Building design must allow for the clear movement and maneuvering of wheelchairs. (CBC
' 1118B.) Objects protruding from walls (for example, telephones) may not obstruct the movement of
wheelchairs. Building design must also take into consideration the needs of individuals with vision
impairments. This helps ensure that an individual with a visual impairment will avoid hazards
undetectable by standard cane technique. (CBC ' 1121B.)
j. Dining, Banquet and Bar Facilities
Wheelchair access must be provided in dining, banquet and bar facilities. Access must be
provided to all areas where each type of functional activity occurs. There must be a certain number of
wheelchair seating spaces. Food service aisles, tableware areas, restrooms and food preparation areas
must also be accessible. (CBC ' 1104B.5; People ex rel. Deukmejian v. CHE, Inc. (1983)
150 Cal.App.3d 123.)
24
k. Religious Facilities
The sanctuary areas, raised platforms, choir rooms, choir lofts, performing areas, assembly
areas, classrooms and offices and sanitary facilities of religious facilities must be accessible and must
provide wheelchair seating spaces. Hardship exceptions can be granted where equivalent facilitation is
provided. (CBC ' 1104B.6.)
l. Office Buildings and Personal and Public Service Facilities
Facilities covered by these regulations include all those used by the public as customers, clients,
or visitors, or facilities which may be places of employment. Included are all types of business and
professional offices, including insurance, real estate and attorneys' offices, all types of sales
establishments, and all personal and public service facilities, including banks, laundromats, hospitals,
police stations, courtrooms, fire stations, automated teller machines, point of sale machines, and vending
machines. (CBC '' 1105B et seq.; 1109B et seq.; 1117B.7 et seq.; and 1126B; Donald v. Sacramento
Valley Bank (1989) 209 Cal.App.3d 1183.)
In business and professional offices, areas to be made accessible include client and visitor areas,
toilet facilities, conference rooms, and employee work areas. (CBC ' 1105B.3 et seq.) In sales
establishments, sales and display areas must be accessible, as well as employee work areas and some
check-out stations. Where fitting or dressing rooms are provided, at least one must be accessible. (CBC
' 1110B.1 et seq.) Finally, with certain exceptions, client and visitor areas and employee work areas
must be accessible in personal and public service facilities. Factories and warehouses must also comply
with broad accessibility requirements. (CBC '' 1105.4.4. et seq. and 1107B et seq.)
m. Educational and Library Facilities
In educational facilities, laboratory rooms must provide a certain number of work stations usable
by students with physical disabilities, and a certain percentage of study carrels and teaching facility
cubicles must be accessible. General use areas in libraries must be accessible, and open book stacks
must allow wheelchair access to the aisle. (CBC ' 1106B.1 et seq.)
n. Hotels, Motels, and Publicly-Funded Living Accommodations
A certain number of guest rooms in private lodging facilities must be accessible, including
sanitary facilities. Public rooms and recreational facilities in private lodging must also comply with
certain accessibility requirements. Some publicly-funded living accommodations must meet accessibility
requirements although arguably they must be publicly-funded and open to the general public. (CBC '
111B.1 et seq.; Berkeley Center for Independent Living v. Coyle (1996)
42 Cal.App.4th 874.)
o. Courtrooms
Individuals with hearing impairments are entitled to the use of assistive listening systems or
computer-aided transcription equipment to assist their participation in any civil or criminal court
proceeding, alternate dispute resolution or public agency administrative hearing, if they provide at least
five days' notice. Each county is required to have at least one portable listening device for use by the
25
courts. Signs must be posted indicating how to request these systems. In any civil or criminal
proceeding where an individual with a hearing impairment is a participant, the court proceeding shall not
be allowed to commence until the requested listening assistance equipment has been provided. In
addition, jury boxes, judges' benches, witness stands, counsel tables, public seating areas, jury rooms
and other court facilities must be made accessible in all new or remodeled facilities. No lesser standard
of accessibility or usability shall be applied than is applicable under the ADA. (CBC ' 1105B.3.5.)
An individual who is deaf or hearing impaired and cannot participate in court, administrative or
alternative dispute resolution proceedings through the use of an assistive listening system or computer-
aided transcription equipment is entitled to a free qualified interpreter to interpret the proceedings in a
language understood by the individual. A free intermediary interpreter will be appointed if the appointed
interpreter is not familiar with the use of particular signs or sign language used by the individual. The
proceeding cannot commence until the interpreter is present. Individuals with hearing impairments are
also entitled to interpreters when they are interviewed in a criminal or quasi-criminal investigation or
proceeding. (Evid. Code, ' 754.)
p. Elevators
Elevators must be designed so as to accommodate wheelchairs. Elevators must stop within one-
half inch of the building floor level, and elevator floor buttons must be within reach of a wheelchair
user. Passenger elevators must be located near a major path of travel. All new elevators must have
braille and raised arabic numbers next to the buttons designating each floor. Existing elevators must also
satisfy this requirement, unless an unreasonable hardship would result. The number of the floor must
appear both in braille and in raised arabic numbers on the outside of the elevator door. (CBC ' 1105.3;
Gov. Code, ' 4455.5.) Lifts are only allowed in limited circumstances. (CBC ' 1116B.2 et seq.)
q. Miscellaneous
$ If emergency warning systems are required, they must warn persons with hearing impairments
by the use of flashing lights. (CBC ' 1105.4.6.)
$ Public swimming pools must be accessible to persons with disabilities. (CBC ' 3104B.)
$ There are accessibility requirements for exterior routes of travel, pedestrian grade separations,
parking spaces and structures, and passenger drop-off and loading zones. (CBC '' 1127B et
seq., 1128B, 1129B et seq., 1130B and 1131B et seq.)
II. ACCESS TO POLLING PLACES AND THE VOTING PROCESS - STATE AND FEDERAL
ELECTIONS
A. State Elections
California law requires that notice of a polling site must state whether the location is accessible.
Election officials must try to select accessible voting sites. If a site is not accessible, a person with a
disability can vote in a nearby accessible location or by absentee ballot.
26
If a voter is unable to mark a ballot, he or she must be permitted to vote with the assistance of
not more than two persons, excluding the voter's employer, or an officer or agent of the union of which
the voter is a member. The voter must declare under oath to a member of the precinct board present at
the time that he or she is unable to mark the ballot. No person assisting a voter shall divulge any
information regarding the marking of the ballot. (Elec. Code, '' 12280 and 14282.)
B. Federal Elections
Any voter requiring assistance because of blindness or disability to vote in a federal election may
receive assistance from a person of the voter's choice, other than the voter's employer or an agent of the
employer or an officer or agent of the voter's union. (42 U.S.C. ' 1973aa-6.) State and political
subdivisions must ensure that registration and polling places for federal elections are accessible to
persons with disabilities and elderly persons, or that alternative means for casting ballots are provided.
The chief election officer of each state shall provide timely notice of the availability of aids and
assistance and the procedures for voting by absentee ballot. Registration and voting aids which are
required include:
$ instructions, printed in large type, conspicuously displayed at registration and polling places; and
$ information by telecommunications for persons with hearing impairments. No notarization or
medical certification shall be required of a voter with a disability with respect to an absentee
ballot except to automatically receive an application or ballot on a continuing basis or to apply
for an absentee ballot after the deadline has passed. (42 U.S.C. ' 1973ee-3.)
If a state or political subdivision does not comply with this law, the United States Attorney
General or anyone potentially aggrieved by the noncompliance can bring a lawsuit for declaratory or
injunctive relief in the appropriate district court. (42 U.S.C. ' 1973ee-4.)
III. ACCESS TO TRANSPORTATION
A. Driving and Parking
1. Driver's Licenses
The right to a driver's license is not absolute, and licensing standards vary from state to state.
In California, a person with a physical or mental disability may not be refused a driver's license if the
Department of Motor Vehicles (DMV) decides the disability does not affect the individual's ability to
operate a vehicle. By statute, the DMV may not issue a license to a person with a disorder characterized
by lapses of consciousness, or marked confusion, but the DMV must usually make license determinations
on a case-by-case basis and must issue licenses to persons capable of safe driving. The DMV shall not
issue or renew a driver's license of any person whose best corrected visual acuity is 20/200 or worse in
that person's better eye, as verified by an optometrist or ophthalmologist. No person may use a bioptic
telescope or similar lens to meet the acuity standard. (Veh. Code, '' 12805 and 12806; Smith v. DMV
(1984) 163 Cal.App.3d 321.)
27
The DMV may require a person to use special adaptive devices, if necessary to assure safe
driving. (Veh. Code, '12813.)
2. Parking Privileges
California has enacted a number of provisions granting special parking privileges to persons with
disabilities who drive upon receipt of medical certification, unless the disability is readily observable and
uncontested. In order to take advantage of most of these privileges, a person's vehicle must display
either a distinguishing license plate or distinguishing placard, both of which can be obtained on a
permanent or temporary basis from the DMV. (Veh. Code, '' 5007 and 22511.55 et seq.) The plates
and placards cannot be loaned to others, unless that person is in the presence or reasonable proximity of
the person with a disability for purposes of transporting him or her. Violations of this code section are
misdemeanors punishable by a fine and/or jail time. (Veh. Code, ' 4461.) A civil penalty of $1,500
can be imposed in addition to or instead of the fine. (Veh. Code, ' 4461.5.) If lost or stolen, the
placards can be replaced without recertification of eligibility. The placards have a fixed expiration date
of June 30 every two years. The plates and placards shall be returned to the DMV not later than 60 days
after the death of the person to whom it was issued. No person is eligible for more than one placard at a
time, although organizations involved in the transportation of persons with disabilities may apply for a
placard for each vehicle used for that purpose. (Veh. Code,
' 22511.55.)
Upon receipt of the required applications and documents, the DMV will also issue temporary
distinguishing placards for persons temporarily disabled for a period of not more than six months. This
placard expires after six months, or the termination of the disability, whichever occurs first. There are
also placards available for shorter periods of time for purposes of travel. (Veh. Code, ' 22511.59.)
Any person using a distinguishing placard for parking in permitted areas shall present
identification and evidence of the issuance of the placard to that person upon request by a person
authorized to enforce parking laws, ordinances or regulations. Failure to present the identification and
evidence gives rise to a rebuttable presumption that the placard is being misused, and the placard may be
confiscated. (Veh. Code, ' 22511.56.) The plates and placards allow disabled persons to park in certain
restricted zones, and to park in metered spaces for free. (Veh. Code, ' 22511.5.) California Vehicle
Code section 22507.8 precludes persons without disabled placards or plates to park in stalls or spaces
reserved for the disabled. Vehicles can be towed if parked in violation of this section if the posting
requirements set forth in Vehicle Code section 22511.8 have been met. (Veh. Code, ' 22652.)
California Vehicle Code section 42001.5 requires the court to impose a fine on any person convicted of
specified disabled parking violations, which can only be suspended if the person convicted possessed a
placard or plate but failed to display it.
Parking spaces identified with blue curb paint are exclusively for the use of persons with
disabilities. (Veh. Code, ' 21458, subd. (a)(5).) Vehicle Code section 22522 prohibits parking a
vehicle within three feet of a sidewalk access ramp for the disabled adjacent to a crosswalk if the area
adjoining the ramp is designated with a sign or red paint. Local authorities generally decide where
special parking spaces will be located. In addition to designating reserved parking spaces on streets and
in public lots, local authorities may require private parking facilities which are open to the public to
reserve a certain number of spaces for the vehicles of persons with disabilities. Any parking facility
controlled by a state agency must reserve a certain number of spaces for persons with disabilities and
28
provide appropriate signage. If a state agency does not have its own parking facility, the agency must
ask local authorities to reserve on-street spaces immediately adjacent to the agency property for the use
of persons with disabilities. (Veh. Code, '' 22511.7 and 22511.8; Gov. Code, ' 14679.)
Drivers with disabilities must still observe parking regulations which prohibit all stopping,
parking or standing, or which reserve spaces for special types of vehicles. (Veh. Code, ' 22511.5,
subd. (a)(3).)
B. Mass Transit and Interstate Transportation
1. State Law
a. Accessibility of Equipment and Structures
California law provides that state agencies, boards, and departments, local governmental
subdivisions, districts, public and quasi-public corporations, local public agencies and public service
corporations, cities, counties and municipal or county corporations in awarding contracts for operations,
equipment or structures shall require that all fixed-route transit equipment and public transit structures be
built so that individuals with disabilities shall have ready access to, from, and in them. (Gov. Code, '
4500; 70 Ops.Cal.Atty.Gen. 70 (1987).) This section also provides that if state standards are higher
than the ADA, those state standards shall be complied with.
Section 99220 of the Public Utilities Code sets forth a legislative finding that since public
transportation systems provide an essential public service, they should be designed and operated so as to
encourage maximum utilization by Ahandicapped persons.@ A "handicapped person" is defined as "any
individual who by reason of illness, injury, age, congenital malfunction, or other permanent or
temporary incapacity or disability, including, but not limited to, any individual confined to a wheelchair,
is unable, without special facilities or special planning or design, to utilize public transportation facilities
and services as effectively as a person who is not so affected. A temporary incapacity or disability is
one which lasts more than 90 days. (Pub. Util. Code, ' 99206.5.) Cities or counties are authorized
pursuant to section 99260.7 of the Public Utilities Code to file a claim for state funds to provide
transportation services using vehicles for the exclusive use of Ahandicapped persons.@
2. Federal Law
a. General Provisions
i. Public Entities, Recipients of Federal Funding, and the Federal
Government
The ADA provides that public entities must make all services, programs and activities accessible
to individuals with disabilities. This general provision extends to transportation services, such as buses,
trains, and other conveyances provided by state and local government. It also extends to the facilities
and stations which provide access to these services. (42 U.S.C. '' 12132 and 12142-12165.) In
addition, the Rehabilitation Act of 1973 ensures that all recipients of federal financial assistance and
federal agencies themselves provide access to transportation services and facilities.
(29 U.S.C. '' 794 and 794b.)
29
ii. Private Entities
The ADA also provides that all public accommodations operated by private entities be accessible
to individuals with disabilities, although there are exceptions for certain private clubs and religious
entities. (42 U.S.C. ' 12187.) Private entities include all privately-owned businesses and organizations
which offer services to the public. This means that public transportation provided by private entities,
such as buses, trains and taxi cabs, is subject to accessibility requirements. (42 U.S.C. '' 12181-
12189.)
