# The Americans with Disabilities Act (ADA): Statutory Language and Recent Issues

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URL: https://www.frixlaw.com/law-library/documents/crs%3A98-921

## Record

- **Collection:** Congressional research report
- **Document type:** CRS Report
- **Published:** March 22, 2012
- **Citation:** 98-921

## Text

The Americans with Disabilities Act (ADA):
Statutory Language and Recent Issues
Cynthia Brougher
Legislative Attorney
March 22, 2012

Congressional Research Service
7-....
www.crs.gov
98-921

The Americans with Disabilities Act (ADA): Statutory Language and Recent Issues

Summary
The Americans with Disabilities Act (ADA) provides broad nondiscrimination protection in
employment, public services, public accommodations and services operated by private entities,
transportation, and telecommunications for individuals with disabilities. This report summarizes
the major provisions of the ADA and analyzes selected recent issues, including the Supreme
Court cases and the ADA Amendments Act of 2008.

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Contents
Background ...................................................................................................................................... 1
Definition of Disability .................................................................................................................... 2
Statutory Language .................................................................................................................... 2
Definition Language ............................................................................................................ 2
Statement of Findings and Purposes Regarding the Definition........................................... 3
Major Life Activities ........................................................................................................... 4
Regarded as Having a Disability ......................................................................................... 4
Regulatory Authority to Promulgate Regulations Regarding the Definition
of Disability...................................................................................................................... 5
Title V Provisions on the Definition of Disability............................................................... 5
Supreme Court Cases ................................................................................................................ 6
Bragdon v. Abbott ................................................................................................................ 6
Sutton v. United Airlines, Murphy v. United Parcel Service, and Albertsons, Inc. v
Kirkingburg ...................................................................................................................... 7
Toyota Motor Manufacturing of Kentucky v. Williams ........................................................ 7
Application of the Eleventh Amendment to the ADA ..................................................................... 8
Employment ..................................................................................................................................... 9
General Requirements ............................................................................................................... 9
Statutory and Regulatory Requirements.............................................................................. 9
Clackamas Gastroenterology Associates P.C. v. Wells ...................................................... 11
Other Supreme Court Employment Cases ............................................................................... 12
Receipt of SSI Benefits ..................................................................................................... 12
“Qualified” Individual with a Disability ........................................................................... 13
Collective Bargaining Agreements .................................................................................... 14
Reasonable Accommodations and Seniority Systems ....................................................... 14
Rehiring of Individual Who Has Been Terminated for Illegal Drug Use .......................... 15
Employment Inquiries Relating to a Disability ....................................................................... 15
Defenses to a Charge of Discrimination .................................................................................. 16
Drugs, Alcohol, and Employer Conduct Rules........................................................................ 17
Remedies ................................................................................................................................. 18
Public Services............................................................................................................................... 19
General Requirements ............................................................................................................. 19
Supreme Court Cases .............................................................................................................. 21
Other Title II Cases .................................................................................................................. 22
Transportation Provisions ........................................................................................................ 22
Remedies ................................................................................................................................. 23
Barnes v. Gorman .............................................................................................................. 23
Public Accommodations ................................................................................................................ 24
General Requirements ............................................................................................................. 24
Bragdon v. Abbott and Direct Threats to Health and Safety .................................................... 25
Martin v. PGA Tour and “Fundamental Alteration” ................................................................ 26
Spector v. Norwegian Cruise Line, Ltd. and the Application of the ADA to Foreign
Cruise Ships.......................................................................................................................... 27
ADA and the Internet............................................................................................................... 28
Vexatious Litigation................................................................................................................. 29

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Other Judicial Decisions .......................................................................................................... 30
Remedies ................................................................................................................................. 30
Telecommunications ...................................................................................................................... 31
Title V ............................................................................................................................................ 31
Statutory Provisions................................................................................................................. 31
Buckhannon Board and Care Home, Inc. v. West Virginia and Attorneys’ Fees ...................... 33
Legislation Relating to the ADA in the 112th Congress ................................................................. 34

Contacts
Author Contact Information........................................................................................................... 35
Acknowledgments ......................................................................................................................... 35

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Background
The Americans with Disabilities Act, ADA, 42 U.S.C. §§12101 et seq., has often been described
as the most sweeping nondiscrimination legislation since the Civil Rights Act of 1964. It provides
broad nondiscrimination protection in employment, public services, public accommodations and
services operated by private entities, transportation, and telecommunications for individuals with
disabilities.1 As stated in the act, its purpose is “to provide a clear and comprehensive national
mandate for the elimination of discrimination against individuals with disabilities.” Enacted on
July 26, 1990, the majority of the ADA’s provisions took effect in 1992.2 The ADA Amendments
Act, P.L. 110-325, was enacted on September 25, 2008, to respond to a series of Supreme Court
decisions that had interpreted the definition of disability narrowly.3
The Supreme Court has decided 20 ADA cases.4 In the most recent Supreme Court decision,
United States v. Georgia,5 the Court held that Title II of the ADA created a private cause of action
for damages against the states for conduct that actually violated the Fourteenth Amendment.
However, the Court did not reach the issue of whether the Eleventh Amendment permits a
prisoner to secure money damages from a state for state actions that violate the ADA but not the
Constitution. In addition, the Supreme Court decided Arbaugh v. Y. & H Corp.,6 a case under Title
VII of the Civil Rights Act of 1964, which has implications for the ADA’s prohibition of
discrimination where employers employ 15 or more employees.
On December 7, 2007, the Supreme Court granted certiorari in Huber v. Wal-Mart Stores,7 to
determine whether an individual with a disability who cannot perform her current job must be
reassigned to a vacant, equivalent position without competing with other workers. However, the
Court dismissed the petition since the case was settled prior to oral argument. Currently, there is a

1

The ADA and Section 504 of the Rehabilitation Act of 1973, however, have not been found to cover medical
treatment decisions. See e.g. Burger v. Bloomberg, 418 F.3d 882 (8th Cir. 2005); McElroy v. Patient Selection
Committee of the Nebraska Medical Center, 2007 U.S. Dist. LEXIS 86321 (D. Nebraska November 21, 2007)(an
individual with mental illness was denied a kidney transplant on medical grounds).
2
42 U.S.C. §12102(b)(1).
3
For a more detailed discussion of P.L. 110-325, see CRS Report RL34691, The ADA Amendments Act: P.L. 110-325,
by (name redacted) and (name redacted).
4
The ADA cases decided by the Supreme Court are: Bragdon v. Abbott, 524 U.S. 624 (1998); Pennsylvania
Department of Prisons v. Yeskey, 524 U.S. 206 (1998); Wright v. Universal Maritime Service Corp., 525 U.S. 70
(1998); Cleveland v. Policy Management Systems, 526 U.S. 795 (1999); Olmstead v. L.C., 527 U.S. 581 (1999);
Murphy v. United Parcel Service, Inc., 527 U.S. 516 (1999); Sutton v. United Air Lines, Inc., 527 U.S. 471(1999);
Albertson’s Inc. v. Kirkingburg, 527 U.S. 555 (1999); Garrett v. University of Alabama, 531 U.S. 356 (2001); PGA
Tour v. Martin, 532 U.S. 661 (2001); Buckhannon Board and Care Home, Inc. v. West Virginia Department of Human
Resources, 532 U.S. 598 (2001); U.S. Airways Inc. v. Barnett, 535 U.S. 391 (2002); Toyota Motor Manufacturing v.
Williams, 534 U.S. 184 (2002); Chevron USA Inc. v. Echazabal, 536 U.S. 73 (2002); Barnes v. Gorman, 536 U.S. 181
(2002); Clackamas Gastroenterology Associates, P.C. v. Wells, 538 U.S 440 (2003); Tennessee v. Lane, 541 U.S. 509
(2004); Raytheon Co. v. Hernandez, 540 U.S. 44 (2003); Spector v. Norwegian Cruise Line, Ltd., 545 U.S. 119 (2005);
and United States v. Georgia, 546 U.S. 151 (2006). For a discussion limited to Supreme Court decisions on the ADA,
see CRS Report RL31401, The Americans with Disabilities Act: Supreme Court Decisions, by (name redacted).
5
546 U.S. 151 (2006).
6
Arbaugh v. Y.& H. Corp., 546 U.S. 500 (2006).
7
486 F.3d 480 (8th Cir. 2007), cert. granted, 552 U.S. 1074 (2007); cert. dismissed, 552 U.S. 1136 (2008).

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split in the circuits on this accommodation issue, and in light of the Court’s dismissal of the case,
there will continue to be divergent views.8
Before examining the provisions of the ADA and these cases, it is important to briefly note the
ADA’s historical antecedents. A federal statutory provision which existed prior to the ADA,
Section 504 of the Rehabilitation Act of 1973, prohibits discrimination against an otherwise
qualified individual with a disability, solely on the basis of the disability, in any program or
activity that receives federal financial assistance, the executive agencies or the U.S. Postal
Service.9 Many of the concepts used in the ADA originated in Section 504 and its interpretations;
however, there is one major difference. While Section 504’s prohibition against discrimination is
tied to the receipt of federal financial assistance, the ADA also covers entities not receiving such
funds. In addition, the federal executive agencies and the U.S. Postal Service are covered under
Section 504, not the ADA. The ADA contains a specific provision stating that except as otherwise
provided in the act, nothing in the act shall be construed to apply a lesser standard than the
standards applied under Title V of the Rehabilitation Act (which includes Section 504) or the
regulations issued by federal agencies pursuant to such Title.10
The ADA is a civil rights statute; it does not provide grant funds to help entities comply with its
requirements. It does include a section on technical assistance which authorizes grants and awards
for the purpose of technical assistance such as the dissemination of information about rights under
the ADA and techniques for effective compliance.11 However, there are tax code provisions which
may assist certain businesses or individuals.12

Definition of Disability
Statutory Language
Definition Language
The definitions in the ADA, particularly the definition of “disability,” are the starting point for an
analysis of rights provided by the law.13 The term “disability,” with respect to an individual, is
8

See e.g., Smith v. Midland Brake, Inc., 180 F.3d 1154 (10th Cir. 1999), holding that a vacant position automatically
goes to a qualified individual with a disability; EEOC v. Humiston-Keeling, Inc., 227 F.3d 1024 (7th Cir. 2000), holding
that an employer does not have to “turn away a superior applicant.”
9
29 U.S.C. §794. For a more detailed discussion of Section 504, see CRS Report RL34041, Section 504 of the
Rehabilitation Act of 1973: Prohibiting Discrimination Against Individuals with Disabilities in Programs or Activities
Receiving Federal Assistance, by (name redacted).
10
42 U.S.C. §12201(a).
11
42 U.S.C. §12206.
12
See CRS Report RS21006, Business Tax Provisions That Benefit Persons with Disabilities, by (name redacted),
and CRS Report RS20555, Additional Standard Tax Deduction for the Blind: A Description and Assessment, by
(name redacted) and (name redacted). See also GAO Report GAO-03-39, “Business Tax Incentives: Incentives to
Employ Workers with Disabilities Receive Limited Use and Have an Uncertain Impact” (December 2002).
13
The issue of whether the ADA definition of disability would cover individuals who are discriminated against due to a
genetic condition is of less importance since the enactment of the Genetic Information Nondiscrimination Act of 2008
(GINA), P.L. 110-233. For a discussion of this act, see CRS Report RL34584, The Genetic Information
Nondiscrimination Act of 2008 (GINA), by (name redacted) and (name redacted), and CRS Report R40116,
The
(continued...)

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defined as “(A) a physical or mental impairment that substantially limits one or more of the major
life activities of such individual; (B) a record of such an impairment; or (C) being regarded as
having such an impairment (as described in paragraph (3)).”14 The definition of disability was the
subject of numerous cases brought under the ADA including major Supreme Court decisions
which generally interpreted the definition narrowly. Due to these interpretations, Congress
enacted the ADA Amendments Act, which kept essentially the same statutory language but
contains new rules of construction regarding the definition of disability. These rules of
construction provide that
•

the definition of disability shall be construed in favor of broad coverage to the
maximum extent permitted by the terms of the act;

•

the term “substantially limits” shall be interpreted consistently with the findings
and purposes of the ADA Amendments Act;

•

an impairment that substantially limits one major life activity need not limit other
major life activities to be considered a disability;

•

an impairment that is episodic or in remission is a disability if it would have
substantially limited a major life activity when active;

•

the determination of whether an impairment substantially limits a major life
activity shall be made without regard to the ameliorative effects of mitigating
measures, except that the ameliorative effects of ordinary eyeglasses or contact
lenses shall be considered.15

The final EEOC regulations track the statutory definition but also provide some clarifying
interpretations. For example, the operation of major bodily functions is included in the definition
of major life activities. In addition, although the EEOC emphasizes the ADAAA’s requirement for
an individualized assessment, the regulations list some impairments that will almost always be
determined to be a disability. These include deafness, blindness, an intellectual disability, missing
limbs or mobility impairments requiring the use of a wheelchair, autism, cancer, cerebral palsy,
diabetes, epilepsy, HIV infection, multiple sclerosis, muscular dystrophy, major depressive
disorder, bipolar disorder, post-traumatic stress disorder, obsessive compulsive disorder, and
schizophrenia.16

Statement of Findings and Purposes Regarding the Definition
The findings of the ADA Amendments Act include statements indicating that the Supreme Court
decisions in Sutton v. United Air Lines, Inc.,17 and Toyota Motor Manufacturing v. Williams18 as
(...continued)
Genetic Information Nondiscrimination Act of 2008: Selected Issues, by (name redacted).
14
42 U.S.C. §12102(3) as amended by P.L. 110-325, §4(a). For a more detailed discussion of these amendments, see
CRS Report RL34691, The ADA Amendments Act: P.L. 110-325, by (name redacted) and (name redacted).
15
Low vision devices are not included in the ordinary eyeglasses and contact lens exception.
16
New 29 C.F.R. §1630.2(j)(3)(iii); 76 Federal Register 17001 (March 25, 2011). For an analysis of the final
regulations, CRS Report R41757, The ADA Amendments Act Definition of Disability: Final EEOC Regulations , by
(name redacted).
17
527 U.S. 471 (1999).
18
534 U.S. 184 (2004).

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well as lower court cases have narrowed and limited the ADA from what was intended by
Congress. The codified findings in the original ADA are amended to delete the finding that
“43,000,000 Americans have one or more physical or mental disabilities....” This finding was
used in Sutton to support limiting the reach of the definition of disability. P.L. 110-325
specifically states that the current EEOC regulations defining the term “substantially limits” as
“significantly restricted” are “inconsistent with congressional intent, by expressing too high a
standard.” The EEOC has promulgated regulations under the ADA Amendments Act which
change the definition of “substantially limits.”19
The ADA Amendments Act states that the purposes of the legislation are to carry out the ADA’s
objectives of the elimination of discrimination and the provision of “‘clear, strong, consistent,
enforceable standards addressing discrimination’ by reinstating a broad scope of protection
available under the ADA.” P.L. 110-325 rejected the Supreme Court’s holdings that mitigating
measures are to be used in making a determination of whether an impairment substantially limits
a major life activity as well as holdings defining the “substantially limits” requirements. The
substantially limits requirements of Toyota as well as the former EEOC regulations defining
substantially limits as “significantly restricted” are specifically rejected in the new law.

Major Life Activities
The ADA Amendments Act specifically lists examples of major life activities including caring for
oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting,
bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and
working. The act also states that a major life activity includes the operation of a major bodily
function. The House Judiciary Committee report indicates that “this clarification was needed to
ensure that the impact of an impairment on the operation of major bodily functions is not
overlooked or wrongly dismissed as falling outside the definition of ‘major life activities’ under
the ADA.”20 There had been judicial decisions which found that certain bodily functions had not
been covered by the definition of disability. For example, in Furnish v. SVI Sys., Inc.,21 the
Seventh Circuit held that an individual with cirrhosis of the liver due to infection with Hepatitis B
was not an individual with a disability because liver function was not “integral to one’s daily
existence.”

Regarded as Having a Disability
The third prong of the definition of disability covers individuals who are “regarded as having
such an impairment (as described in paragraph (3)).” Paragraph 3 states that “[a]n individual
meets the requirement of ‘being regarded as having such an impairment’ if the individual
establishes that he or she has been subjected to an action prohibited under this Act because of an
actual or perceived physical or mental impairment whether or not the impairment limits or is
perceived to limit a major life activity.” However, impairments that are transitory and minor are
specifically excluded from the regarded prong. A transitory impairment is one with an actual or
expected duration of six months or less. The ADA Amendments Act also provides in a rule of
19
76 Federal Register 16978 (March 25, 2011). For an analysis of the final regulations, CRS Report R41757, The ADA
Amendments Act Definition of Disability: Final EEOC Regulations , by (name redacted).
20
H.Rept. 110-730, Part 2, at 16 (2008).
21
270 F.3d 445 (7th Cir. 2001).