The ADA makes a distinction between private entities which are primarily engaged in the
business of transportation and private entities which provide transportation services incidental to other
types of business. Private entities which are primarily engaged in the business of transportation are held
to strict accessibility requirements. They must make reasonable modifications to their vehicles and must
provide auxiliary aids and services which will aid in creating accessibility. Reasonable modifications
may include removing existing barriers where such modifications are readily achievable and if not, using
readily achievable alternative methods. (42 U.S.C. '' 12182 and 12184.)
iii. Exceptions
While all forms of transportation offered to the public must be accessible, this does not mean
that structural alterations must necessarily be made to all transportation vehicles. Instead, transportation
systems must be accessible in a manner that provides individuals with disabilities with service
comparable to that offered to persons without disabilities. Accessibility regulations take into account the
need to balance the cost of altering existing transportation systems with the goal of achieving full
accessibility. The regulations and exceptions which apply to the various modes of transportation are set
out in more detail below.
b. Buses, Rapid and Light Rail Vehicles
i. Buses, Rapid and Light Rail Vehicles Operated By Public
Entities
All new buses, rapid and light rail vehicles operated by public entities must be designed so that
they are readily accessible and usable by individuals with disabilities, including individuals who use
wheelchairs. This applies to all new vehicles which were ordered after August 25, 1990. Used vehicles
purchased or leased after that date must also be readily accessible and usable by individuals with
disabilities, unless the public entity can show that it used good faith efforts to purchase or lease
accessible used buses and that none were available. Vehicles which are remanufactured so that they will
last at least another 5 years are also required to be readily accessible and usable by persons with
disabilities, including individuals who use wheelchairs. (42 U.S.C. ' 12142.)
If a remanufactured vehicle has been made to be accessible to the maximum extent possible,
then such a vehicle will comply with accessibility requirements. Historic vehicles operating on fixed
route systems, any segment of which is included on the National Register of Historic Places, need only
be made accessible to the maximum extent feasible, if modifications would significantly alter the
historic character of the vehicle. (42 U.S.C. ' 12142(c)(2).) Some transit systems which are
considered "demand responsive" and do not have fixed routes may continue to purchase and lease non-
30
-
-
accessible vehicles, but they must operate a system which, when viewed in its entirety, provides an
equivalent level of service for individuals with disabilities. (42 U.S.C. ' 12144; 49 C.F.R. ' 37.171.)
They must compensate passengers with disabilities if they fail to provide certain services. (49 C.F.R.
' 37.199.)
In addition, systems which do not provide fully accessible vehicles are required to provide
paratransit and other special services in order to provide a level of service which is comparable to the
service provided individuals without disabilities. Paratransit must also be comparable to the extent
practical with the response time provided to individuals without disabilities. However, systems
providing solely commuter bus service are exempt from this requirement. (42 U.S.C. ' 12143.)
The ADA also mandates that a public entity provide at least one car per train, where two or
more vehicles operate as a train by a light or rapid rail system, which is readily accessible and usable by
persons with disabilities, including individuals who use wheelchairs. (42 U.S.C ' 12148.)
Public entities operating fixed route systems shall permit service animals to accompany
individuals with disabilities in vehicles and facilities. (49 C.F.R. ' 37.167(d).)
ii. Over-the-Road Buses Operated By Private Entities
Over-the-road buses operated by private entities are generally subject to the same accessibility
rules as those applied to government-funded bus systems. Private entities may not purchase or lease new
buses which are not readily accessible and usable by individuals with disabilities. They are to remove
transportation barriers in existing buses where such removal is readily achievable; they are not required
to retrofit buses or to install hydraulic lifts. (42 U.S.C. ' 12186; 49 C.F.R. '' 37.167(d); 37.181 et
seq., and 38.151 et seq.; 28 C.F.R. ' 36.310.)
"Over the road buses," which are buses with baggage compartments located underneath the
passenger section, are not required to provide accessible bathrooms if this would result in a loss of
seating capacity. However, they are required to be accessible in all other aspects, such as by providing
handrails, lighting and slip-resistant floors where wheelchairs or mobility aid users are to be
accommodated. (42 U.S.C. ' 12186; 49 C.F.R. ' 38.151 et seq.)
Private entities which are primarily engaged in the business of transportation must make
reasonable modifications to existing buses, must provide auxiliary aids and services and, under certain
circumstances, must remove barriers in order to create accessibility. Where an entity uses vehicles with
a carrying capacity of eight passengers or less, it is required to purchase accessible vehicles, unless the
entity provides the same level of service to passengers with disabilities when the system is viewed in its
entirety. The same level of service means that the frequency, response time, and destinations covered
must be equivalent. (42 U.S.C. ' 12184; 28 C.F.R. ' 36.202; 49 C.F.R.
'' 37.103 and 37.105.)
Private entities which are not primarily engaged in the transportation business and which
operate a fixed route system are required to purchase new buses which are readily accessible and
usable by individuals with disabilities, including persons who use wheelchairs. However, if the vehicle
has a carrying capacity of 16 passengers or less, then the vehicle is not required to be accessible, but
only if the private entity operates a system which provides the same level of service to users with
31
disabilities when viewed in its entirety. Public entities which operate a purely demand responsive
system - where there is no fixed route - are required to purchase accessible vehicles, unless they can
show that the system, when viewed in its entirety, provides the same level of service to users with
disabilities. (42 U.S.C. ' 12182; 49 C.F.R. '' 37.101 and 37.105.)
c. Trains, Street Cars and Other Rail Vehicles
i. Intercity and Commuter Rail Operated By Public Entities
The same general rules apply to larger trains that apply to rapid and light rail transportation.
Public entities, such as Amtrak or local commuter authorities, must purchase or lease readily accessible
or usable vehicles subject to the same general exceptions allowed for rapid and light rail.
On intercity trains, there must be at least one space to park and one space to store and fold a
wheelchair for every passenger coach. Accessible bathrooms are required on coaches which provide
wheelchair spaces. On trains which provide food service in either single or bi-level cars, auxiliary aids
and services must be provided to ensure that passengers with disabilities are provided equivalent food
service to that provided to other passengers. A single-level dining car providing food service must meet
certain accessibility requirements if purchased after July 26, 1990. The one-accessible-car-per-train rule
also applies to intercity and commuter rail service. (42 U.S.C. ' 12162; 49 C.F.R. '' 37.91 and
37.93.)
ii. Rail Operated By Private Entities
Rail operated by private entities is subject to the same accessibility rules as other businesses
providing public accommodations. Private entities have an obligation to remove structural barriers and
to make alterations where readily achievable. If such alterations are not readily achievable, then the
public entity has the duty to use alternative methods of providing services if they are readily achievable.
However, public entities are not required to retrofit cars for hydraulic lifts. (42 U.S.C.
' 12182(b)(2)(A)(iv).)
Private rail is also subject to the same rules as rail provided by public entities; for example, all
new passenger cars must be readily accessible to and usable by persons with disabilities, to the maximum
extent feasible. This applies to used cars not already owned or leased by an entity and to cars
remanufactured to extend their life ten years. (42 U.S.C. ' 12184.) Historic cars are granted the same
exceptions given to those operated by public entities. (Ibid.)
d. Stations and Terminals
i. Facilities Operated By Public Entities
Transportation facilities are subject to the same types of accessibility requirements as other
buildings. New facilities must be built so that they are readily accessible and usable by persons with
disabilities, and any alterations to existing buildings must be done so that they are made accessible and
usable to the maximum extent feasible. Whenever an area containing a primary function is altered, the
bathrooms, telephones, drinking fountains, and path of travel must also be made accessible to persons
with disabilities, including persons who use wheelchairs, unless disproportionate in cost and scope to the
overall alterations. (42 U.S.C. '' 12146 and 12147, subd. (a); 49 C.F.R. '' 37.41-37.45.)
32
In addition to the general rules, "key stations" serving rapid and light rail must be made
accessible no later than July 26, 1993. Public entities may apply for extensions of up to 30 years where
making a station accessible would involve extraordinarily expensive structural changes to or replacement
of existing facilities. By July 26, 2010, at least two-thirds of such key stations must be readily accessible
to and usable by individuals with disabilities. (42 U.S.C. ' 12147(b); 49 C.F.R.
' 37.41 et seq.)
"Key stations" are chosen by the public entity based on various criteria including stations where
passenger boarding exceeds 15% of the average, transfer stations, connections to other modes of
transportation, end stations, and stations serving major activity centers. (49 C.F.R. '' 37.47- 37.51.)
ii. Facilities Operated By Private Entities
Transportation facilities operated by private entities are subject to the same requirements as other
facilities housing public accommodations. (49 C.F.R. ' 37.21(a)(2); see section Ai@ above.) Generally,
a place of public accommodation is required to facilitate access by (1) modifying policies, practices, or
procedures, unless this would fundamentally alter the nature of the services; (2) providing auxiliary aids
and services, unless this would fundamentally alter the nature of the services or would result in an undue
burden; (3) removing architectural barriers if readily achievable and if not, using alternative methods, if
those are readily achievable. (28 C.F.R. ' 36.301-305.)
New facilities must be designed so that they are readily accessible to persons with disabilities and
any alterations must be made so as to create accessibility. (28 C.F.R. '' 36.402-405, with certain
exceptions for measures taken to comply with barrier removal requirements; see 28 C.F.R. ' 304.)
e. Taxis
While providers of taxi service are not required to purchase or lease accessible automobiles, they
are subject to the general ADA provisions against discrimination. For example, taxi service providers
may not discriminate against persons with disabilities by refusing to provide taxi services to individuals
who can use them, refusing to assist with the stowing of mobility devices, or by charging higher fares or
fees for carrying an individual with a disability and his or her equipment/or service animal.
If a provider of taxi service purchases or leases a vehicle other than an automobile, then the
vehicle is required to be accessible, unless an equivalent service is provided for persons with disabilities.
For example, taxi service providers who use vans in airport door to door service may only purchase
non-accessible vans if they already provide an equivalent level of service for individuals with disabilities.
An equivalent level of service means an equivalency in schedules, response time, fares, areas of service,
hours and days of service, availability of information, reservations capability, constraints on capacity or
service availability and restriction priorities based on trip service.
(49 C.F.R. '' 37.29 and 37.105.)
f. Reduced Fares
Mass transportation systems, whether trains or buses, which receive federal funds, are required
to charge special rates for passengers who are disabled or elderly. During non-peak hours, rates for
33
passengers who are disabled or elderly may not exceed one-half of the regular peak-hour fares.
(49 C.F.R. ' 609.23)
g. Enforcement
If you feel that you have been discriminated against by private or public entities providing
transportation services, then the following options are available. First, under the ADA, you always have
the right to bring a private lawsuit against the offending party, whether it be a government agency or a
private entity. If you decide to bring a lawsuit there is no requirement that you exhaust administrative
remedies first and you may bring suit at any time - even if you are already involved in the administrative
complaint process. You may also file a complaint with the United States Attorney General. You may
also file a complaint with the Department of Transportation's Office of Civil Rights, which will
investigate your complaint and take the appropriate action. If the Department of Transportation deems it
appropriate, it will refer your case to the Attorney General for enforcement in court. (42 U.S.C. '
12188; 49 C.F.R. '' 27.11 and 37.11; 28 C.F.R. ' 36.501-36.508.)
C. Air Travel
1. General Law
The nondiscrimination mandate of section 504 of the Rehabilitation Act has been held by the
U.S. Supreme Court not to apply to airlines which do not receive direct federal financial assistance.
(United States Dept. of Transp. v. Paralyzed Veterans of America (1986) 477 U.S. 597.) Unlike mass
transit, most airlines are not recipients of direct federal subsidies. The ADA does not apply to aircraft.
(42 U.S.C. '' 12141(2) and 12181(10).) Nonetheless, all air carriers and commuter carriers, regardless
of whether or not they receive federal assistance, must comply with certain nondiscrimination laws and
regulations. To assure that airlines do not discriminate against airline passengers, Congress enacted the
Air Carriers Access Act of 1986. The Act prohibits air carriers, including foreign air carriers, from
discriminating against persons with disabilities when they are otherwise qualified to use air transit. (49
U.S.C. ' 41705.) Also, the ADA and the Rehabilitation Act still apply to services and accommodations
provided by airlines and airports on the ground. (See section 2, infra.)
All airlines are prohibited from discriminating against an individual based on a disability.
Disability is defined as: (1) a physical or mental impairment that substantially limits one or more major
life activities; (2) a record of such an impairment; or (3) being regarded as having such an impairment.
An airline has discretion as to whom it will carry, but it may not arbitrarily decide to exclude individuals
based on disability, and any decision to exclude a passenger must be based upon legitimate safety
considerations. (Adamson v. American Airlines (1982) 457 N.Y.S.2d 771, cert. denied (1983) 463 U.S.
1209.)
Service animals can accompany persons with disabilities. They may accompany the person in
his or her seat unless that would block an aisle or emergency evacuation route. If that is the case, the
carrier shall offer to move the passenger with the animal to another seat location. (14 C.F.R.
'' 382.37 and 382.55.)
34
2. Airports
Airport facilities are covered under the ADA (42 U.S.C. ' 12181(7)(G)) and, if they receive
federal funding, the Rehabilitation Act. (29 U.S.C. ' 794.) This means that airports must provide
access to individuals with disabilities under the same rules that apply to all public accommodations.
Airports operated by public entities are subject to the ADA accessibility regulations for government
services and programs.
New terminals must be accessible. Placement of elevators and other similar devices should
minimize any extra distance persons in wheelchairs must travel. Persons with disabilities must be able to
use the main ticketing, fare collection, baggage check-in and retrieval areas and inter-terminal
transportation systems. Airport operators must provide adequate assistance in boarding and deplaning,
with certain exceptions. (14 C.F.R. ' 382.23; 49 C.F.R. ' 27.1 et seq.)
Airport terminal information systems must accommodate the needs of persons with vision and
hearing impairments by providing information both visually and orally. Service animals may accompany
their owners. (49 C.F.R. ' 37.167(d).) At least one clearly marked telephone with a volume control or
sound booster device must be available for persons wearing hearing aids, and sufficient
telecommunications devices (TTY) must be available to permit persons with hearing impairments to
communicate with airport personnel. Clocks must be visible to persons with vision impairments.
In addition, parking areas, loading zones, waiting areas, and public services must be accessible.
(49 C.F.R. ' 27.71 et seq.; see the Americans with Disabilities Act Accessibility Guidelines, including
section 10.4 concerning airport facilities, Appendix A to 49 C.F.R. ' 37.)
3. Services and Reservations
All air carriers are prohibited from discriminating against, denying services to, or providing
separate or different services to any otherwise qualified person with a disability. (14 C.F.R. '' 382.5,
382.7 and 382.31.)
An air carrier may not require a person with a disability to be accompanied by an attendant,
except under limited circumstances when a carrier determines that an attendant is essential for safety.
Circumstances where a carrier may require an attendant to accompany an individual with a disability
include: (1) where an individual is traveling in a stretcher or incubator; (2) where an individual with
mental disabilities is unable to comprehend or to respond to safety instructions; (3) where an individual
with severe mobility disabilities is unable to assist in his evacuation of the aircraft; or (4) where an
individual with both severe hearing and vision impairments cannot establish some means of
communication with carrier personnel adequate enough to permit transmission of safety information. (14
C.F.R. ' 382.35(b).)