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construction in Title V of the ADA that a covered entity under Title I,22 a public entity under Title
II, or a person who operates a place of public accommodation under Title III, need not provide a
reasonable accommodation or a reasonable modification to policies, practices, or procedures to an
individual who meets the definition of disability solely under the “regarded as” prong of the
definition.

Regulatory Authority to Promulgate Regulations Regarding the Definition
of Disability
The Supreme Court in Sutton questioned the authority of regulatory agencies to promulgate
regulations for the definition of disability in the ADA. The definition of disability is contained in
Section 3 of the ADA, and the ADA does not specifically give any agency the authority to
interpret the definitions in Section 3, including the definition of disability. The Supreme Court
declined to address this issue since, as both parties to Sutton accepted the regulation as valid, “we
have no occasion to consider what deference they are due, if any.” The ADA Amendments Act
specifically grants regulatory authority and states that “[t]he authority to issue regulations granted
to the Equal Employment Opportunity Commission, the Attorney General, and the Secretary of
Transportation under this Act, includes the authority to issue regulations implementing the
definitions contained in sections 3 and 4.”

Title V Provisions on the Definition of Disability
The definition of “disability” was further elaborated in Title V of the ADA. Section 510 provides
that the term “individual with a disability” in the ADA does not include an individual who is
currently engaging in the illegal use of drugs when the covered entity acts on the basis of such
use.23 An individual who has been rehabilitated would be covered. However, the conference
report language clarifies that the provision does not permit individuals to invoke coverage simply
by showing they are participating in a drug rehabilitation program; they must refrain from using
drugs.24 The conference report also indicates that the limitation in coverage is not intended to be
narrowly construed to only persons who use drugs “on the day of, or within a matter of weeks
before, the action in question.”25 The definitional section of the Rehabilitation Act was also
amended to create uniformity with this definition.
Section 508 provides that an individual shall not be considered to have a disability solely because
that individual is a transvestite.26 Section 511 similarly provides that homosexuality and
bisexuality are not disabilities under the act and that the term disability does not include
transvestism, transsexualism, pedophilia, exhibitionism, voyeurism, gender identity disorders not
resulting from physical impairments, or other sexual behavior disorders, compulsive gambling,

22

Title I of the ADA covers employment, Title II covers states and localities, and Title III covers places of public
accommodations such as grocery stores, doctors’ offices, and movie theaters.
23
42 U.S.C. §12210.
24
H.Rept. 101-596, 101st Cong., 2d Sess. 64; 1990 U.S. Code Cong. & Ad. News 573.
25
Id.
26
42 U.S.C. §12208.

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kleptomania, or pyromania, or psychoactive substance use disorders resulting from current illegal
use of drugs.27

Supreme Court Cases
The Supreme Court has decided several cases relating to the definition of disability. The first
ADA case to address the definitional issue was Bragdon v. Abbott, a case involving a dentist who
refused to treat an HIV infected individual outside of a hospital.28 In Bragdon, the Court found
that the plaintiff’s asymptomatic HIV infection was a physical impairment impacting on the
major life activity of reproduction thus rending HIV infection a disability under the ADA. The
other decisions—Sutton v. United Airlines,29 Murphy v. United Parcel Service, Inc.,30 Albertsons
Inc. v. Kirkingburg,31 and Toyota Motor Manufacturing v. Williams32—all involved issues which
Congress later addressed in the ADA Amendments Act. Thus, although these decisions are of
historical interest, especially regarding the impetus for the enactment of the ADA Amendments
Act, they can no longer be assumed to be valid precedent and therefore will only be briefly
discussed here.

Bragdon v. Abbott
The Supreme Court in Bragdon v. Abbott addressed the ADA definition of individual with a
disability and held that the respondent’s asymptomatic HIV infection was a physical impairment
impacting on the major life activity of reproduction thus rendering the HIV infection a disability
under the ADA.33 In 1994, Dr. Bragdon performed a dental examination on Ms. Abbott and
discovered a cavity. Ms. Abbott had indicated in her registration form that she was HIV positive
but at that time she was asymptomatic. Dr. Bragdon told her that he would not fill her cavity in
his office but would treat her only in a hospital setting. Ms. Abbott filed an ADA complaint and
prevailed at the district court, courts of appeals and the Supreme Court on the issue of whether
she was an individual with a disability but the case was remanded for further consideration
regarding the issue of direct threat.
In arriving at its holding, Justice Kennedy, writing for the majority, first looked to whether Ms.
Abbott’s HIV infection was a physical impairment. Noting the immediacy with which the HIV
virus begins to damage an individual’s white blood cells, the Court found that asymptomatic HIV
infection was a physical impairment. Second, the Court examined whether this physical
impairment affected a major life activity and concluded that the HIV infection placed a
substantial limitation on her ability to reproduce and to bear children and that reproduction was a
major life activity. Finally, the Court examined whether the physical impairment was a substantial
limitation on the major life activity of reproduction. After evaluating the medical evidence, the
Court concluded that Ms. Abbott’s ability to reproduce was substantially limited in two ways: (1)
27

42 U.S.C. §12211.
524 U.S. 624 (1998). For a more detailed discussion of this decision, see CRS Report 98-599, The Americans with
Disabilities Act: HIV Infection is Covered Under the Act, by (name redacted).
29
527 U.S. 471 (1999). Toyota Motor Manufacturing v. Williams, 534 U.S. 184 (2004).
30
527 U.S. 516 (1999).
31
527 U.S. 555 (1999).
32
534 U.S. 184 (2002).
33
524 U.S. 624 (1998).
28

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an attempt to conceive would impose a significant risk on Ms. Abbott’s partner, and (2) an HIV
infected woman risks infecting her child during gestation and childbirth.34

Sutton v. United Airlines, Murphy v. United Parcel Service, and
Albertsons, Inc. v Kirkingburg
Three Supreme Court decisions in 1999 addressed the definition of disability and specifically
discussed the concept of mitigating measures. Sutton v. United Air Lines involved sisters who
were rejected from employment as pilots with United Air Lines because they wore eyeglasses.
The Supreme Court in Sutton examined the definition of disability used in the original ADA and
found that the determination of whether an individual has a disability should be made with
reference to measures that mitigate the individual’s impairment. The Sutton Court stated: ‘“a
disability’ exists only where an impairment ‘substantially limits’ a major life activity, not where it
‘might,’ ‘could,’ or ‘would’ be substantially limiting if mitigating measures were not taken.” The
Court also emphasized that the statement of findings in the ADA that some 43,000,000 Americans
have one or more physical or mental disability “requires the conclusion that Congress did not
intend to bring under the statute’s protection all those whose uncorrected conditions amount to
disabilities.”
Similarly, in Murphy v. United Parcel Service, Inc., the Court held that the fact that an individual
with high blood pressure was unable to meet the Department of Transportation (DOT) safety
standards was not sufficient to create an issue of fact regarding whether an individual is regarded
as unable to utilize a class of jobs. The Court in Murphy found that an employee is regarded as
having a disability if the covered entity mistakenly believes that the employee’s actual,
nonlimiting impairment substantially limits one or more major life activities. And in the last of
this trilogy of 1999 cases, the Court in Albertsons v. Kirkingburg held that a trucker with
monocular vision who was able to compensate for this impairment was not a person with a
disability.

Toyota Motor Manufacturing of Kentucky v. Williams
In the 2002 case of Toyota Motor Manufacturing v. Williams, the meaning of “substantially
limits” was examined, and Justice O’Connor, writing for the unanimous Court, determined that
the word substantial “clearly precluded impairments that interfere in only a minor way with the
performance of manual tasks.” The Court also found that the term “major life activity” “refers to
those activities that are of central importance to daily life.” Finding that these terms are to be
“interpreted strictly,” the Court held that “to be substantially limited in performing manual tasks,
an individual must have an impairment that prevents or severely restricts the individual from
doing activities that are of central importance to most people’s daily lives.”

34
Another major issue addressed in Bragdon involved the interpretation of the ADA’s direct threat exemption which
will be discussed in the section on public accommodations. For a more detailed discussion of Bragdon, see CRS Report
98-599, The Americans with Disabilities Act: HIV Infection is Covered Under the Act, by (name redacted).