The need for minor assistance is not enough to require an attendant. A carrier may not refuse
to transport an individual, traveling without an attendant, on the basis that the individual cannot feed
himself or herself, if the individual elects not to eat during the flight. In addition, a concern by the
carrier that assistance may be needed to allow an individual with a disability to use inaccessible
lavatory facilities, or may otherwise need extensive special assistance for personal needs, is not a basis
35
to require an attendant to accompany an individual with a disability on the flight. Where an individual
with a disability believes that he or she can travel independently, and is required by a carrier to bring an
attendant on the flight, then the carrier must pay for the passage of the attendant. The individual with a
disability may be eligible for denied boarding compensation if there is not a seat available for this
attendant. (14 C.F.R. ' 382.35(c).)
Carriers must allow passengers with disabilities to use personal ventilators/respirators, canes and
crutches and to keep them nearby during flight, and must allow folding wheelchairs on board when they
are not a threat to safety. Assistive devices shall not be counted toward limits on carry-on baggage.
Airlines apply varying regulations to battery-powered chairs, and it is advisable to check with individual
carriers. Carriers must provide assistance in boarding and deplaning without advance notice, unless
special assistance is required (such as specialized equipment or additional personnel.) Carriers may not
impose charges for providing facilities, equipment, or services which they are required to provide to
passengers with disabilities. (See 14 C.F.R. '' 382.37-382.57 for these and other regulations governing
accommodation of passengers with disabilities.)
4. Enforcement
If you believe you have been discriminated against in air travel, you should contact the United
States Department of Transportation or a private attorney. (49 U.S.C. ' 41705.)
IV. ACCESS TO TELECOMMUNICATIONS
Both California law and the ADA require that telephone services be provided to individuals with
speech or hearing impairments. In 1990, the ADA added a new section to the Communications Act of
1934, United States Code, title 47, section 151 et seq., directing the Federal Communications
Commission (FCC) to establish regulations that will ensure that hearing- and speech-impaired individuals
are provided with unlimited and affordable telecommunications services. (47 U.S.C.
' 225(d).)
A. Telephone Systems
1. Non-Emergency Services
a. Telecommunication Devices and Relay Services
Under California law, every telephone corporation must provide an accessible
telecommunications device to any telephone subscriber who is certified as deaf or hearing-impaired.
This device, usually called "Telecommunications Device for the Deaf" (TDD) or a "Teletype Device"
(TTY), must be provided free of charge. Organizations which represent persons with hearing
impairments are also eligible for the special telecommunications device. (Pub. Util. Code, ' 2881.)
A TDD or TTY is a device that resembles a typewriter with a message display used by
individuals with speech and hearing impairments to communicate with other TDD users.
Common carriers must also provide telecommunications relay services to individuals with
speech and hearing impairments that will allow them to communicate with those having unimpaired
36
hearing and speech. (47 U.S.C. ' 225(b); 47 C.F.R. ' 64.603.) The California Public Utilities
Commission (PUC) is required to establish a "dual party relay system," which allows persons with
hearing impairments to be connected, by way of intercommunication devices, with persons of normal
hearing. This system is designed to make all phases of public telephone service accessible. (Cal. Pub.
Util. Code, ' 2881.)
"Telecommunication Relay Services" (TRS) are the technical means by which TDD/TTY users
and hearing individuals are placed in communication with each other, with typed and voice messages
being translated between the parties. The ADA defines relay services as telephone transmissions
services that permit communication by wire or radio between hearing individuals and those with hearing
or speech impairments that is functionally equivalent to the ability of a person without a hearing or
speech disability to communicate through such means. (47 U.S.C. ' 64.601(7).)
In addition, communication assistants, individuals who translate conversation from text to voice
and vice versa, must be trained to effectively meet in the specialized communication needs of persons
with hearing and speech impairments. Services must be available 24 hours per day and calls may not be
limited in terms of duration or number. Provision is also made for confidentiality and emergency
assistance. (47 C.F.R. ' 64.604(a).)
Telephone companies may charge a certain amount to all subscribers in order to recover their
costs in providing telecommunications devices for persons with hearing impairments. Federal law allows
any telephone carrier to recover costs for producing specialized terminal equipment for people with
impaired hearing, speech, vision, or mobility. Thus, there is no financial burden on telephone
companies which produce telecommunication devices. (47 U.S.C. ' 604.)
b. Enforcement
The FCC is assigned the duty to enforce the requirements imposed on telecommunications
services by the ADA. If you feel that your telecommunications services have violated the ADA, you
may file a complaint with the FCC. The FCC will then refer your complaint to a state agency if the
complaint falls within the state's jurisdiction, or the FCC will handle the complaint itself where it
involves interstate telecommunications. However, if a state agency has not resolved the complaint within
180 days, or within a shorter period, as prescribed by state regulations, the FCC will intervene to
resolve the complaint. (47 U.S.C. ' 225(e) and 47 C.F.R. ' 64.604.)
2. Emergency Services
In California, any county which provides emergency services must provide hearing-impaired
teletype equipment at a central location to relay requests for emergency services. In addition, all "911"
public safety answering points must have a telecommunications device capable of servicing the needs of
persons with hearing impairments. (Gov. Code, '' 23025 and 53112.)
Under federal law, all "essential telephones" -- meaning coin-operated, emergency use, and
other telephones which are frequently used by people with hearing aids -- must be compatible with
hearing aids designed for telephone use. The FCC can delegate enforcement of this provision to the state
under certain specified circumstances. (47 U.S.C. ' 610.)
37
B. Television Broadcasting
1. Emergency Information
Television stations must usually transmit emergency information both aurally and visually when
conducted under a national, state or local level Emergency Alert System (EAS) plan. Other emergency
information may be broadcast both visually and aurally or just visually. (47 C.F.R.
' 73.1250(h).)
2. Other Broadcasting
There are a number of ways of providing access to television programming for individuals with
hearing impairments, none of which is wholly satisfactory from all perspectives. Providing sign
language interpreters may not assist all individuals with hearing impairments. Open captioning, where
written words on the screen are displayed to all viewers, provides the most access, but may be
distracting to hearing viewers. Closed captioning, where written words are displayed only on those
television sets that have a decoder, provides access only to people who can afford the decoder. All three
methods impose some cost on the television station.
There are currently no laws or regulations which require television stations to provide any
specific amount of broadcasting which is accessible to viewers with hearing impairments (except for
emergency information, discussed above).
38
CHAPTER 5
EDUCATION
This chapter discusses the rights of persons with disabilities in primary and secondary education,
pre-school education, and post-secondary education.
I. THE RIGHTS OF CHILDREN WITH DISABILITIES IN PRIMARY AND SECONDARY
EDUCATION
A. All Children With Disabilities Have a Right to a "Free, Appropriate, Public Education@
Children with disabilities have a right to a free public education appropriate to their needs,
regardless of the nature or severity of their disability. This right is guaranteed by both federal and state
law. The phrase used to describe the education that must be provided to a child with a disability is a
"free, appropriate, public education." In the following sections, the terms "free," "appropriate," and
"public" are explained in detail.
The parents of a child with a disability have a right to participate in any decision about the
education of their child. Specifically, a school district must:
$ inform parents of any decision to evaluate their child for special education;
$ obtain parents' permission before evaluating their child;
$ allow parents to attend and participate in all planning conferences;
$ inform parents of any proposed changes in their child's special education; and
$ listen to, consider carefully, and respond respectfully to any complaints by parents.
In addition, if parents are dissatisfied with the school district's decision, they can ask the
California Department of Education and the courts to review that decision. In the following sections, the
scope of the school district's duties are explained in detail.
B. The Law
1. Federal Law
Before 1975, many children with disabilities were denied any education at all. In 1975,
Congress passed a law, the "Education of the Handicapped Act," which confirmed the right of a child
with a disability to a free, appropriate education. The Act was later amended and is now called the
Individuals with Disabilities Education Act, or the IDEA. (20 U.S.C. ' 1400 et seq.) Other federal
statutes, such as the Rehabilitation Act and the ADA, also protect the right of a child with a disability to
an education free from discrimination based on disabilities. (29 U.S.C. ' 794 et seq.; 42 U.S.C.
' 12131 et seq.)
39
Education is primarily the responsibility of states and local communities, rather than the federal
government. For this reason, the federal statutes do not require the states to educate any children. The
Rehabilitation Act instead prohibits discrimination against anyone on the basis of a disability in any
program supported by federal funding. Since every state accepts federal money for its general education
programs, every state is forbidden to discriminate against a child with a disability in education. (29
U.S.C. ' 794.)
Under the IDEA, any state that wants federal money for the education of a child with a disability
must prove to the United States Department of Education that it provides a "free, appropriate, public
education" to all children with disabilities between the ages of 3 and 21. (20 U.S.C. '' 1400(c) and
1412.) The state must also show that it has procedures to insure:
$ that all children with a disability within the state are identified and contacted (20 U.S.C.
'
1412(a)(3)(A));
$ that all children with disabilities within the state are evaluated (20 U.S.C. ' 1412(a)(3)(A));
$ that an "Individualized Education Program" is prepared for every child in need of special
education (this will be discussed below) (20 U.S.C. '' 1412(a)(4) and 1414(a)(1));
$ that the services needed by a child are actually provided to the child (20 U.S.C. ' 1412(a)(6));
$ that in adopting policies, programs and procedures for IDEA that there be public hearings,
adequate notice of those hearings, and an opportunity for comment from the public (20 U.S.C.
'' 1415; 1412(a)(6)); and
$ that parents are permitted to get both administrative and judicial review of any school district
decision concerning their child (this is discussed in more detail below.) (20 U.S.C. ' 1415.)
By accepting federal money, a state assumes the duty to provide to every child with a disability
within the state an appropriate primary and secondary education. (Board of Education v. Rowley (1982)
458 U.S. 176.)
2. State Law
California accepts federal money for the education of children with disabilities, and therefore
must provide children with disabilities a free, appropriate education under the federal statutes discussed
above. In addition, California itself has enacted statutes concerning the education of children with
disabilities, and these statutes sometimes provide greater benefits than federal law. (Ed. Code, ' 56000
et seq.)
C. A Free, Appropriate, Public Education
1. "Special Education" and "Related Services"
States must provide both special education and related services for children with disabilities.
40
a. Special Education
"Special education" means instruction specially tailored to the needs of a child with a disability.
(Abrahamson v. Hershman (1st Cir. 1983) 701 F.2d 223; Kruelle v. New Castle County School District
(3rd Cir. 1981) 642 F.2d 687.) Usually, instruction is in the same subjects taught to other children --
reading, spelling, arithmetic, science, American history, etc. -- in a way or at a pace that helps the child
with a disability learn. However, special education can also include instruction in basic aspects of daily
life -- toilet training, personal care, etc. -- if that is the sort of instruction a child with a disability needs.
Special education can also include instruction in methods of communication specially tailored to the
needs of a child with a disability, such as American Sign Language and the use of Bliss symbols.
Special education also includes physical education, either offered to children with disabilities
along with other children or modified to meet the unique needs of the child with a disability. (20 U.S.C.
' 1401(25).)
b. Related Services
"Related services" are supportive services that enable children with disabilities to take advantage
of their special education. Examples of related services are transportation to and from school, between
schools, and between or within school buildings, including the use of wheelchair - accessible buses and
vans, occupational and physical therapy, speech therapy, and school health services.
Related services are services other than instruction that make the instruction meaningful.
Medical services provided by a doctor are not included, but school health services may administer drugs
or services prescribed by a doctor. Necessary services which a nurse or lay person could perform must
be provided. For example, intermittent catheterization for a child suffering from spina bifida must be
provided, since the procedure can be accomplished by a trained nurse or lay person. (Irving Independent
School District v. Tatro (1984) 468 U.S. 883.) Since there are so many different kinds of disabilities, it
is impossible to list every kind of supportive service a child might need. If a child needs a particular
service during the school day in order to attend or profit from school, then the school district generally
must provide it. (20 U.S.C. ' 1401(29); cf. Nevada County Office of Education v. Riles (1983) 149
Cal.App.3d 767.)
2. What Is An "Appropriate" Education
?
a. The Program Must Allow Progress in Learning
A school district must provide a child with a disability with an "appropriate" education. A
school district is not
required to do everything possible to maximize the child's achievement or
fulfillment of his or her potential. Under federal law, the school district simply must provide a child
with a disability with a special education that enables the child to make progress in learning.
b. Mainstreaming Should Be the Goal
School districts are required to educate children with disabilities together with children who do
not have disabilities to the maximum extent feasible, so long as the co-education of children with
disabilities and children without disabilities will meet the educational needs of the child with a
41
disability. (20 U.S.C. ' 1412(a)(5)(A).) The right of children with disabilities to be educated with
children who do not have disabilities includes the right to participate in non-academic and extracurricular
activities. The only situations which justify educating children with disabilities apart from children who
do not have disabilities are when:
$ "mainstreaming" would be of no benefit to a child with a disability;
$ the benefits of educating a child with a disability in isolation from children who do not have
disabilities far outweigh the benefits of "mainstreaming";
$ a child with a disability disrupts the education of the children who do not have disabilities; or
$ the costs of educating a child with a disability in an ordinary classroom are prohibitive.
Although cost is a legitimate consideration, the school district is required to make reasonable
accommodations to enable a child with a disability to attend school in a regular classroom. (See Daniel
R.R. v. State Board of Education (5th Cir.1989) 874 F.2d 1036.)
c. Private or Boarding Schools Are Sometimes "Appropriate"
An appropriate education can include placement in a private school, including a boarding school,
if a child with a disability needs that placement in order to make progress in learning. A placement in a
private day or boarding school is appropriate, however, only when the school district cannot provide a
child with a disability with an adequate education in the public schools. (Burlington School Committee v.
Department of Education (1985) 471 U.S. 359.)
3. Public School Districts Are Responsible for
Providing Education to Children With Disabilities
The responsibility of providing an appropriate education to children with disabilities is a public
responsibility. The immediate responsibility rests with the school district. The ultimate responsibility
rests with the California Department of Education. (20 U.S.C.A. ' 1412(a)(11).) Small school districts
can join together to meet their duties under the law. A group of small school districts acting together is
called a "special education local plan agency" (SELPA). In this handbook, the local responsible agency
is always called "the school district," but that includes SELPAs and the county education offices. Even
if special education or related services are provided in a private school or by a private agency, the school
district is responsible for planning and supervision of and payment for the private services. The school
district cannot surrender its responsibility to a private agency or even to another public agency. (Kruelle
v. New Castle County School District (3rd Cir. 1981) 642 F.2d 687.)