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Application of the Eleventh Amendment to
the ADA
The Eleventh Amendment states: “The Judicial power of the United States shall not be construed
to extend to any suit in law or equity, commenced or prosecuted against one of the United States
by Citizens of another State, or by Citizens or Subjects of any Foreign State.” The Supreme Court
has found that the Eleventh Amendment cannot be abrogated by the use of Article I powers but
that Section 5 of the Fourteenth Amendment can be used for abrogation in certain circumstances.
Section 5 of the Fourteenth Amendment states: “The Congress shall have the power to enforce, by
appropriate legislation, the provisions of this article.”
The circumstances where Section 5 of the Fourteenth Amendment can be used to abrogate the
Eleventh Amendment were discussed in the Supreme Court decisions in College Savings Bank v.
Florida Prepaid Postsecondary Educ. Expense Board,35 Florida Prepaid Postsecondary Educ.
Expense Board v. College Savings Bank,36 and Kimel v. Florida Board of Regents.37 They
reiterated the principle that the Congress may abrogate state immunity from suit under the
Fourteenth Amendment and found that there were three conditions necessary for successful
abrogation.
•

Congressional power is limited to the enactment of “appropriate” legislation to
enforce the substantive provisions of the Fourteenth Amendment.

•

The legislation must be remedial in nature.

•

There must be a “congruence and proportionality” between the injury to be
prevented and the means adopted to that end.

The ADA uses both the Fourteenth Amendment and the Commerce Clause of the Constitution as
its constitutional basis.38 It also specifically abrogates state immunity under the Eleventh
Amendment.39 The ADA, then, is clear regarding its attempt to abrogate state immunity; the issue
is whether the other elements of a successful abrogation are present. The Supreme Court in
Garrett v. University of Alabama found that they were not with regard to Title I while in
Tennessee v. Lane the Court upheld Title II as it applies to the access to courts.40 Most recently,
the Supreme Court in United States v. Georgia,41 held that Title II of the ADA created a private
35
527 U.S. 666 (1999) (The Trademark Remedy Clarification Act, TRCA, which subjected states to suit for false and
misleading advertising, did not validly abrogate state sovereign immunity; neither the right to be free from a business
competitor’s false advertising nor a more generalized right to be secure in one’s business interests qualifies as a
property right protected by the Due Process Clause).
36
527 U.S. 627 (1999)(Congress may abrogate state sovereign immunity but must do so through legislation that is
appropriate within the meaning of Section 5 of the Fourteenth Amendment; Congress must identify conduct that
violates the Fourteenth Amendment and must tailor its legislation to remedying or preventing such conduct).
37
528 U.S. 62 (2000).
38
42 U.S.C. §12101(b)(4). The Commerce Clause would not be sufficient authority on which to abrogate state
sovereign immunity since the Supreme Court’s decision in Seminole Tribe of Florida v. Florida, 517 U.S. 44 (1996).
39
42 U.S.C. §12202.
40
It should be noted that the Eleventh Amendment applies only to states, not municipalities. See e.g., Ability Center of
Greater Toledo v. City of Sandusky, 385 F.3d 901 (6th Cir. 2004).
41
546 U.S. 151 (2006).

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cause of action for damages against the states for conduct that actually violates the Fourteenth
Amendment. However, the Court did not reach the issue of whether the Eleventh Amendment
permits a prisoner to secure money damages from a state for state actions that violate the ADA
but not the Constitution.

Employment
General Requirements
Statutory and Regulatory Requirements
Title I of the ADA, as amended by the ADA Amendments Act of 2008, provides that no covered
entity shall discriminate against a qualified individual on the basis of disability in regard to job
application procedures, the hiring, advancement, or discharge of employees, employee
compensation, job training, and other terms, conditions, and privileges of employment.42 The
term employer is defined as a person engaged in an industry affecting commerce who has 15 or
more employees.43 Therefore, the employment section of the ADA, unlike the section on public
accommodations, which will be discussed subsequently, is limited in scope to employers with 15
or more employees. This parallels the coverage provided in the Civil Rights Act of 1964. As
noted previously, the Supreme Court, in Arbaugh v. Y. & H. Corp.,44 held that the 15-employee
limitation in Title VII of the Civil Rights Act45 was not jurisdictional, but rather was related to the
substantive adequacy of a claim. Thus, if the defense that the employer employs fewer than 15
employees is not raised in a timely manner, a court is not obligated to dismiss the case. Because
the ADA’s 15-employee limitation language parallels that of Title VII, it is likely that a court
would interpret the ADA’s requirement in the same manner.
The term employee with respect to employment in a foreign country includes an individual who is
a citizen of the United States; however, it is not unlawful for a covered entity to take action that
constitutes discrimination with respect to an employee in a workplace in a foreign country if
compliance would cause the covered entity to violate the law of the foreign country.46

42
42 U.S.C. §12112(a), as amended by P.L. 110-325, §5. The ADA Amendments Act strikes the prohibition of
discrimination against a qualified individual with a disability because of the disability of such individual and substitutes
the prohibition of discrimination against a qualified individual “on the basis of disability.” The Senate Managers’
Statement noted that this change “ensures that the emphasis in questions of disability discrimination is properly on the
critical inquiry of whether a qualified person has been discriminated against on the basis of disability, and not unduly
focused on the preliminary question of whether a particular person is a ‘person with a disability.’” 153 CONG. REC. S
.8347 (September 11, 2008)(Statement of Managers to Accompany S. 3406, the Americans with Disabilities Act
Amendments Act of 2008). Two courts of appeal have held that the prohibition of discrimination in the “terms,
conditions, or privileges of employment” creates a viable cause of action for disability-based harassment. See Flowers
v. Southern Reg’l Physician Servs, Inc., 247 F.3d 229 (5th Cir. 2001); Fox v. General Motors Corp., 247 F.3d 169 (4th
Cir. 2001); Shaver v. Independent Stave Co., 350 F.3d 716 (8th Cir. 2003).
43
42 U.S.C. §12111(5).
44
Arbaugh v. Y. & H. Corp., 546 U.S. 500 (2006).
45
42 U.S.C. §2000e(b).
46
P.L. 102-166 added this provision.

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If the issue raised under the ADA is employment related, and the threshold issues of meeting the
definition of an individual with a disability and involving an employer employing more than 15
individuals are met, the next step is to determine whether the individual is a qualified individual
with a disability who, with or without reasonable accommodation, can perform the essential
functions of the job.
Title I defines a “qualified individual with a disability.” Such an individual is “an individual with
a disability who, with or without reasonable accommodation, can perform the essential functions
of the employment position that such person holds or desires.”47 The ADA incorporates many of
the concepts set forth in the regulations promulgated pursuant to Section 504, including the
requirement to provide reasonable accommodation unless the accommodation would pose an
undue hardship on the operation of the business.48
“Reasonable accommodation” is defined in the ADA as including making existing facilities
readily accessible to and usable by individuals with disabilities, and job restructuring, part-time or
modified work schedules, reassignment to a vacant position, acquisition or modification of
equipment or devices, adjustment of examinations or training materials or policies, provision of
qualified readers or interpreters or other similar accommodations.49 “Undue hardship” is defined
as “an action requiring significant difficulty or expense.”50 Factors to be considered in
determining whether an action would create an undue hardship include the nature and cost of the
accommodation, the overall financial resources of the facility, the overall financial resources of
the covered entity, and the type of operation or operations of the covered entity.
Reasonable accommodation and the related concept of undue hardship are significant concepts
under the ADA and are one of the major ways in which the ADA is distinguishable from Title VII
jurisprudence. The statutory language paraphrased above provides some guidance for employers
but the details of the requirements have been the subject of numerous judicial decisions. In
addition, the EEOC issued detailed enforcement guidance on these concepts on March 1, 1999,51
which was amended on October 17, 2002, to reflect the Supreme Court’s decision in U.S. Airways
v. Barnett.52 Although much of the guidance reiterates long-standing EEOC interpretations in a
47

42 U.S.C. §1211(8). The EEOC has stated that a function may be essential because (1) the position exists to perform
the duty, (2) there are a limited number of employees available who could perform the function, or (3) the function is
highly specialized. 29 C.F.R. §1630(n)(2). A number of issues have been litigated concerning essential functions. For
example, some courts have found that regular attendance is an essential function of most jobs. See e.g., Carr v. Reno,
23 F.3d 525 (D.C.Cir. 1994), Brenneman v. Medcentral Health System, 366 F.3d 412 (6th Cir. 2004), cert. denied, 543
U.S. 1114 (2005)(“the record is replete with evidence of plaintiff’s excessive absenteeism, which rendered him
unqualified for that position.”) In Mulloy v. Acushnet Co., 460 F.3d 141 (1st Cir. 2006), the first circuit found that an
essential function of the job at issue included being physically present at the plant in order to perform troubleshooting
and take corrective actions and found that the plaintiff could not perform the job’s essential functions remotely. In
Frazier v. Simmons, 254 F.3d 1247 (10th Cir. 2001), the tenth circuit held that a crime investigator with MS was not
otherwise qualified to perform his job duties since it would be very difficult for him to stand or walk for prolonged
periods, to run or to physically restrain persons. Similarly, a nurse with a back injury that prevented her from lifting
more than 15 or 20 pounds was not a qualified individual with a disability since the ability to lift fifty pounds was an
essential function of her job. Phelps v. Optima Health, Inc., 251 F.3d 21 (1st Cir. 2001).
48
See 45 C.F.R. Part 84.
49
42 U.S.C. §12111(9).
50
42 U.S.C. §12111(10).
51
EEOC, “EEOC Enforcement Guidance on Reasonable Accommodation and Undue Hardship Under the Americans
with Disabilities Act,” No. 915.002 (March 1, 1999).
52
http://www.eeoc.gov/policy/docs/accommodation.html#requesting.

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question and answer format, the EEOC also took issue with some judicial interpretations.53
Notably the EEOC stated that
•

an employee who is granted leave as a reasonable accommodation is entitled to
return to his or her same position, unless this imposes an undue hardship; and

•

an employer is limited in the ability to question the employee’s documentation of
a disability (“An employer cannot ask for documentation when: (1) both the
disability and the need for reasonable accommodation are obvious, or (2) the
individual has already provided the employer with sufficient information to
substantiate that s/he has an ADA disability and needs the reasonable
accommodation requested.”).

Issues regarding the amount of money that must be spent on reasonable accommodations have
also arisen. The EEOC regulations54 and guidance provide that an employer does not have to
provide a reasonable accommodation that would cause an “undue hardship” to the employer.55
However, the Seventh Circuit in Vande Zande v. State of Wisconsin Department of
Administration56 found that the cost of the accommodation cannot be disproportionate to the
benefit. “Even if an employer is so large or wealthy—or, like the principal defendant in this case,
is a state, which can raise taxes in order to finance any accommodations that it must make to
disabled employees—that it may not be able to plead ‘undue hardship’, it would not be required
to expend enormous sums in order to bring about a trivial improvement in the life of a disabled
employee.”57

Clackamas Gastroenterology Associates P.C. v. Wells
The Supreme Court examined the definition of the term “employee” under the ADA in
Clackamas Gastroenterology Associates P.C. v. Wells.58 In Clackamas, the Court held in a 7-2
decision written by Justice Stevens, that the EEOC’s guidelines concerning whether a
shareholder-director is an employee were the correct standard to use. Since the evidence was not
clear, the case was remanded for further proceedings. Clackamas Gastroenterology Associates is a
medical clinic in Oregon that employed Ms. Wells as a bookkeeper from 1986-1997. After her
termination from employment, Ms. Wells brought an action alleging unlawful discrimination on
the basis of discrimination under Title I of the ADA. The clinic denied that it was covered by the
ADA since it argued that it did not have 15 or more employees for the 20 weeks per year required
by the statute. The determination of coverage was dependent on whether the four physicianshareholders who owned the professional corporation were counted as employees.
The Court first looked to the definition of employee in the ADA which states that an employee is
“an individual employed by an employer.”59 This definition was described as one which is
53
It should be emphasized that the EEOC’s guidance does not have the force of regulations and courts are not bound to
follow the guidance although some courts do defer to agency expertise.
54
29 C.F.R. §1630.9.
55
http://www.eeoc.gov/policy/docs/accommodation.html.
56
44 F.3d 538 (7th Cir. 1995).
57
Id. At 542-543. See also Schmidt v. Methodist Hospital of Indiana, 89 F.3d 342 (7th Cir. 1996), where the court found
that reasonable accommodation does not require an employer to provide everything an employee requests.
58
538 U.S. 440 (2003).
59
42 U.S.C. §12111(4).

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“completely circular and explains nothing.” The majority then looked to common law,
specifically the common law element of control. This is the position advocated by the EEOC. The
EEOC has issued guidelines which list six factors to be considered in determining whether the
individual acts independently and participates in managing the organization or whether the
individual is subject to the organization’s control and therefore an employee. These six factors
are:
Whether the organization can hire or fire the individual or set the rules and regulations of the
individual’s work; Whether and, if so, to what extent the organization supervises the
individual’s work; Whether the individual reports to someone higher in the organization;
Whether and, if so, to what extent the individual is able to influence the organization;
Whether the parties intended that the individual be an employee, as expressed in written
agreements or contracts; and Whether the individual shares in the profits, losses, and
liabilities of the organization.60

Justice Stevens, writing for the majority, found that some of the district court’s findings of fact,
when considered in light of the EEOC’s standard, appeared to favor the conclusion that the four
physicians were not employees of the clinic. However, since there was some evidence that might
support the opposite conclusion, the Court remanded the case for further proceedings.
Justice Ginsburg, joined by Justice Breyer, dissented from the majority’s opinion. The dissenters
argued that the Court’s opinion used only one of the common-law aspects of a master-servant
relationship. In addition, Justice Ginsburg noted that the physician-shareholders argued they were
employees for the purposes of other statutes, notably the Employee Retirement Income Security
Act of 1974 (ERISA) and stated “I see no reason to allow the doctors to escape from their choice
of corporate form when the question becomes whether they are employees for the purposes of
federal antidiscrimination statutes.”

Other Supreme Court Employment Cases
Many of the Supreme Court decisions have involved employment situations although a number of
these cases did not reach past the threshold issue of whether the individual alleging employment
discrimination was an individual with a disability. There are still several significant employment
issues, such as reasonable accommodations, which have not been dealt with by the Court. In
addition, the landmark decision of University of Alabama v. Garrett on the application of the
Eleventh Amendment arose in the employment context.

Receipt of SSI Benefits
The relationship between the receipt of SSDI benefits and the ability of an individual to pursue an
ADA employment claim was the issue in Cleveland v. Policy Management Systems Corp, supra.
The Supreme Court unanimously held that pursuit and receipt of SSDI benefits does not
automatically stop a recipient from pursuing an ADA claim or even create a strong presumption
against success under the ADA. Observing that the Social Security Act and the ADA both help
individuals with disabilities but in different ways, the Court found that “despite the appearance of
conflict that arises from the language of the two statutes, the two claims do not inherently conflict
to the point where courts should apply a special negative presumption like the one applied by the
60

EEOC Compliance Manual §605:0009.

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Court of Appeals here.” The fact that the ADA defines a qualified individual as one who can
perform the essential functions of the job with or without reasonable accommodation was seen as
a key distinction between the ADA and the Social Security Act. In addition, the Court observed
that SSDI benefits are sometimes granted to individuals who are working.
The Seventh Circuit, in Johnson v. ExxonmobilCorp.,61 applied the Supreme Court’s analysis in
Cleveland and distinguished the factual situations. In Cleveland the plaintiff had argued that she
had made consistent statements in her ADA claim and in the SSDI application; however, in
Johnson the Seventh Circuit found that the plaintiff had merely argued that “he was mistaken in
his SSDI application.” The court of appeals concluded that “Cleveland does not stand for the
proposition that defendants should be allowed to explain why they gave false statements on their
SSDI applications, which is essentially what Johnson seeks to do here.”62

“Qualified” Individual with a Disability
In Albertsons, Inc. v. Kirkingburg,63 the Supreme Court held that an employer need not adopt an
experimental vision waiver program. Title I of the ADA prohibits discrimination in employment
against a “qualified” individual with a disability. In finding that the plaintiff’s inability to comply
with the general regulatory vision requirements rendered him unqualified, the Court framed the
question in the following manner. “Is it reasonable ... to read the ADA as requiring an employer
like Albertsons to shoulder the general statutory burden to justify a job qualification that would
tend to exclude the disabled, whenever the employer chooses to abide by the otherwise clearly
applicable, unamended substantive regulatory standard despite the Government’s willingness to
waive it experimentally and without any finding of its being inappropriate?” Answering this
question in the negative, the Court observed that employers should not be required to “reinvent
the Government’s own wheel” and stated that “it is simply not credible that Congress enacted the
ADA (before there was any waiver program) with the understanding that employers choosing to
respect the Government’s sole substantive visual acuity regulation in the face of an experimental
waiver might be burdened with an obligation to defend the regulation’s application according to
its own terms.”
In Chevron U.S.A. Inc., v. Echazabal,64 the Supreme Court held unanimously that the ADA does
not require an employer to hire an individual with a disability if the job in question would
endanger the individual’s health. The ADA’s statutory language provides for a defense to an
allegation of discrimination that a qualification standard is “job related and consistent with
business necessity.”65 The act also allows an employer to impose as a qualification standard that
the individual shall not pose a direct threat to the health or safety of other individuals in the
workplace66 but does not discuss a threat to the individual’s health or safety. The Ninth Circuit in
Echazabal had determined that an employer violated the ADA by refusing to hire an applicant
with a serious liver condition whose illness would be aggravated through exposure to the

61

426 F.3d 887 (7th Cir. 2005).
62
Id. at 892.
63
527 U.S. 555 (1999).
64
536 U.S. 73 (2002).
65
42 U.S.C. §12113(a).
66
42 U.S.C. §12113(b).