4. Education for Children With Disabilities
Must Be Provided at No Cost to the Parents
Both special education and related services, must be provided at public expense, meaning at no
charge to the parents. (34 C.F.R. ' 300.13.) The school district must pay for experts who provide
speech, physical, or occupational therapy, specially-qualified teachers, and special equipment needed
by a child with a disability in order to benefit from his or her special education. If the school district
42
puts a child in a private school, then the school district must pay tuition and transportation. If the school
district puts a child in a boarding school, then the school district must pay for the child's room and
board, in addition to the costs of tuition and transportation.
There is one exception to the duty of the school district to pay for the education of a child with a
disability. If the parents reject an appropriate education offered to their child by the school district (for
example, because they want to send their child to a religious school), then the school district must only
pay for its own decision, not the parents' decisions. (Teague Indep. Sch. Dist. v. Todd L. (5th Cir.
1993) 999 F.2d 127.)
D. Eligibility & Procedures
1. Who is Eligible for Special Education and Related Services?
a. The Child Must Have a Disability
The benefits of the IDEA are available only to those who have "disabilities," as the term is
defined in the Act itself. Disability is defined broadly and includes every condition -- organic, mental,
or behavioral -- that might affect a child's performance in school.
Included are orthopedic impairments (for example, spina bifida and muscular dystrophy),
sensory organ impairments (for example, visual and hearing impairments), neurological impairments (for
example, epilepsy and cerebral palsy), and mental disabilities (for example, Down's Syndrome).
Specifically excluded from the definition of disabled are children who are disadvantaged because of
environmental, cultural, or economic reasons. (Ed. Code, ' 56026, subd. (e).)
Nonetheless, while disadvantages caused by environmental, cultural, or economic factors are
excluded, both federal and state law include "severe emotional disturbance" within the definition of
disabled. Sometimes it is difficult to tell if a child's poor school work is caused by "severe emotional
disturbance" or by social factors. The courts have decided that if a child is behaving in "emotionally
disturbed" ways, then it does not matter what caused the child's behavior. If a child behaves in
emotionally disturbed ways that interfere with his or her learning, then the school district is responsible
for providing the child with special education and related services. (20 U.S.C. ' 1401(3)(A)(i);
Christopher T. v. San Francisco Unified School District (N.D.Cal. 1982) 553 F.Supp. 1107.)
b. Children Usually Must Be Between Ages Five and
Eighteen, But Some Older Children Are Also Eligible
All children with disabilities between the ages of five and eighteen whose disability adversely
affects their performance in school are entitled to special education and related services. In addition, any
person with a disability between the ages of 19 and 21 is entitled to special education and related services
if the student was enrolled in or eligible for a special education program before he or she turned 19, and
the student has not yet satisfied the graduation requirements applicable to him or her.
If an individual turns 22 while enrolled in a special education program, he or she may continue
in that program until the end of the school year. (20 U.S.C. ' 1412(a)(1); Ed. Code, ' 56026.)
43
c. The Child Must Have a Record of Poor School Performance
Having a disability or a health problem is not enough to make a child eligible for the benefits of
the Act. A child must have a disability that actually affects school performance in a negative way. For
example, a child with completely controlled epilepsy who is able to participate satisfactorily in a regular
classroom would not be eligible for special education. Basically, special education and related services
are only available to those who need them. (34 C.F.R. '' 300.7 and 300.26.)
2. What Procedures Must Be Followed Before a Child May
Receive Special Education and Related Services?
a. The Child Must Be Evaluated
i. Request an Evaluation
A child's eligibility for special education is determined by a process called "assessment" or
"evaluation." The state and school districts are required to try and find all children who might be
entitled to special education. However, anyone can request the assessment of a child. Requests for an
assessment must be in writing. The school district must provide assistance to anyone making an oral
request for the assessment of a child.
ii. A Child Cannot Be Evaluated Without Parental Consent
No child may be evaluated without his or her parents' consent. "Parent" includes any person
having legal custody of the child. The school district must explain to the parents exactly how the
assessment will be done. The explanation must be in writing and in the parents' own language. If the
parents' primary method of communication is American Sign Language (ASL), then the explanation
must be given in ASL. If the parents' own language cannot be written, then the explanation must be
given to the parents orally in their own language, as well as in written English. If the parents agree to
an assessment of their child, then they must sign a consent form provided by the school district. The
school district must explain to the parents that they have a right to change their minds at any time, even
after they have signed the consent form. If the parents refuse to consent to an assessment of their child,
the school district may request a hearing to require the assessment. (34 C.F.R. ' 300.500 et seq.)
iii. Testing Requirements
The persons actually doing the assessment of a child must be trained professionals. The tests
used to evaluate a child must be fair, accurate, appropriate, and free of ethnic, cultural, or sexual bias.
The tests must be given so that the results are not distorted by a child's disability and must, if at all
possible, be given in a child's own language or method of communication. Tests must be given in every
area that might explain a child's poor school performance, including tests for hearing and vision. The
persons who give the tests must make a written report on all tests given to a child. The parents
are entitled to a copy of the report in their own language or method of communication. (20 U.S.C.
' 1412(6)(B); 34 C.F.R. '' 300.530 and 300.543.)
44
iv. Parents May Request Independent Assessments
If the parents disagree with the results of the evaluation, they may ask for an independent
evaluation of their child at public expense. The school district may either agree to pay for an
independent evaluation, or it can ask for a review of the results of its tests by an independent hearing
officer. If the school district agrees to pay for an independent assessment, the persons who do the
independent assessment must be as experienced as the persons who did the school district's assessment.
The parents may get an independent assessment of their child at their own expense at any time. If the
parents do get an independent assessment, then the school district must consider it when deciding how to
educate the child. (34 C.F.R. ' 300.502.)
b. Planning the Education of a Child With a Disability
i. The "Individualized Educational Program"
Once it has been decided that a child has a disability which makes special education and/or
related services necessary, the school district must develop an individualized educational program (or
IEP) for the child. An IEP is basically a plan of action for the education of a child. (20 U.S.C.
' 1401(11).) It must contain all of the following:
$ a statement of the child's present educational performance;
$ a statement of the educational goals for the child, both for the immediate future and for the
school year;
$ a statement about what type of special education and which related services the child will
receive;
$ a statement about the beginning date and duration of the special education and related services;
$ a statement listing any needed transition services;
$ a statement of the standards by which the child's educational progress will be measured; and
$ a statement about how much of the child's time will be spent in a regular classroom and how
much of the child's time will be spent in a special classroom.
ii. Development of the IEP
The IEP is developed by a team of people, including the parents. The members of the team
must include a representative of the school district and the child's teacher. The team can also include
experts or other persons chosen by the school district and education experts the parents choose to
include. The team may also include the child with a disability, if appropriate. The team reviews the
results of the assessment, decides what the child's special education and related services needs are,
decides how the child's needs can best be met, and writes the IEP. The first IEP written for a child with
a disability generally must be developed within 50 days of the date on which the parents signed the form
consenting to an assessment of their child. (Ed. Code, ' 56344; 34 C.F.R. ' 300.340 et seq.)
45
iii. The School District Must Facilitate Parental
Involvement in Developing the IEP
The school district must make it as easy as possible for the parents of a child with a disability to
participate in the planning of their child's education. The school district must give the parents notice of
the meetings of the IEP team in the parent's own language or primary method of communication, and
must schedule the meetings at a time convenient for the parents. The parents have the right to present
information to the rest of the team and to have their opinions carefully considered. If the parents do not
speak English or are hearing-impaired, the school district must provide an interpreter for them at the
meetings of the IEP team. The parents are entitled to a copy of their child's IEP at no cost to them. If
the parents request it, the school district must give them a copy of their child's IEP written in their own
language. (20 U.S.C. '' 1401(11), 1412(4), and 1414(c)(1); 34 C.F.R. ' 300.345.)
c. Placement in Special Education and Related Services
i. General Law
Once the evaluation and planning processes are completed, and the parents have given their
consent, the school district must immediately begin to provide the special education and the related
services listed in the IEP.
However, if the total cost of all special education and related services provided to a child with a
disability is greater than $20,000 per year, the Superintendent of Public Instruction must review the IEP
to determine if the IEP team made adequate efforts to find an appropriate, but less expensive, placement
for the child. At most, this can delay the child's special education and related services for two or three
weeks.
ii. Parental Consent is Required in Order to
Provide Special Education or Related Services
No child may be placed in any special education program or provided with related services
without the written consent of the child's parents. The parents may consent to only a part of the IEP and
object to the rest. For example, the parents may consent to all or part of the related services listed in the
IEP and refuse to consent to the proposed special education program. If the parents consent to some part
of the IEP, then the school district must immediately provide the services for which consent has been
given. A parent may object to any
part of the IEP, either on the ground that it is unnecessary or on the
ground that it is inappropriate or inadequate. (Ed. Code, ' 56346; 34 C.F.R. ' 300.505.)
If the parents refuse to consent to any part of the IEP prepared for their child, then either the
parents or the school district may request a hearing before an independent hearing officer provided by
the California Department of Education. If the dispute is over a service demanded by the parents and
denied by the school district, then the hearing officer must make an independent determination of the
needs of the child. However, if the dispute is over a service offered by the school district and rejected
by the parents, then the duty of the hearing officer is less clear. Because parents have a constitutional
right to control and direct the education of their children, both the school district and the hearing officer
may lack the authority to overrule the parents unless a child's presence is disruptive of a regular
classroom or the parents are endangering the child. (However, see also Wilson v. Marana Unified
School District (9
th
Cir. 1984) 735 F.2d 1178.)
46
d. Changes in Placement or Education Program
of a Child With a Disability
i. There Must Be a Periodic Reassessment
of the Child
Every child with a disability who receives special education or related services must be
reevaluated at least once every three years. A reevaluation must also take place if the circumstances
make it appropriate or if a child's parents or teachers request it. Reevaluations are conducted under the
same rules that apply to initial evaluations. (34 C.F.R. ' 300.536.)
ii. The IEP Must Be Reviewed at Least Annually
The IEP team must review and revise a child with a disability's IEP at least once a year, when
requested to do so by a child's parents or teachers or whenever a child is not making educational
progress. The parents may request a review of their child's IEP no more than twice a semester. The
procedures and protections applicable to the first IEP team meeting apply to later IEP team meetings.
(20 U.S.C. ' 1413(d)(4)(A); 34 C.F.R. ' 300.146.)
iii. A School District May Not Change a Child's
Placement Without Notice
Although parental consent is required before a child may be placed in a special education
program for the first time, parental consent is not required before the school district changes a child's
placement. However, if the school district plans to change a child's placement, it must give the parents
notice of its plans in writing and in the parents' own language or primary method of communication. If
the parents object to the plan, they may request a hearing before an independent hearing officer provided
by the California Department of Education. (Ed. Code, ' 56500 et seq.;
34 C.F.R. ' 300.504.)
Not every change that a school district makes is considered a change in placement requiring detailed
advance notice. For example, a change in the location at which the special education and related
services are to be provided would not generally be considered a change in placement. A change in
placement is a fundamental change in the type of special education or related services provided to a
child with a disability. For example, a change from a regular classroom to a special classroom would
be a change in placement, and a transfer of a child from a school that offers a year-round program to a
school that does not offer a year-round program would be a change in placement. (Tilton v. Jefferson
County Board of Education (6th Cir. 1983) 705 F.2d 800, cert. den. (1984) 465 U.S. 1006; Concerned
Parents & Citizens v. New York Board of Education (2d Cir. 1980) 629 F.2d 751, cert. den. (1981) 449
U.S. 1078.) Note that children with disabilities and their parents are entitled to a hearing before an
independent hearing officer provided by the California Department of Education whenever the school
State hearings are discussed below.
iv. A Child With a Disability May Not Be Expelled
A short suspension of a child with a disability for misbehavior is not a change in placement
necessitating detailed advance notice. Expulsion, however, is a change in placement. Therefore, a
47
school district cannot use the procedures used in expelling other children in expelling children with
disabilities. Although a school district can change a child with a disability's placement if the child is
disruptive, the school district cannot expel a child whose misbehavior is a manifestation of, or is caused
by, his or her disability. Even when a child with a disability may properly be expelled, the school
district cannot refuse to offer some form of education to the child. (Cf. Honig v. Doe (1988) 484 U.S.
305; Kaelin v. Grubbs (6th Cir. 1982) 682 F.2d 595.)
v. Graduation is a Change in Placement
Parents have a right to notice and an opportunity to object before a child with a disability
graduates if the child has not met district graduation requirements and is under the program's age limit.
Graduation is considered a change in placement because it means termination of special education and
related services. An IEP team must set special graduation requirements for a child with a disability
unable to meet the usual requirements. Parents participate as members of the IEP team.
E. Administrative & Judicial Review
1. Administrative Review
a. Parental Rights to Administrative Review
The parents of a child with a disability have a right to administrative review whenever they are
dissatisfied with a school district decision concerning their child. (Ed. Code, ' 56500 et seq.) For
example, the parents of a child with a disability have a right to administrative review whenever they
object to:
$ the kinds of tests used by the school district to evaluate the child;
$ the conclusions reached by the persons doing the evaluation of the child;
$ the type of special education offered or denied the child and/or the related services offered or
denied the child;
$ the specific placement proposed for the child; or
$ the denial of the parents' procedural rights (their rights to fair notice of all school district
decisions concerning their child in their own language, their rights to participate in planning
their child's education, etc.).
b. School District's Rights to Administrative Review
The school district also has the right to request administrative review. The school district can
request administrative review whenever there is a disagreement between it and the parents.
48
c. Filing a Complaint and Holding a Mediation Conference
Administrative review begins when a complaint is filed with the Superintendent of Public
Instruction. However, either party may request a voluntary mediation conference at any time. The
mediation conference will be held within 15 days of the filing of a request for mediation with the
superintendent. In a mediation conference, a disagreement is resolved only when both parties agree. If
the parties cannot resolve all their disagreements, then the dispute must be resolved at an administrative
hearing. (Ed. Code, '' 56500.3 and 56503.)
d. Parents Have the Right to Inspect All Their Child's Records
The parents of a child with a disability have the right to inspect and make copies of any and all
records maintained by the school district concerning their child. The school district must make the
records available for inspection and copying within five days of the parents' request to see them. The
school district must also give the parents an opportunity to inspect and copy their child's records before a
meeting of the IEP team, a mediation conference, or an administrative hearing. The school district may
ask the parents to pay the costs of the copying of the records, but if the parents cannot afford the costs of
copying, then the school district must give them free copies. (Ed. Code, ' 56504; 34 C.F.R. ''
300.502 and 300.566.)
e. Administrative Hearing
Any party may choose to present its evidence and argument through a lawyer. The
Superintendent of Public Instruction must give the parents information on any free or low-cost
representation available in the area whenever the parents request the information or file a complaint.