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chemicals in the workplace.67 The Supreme Court rejected the Ninth Circuit decision and upheld
a regulation by the EEOC that allows an employer to assert a direct threat defense to an allegation
of employment discrimination where the threat is posed only to the health or safety of the
individual making the allegation.68 Justice Souter found that the EEOC regulations were not the
kind of workplace paternalism that the ADA seeks to outlaw. “The EEOC was certainly acting
within the reasonable zone when it saw a difference between rejecting workplace paternalism and
ignoring specific and documented risks to the employee himself, even if the employee would take
his chances for the sake of getting a job.” The Court emphasized that a direct threat defense must
be based on medical judgment that uses the most current medical knowledge.
The Supreme Court had examined an analogous issue in UAW v. Johnson Controls, Inc.,69 which
held that under the Civil Rights Act of 1964 employers could not enforce “fetal protection”
policies that kept women, whether pregnant or with the potential to become pregnant, from jobs
that might endanger a developing fetus. Although this case was raised by the plaintiff, the
Supreme Court distinguished the decision there from that in Echazabal. The Johnson Controls
decision was described as “concerned with paternalistic judgments based on the broad category of
gender, while the EEOC has required that judgments based on the direct threat provision be made
on the basis of individualized risk assessments.”

Collective Bargaining Agreements
The interplay between rights under the ADA and collective bargaining agreements was the
subject of the Supreme Court’s decision in Wright v. Universal Maritime Service Corp., supra.
The Court held there that the general arbitration clause in a collective bargaining agreement does
not require a plaintiff to use the arbitration procedure for an alleged violation of the ADA.
However, the Court’s decision was limited since the Court did not find it necessary to reach the
issue of the validity of a union-negotiated waiver. In other words, the Court found that a general
arbitration agreement in a collective bargaining agreement is not sufficient to waive rights under
civil rights statutes but situations where there is a specific waiver of ADA rights were not
addressed.70

Reasonable Accommodations and Seniority Systems
The Supreme Court in U.S. Airways v. Barnett71 held that an employer’s showing that a requested
accommodation by an employee with a disability conflicts with the rules of a seniority system is
ordinarily sufficient to establish that the requested accommodation is not “reasonable” within the
meaning of the ADA. The Court, in a majority opinion by Justice Breyer, observed that a
seniority system, “provides important employee benefits by creating, and fulfilling, employee
expectations of fair, uniform treatment” and that to require a “typical employer to show more than
the existence of a seniority system might undermine the employees’ expectations of consistent,
uniform treatment.” Thus, in most ADA cases, the existence of a seniority system would entitle an
67

226 F.3d 1063 (9th Cir. 2000).
29 C.F.R. §1630.15(b)(2).
69
499 U.S. 187 (1991).
70
For more information, see CRS Report RL30008, Labor and Mandatory Arbitration Agreements: Background and
Discussion, by (name redacted).
71
535 U.S. 391 (2002).
68

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employer to summary judgment in its favor. The Court found no language in the ADA which
would change this presumption if the seniority system was imposed by management and not by
collective bargaining. However, Justice Breyer found that there were some exceptions to this rule
for “special circumstances” and gave as examples situations where (1) the employer “fairly
frequently” changes the seniority system unilaterally, and thereby diminishes employee
expectations to the point where one more departure would “not likely make a difference” or (2)
the seniority system contains so many exceptions that one more exception is unlikely to matter.
Although the majority in Barnett garnered five votes, the Court’s views were splintered. There
were strong dissents and two concurring opinions. In her concurrence, Justice O’Connor stated
that she would prefer to say that the effect of a seniority system on the ADA depends on whether
the seniority system is legally enforceable but that since the result would be the same in most
cases as under the majority’s reasoning, she joined with the majority to prevent a stalemate. The
dissents took vigorous exception to the majority’s decision with Justice Scalia, joined by Justice
Thomas, arguing that the ADA does not permit any seniority system to be overridden. The dissent
by Justice Souter, joined by Justice Ginsberg, argued that nothing in the ADA insulated seniority
rules from a reasonable accommodation requirement and that the legislative history of the ADA
clearly indicated congressional intent that seniority systems be a factor in reasonable
accommodations determinations but not the major factor.

Rehiring of Individual Who Has Been Terminated for Illegal Drug Use
In Raytheon Co. v. Hernandez,72 the Supreme Court was presented with the issue of whether the
ADA confers preferential rehiring rights on employees who have been lawfully terminated for
misconduct, in this case illegal drug use. However, the Court, in an opinion by Justice Thomas,
did not reach this issue, finding that the Ninth Circuit had improperly applied a disparate impact
analysis in a disparate treatment case and remanding the case. The Court observed that it “has
consistently recognized a distinction between claims of discrimination based on disparate
treatment and claims of discrimination based on disparate impact.” Disparate treatment was
described as when an employer intentionally treats some people less favorably than others
because of a protected characteristic such as race and liability depends on whether the protected
trait actually motivated the employer’s decision. Disparate impact, in contrast, involves practices
that are facially neutral but in fact impact a protected group more harshly and cannot be justified
by business necessity. Disparate impact cases do not require evidence of an employer’s subjective
intent.73

Employment Inquiries Relating to a Disability
Before an offer of employment is made, an employer may not ask a disability related question or
require a medical examination.74 The EEOC in its guidance on this issue stated that the rationale
for this exclusion was to isolate an employer’s consideration of an applicant’s non-medical
qualifications from any consideration of the applicant’s medical condition.75 Once an offer is
72

540 U.S. 44 (2003).
Upon review, the Ninth Circuit Court of Appeals reversed and remanded the district court’s grant of the employer’s
motion for summary judgment. Hernandez v. Hughes Missile Systems Co., 362 F.3d 564 (9th Cir. 2004).
74
42 U.S.C. §12112.
75
EEOC, “ADA Enforcement Guidance: Preemployment Disability-Related Questions and Medical Examinations,”
(continued...)
73

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made, disability related questions and medical examinations are permitted as long as all
individuals who have been offered a job in that category are asked the same questions and given
the same examinations.76 It is not always clear exactly what is a medical test. In Karraker v. Renta-Center, Inc.,77 the Seventh Circuit examined the issue of whether an employer’s use of the
Minnesota Multiphasic Personality Inventory (MMPI) in order to obtain a promotion violated the
ADA. The MMPI contains questions such as “I commonly hear voices without knowing where
they are coming from” and “I see things or animals or people around me that others do not see.”
The court found that, even though the test was not interpreted by a psychologist, the MMPI was a
medical test since it was designed in part to reveal mental illness.
The events of September 11, 2001, raised questions concerning whether an employer may ask
employees whether they will require assistance in the event of an evacuation because of a
disability or medical condition. The EEOC issued a fact sheet stating that employers are allowed
to ask employees to self-identify if they will require assistance because of a disability or medical
conditions and providing details on how the employer may identify individuals who may require
assistance.78 Similarly, the 2009 H1N1 influenza pandemic also raised issues concerning inquiries
relating to a disability, and the EEOC has issued guidance for employers.79