(Ed. Code, '' 56502 and 56507; 20 U.S.C ' 1415(h); and McSomebodies v. Burlingame Elementary
School Dist. (9th Cir. 1989) 897 F.2d 974.)
f. The Child's Placement Remains the Same During
Administrative Review
The filing of a complaint preserves things as they are. If the dispute between the parents and the
school district concerns the assessment or placement of the child, the assessment or placement cannot be
carried out during the administrative review. If the dispute between the parents and the school district
concerns the type of special education or related services needed by the child, the child's program must
remain the same until the dispute is resolved. If the child was not in school at all, he or she must be
allowed to enroll in a regular public school program during the administrative review. However, the
parents and the school district can negotiate a temporary agreement about special education, related
services, or placement. (20 U.S.C. ' 1415(j).)
Parents have the final responsibility for the protection and education of their children.
Although parents must send their children to school, parents need not leave their children in a school
where they are denied the education they have a right to or the services they need. If the school district
refuses to provide needed special education, needed related services, or an appropriate placement, then
the parents can send their child to a school that does provide the appropriate education, services, or
placement. The parents will be reimbursed for the cost of sending their child to the alternative school.
However, if the hearing officer or the courts ultimately decide in favor of the school district, then the
49
parents must pay for the school they choose. (Union School Dist. v. Smith (9th Cir. 1994) 15 F.3d
1519, cert. den. (1994) 115 S.Ct. 428.)
2. Judicial Review
a. General
Any party dissatisfied with the hearing officer's decision can file a lawsuit. The lawsuit can be
filed in either federal district court or California superior court. Generally, a parent or child must
exhaust the administrative remedies available before filing a lawsuit. In other words, a parent must file a
complaint with the Superintendent of Public Instruction and use the hearing process before filing a
lawsuit in federal or state court. (Smith v. Robinson (1984) 468 U.S. 992.) In some cases a court will
hear the suit without use of the administrative process, but this is generally only allowed where the
hearing would be futile (as where a child with a similar problem was already denied relief) or where the
school district has failed in its statutory duty to inform the parents of the complaint procedures. (Doe v.
Maher (9th Cir. 1986) 793 F.2d 1470.)
b. The Child's Placement During Judicial Review
If the hearing officer decides in favor of the parents of a child with a disability, then the school
district must immediately obey the hearing officer's order. Only a judge may permit the school district
to disregard the hearing officer's decision.
Federal law gives parents the right to insist that their child remain wherever he or she was
before the dispute arose, during both administrative and judicial review. This means that the school
district may not change a child's status, program, services or placement over the parents' objections,
even if the hearing officer decides in favor of the school district, unless a court issues an order to the
contrary. (20 U.S.C. ' 1415(j).)
If the hearing officer decides in favor of the school district and denies a child a type of program,
service, or placement that the parents think the child needs, the parents can ask the judge for a
preliminary injunction ordering the school district to provide what is needed. The parents can also
arrange privately for the child to receive the educational program, services, or placement that he or she
needs. If the parents ultimately prove that the hearing officer's decision was wrong, and that their child
does need what the parents provided privately, the school district will be required to repay the parents
their costs. (Doe v. Brookline School Committee (1st Cir. 1983) 722 F.2d 910.) Of course, if the judge
ultimately decides that the hearing officer was right, then the parents must pay for the privately-arranged
program, services, or placement themselves.
c. Court Proceedings
The trial judge makes an independent decision on the basis of both the hearing officer's decision
and any additional evidence which is presented.
50
II. PRESCHOOL EDUCATION
A. Children Younger Than Five May Be Eligible
For Special Education Benefits
Children who are younger than five years old and who, because of their disability, require
special education may be eligible for education services. To be eligible for early education services,
children must generally satisfy the same requirements as those used for older children. Physical, mental
and emotional disabilities will entitle children to available services. Services may include assistance for
parents in coordinating other services provided by agencies in the area, access to developmentally
appropriate equipment and specialized materials, activities to aid in the child's development, and other
general services. (Ed. Code, '' 56441.3 and 56441.11.)
California also provides for services for children two years and younger under the California
Early Intervention Services Act. (Gov. Code, ' 95000 et seq.) The purpose of this Act is to enhance
development and minimize the potential for developmental delays by providing early intervention
services for infants and toddlers who have disabilities or who are at risk of becoming disabled.
Eligibility for services is reserved for infants and toddlers with specific developmental delays, or
conditions with harmful developmental consequences, or for children who are at high risk of acquiring a
developmental disability. Specifically, infants or toddlers who have developmental delays in one of the
following areas are eligible:
(1) cognitive development;
(2) physical and motor development (including vision and hearing);
(3) communication development;
(4) social or emotional development; and
(5) adaptive development.
Infants or toddlers are also eligible where they have conditions of known etiology or conditions
which have established harmful developmental consequences, or where they are at high risk of having a
substantial developmental disability due to a combination of biomedical risk factors. (Gov. Code,
' 95014.)
For information on the services available, contact your local regional center. If your child has
visual, hearing or orthopedic impairments, contact your local educational agency.
B. Eligible Preschool Children Have the Same Rights as School Age Children
Whenever a preschool age child is eligible for special education, both the child and the parents
are entitled to all of the rights of school-age children with disabilities and their parents (discussed above).
51
III. POST-SECONDARY EDUCATION
A. General Law - Section 504
All post-secondary programs, including vocational programs, which receive federal financial
assistance, are prohibited by section 504 of the Rehabilitation Act from discriminating on the basis of
disability. Section 504 provides that no qualified individual with a disability shall be excluded from
participation in, or denied the benefits of, or be subjected to discrimination under any program or
activity receiving federal financial assistance. This section focuses on the impact of section 504 on post-
secondary education.
In general, it is unlawful to discriminate against an otherwise qualified individual with a
disability in any academic, research, insurance, counseling, financial aid, physical education, athletics,
recreation, transportation, other extracurricular, or any other post-secondary education program or
activity which receives federal financial assistance. (29 U.S.C. ' 794; 34 C.F.R. ' 104 et seq.)
B. What is a "Program or Activity?"
Until 1988, court decisions limited the scope of section 504 protection to the specific program or
activity which received federal money. Thus, if a college received federal assistance only in the form of
student financial aid (such as Guaranteed Student Loans and federal grants to students), then only the
financial aid department of the college would have had to comply with section 504, not the entire school.
Legislation which broadened the scope of section 504 was enacted in 1988. (29 U.S.C. ' 794(b).)
C. Nondiscrimination in Admissions, Recruitment, and Accommodation
A "qualified individual with a disability" may not be denied admission or be subjected to
discrimination in admissions or recruitment solely because of his or her disability. Schools may not limit
the number or proportion of students with disabilities, and may not use any admission tests which have a
disproportionate, adverse effect on applicants with disabilities, unless such tests are valid predictors of
success in the specific program and alternative tests or criteria are not available. Admissions tests must
accurately reflect the applicant's achievement level and not merely reflect his or her disability.
Admissions officers may not ask whether an applicant is disabled, unless it is clearly stated that
the information is voluntary, will be kept confidential, and is being used solely in order to monitor the
school's compliance with nondiscrimination laws.
A post-secondary education program which receives federal funds must modify its academic
requirements, if necessary, to ensure that a person with a disability is not discriminated against, and
must provide "auxiliary aids" such as readers, interpreters, and adapted classroom equipment.
However, educational programs do not need to modify requirements which are "essential" to the
program. An "otherwise qualified" individual with a disability has been interpreted to mean someone
who meets all of a program's requirements, despite his or her disability. Thus, a nursing school, for
example, may impose valid physical qualifications for admission to a clinical program; it need not
waive important academic requirements or provide an interpreter so that a person with a hearing
52
impairment can participate in the program, when the ability to hear is validly deemed essential to
successfully participate in the clinical program. (34 C.F.R. ' 104 et seq.; Southeastern Community
College v. Davis (1976) 442 U.S. 397.)
D. Nondiscrimination in Housing
If a school which receives federal assistance provides housing for students who do not have
disabilities, it must provide comparable, convenient, and accessible housing for students with disabilities
at the same cost. In general, the number and variety of living accommodations available to students with
disabilities must be comparable to that available to non-disabled students. (34 C.F.R.
' 104.45.)
E. Nondiscrimination in Financial Aid
A school which receives federal assistance may not, on the basis of disability, provide less
financial aid, limit eligibility for financial aid, or discriminate in any other way against applicants with
disabilities and recipients of financial aid. (34 C.F.R. ' 104.46.)
Special scholarships and awards which may discriminate are valid only if the overall effect of the
award or scholarship is not discriminatory on the basis of disability. For example, it might not be
considered discriminatory to deny a varsity football scholarship to an individual with a neurological
disorder, but it would be discriminatory to deny a diving team scholarship to an individual solely because
he or she has a hearing impairment. The decision must be based on comparative athletic ability, not on
the absence or presence of a disability.
F. Nondiscrimination in Nonacademic Services
A recipient of federal assistance may not discriminate on the basis of disability in providing
physical education courses and athletic programs, and must provide qualified students with disabilities an
equal opportunity to participate. A school may only offer separate or different physical education and
athletic programs if they are not discriminatory and if qualified students with disabilities have the
opportunity to participate in the regular programs.
Personal, academic or vocational counseling must be provided without discrimination on the
basis of disability. It is discriminatory to counsel students with disabilities to pursue more restrictive
career objectives than non-disabled students with similar interests and abilities. (34 C.F.R. ' 104.47.)
53
CHAPTER 6
PARENTAL RIGHTS
I. PARENTAL FITNESS
Persons with disabilities have the same right as anyone else to bear and raise children. A
parent's or child's disability does not by itself indicate a need for intervention by child protective
services. A parent's physical disability cannot be used as a basis to deny him or her child custody,
unless the disability prevents the parent from exercising care and control. (Welf. & Inst. Code,
'' 300, subd. (b) and 16509.2.)
For example, one California appellate court has held that termination of the parental rights of an
individual with a developmental disability required a showing by clear and convincing evidence that
services designed especially for her needs had been tried without success, and that despite such services
it could be shown that the child's best interests required that she be declared free for adoption. (In re
Victoria M. (1989) 207 Cal.App.3d 1317.)
II. CHILD CUSTODY
In California, child custody decisions are made according to the best interests of the child. A
person cannot be denied custody solely because he or she has a physical disability
. A parent's health or
physical condition may be considered in the custody decision, but cannot be presumed to affect the child
negatively or to make the parent unfit to have custody. The special contributions a parent with a
disability may give to the child's development must be considered. A court may deny custody to a
parent with a disability only if the parent's condition will have a substantial and lasting negative effect on
the child. (In re Marriage of Carney (1979) 24 Cal.3d 725.) A parent with a mental disability may be
denied child custody only if suffering from a mental incapacity or disorder which renders him or her
unable to care for and control the child adequately. (Fam. Code, ' 7827.)
III. ADOPTION
Persons with disabilities can adopt children. All adoptions are based on the best interests of the
child. Although the health of a prospective parent is one of many factors in an adoption decision, a
parent's disability cannot be the sole reason for denial. (Adoption of Richardson (1967) 251 Cal.App.2d
222; Fam. Code, ' 8612.)
The Adoption Assistance Program provides assistance and financial aid to prospective adoptive
parents of "hard-to-place" children. A hard-to-place child includes a child with physical, mental,
emotional, or medical disabilities. (Welf. & Inst. Code, ' 16120; Cal. Code Regs., tit. 22, ' 35325 et
seq.) An adopted child with a disability who requires medical treatment may be eligible for care at no
cost through the California Children's Services Program, regardless of the income of the adoptive
family. (Health & Saf. Code, ' 123965.) Expenses related to the adoption of a child with special needs
may also be tax-deductible.
54
CHAPTER 7
PROGRAMS AND SERVICES
This section describes the following special services and programs for persons with disabilities:
In Home Supportive Services, rehabilitation services, Independent Living Centers, regional centers, and
community mental health services. These programs are funded by state and federal governments and
may be available without cost. Additionally, some private organizations may provide similar services.
I. IN HOME SUPPORTIVE SERVICES (IHSS)
In Home Supportive Services (IHSS) is a state-sponsored program whose purpose is to allow
persons with disabilities to live safely and independently in their homes. (Welf. & Inst. Code, ' 12300
et seq.) Any person with a disability eligible to receive MediCal or SSI is eligible to receive IHSS.
Applications can be made through your county Department of Social Services.
IHSS pays the cost of supportive services for persons with disabilities who are unable to perform
these services themselves and who could not safely remain in their homes without this help. Supportive
services include cleaning, cooking, shopping, laundry, personal care and grooming, transportation to
medical appointments, paramedical services, teaching and demonstration directed at reducing need,
and
protective supervision. In certain circumstances, a spouse or parent may be paid to provide supportive
services.
II. REHABILITATION SERVICES
Congress has established federal and state-funded vocational training programs designed to
increase the employment of persons with disabilities. The Department of Rehabilitation is the state
agency in California charged with the development and supervision of services necessary to achieve this
goal.
A. Eligibility For Services
Vocational rehabilitation services are available to any individual with a mental or physical
disability who is of employable age and who can benefit from rehabilitation services. A person with a
disability is defined here as someone with a mental or physical disability which creates a barrier to
employment.
(Welf. & Inst. Code, ' 19151.) Financial need may be taken into account when a
determination of eligibility is made for these services. (Welf. & Inst. Code, '
19018; 29 U.S.C. ' 701
et seq.)
B. What Vocational Rehabilitation Services Are
$ evaluation of rehabilitation potential;
$ counseling, guidance, and work-related
placement services;
$ training services, including personal and vocational adjustment,
books and other
training materials;
55
$ reader services for the persons with visual impairments and interpreter services
for persons with hearing impairments;
$ job coaching services that may include any of the following: on-the-job skill
training, observation or supervision at the work site, consultation and/or training
of coworkers and supervisors, assistance in integrating into the work
environment, destination training, assistance with public support agencies,
family and residential provider consultation, and any other on- or off-the-job
support services needed to reinforce and stabilize job placement;
$ recruitment and training services to provide persons with disabilities with new
employment opportunities in the fields of rehabilitation, health, welfare, public
safety, law enforcement, and other appropriate service employment;
$ certain corrective surgery;
$ transportation related to vocational rehabilitation services;
$ services to the families of individuals with disabilities which will contribute
substantially to the rehabilitation of the clients; and
$ other services related to rehabilitation, such as goods and services to render a
person with disabilities employable. (Welf. & Inst. Code, ' 19150.)
C. Application Procedures
Applications for vocational rehabilitation services can be made to the Department of
Rehabilitation. A list of offices throughout the state is included in the Directory of Services.
D. The Rehabilitation Appeal Process
If you have applied for services and have been found to be ineligible, or have had services
discontinued, you may appeal the action to supervisory staff within the Department. You may also have
your case heard before the Rehabilitation Appeals Board. A request for review must be filed within one
year of the action. (Welf. & Inst. Code, '
19704 et seq.; 29 U.S.C. ' 722 et seq.)
III. INDEPENDENT LIVING CENTERS
Independent Living Centers are designed to assist persons with disabilities in living fuller and
freer lives outside institutions. The purpose of Independent Living Centers is to promote and practice
the independent living philosophy of: (1) consumer control of the center regarding decisionmaking,
service delivery, management, and establishment of the policy and direction of the center; (2) self-help
and self-advocacy; (3) development of peer relationships and peer role models; and (4) equal access of
individuals with disabilities to society and to all services, programs activities, resources, and facilities,
whether public or private and regardless of the funding source.
Independent Living Centers are private, non-profit organizations.
(Welf. & Inst. Code,
' 19801.) The staff of these centers is trained to assist persons with disabilities in achieving economic
56
and social independence. Services provided by Independent Living Centers include peer counseling,
advocacy, attendant referral, housing assistance, and information and referral. Other services, such as
transportation, job development, equipment maintenance, training in independent living skills, assistive
technology assistance, and mobility and communication assistance may also be available. (Welf. & Inst.
Code, ' 19801.)
IV. REGIONAL CENTERS
Generally, regional centers work closely with other state agencies to advocate on behalf of
developmentally disabled people, to educate and inform the public, and to ensure that legal and civil
rights are enforced. Regional centers assist persons with developmental disabilities and their families in
securing those services and support which maximize opportunities and choices for living, working,
learning and recreating in the community. (Welf. & Inst. Code, ' 4640, et seq.) Regional centers are
private, non-profit community agencies.
(Welf. & Inst. Code, ' 4622.)
For purposes of regional center eligibility, a developmental disability is one which begins before
an individual is 18 years old, continues, or can be expected to continue, indefinitely, and constitutes a
substantial disability for the individual. Mental retardation, cerebral palsy, epilepsy, and autism are all
considered developmental disabilities. This term shall also include disabling conditions found to be
closely related to mental retardation or to require treatment similar to that required for individuals with
mental retardation, but shall not include other handicapping conditions that are solely physical in nature.
(Welf. & Inst. Code, ' 4512, subd. (a).)
Individuals with developmental disabilities, persons believed to have a high risk of parenting a
child with a developmental disability and infants with a high risk of becoming developmentally disabled,
are all eligible for initial intake and assessment services in the regional centers. (Welf. & Inst. Code, '
4642.) Applications for services can be made at a local regional center.
A. The Regional Center Appeal Procedure
A recipient of regional center services who believes a decision or action of the center is illegal,
discriminatory, or not in his or her best interest can file an appeal. The regional center is required to
assist the recipient in the appeal process. The applicant or recipient must request a hearing within 30
days of notice of the regional center's decision. (Welf. & Inst. Code, ' 4700 et seq.)
V. COMMUNITY MENTAL HEALTH SERVICES
Some services for individuals with mental disabilities are provided through county community
mental health programs. Every county must adopt a plan for community mental health services. To
receive services, an individual should contact the community mental health service in the county where
he or she resides.
Community mental health services include programs for people who are institutionalized because
of mental disabilities, outpatient mental health services, and preventive programs. Each community
mental health program has a citizens advisory board composed of people representing the public interest
in mental health, people or families of people receiving mental health services, and mental health
professionals. (Welf. & Inst. Code, ' 5600 et seq.)
57
CHAPTER 8
BENEFITS
Both federal and state governments fund a number of benefit programs which are designed to
assist persons with disabilities. The following section describes some income benefits and certain tax
and business benefits. The section does not address specific benefit programs for disabled veterans. If
you have served in the military, you should contact the Veterans' Administration or a veterans'
organization to determine if you are eligible for benefits. Health benefits are discussed in the "Health
Care" chapter of this book (Chapter 9).
I. INCOME BENEFITS
A. Social Security Disability Insurance and
Supplemental Security Income (SSI)
Social Security Disability Insurance and Supplemental Security Income (SSI) provide monthly
income benefits for blind or persons with disabilities. Both programs are administered by the Social
Security Administration (SSA). While the eligibility requirements differ for each program, the
definitions, regulations, and application procedures are similar. Some of the more important aspects of
these programs are described below. (42 U.S.C. ' 401 et seq.; 42 U.S.C. ' 1381 et seq.)
1. Eligibility for Social Security Disability Insurance
To be eligible for Social Security disability benefits, an individual must be blind or disabled,
have been employed for a required length of time, and have had Social Security taxes withheld from his
or her paycheck. The amount of monthly benefits is based on previous earnings and varies between
individual recipients. Benefits may be granted to the individual's family as well. A five-month waiting
period is required between the onset of disability and the time that disability benefits can be received.
(20 C.F.R. ' 404.315.)
Some older disabled widows or widowers may also be eligible for social security disability
benefits without having been employed. (20 C.F.R. ' 404.336.) A child who becomes disabled before
the age of 22 may receive social security disability benefits if his or her parent is entitled to social
security old-age or disability benefits, or if the child's parent is deceased and was fully insured under the
social security system. The child must be dependent on the insured for support. (20 C.F.R.
' 404.350.)
2. Eligibility for SSI
A person with a disability who has a low income or no source of income and whose other
financial resources, such as savings, are limited may qualify for SSI. (20 C.F.R. '' 416.202, and
416.1100.) A child with a disability under age 18 may receive SSI benefits if his or her parent(s)'
income is within the SSI limitations. A child is entitled to SSI benefits if he or she has an impairment
which results in marked and severe functional limitations, and can be expected to result in death or lasts
or is expected to last more than 12 months. (42 U.S.C. ' 1382c(a)(3)(C)(i); 20 C.F.R. ' 416.924(a).)
58
It is not necessary to have worked or paid social security taxes to qualify for SSI. However,
individuals must apply for any other benefits such as pensions, worker's compensation, social security
disability, or veteran's allowances to which they may be entitled before becoming eligible for SSI.
There is no waiting period for SSI benefits. (20 C.F.R. ' 416.210.)
3. Application Procedures
To apply for social security disability or SSI benefits, an individual or his or her representative
must file an application with the local SSA office. An individual must furnish medical and other
evidence of disability as part of the application process. (20 C.F.R. '' 416.301 et seq., 416.202 et seq.
and 416.601 et seq.)
4. Determining Disability
To receive either disability or SSI benefits, an individual must show that he or she is unable to
work because of blindness or disability. "Blindness" is defined as visual acuity of 20/200 or less in the
better eye with use of a correcting lens. "Disability" is defined in terms of an inability to engage in any
"substantial gainful activity." "Substantial gainful activity" means significant and productive physical or
mental duties done or intended to be done for pay. Household tasks, hobbies, therapy, school
attendance, and social activities are not generally considered substantial gainful activity. A person may
still have some earnings (generally under $300 a month) and not be considered engaged in substantial
gainful activity. If an individual's disability is merely temporary and is not expected to last 12 months,
he or she cannot receive social security disability or SSI benefits. (20 C.F.R. '' 404.1501 et seq. and
416.971 et seq.)
Certain disabilities are considered severe enough to qualify a person for social security disability
or SSI benefits automatically. Among these are kidney failure requiring dialysis, an IQ score of 59 or
below, diabetes mellitus with nerve damage, mental diseases resulting in impairment of intellectual
functioning and restriction of daily activities, and some types of cancer. (20 C.F.R.
' 404.1520 et seq.)
Individuals will not be considered disabled merely because they are no longer able to perform
their previous job. A person must be unable to do any other type of work, taking into consideration age,
education, and work experience. The SSA uses standardized medical-vocational guidelines to determine
what work the applicant should be able to perform if an individual's disability is "exertional" -- for
example, affecting the ability to walk, stand, or lift. For "nonexertional" disabilities -- for example,
difficulty with communication, understanding, or handling stress -- the determination is not standardized.
The SSA does not
consider whether the work which an individual could perform exists in the immediate
area in which the individual lives, whether a specific job vacancy exists for the person, or whether the
individual would be hired if he or she applied for work. (20 C.F.R.
' 404.1520.)
5. Referral to Rehabilitation Services
Individuals receiving social security disability benefits and SSI may be referred to the state
agency providing rehabilitation services. In California, the designated state agency is the Department of
Rehabilitation. If a person refuses without "good cause" to accept rehabilitation services, eligibility for
SSI or the amount received for social security disability will be affected. (20 C.F.R. ' 416.213.)
59
6. The Appeal Process
If you are denied disability or SSI benefits you may appeal. To initiate the appeal process, you
must file a "request for reconsideration" with the Social Security Administration within 60 days of
receiving notice of the denial of disability or SSI benefits. If you remain dissatisfied after the appeal
process is exhausted, you may file a lawsuit in federal court. (20 C.F.R. ' 404.900 et seq.)
7. Review and Termination of Disability Benefits
Eligibility for disability and SSI benefits is reviewed periodically. A recipient's disability or SSI
benefits cannot be terminated unless there is a finding that the physical or mental impairment upon which
the benefits were based has ceased, does not exist, or is not disabling. A decision to terminate benefits
must be supported by substantial medical evidence. You may appeal a decision to terminate benefits,
and will continue to receive disability benefits during the appeal process. (20 C.F.R.
' 416.988 et seq.)
B. State Disability Insurance
California has a disability insurance program, which can be administered either by the state or
by an employer, to protect against loss of wages by disabled workers. Nearly all workers are covered
by this program. Benefits vary among individuals and depend on the amount of previous earnings.
Benefits can be received for up to a year.
1. Eligibility for State Disability Insurance
To be eligible for state disability insurance, an individual must be unable to perform "regular or
customary work" because of either an illness or injury. The illness or injury does not have to be work-
related. A worker must have received $300 in wages in the year prior to the onset of the disability.
(Unemp. Ins. Code, ' 2652.)
2. Application Procedures
To apply for state disability insurance, you should file a claim with your local Employment
Development Department. Forms should be filed promptly, and cannot be filed later than the 41st day
after the disability begins. You may appeal a denial of disability insurance benefits within 20 days.
(Unemp. Ins. Code, '' 2706.1, 2707.4.)
C. Worker's Compensation
The workers' compensation program requires an employer to pay his or her employees for all
injuries which occur in the course of employment. Injury includes an accident, disease, or emotional
disorder arising out of the employment, including injuries to artificial limbs, hearing aids, and metal
braces. However, damage to hearing aids or eyeglasses which causes no disability is not compensated.
To receive workers' compensation benefits, you must generally notify your employer of your
injury within 30 days. (Lab. Code, ' 5400.) A claim for compensation must be filed within one year
from the date of injury. (Lab. Code, ' 5405.)
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D. Special Needs Allowance for Persons With Guide Dogs
People who own guide dogs and who receive SSI are entitled to a monthly special needs
allowance of $50 to help with the purchase of dog food. (Welf. & Inst. Code, '' 12553, 12554.)
Applications are available by mail through your county Department of Social Services.
E. Decreased Energy Rates
Persons with disabilities who rely on life-support equipment in their homes are entitled to an
increase in the amount of gas and electricity payable at lower baseline rates. Life-support equipment
includes all types of respirators, iron lungs, hemodialysis machines, suction machines, electric nerve
simulators, pressure pads and pumps, aerosol tents, electrostatic and ultrasonic nebulizers, compressors,
and motorized wheelchairs. People who are paraplegic or quadriplegic or who have multiple sclerosis
are also entitled to these lower utility rates. (Pub. Util. Code, ' 739.)
II. TAX AND BUSINESS BENEFITS
A. Tax Benefits
Several income, property, and sales tax provisions may benefit persons with disabilities. Some
of the tax benefits include:
$ an additional exemption for persons who are blind;
$ deductions for the cost of purchase and maintenance of wheelchairs, guide dogs, signal dogs, and
other necessary equipment, medical treatment, and prescription drugs;
$ deductions for the cost of attendance at special schools for children with mental or physical
disabilities;
$ a tax credit for the cost of caring for a spouse or child with a disability while the taxpayer is
working;
$ a tax credit for persons retired on disability;
$ deductions for the cost of repairing or remodeling a building or a transportation vehicle in order
to increase access by persons with disabilities;
$ deductions for expenses related to the adoption of a child with a disability;
$ property tax and renter's assistance;
$ property tax postponement; and
$ exemptions from sales tax obligations on a variety of purchases related to prescribed
medications, hemodialysis products, wheelchairs and related parts, oxygen equipment, and parts
used to modify a vehicle for use by persons with physical disabilities.
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Tax laws are complex and change from year to year. To take advantage of these laws, you
should contact a tax advisor.
B. Business Loans & Enterprises to Persons With Disabilities
The Small Business Administration may make business loans to assist persons with disabilities
when no other financial assistance is available on reasonable terms.
Persons with disabilities who wish to establish, acquire, or operate a small business may be
eligible for these loans. Any public or private organization operated in the interest of disabled persons
and which employs disabled persons may also be eligible. Contact the Small Business Administration for
more information. (15 U.S.C. ' 636(h).)
Persons who are blind who are licensed to operate vending facilities have priority to operate such
facilities on any property owned, leased, rented, or otherwise controlled by any state or federal agency
or department. (20 U.S.C. ' 107; Welf. & Inst. Code, ' 19625 et seq.)
62
CHAPTER 9
HEALTH CARE
The following section summarizes California and federal law concerning health care benefits, the
right to medical treatment, consent to medical care, and sterilization of persons with disabilities.
I. HEALTH CARE BENEFITS
A. Medicare
Medicare is a government-sponsored program of health insurance. An individual who has been
receiving social security disability benefits for 24 months is entitled to Medicare. Applications for
Medicare can be made at a local Social Security office.
Medicare consists of two parts. Part A provides hospital insurance benefits which pay part of
the cost of hospital care, related post-hospital care, home health services, and hospice care. Part B
provides medical insurance which pays for part of the cost of physician fees and outpatient medical
services. Unlike Part A, Part B is a voluntary plan which must be paid for by the insured individual.
Some private health insurers or group health plans may provide supplemental coverage for Part A or B
or both. (42 U.S.C. '' 426 et seq. and 1395 et seq.)
B. MediCal
MediCal is a state and federal-sponsored program to pay for medical care for low income
individuals. It is the California version of the Medicaid program and is partially federally-funded.
Application for MediCal can be made at your county Department of Social Services. (42 U.S.C.
' 1396 et seq.; 42 C.F.R. ' 430 et seq.; and Welf. & Inst. Code, ' 14000 et seq.)
1. Eligibility For MediCal
A person receiving federal Supplemental Security Income (SSI) or Aid to Families with
Dependent Children (AFDC) automatically receives MediCal benefits. Certain Amedically needy@
individuals may also be eligible for MediCal. A Amedically needy@ person is a person with a disability
whose income is too high to qualify for public assistance but insufficient to provide for the costs of
health care. A medically needy person may have to pay a monthly share of costs before receiving
MediCal services. (Welf. & Inst. Code, '' 14005.7 and 14051; Cal. Code Regs., tit. 22, ' 50062.)
A person may own a house which is used as his or her principal residence and still be eligible
for MediCal. However, under certain circumstances, the state may seek to recover the cost of certain
medical services rendered to a recipient after he/she is deceased by filing a claim against that person's
estate. (42 U.S.C. ' 1396p(a); Welf. & Inst. Code, ' 14009.5.)