Defenses to a Charge of Discrimination
The ADA specifically lists defenses that may be applied to a charge of discrimination. If an
employer can demonstrate that qualification standards, tests, or other selection criteria that may
disqualify an individual with a disability are “job-related, … consistent with business necessity,
and such performance cannot be accomplished by reasonable accommodation,” the employer may
not be liable under the ADA.80 The ADA further states that such standards, tests, and criteria may
not be used to disqualify an individual based on his or her uncorrected vision unless the
requirement is job-related and consistent with business necessity.81
Employers may discriminate against an individual with a disability if he or she poses a direct
threat to the health or safety of other individuals in the workplace.82 The EEOC has indicated that
the following factors should be considered when determining whether an individual poses a direct
threat: the duration of the risk; the nature and severity of the potential harm; the likelihood that
the potential harm will occur; and the imminence of the potential harm.83
(...continued)
October 10, 1995.
76
Id.
77
411 F.3d 831 (7th Cir. 2005). For a more detailed discussion of this case, see Maureen E. Mulvihill, “Karraker v.
Rent-a-Center: Testing the Limits of the ADA, Personality Tests, and Employer Preemployment Screening,” 37 LOY.
U. CHI. L. J. 865 (2006).
78
http://www.eeoc.gov/facts/evacuation.html. For a detailed discussion of emergency procedures for employees with
disabilities, see Federal Emergency Management Agency, “Emergency Procedures for Employees with Disabilities in
Office Occupancies.” http://www.securitymanagement.com/library/disable.html.
79
See http://www.eeoc.gov/facts/pandemic_flu.html. For a discussion of these issues, see CRS Report R40866, The
Americans with Disabilities Act (ADA): Employment Issues and the 2009 Influenza Pandemic, by (name redacted).
80
42 U.S.C. §12113(a).
81
42 U.S.C. §12113(c).
82
42 U.S.C. §12113(b).
83
29 C.F.R. §1630.2(r).

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The ADA includes two exceptions for religious organizations. First, religious entities may “[give]
preference in employment to individuals of a particular religion to perform work connected with
the carrying on by such [entity] of its activities.”84 Second, religious entities may require
applicants and employees to conform to their religious tenets.85 In addition to these statutory
protections, the Supreme Court has affirmed additional constitutional protections available to
religious employers. In Hosanna-Tabor Evangelical Lutheran Church and School v. EEOC, a
teacher at a religious school challenged her termination under the ADA after the school fired her
following her disability leave.86 The Court recognized the constitutional ministerial exception to
employment discrimination laws, explaining that religious institutions must be permitted to select
employees who are responsible for carrying out the institution’s mission.87 Thus, the ministerial
exception may be claimed by religious employers with respect to ministers and ministerial
employees only. The ministerial exception prevents governmental interference in decisions
regarding these employees in conformance with the constitutional requirements of the First
Amendment.88
Finally, employers may avoid liability under the ADA for decisions that discriminate against
individuals with an infectious or communicable disease if the disease may be transmitted through
food handling and the job involves such duties.89 To claim this defense, the disease must be listed
by the Secretary of Health And Human Services as an infectious disease transmitted through food
handling and must not be able to be eliminated by reasonable accommodation.90

Drugs, Alcohol, and Employer Conduct Rules
A controversial issue that arose during the enactment of the ADA regarding employment
concerned the application of the act to drug addicts and alcoholics. The ADA provides that, with
regard to employment, current illegal drug users are not considered to be qualified individuals
with disabilities. However, former drug users and alcoholics would be covered by the act if they
are able to perform the essential functions of the job. Exactly what is “current” use of illegal
drugs has been the subject of some discussion. The EEOC has defined current to mean that the
illegal drug use occurred “recently enough” to justify an employer’s reasonable belief that drug
use is an ongoing problem.91 The courts that have examined this issue have generally found that
to be covered by the ADA, the individual must be free of drugs for a considerable period of time,
certainly longer than weeks.92
84

42 U.S.C. §12113(d)(1). This exception for religious organizations mirrors the exception provided in Title VII of the
Civil Rights Act of 1964, which prohibits employment discrimination based on race, color, religion, national origin, or
sex. See 42 U.S.C. §2000e et seq. For a legal analysis of the applicability of the exception, see CRS Report RS22745,
Religion and the Workplace: Legal Analysis of Title VII of the Civil Rights Act of 1964 as It Applies to Religion and
Religious Organizations, by Cynthia Brougher.
85
42 U.S.C. §12113(d)(2).
86
Hosanna-Tabor Evangelical Lutheran Church and School v. EEOC, 132 S.Ct. 694 (2012).
87
Id. at 710.
88
Id. at 703 (“The Establishment Clause prevents the Government from appointing ministers, and the Free Exercise
Clause prevents it from interfering with the freedom of religious groups to select their own [ministers].”).
89
42 U.S.C. §12113(e)(2).
90
Id. The Secretary of Health and Human Services maintains a list of infectious and communicable diseases
transmitted through the food supply. See 74 Federal Register 61151 (November 23, 2009).
91
29 C.F.R. Appendix §1630.3.
92
See e.g., Shafer v. Preston Memorial Hospital Corp., 107 F.3d 274 (4th Cir. 1997)(individual is a current user if he or
(continued...)

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In the appendix to its regulations, EEOC further notes that “an employer, such as a law
enforcement agency, may also be able to impose a qualification standard that excludes individuals
with a history of illegal use of drugs if it can show that the standard is job-related and consistent
with business necessity.”93 Title I of the ADA also provides that a covered entity may prohibit the
illegal use of drugs and the use of alcohol in the workplace.94 Similarly, employers may hold all
employees, regardless of whether or not they have a disability, to the same performance and
conduct standards.95 However, if the misconduct results from a disability, the employer must be
able to demonstrate that the rule is job-related and consistent with business necessity.96

Remedies
The remedies and procedures set forth in Sections 705, 706, 707, 709, and 710 of the Civil Rights
Act of 1964,97 are incorporated by reference. This provides for certain administrative enforcement
as well as allowing for individual suits. The Civil Rights Act of 1991, P.L. 102-166, expanded the
remedies of injunctive relief and back pay. A plaintiff who was the subject of unlawful intentional
discrimination (as opposed to an employment practice that is discriminatory because of its
disparate impact) may recover compensatory and punitive damages. In order to receive punitive
damages, the plaintiff must show that there was a discriminatory practice engaged in with malice
or with reckless indifference to the rights of the aggrieved individuals. The amount that can be
awarded in punitive and compensatory damages is capped, with the amounts varying from
$50,000 to $300,000 depending upon the size of the business.98 Similarly, there is also a “good
faith” exception to the award of damages with regard to reasonable accommodation.
The Lilly Ledbetter Fair Pay Act of 2009, P.L. 111-2, amends Title VII of the Civil Rights Act of
1964, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, and the
Americans with Disabilities Act. Enacted in response to the Supreme Court’s decision in
Ledbetter v. Goodyear Tire & Rubber Co.,99 the law states that an unlawful employment practice
occurs, with respect to discrimination in compensation, when a discriminatory compensation
decision or other practice is adopted, when an individual becomes subject to a discriminatory
compensation decision or practice, or when an individual is affected by application of a
discriminatory compensation decision or practice. Liability for these discriminatory practices may
accrue and an individual may obtain back pay for up to two years preceding the filing of the

(...continued)
she has illegally used drugs “in a periodic fashion during the weeks and months prior to discharge.”)
93
29 C.F.R. Appendix §1630.3.
94
42 U.S.C. §12114(c); 29 C.F.R. §1630.16(b)(4).
95
EEOC Compliance Manual §902.2(c)(4). See also Hamilton v. Southwestern Bell Telephone Co., 136 F.3d 1047 (5th
Cir. 1998)(“the ADA does not insulate emotional or violent outbursts blamed on an impairment”).
96
EEOC Enforcement Guidance on the ADA and Psychiatric Disabilities, No. 915.002, p. 29 (March 25, 1997).
97
42 U.S.C. §§2000e-4, 2000e-5, 2000e-6, 2000e-8, 2000e-9.
98
In Gagliardo v. Connaught Laboratories, 311 F.3d 565 (3d Cir. 2002), an employee who claimed that she was
discriminated against due to her multiple sclerosis won an award of $2.3 million despite the ADA caps. The court
found that the judge had properly proportioned the claims between the federal and state causes of action and found that
the fact that the state law did not contain a cap indicated that it was intended to provide a remedy beyond the federal
remedies.
99
550 U.S. 618 (2007).