2. What MediCal Covers
MediCal is a comprehensive program which pays for both hospitalization and outpatient
medical services and treatment. It includes coverage of the cost of nursing home care, x-rays, certain
63
prescription medications, emergency and essential dental services, certain medical transportation, home
health services, eyeglasses, hearing aids, orthopedic devices, durable medical treatment and supplies,
adult day health care, pregnancy-related care, and mental health services. Also included are heart and
liver transplants and bone marrow transplants for treatment of cancer. (Welf. & Inst. Code, ' 14132 et
seq.)
Not all physicians or health care facilities accept MediCal. Only certain hospitals can accept
routine MediCal patients. However, a MediCal recipient can be treated at any
hospital when there is a
life-threatening emergency situation, when the MediCal patient also receives Medicare, or when the
MediCal recipient lives an excessive distance from a hospital which usually accepts MediCal patients.
(Welf. & Inst. Code, ' 14000 et seq.)
3. The MediCal Appeal Process
A denial or termination of MediCal benefits can be appealed within 90 days.
C. Hill-Burton Hospitals
The Hill-Burton Act provides public funds for hospital construction. Each hospital which
accepts Hill-Burton money is required by law to give a reasonable amount of care at no cost or low cost
to persons unable to pay for hospital services. The hospital must post signs in the admissions office,
emergency room, and business office identifying itself as a Hill-Burton facility. The hospital business
office should assist people in applying for care at reduced rates. (42 U.S.C. ' 291 et seq.; 42 C.F.R.
' 53.111 et seq.)
D. California Children's Services (CCS)
The California Children's Services (CCS) program assists the parents of children with physical
disabilities under the age of 21 who are unable to pay for the cost of their child's medical treatment.
Eligibility for the program is determined by the family's income and by the cost of care for the child.
Parents may have to pay a share of the cost of medical treatment. Services include screening of newborn
infants at high risk for deafness and payment for bone marrow transplants under certain conditions.
Applications can be made at the CCS office in the county where the child resides. (Health & Saf. Code,
' 123800 et seq.)
E. Genetically Handicapped Person's Program
The Genetically Handicapped Person's Program provides medical and social support services to
children and adults with genetically-handicapping conditions, such as cystic fibrosis, hemophilia, sickle
cell disease, and Huntington's disease. The program is administered by the State Department of Health
Services. Services include diagnostic evaluation, cost of blood transfusions, rehabilitation services,
medical treatment, physical and speech therapy, appliances, transportation, respite care, and genetic and
psychological counseling.
Eligibility for the program is based on the family's adjusted gross income. An individual will
generally not receive services under the program if he or she is entitled to similar benefits under any
other private, state, or federal insurance program. Persons who can no longer receive services and
64
assistance under the California Children's Services program because they have attained the age of 21
may be eligible for this program. (Health & Saf. Code, ' 125125 et seq.)
II. RIGHT TO MEDICAL TREATMENT
People with mental or developmental disabilities have a right to prompt medical care and
treatment. (Welf. & Inst. Code, '' 4502, subd. (d), and 5325.1, subd. (d).) Health care professionals,
such as physicians, social workers, psychologists, physical therapists, and nurses licensed by the state,
are subject to disciplinary action if they discriminate against people who are physically disabled. The
State Department of Consumer Affairs regulates licensed professionals, and complaints concerning
discriminatory practices should be made to the board or commission within the Department of Consumer
Affairs which regulates the particular profession.
Physicians who intentionally violate any rights of involuntarily confined people with mental
disabilities are engaging in unprofessional conduct and are subject to disciplinary proceedings.
Complaints can be filed with the Division of Medical Quality of the Board of Medical Quality
Assurance. (Bus. & Prof. Code, ' 100 et seq.) (See Chapter 10 for more information on the rights of
people with mental and developmental disabilities.)
A. Medical Care for Newborns With Disabilities
The Federal Child Abuse Amendments of 1984 address the withholding of medical treatment
from infants with disabilities. The amendments attempt to ensure that decisions about medical treatment
for handicapped infants are not made on the basis of subjective opinions concerning the future "quality of
life" of a person with a disability. (42 U.S.C. ' 5101 et seq.; 45 C.F.R. ' 1340.15.)
The amendments set certain requirements for states which wish to receive federal money. To
receive federal money, state Child Protective Service (CPS) agencies must enact a system of responding
to reports of medical neglect. (State CPS agencies are already responsible for responding to reports of
child abuse and neglect.) AMedical neglect@ means the withholding of medically indicated treatment from
infants with life-threatening disabilities. "Withholding of medically indicated treatment" means the
failure to respond to the infant's life-threatening conditions by providing treatment which, in the
physician's reasonable medical judgment, would be effective in helping or correcting all such conditions.
(See 42 U.S.C. ' 5106a; Bowen v. American Hospital Assn. (1986) 476 U.S. 610.)
Treatment may only be withheld when:
$ the infant is chronically and irreversibly comatose; or
$ the provision of treatment would merely prolong dying or not be effective in treating the
infant's life-threatening conditions, or would be futile in saving the infant; or
$ the treatment itself would be inhumane.
Even when treatment may be withheld, appropriate food, water, and medicine must be provided.
(42 U.S.C. ' 5101 et seq.; 45 C.F.R. ' 1340.15.)
65
The state is required to have programs or procedures to place a medically-neglected infant within
protective service. The procedures must provide for an investigation of the infant's condition and a
court order for an independent medical examination, if necessary. (42 U.S.C. ' 5106a; 29 U.S.C. '
701 et seq.; and 45 C.F.R. ' 84.55(c).)
B. Infant Care Review Committees
Infant Care Review Committees (ICRC) are composed of hospital personnel, community
members, and disability organization representatives. They provide education for health care
professionals and families of infants with life-threatening disabilities, recommend guidelines and policies
concerning withholding medically-indicated treatment, and offer counsel in cases involving infants with
life-threatening conditions. The federal government has issued model guidelines to assist hospitals in
developing ICRC. (45 C.F.R. ' 84.55(a).)
III. RIGHT TO CONSENT TO MEDICAL TREATMENT
Persons with physical or mental disabilities have a right to consent or refuse to consent to any
medical treatment, except in an emergency or where a conservator or court has authorized treatment. If
a person is incapable of giving consent or refusing consent (such as a child or a person in a coma), and
the person has no legal guardian or conservator, a family member may be able to give consent. Consent
in these cases may also be obtained through court proceedings. In any court proceeding brought to
authorize medical treatment, a person must be given proper notice and the opportunity to be represented
by an attorney. (Prob. Code, ' 3200 et seq.)
A. Right of a Conservatee to Refuse Medical Treatment
A person for whom a guardian (conservator) has been appointed may still be able to refuse
medical treatment. The person (conservatee) loses the right to refuse only if the court determines that
the conservatee lacks capacity. A conservator may consent to medical treatment on behalf of the
conservatee in an emergency or in certain cases of severe illness or injury requiring immediate care. If
the court determines that the conservatee lacks capacity to give consent, the conservator has the exclusive
authority to consent to medical treatment for the conservatee. A conservator appointed under the
Lanterman-Petris-Short (LPS) Act, discussed in Chapter 10, may have some additional power to
authorize treatment.
No surgery can be performed on a conservatee without his or her prior consent, except where
the conservatee faces loss of life or serious bodily injury, or a court order authorizes the surgery. (Prob.
Code, ' 2354 et seq.; Welf. & Inst. Code, ' 5357 et seq.; 58 Ops.Cal.Atty.Gen. 849 (1975).)
B. Durable Power of Attorney for Health Care
In California, individuals can sign a Durable Power of Attorney for Health Care. It allows the
person, called the "principal," to choose an individual, called the Aattorney in fact,@ who has the power
to make health care decisions on behalf of the principal if the principal is unable to consent to or refuse
medical treatment. Because of the broad legal powers conferred upon the attorney in fact, an individual
should carefully consider and review all provisions of the durable power of attorney for health care or
consult with an attorney before executing a power of attorney. (See Prob. Code, ' 4650, et seq.)
66
C. Limited Right to Die
The United States Supreme Court ruled that competent persons have a constitutional right to
refuse heroic medical treatment, although a state may require clear and convincing proof of that patient's
intent before allowing life-support systems to be removed. (Cruzon v. Director, Missouri Depart. of
Health (1990) 497 U.S. 261; see also Thor v. Superior Court (1993) 5 Cal.4th 725 (a competent
informed adult has a fundamental right of self-determination to refuse or demand the withdrawal of
medical treatment in any form, irrespective of the personal consequences.) The United States Supreme
Court, however, has affirmed the right of states to prohibit assisted suicide. (See Vacco v. Quill (1997)
521 U.S. 793; Washington v. Glucksberg (1997) 521 U.S. 702.)
D. Sterilization of Persons With Disabilities
Sterilization is a medical procedure which makes a person permanently unable to have children.
Both men and women can be sterilized. Voluntary sterilization is legal in California with the
individual's full knowledge and consent. Persons with disabilities who are able to give consent to
medical treatment may not be sterilized without their consent.
Persons with developmental disabilities who are unable to give consent may be sterilized only by
court order. Before a court can order sterilization, a hearing must be held. A person with a
developmental disability must be represented at this hearing by a lawyer. Sterilization will only be
permitted if necessary to maximize the person's development and quality of life and if no other less
drastic means of birth control are available. (Conservatorship of Valerie N. (1985) 40 Cal.3d 143.)
67
CHAPTER 10
CIVIL RIGHTS OF PERSONS WITH
MENTAL AND DEVELOPMENTAL DISABILITIES
I. CIVIL RIGHTS OF PERSONS WITH DEVELOPMENTAL DISABILITIES
A. Federal and State Rights
In 1975, Congress enacted the Developmental Disabilities Assistance and Bill of Rights Act,
which provides funding for programs and expresses the federal goal of legal and human rights for people
with developmental disabilities. (42 U.S.C. ' 15001 et seq.)
The Act defines developmental disability as a severe, chronic disability of an individual which:
$ is attributable to a mental or physical impairment or combination of mental and physical
impairments;
$ manifests itself before age 22;
$ is likely to continue indefinitely;
$ results in substantial functional limitations in three or more of the following areas of activity:
self-care, receptive and expressive language, learning, mobility, self-direction, capacity for
independent living, and economic self-sufficiency; and
$ reflects the person's need for a combination and sequence of special, interdisciplinary, or generic
services, individualized supports, or other forms of assistance that are of lifelong or extended
duration and are individually planned and coordinated; or
$ an individual from birth to age 9, inclusive, who has a substantial developmental delay or
specific congenital or acquired condition, may be considered to have a developmental disability
without meeting three or more of the criteria described above if the individual, without services
and supports, has a high probability of meeting those criteria later in life.
(42 U.S.C. ' 15002(8))
It is the government's policy to encourage states to provide appropriate treatment, services and
habilitation to people with developmental disabilities. ("Habilitation" means the education, treatment and
care required by developmentally disabled people to achieve their maximum development.) Treatment
should maximize the developmental potential of an individual and should be provided in the least
restrictive setting possible. (42 U.S.C. ' 15009.)
California law similarly protects the constitutional rights of people with developmental
disabilities, including the right to treatment,
habilitation, dignity, privacy and humane care and the right
to be free from hazardous procedures, unnecessary physical restraint, isolation, excessive medication,
abuse or neglect. (Welf. & Inst. Code, ' 4500 et seq.)
68
B. Institutionalization of Persons With Developmental Disabilities
In California, the presence of a developmental disability alone cannot justify commitment to an
institution; an adult with a developmental disability has a legal right to make choices, including with
whom and where he or she will live. (Welf. & Inst. Code, ' 4502.) A person who has a developmental
disability may be involuntarily placed in an institution only if he or she is a danger to himself or herself,
or to others, and if evidence of such danger is proven in court. (Welf. & Inst. Code, ' 6500.) The
following persons may request the filing of a petition for commitment: (a) the parent, guardian,
conservator, or other person charged with the support of the person with a developmental disability; (b)
the probation officer; (c) the Youth Authority; (d) any person designated for that purpose by the judge of
the court; (e) the Director of Corrections; or (f) the regional center director or his or her designee.
(Welf. & Inst. Code, ' 6502.)
A person may be judicially committed to an institution only after court proceedings to determine
whether they constitute a danger to themselves or others. At these proceedings, a person has a right to
representation by an attorney and a right to a jury trial. If a person is judicially committed, the
commitment order expires after one year unless further court proceedings are started to extend the period
of commitment. (Welf. & Inst. Code, ' 6500.) A person must be judicially committed to the least
restrictive residential setting necessary to achieve the purposes of treatment. (Welf. & Inst. Code, ''
4502, subd. (a), and 6509.)
A person may be voluntarily placed in an institution only upon referral from a regional center.
(Welf. & Inst. Code, '' 4653 and 4803.)
In 1981, the California Supreme Court ruled that persons with developmental disabilities who
are unable to provide informed consent regarding their placement in a state developmental center are
entitled to a judicial review regarding the need for, and appropriateness of their placement. (In re Hop
(1981) 29 Cal.3d 82.) An adult with a developmental disability placed in a state hospital at the request
of a family member is not considered a voluntary admittee merely because the person neither protests
nor knowingly agrees to the placement. (Ibid.) A person must give a knowing and intelligent waiver of
rights or participate in a judicial hearing with representation by counsel. (Ibid.)
C. Rights of Persons With Developmental Disabilities in Institutions
Federal law guarantees that persons with developmental disabilities placed in institutions have a
right to safety, to provision of care that is free of abuse, neglect, sexual and financial exploitation, and
violations of legal and human rights, to freedom from bodily or chemical restraint, and to reasonable
training necessary to protect those interests. (42 U.S.C. ' 15009; Youngberg v. Romeo (1982) 457 U.S.
307.) In California, residents of state hospitals or community care facilities also have the following
rights:
$ to treatment and habilitation services and support in the least restrictive environment;
$ to wear their own clothes, to keep and use personal possessions, and to keep and spend a
reasonable sum of money for small purchases;
$ to have access to individual storage space for private use;
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$ to see visitors each day;
$ to have reasonable access to telephones to make and receive confidential calls;
$ to receive and send mail, to have access to letter-writing materials and stamps, to receive
unopened correspondence;
$ to refuse electroconvulsive (electroshock) therapy;
$ to refuse behavior modification techniques which cause pain or trauma;
$ to refuse psychosurgery; and
$ to make choices in areas including, but not limited to, their daily living routines, choice of
companions, leisure and social activities, and program planning and implementation.
These rights must be prominently posted in a state hospital, community care facility, or health
care facility
both in English and Spanish and other applicable languages. A resident can only be denied
these rights for good cause. (Welf. & Inst. Code, '' 4503 and 4504; Cal. Code Regs., tit. 17, ' 50500
et seq.)
D. Judicial Hearing to End Institutionalization
Any adult with a developmental disability who has been admitted or committed to a state hospital
or community care facility has a right to a judicial hearing in order to obtain release from the facility. A
request for release may be made to any staff member of the state hospital, community care facility, or to
any employee of a regional center. This individual must notify the court of the request for release.
(Welf. & Inst. Code, ' 4800 et seq.)
Generally, judicial review takes place in a superior court in the county where the facility is
located. A person seeking release has a right to an attorney. If a person does not have an attorney, the
court will appoint one. (Welf. & Inst. Code, ' 4801.)
II. CIVIL RIGHTS OF PERSONS WITH MENTAL DISABILITIES
A. The Lanterman-Petris-Short (LPS) Act
In 1967, the California Legislature passed the Lanterman-Petris-Short (LPS) Act, which was
designed to define and protect the rights of people with mental disabilities, clarify commitment and
conservatorship proceedings, and provide a means for enforcing these rights. (Welf. & Inst. Code,
' 5000 et seq.)
B. Rights of Persons With Mental Disabilities
Individuals with mental disabilities cannot be confined involuntarily if they are not dangerous
and can live safely on their own. (O'Connor v. Donaldson (1975) 422 U.S. 563.) The United States
Supreme Court has held that a person who was confined to a state mental institution against his will and
without a hearing could sue state officials in federal court under United States Code, title 42, section
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1983. (Zinermon v. Burch (1990) 494 U.S. 113.) In California, people with mental illnesses have the
same legal rights as all other people. (Welf. & Inst. Code, ' 5325.1; Foy v. Greenblott (1983) 141
Cal.App.3d 1.) No one who has been involuntarily detained for evaluation or treatment, or who resides
voluntarily in a treatment facility, can be excluded from participation in, denied the benefits of, or
subjected to discrimination under any publicly-funded program or activity. Additionally, persons with
mental disabilities have a right to treatment in the least restrictive setting possible which promotes the
ability of the person to function independently, and a right to be free from hazardous procedures,
unnecessary or excessive physical restraint or medication, abuse, or neglect. Medication cannot be used
as punishment, for the convenience of staff, as a substitute for a treatment program, or in quantities that
interfere with treatment. (Welf. & Inst. Code, ' 5325.1; Mills v. Rogers (1982) 457 U.S. 291.)
Persons with mental disabilities residing either voluntarily or involuntarily in health care
facilities also have the right to:
$ wear their own clothing, keep and use their personal possessions, and keep and be allowed to
spend a reasonable sum of money for small purchases;
$ have access to individual storage space for private use;
$ see visitors each day;
$ have reasonable access to telephones, both to make and receive confidential calls or to have such
calls made for them;
$ have access to letter-writing materials, including stamps, and to mail, and to receive unopened
correspondence;
$ refuse convulsive treatment (convulsive treatments include electroshock therapy and insulin coma
treatment);
$ refuse psychosurgery; and
$ see and receive the services of a patient advocate.
In California, a patient voluntarily admitted to a treatment facility may refuse anti-psychotic
medication. (In Re Qawi (2001) 90 Cal.App.4th 1192, review granted and opinion superceded by
111 Cal.Rptr.2d 825.) These rights must be prominently posted in the languages predominant in the
community. Each patient must, upon admission to the facility, be given a copy of a patient's rights
handbook prepared by the state Department of Mental Health. (Welf. & Inst. Code, ' 5325.)
C. Commitment Procedures
A police officer, member of the attending staff of an evaluation facility designated by the
county, designated members of a mobile crisis team, or other professional person designated by the
county
may take into custody and detain upon probable cause any person who, as a result of a mental
disorder, is a danger to himself or herself, or to others, or who is "gravely disabled." The person may
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be detained at a mental health facility for purposes of evaluation and treatment for up to 72 hours.
(Welf. & Inst. Code, ' 5150.)
"Gravely disabled" refers to a person who, as a result of a mental disorder, is unable to provide
for his or her basic personal needs for food, clothing, or shelter. People are not gravely disabled if they
can provide for their basic needs with assistance from others, such as family or friends. (Welf. & Inst.
Code, '' 5008, subd. (h), and 5150; Conservatorship of Early (1983) 35 Cal.3d 244; Conservatorship of
Chambers (1977) 71 Cal.App.3d 277.)
At the end of the 72-hour period, a detained individual must be released if, in the opinion of the
professional in charge of the facility, the individual no longer requires evaluation or treatment. An
individual can also be referred for further care and treatment on a voluntary basis, certified and detained
for further intensive involuntary treatment, or recommended for conservatorship proceedings. (Welf. &
Inst. Code, ' 5150 et seq.)
D. Certification For Intensive Treatment
A person may continue to be detained for not more than 14 days beyond the initial 72-hour
period once he or she is certified for intensive treatment. The certification is given if the following
conditions are met:
$ the person is Agravely disabled@ or a danger to others, or to himself or herself;
$ the facility is certified to provide treatment and will admit the person; and
$ the person has been advised of the need for, but has not been willing or able to accept, voluntary
treatment.
(Welf. & Inst. Code, ' 5250.)
A person certified for intensive treatment has a constitutional right to an administrative or court
hearing to determine if probable cause exists to hold the person for treatment. A certification review
hearing must be held within four days of the date on which the person is certified for a period of
intensive treatment, unless the person requests judicial review. A person is entitled to have an attorney
or advocate assist in preparation for the hearing. The hearing is not adversarial and is conducted in an
informal and impartial manner. (Welf. & Inst. Code, ' 5254 et seq.)
If the hearing officer decides that there is no probable cause to believe that a person is Agravely
disabled@ or a danger to himself or herself, the individual can no longer be detained involuntarily, but
may voluntarily remain at the facility. (Welf. & Inst. Code, ' 5256.5; Doe v. Gallinot (9th Cir. 1981)
657 F.2d 1017.)
E. Judicial Hearing
Every person detained after certification for intensive treatment has a right to a judicial hearing
to obtain release from the facility. A person must be informed of this right when a copy of the
certification notice is given to him or her. A person must also be informed of his or her right to an
attorney. (Welf. & Inst. Code, ' 5254.1.)
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The hearing must be held promptly. The person will be released if the court finds: (1) that the
person is not Agravely disabled@ or a danger to himself or herself, or to others; (2) that the person was
not advised of the need for voluntary treatment, or had accepted voluntary treatment; or (3) that the
facility cannot provide appropriate treatment. (Welf. & Inst. Code, '' 5254.1 and 5276.)
F. Involuntary Detention Beyond 14 Days
After the 14-day certification period expires, a person may be involuntarily held for a longer
period under certain circumstances. If a person is suicidal as a result of a mental disorder, he or she
may be recertified for up to an additional 14-day period. (Welf. & Inst. Code, ' 5260.) If a person
presents a demonstrated danger of inflicting substantial physical harm upon others, he or she may be
confined for up to 180 days. A judicial hearing is required in order to extend the detention beyond 14
days. A person has a right to counsel and to a jury trial. If judged to be Agravely disabled@ as a result of
a mental disorder, an individual may be involuntarily detained after the certification period only if
conservatorship proceedings begin. (Welf. & Inst. Code, ' 5300 et seq.)
G. Conservatorship Procedures
A conservator is a person appointed by the court to undertake the responsibility of making
decisions for the personal care of a Agravely disabled@ person (conservatee) or his or her property. A
conservator has broad powers, including determining the conservatee's place of residence or the type of
treatment he or she will receive. (Welf. & Inst. Code, ' 5350 et seq.) The conservatee loses the ability
to make decisions on his or her own behalf and to give legally binding consent. (Welf. & Inst. Code, '
5357.)
A 30-day temporary conservatorship can be filed after the 14-day certification period if a person
is gravely disabled and unwilling to accept voluntary treatment. (Welf. & Inst. Code,
'
5352.1.)
During the 30-day period, an investigation is made to evaluate the person's suitability for
conservatorship. Conservatorship is recommended only if there are no suitable alternatives available.
A court hearing takes place before a permanent conservatorship can be established. A person is
entitled to a court or jury trial to determine whether he or she is Agravely disabled.@ (Waltz v. Zumwalt
(1985) 167 Cal.App.3d 835.) A person has a right to representation by an attorney. Grave disability
must be proved beyond a reasonable doubt by a unanimous jury. (Conservatorship of Roulet (1979) 23
Cal.3d 219.) A court order establishing a conservatorship may be appealed, and counsel must be
appointed to assist indigent clients. Conservatorships expire automatically after one year, but can be
renewed. (Welf. & Inst. Code, '' 5360, 5361.)
A conservator is obligated to place the conservatee in the least restrictive placement. If the
conservatee cannot be placed with family or relatives, priority is given to a suitable placement near his
or her family's or relatives' home. (Welf. & Inst. Code, ' 5350 et seq.; Conservatorship of Chambers
(1977) 71 Cal.App.3d 277.)
H. Mental Health Advocacy Programs
The state Department of Mental Health has a Patients' Rights Office, which is responsible for
ensuring that mental health laws, regulations, and policies on the rights of recipients of mental health
services are observed in state hospitals and community care facilities.
73
The Patients' Rights Office trains county patients' rights advocates. The county patients' rights
advocates may conduct investigations if there is probable cause to believe that the rights of a person with
a mental disability have been violated. A client may refuse the advocate's services.
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DIRECTORY OF SERVICES
INTRODUCTION
This general directory lists various legal services and organizations which may be of assistance to persons with
disabilities. It is by no means a complete directory of services. We have included agencies and organizations which are
referred to in the text of this handbook, as well as some legal services organizations which provide primary assistance to
persons with disabilities. Many organizations listed below can refer you to other groups which may be able to help you.
Many of the government agencies mentioned in this book and directory have local branch offices. The phone
numbers for these offices can be found in the government listings at the beginning of your phone directory, and we have
therefore not included all of them here.
Finally, always be sure to call an agency or organization ahead of time to find out about accessibility, hours of
operation, and whether an appointment is necessary.
I. LEGAL SERVICES
Northern California
Disability Rights Education and Defense Fund
Legal Center for the Elderly and the Disabled
(510) 644-2555, (510) 644-2626 (TTY)
(916) 488-5298
Disability Rights Advocates
(510) 273-8644
Mental Health Advocacy Project
Family Caregiver Alliance
(408) 294-9730
(415) 434-3388
Mental Health Advocates
Humboldt Access Project, Inc.
(510) 835-5532
(707) 445-8404
Legal Aid Society of San Francisco
Protection and Advocacy
Employment Law Center
(510) 430-8033
Disability Employment Rights Project
(415) 864-8848
People for People
Legal Center for the Elderly
(707) 468-5882
(530) 621-6154
Southern California
Access Center
Western Law Center for Disability Rights
(619) 293-3500
(213) 736-1031
Mental Health Advocacy Services, Inc.
Protection and Advocacy
(213) 484-1628
(800) 776-5746, (213) 427-8747
II. EMPLOYMENT
California
Department of Fair Employment and Housing (800) 884-1684, (800) 700-2320 (TTY)
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Federal
Equal Employment Opportunity Commission: (800) 669-4000, (800) 669-6820 (TDD)
Office of Federal Contract Compliance, Department of Labor
: (415) 848-6969
III. HOUSING
Federal
U.S. Dept. of Housing and Urban Development: (800) 669-9777, (415) 436-6594 (TTY)
California
State Department of Housing and Community Development
State Housing Finance Agency
Local Housing Authority
Department of Fair Employment and Housing (800) 233-3212
IV. NONDISCRIMINATION IN BUSINESSES AND SERVICES
Insurance discrimination
: Contact the State Commissioner of Insurance
Licensed services
: Contact the State Department of Consumer Affairs in Sacramento at (916) 445-
1254 and ask for the board that licenses the type of service with which your complaint is concerned.
Public Services and Accommodations: Department of Fair Employment and Housing
(see Employment: (800) 884-1684)
V. ACCESS
Buildings and Facilities
General Information:
The U.S. Dept. of Justice ADA Hotline:
(202) 514-0301 (Voice) or
(202) 418-2555( TTY)
U.S. Dept. of Justice, Civil Rights Division, Disability Rights
(202) 307-1198
Disability Rights Education and Defense Fund (DREDF) ADA Hotline:
(800) 466-4ADA(Voice/TTY)
Equal Opportunity Programs Division
Telephone: (510) 238-3500
Paralyzed Veterans of America
(202) 872-1300
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California:
State Department of General Services, Disabled Access Compliance
(916) 327-9698
State Department of Rehabilitation
City or county building departments
Federal
:
Access Board
(202) 272-0080
(800) 072-2253
(202) 272-0082 (TTY)
(800) 993-2822 (TTY)
Transportation
Local Department of Motor Vehicles
U.S. Department of Transportation:
ADA documents and general questions: (202) 366-4018
Complaints and enforcement: (800) 446-4511
Telecommunications
Local phone company
State Public Utilities Commission (PUC): (SF) (415) 703-2782 , (415) 703-2032 (TTY)
(LA) (213) 576-7000, (800) 229-6846 (TTY)
Federal Communications Commission
VI. EDUCATION
State Department of Education
(916) 445-4613, (916) 327-3718 (TTY)
VII. PROGRAMS AND SERVICES
IHSS
:
Contact your county Social Services Agency
Community Alliance for Special Education
(415) 431-2285
Community Mental Health Services
: Contact your county Mental Health Services office
Hearing-Impaired Services
: California Department of Social Services, (916) 653-8320, (916) 653-7651 (TTY)
Visually-Impaired Services
: Visually Impaired Assistance Center, (661) 255-3309
Rehabilitation Services
: State Department of Rehabilitation (916) 263-8952 Centralized Services.
California Foundation for Independent Living Centers
: (916) 325-1690
Organization of Developmental Disabilities Area Boards
: (916) 263-5780
Regional Centers
: Check your local directory for the Regional Center that serves your area.
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IX. BENEFITS
Income Benefits
SSI/Social Security Disability: Contact your local Social Security Administration office
State Disability: Contact your local Employment Development Department
General Assistance, Food Stamps, Guide Dog Allowances, AFDC: Contact your county Social Service
Agency
Tax And Business Benefits
Property tax/Renter's Assistance: Contact the Franchise Tax Board (main office is in Sacramento, with
branch offices throughout the state)
Property Tax postponement: Contact the State Controller in Sacramento at
(916) 445-3028
Business Loans: Contact the federal Small Business Administration
X. HEALTH CARE
Medicare
: Contact your local Social Security Administration office
Medi-Cal
: Contact your county Social Services Agency
California Children's Services: Contact your local California Children's Services office
Right to medical treatment: Contact the State Department of Consumer Affairs Medical Board in
Sacramento at (800) 633-2322
Infant Care
: Contact your county Children's Protective Services
Mental Disabilities: Contact the Patients' Rights Office of your County Mental Health Services.
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