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charges.100 P.L. 111-2 applies to Title I of the ADA which covers employment, and Section 503,
42 U.S.C. §12203, of the ADA, which prohibits retaliation and coercion.
It should also be noted that the Supreme Court addressed the issue of punitive damages in a Title
VII sex discrimination case, Kolstad v. American Dental Association.101 The Court held in
Kolstad that plaintiffs are not required to prove egregious conduct to be awarded punitive
damages; however, the effect of this holding is limited by the Court’s determination that certain
steps taken by an employer may immunize them from punitive damages. Since the ADA
incorporates the Title VII provisions, the holding in Kolstad may be applicable to ADA
employment cases as well.102
In Equal Employment Opportunity Commission v. Wal-mart Stores, Inc.,103 the Tenth Circuit
applied Kolstad and affirmed an award of punitive damages under the ADA. This case involved a
hearing impaired employee of Wal-mart who sometimes required the assistance of an interpreter.
After being employed for about two years in the receiving department, the employee was required
to attend a training session but left when the video tape shown was not close captioned and no
interpreter was provided. After refusing to attend in the absence of an interpreter, the employee
was transferred to the maintenance department to perform janitorial duties. When he questioned
the transfer and asked for an interpreter, he was again denied. After threatening to file a complaint
with the EEOC, the employee was suspended and later terminated from employment. He then
sued and won compensatory damages and $75,000 in punitive damages. On appeal, the Tenth
Circuit examined the reasoning in Kolstad and concluded that the record in Wal-mart “is
sufficient to resolve the questions of intent and agency laid out in Kolstad.” With regard to intent,
the court reiterated the facts and further noted that the store manager, who ultimately approved
the employee’s suspension, had testified that he was familiar with the ADA and its provisions
regarding accommodation, discrimination and retaliation. This was seen as sufficient for a
reasonable jury to conclude that Wal-mart intentionally discriminated. Wal-mart had also made an
agency argument, stating that liability for punitive damages was improper because the employees
who discriminated against the employee did not occupy positions of managerial control. Looking
again to the reasoning in Kolstad, the Tenth Circuit noted that the Wal-mart employees had
authority regarding hiring and firing decisions and observed that such authority is an indicium of
supervisory or managerial capacity.

Public Services
General Requirements
Title II of the ADA provides that no qualified individual with a disability shall be excluded from
participation in or be denied the benefits of the services, programs, or activities of a public entity
100

For a discussion of the Ledbetter decision, see CRS Report RS22686, Pay Discrimination Claims Under Title VII of
the Civil Rights Act: A Legal Analysis of the Supreme Court’s Decision in Ledbetter v. Goodyear Tire & Rubber Co.,
Inc., by (name redacted). For a discussion of the legislation, see CRS Report RL31867,
Pay Equity Legislation, by (name red
acted) and (name redacted).
101
527 U.S. 526 (1999).
102
But see Barnes v. Gorman, 536 U.S. 181 (2002), where the Supreme Court held that punitive damages may not be
awarded under Section 202 of the ADA.
103
187 F.3d 1241 (10th Cir. 1999).

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or be subjected to discrimination by any such entity.104 “Public entity” is defined as state and local
governments, any department or other instrumentality of a state or local government and certain
transportation authorities. The ADA does not apply to the executive branch of the federal
government; the executive branch and the U.S. Postal Service are covered by Section 504 of the
Rehabilitation Act of 1973.105
The Department of Justice (DOJ) promulgated regulations for Title II which were amended as
published in the Federal Register on September 15, 2010. The regulations contain a specific
section on program accessibility. Each service, program, or activity conducted by a public entity,
when viewed in its entirety, must be readily accessible to and usable by individuals with
disabilities. However, a public entity is not required to make each of its existing facilities
accessible.106 Program accessibility is limited in certain situations involving historic preservation.
In addition, in meeting the program accessibility requirement, a public entity is not required to
take any action that would result in a fundamental alteration in the nature of its service, program,
or activity or in undue financial and administrative burdens.107 The amended Title II regulations
adopt accessibility standards consistent with the new minimum guidelines and requirements
issued by the Architectural and Transportation Barriers Compliance Board (Access Board). In
order to provide “an important measure of clarity and certainty for public entities,”108 DOJ’s
amended title II regulations add an “element by element safe harbor” provision where elements in
covered facilities that were built or altered in accordance with the previous 1991 accessibility
standards would not be required to be brought into compliance with the new standards until the
elements were subject to a planned alteration. In addition, the amended regulations include more
detailed standards for service animals,109 power-driven mobility devices, ticketing, and effective
communication.110 The amended regulations took effect March 15, 2011, but compliance with the
2010 standards for accessible design is not required until March 15, 2012.
Title II of the ADA would also apply to state and local government emergency preparedness and
response programs. The Department of Justice has issued an ADA guide for local governments,
noting that “one of the most important roles of local government is to protect their citizenry from
harm, including helping people prepare for and respond to emergencies. Making local
government emergency preparedness and response programs accessible to people with disabilities
is critical part of this responsibility. Making these programs accessible is also required by the
ADA.”111
104

42 U.S.C. §§12131-12133.
29 U.S.C. §794.
106
28 C.F.R. §35.150.
107
Id. The Department of Justice provided a document containing examples of common ADA compliance problems by
city governments that have been identified through the Department of Justice’s ongoing enforcement efforts. See
http://www.usdoj.gov/crt/ada/comprob.htm.
108
75 Federal Register 56207 (September 15, 2010). The Department of Justice amended existing Title II and Title III
regulations. For a more detailed discussion of the safe harbor provision see CRS Report R41376, The Americans with
Disabilities Act (ADA): Final Rule Amending Title II and Title III Regulations, by (name redacted) and (name red
acted).
109
For a more detailed discussion of the provisions relating to service animals see CRS Report R41468, The Americans
with Disabilities Act (ADA) and Service Animals, by (name redacted).
110
75 Federal Register 56164 (September 15, 2010). For a more detailed discussion of the changes generally see CRS
Report R41376, The Americans with Disabilities Act (ADA): Final Rule Amending Title II and Title III Regulations, by
(name redacted) and (name redacted).
111
http://www.usdoj.gov/crt/ada/emergencyprep.htm. For a more detailed discussion of these issues, see CRS Report
(continued...)
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Supreme Court Cases
Although Title II has not been the subject of as much litigation as Title I, several of the ADA
cases to reach the Supreme Court have involved Title II. The most significant of these to date is
Tennessee v. Lane.112 In Lane, the Supreme Court held that Title II of the ADA, as it applies to the
fundamental right of access to the courts, constitutes a valid exercise of congressional authority
under Section 5 of the Fourteenth Amendment. In addition, the Supreme Court in United States v.
Georgia.,113 held that Title II of the ADA created a private cause of action for damages against the
states for conduct that actually violates the Fourteenth Amendment.
In the first ADA case to reach the Supreme Court, Pennsylvania Department of Corrections v.
Yeskey, supra, the Court found in a unanimous decision that state prisons “fall squarely within the
statutory definition of ‘public entity’” for Title II. Yeskey involved a prisoner who was sentenced
to 18 to 36 months in a Pennsylvania correctional facility but was recommended for placement in
a motivational boot camp for first time offenders. If the boot camp was successfully completed,
the prisoner would have been eligible for parole in six months. The prisoner was denied
admission to the program due to his medical history of hypertension and sued under the ADA.
The state argued that state prisoners were not covered under the ADA since such coverage would
“alter the usual constitutional balance between the States and the Federal Government.” The
Supreme Court rejected this argument, observing that “the ADA plainly covers state institutions
without any exception that could cast the coverage of prisons into doubt.” The Court noted that
prisoners receive many services, including medical services, educational and vocational programs
and recreational activities so that the ADA language applying the “benefits of the services,
programs, or activities of a public entity” is applicable to state prisons.114 However, the Court in
Yeskey did not address the constitutional issues.
In Olmstead v. Georgia, supra, the Supreme Court examined issues raised by state mental health
institutions and held that Title II of the ADA requires states to place individuals with mental
disabilities in community settings rather than institutions when the State’s treatment professionals
have determined that community placement is appropriate, community placement is not opposed
by the individual with a disability, and the placement can be reasonably accommodated.115
“Unjustified isolation ... is properly regarded as discrimination based on disability.” The
Olmstead case had been closely watched by both disability groups and state governments.
Although disability groups have applauded the holding that undue institutionalization qualifies as
discrimination by reason of disability, the Supreme Court did place certain limitations on this
right. In addition to the agreement of the individual affected, the Court also dealt with the issue of
what is a reasonable modification of an existing program and stated: “Sensibly construed, the
(...continued)
RS22254, The Americans with Disabilities Act and Emergency Preparedness and Response, by (name redacted).
112
541 U.S. 509 (2004).
113
546 U.S. 151 (2006).
114
The Supreme Court had remanded this case for consideration of whether Yeskey was an individual with a disability.
On remand, the district court held that he was not covered by the ADA since he was not substantially limited in a major
life activity. Yeskey v. Pennsylvania Department of Corrections, 76 F.Supp. 2d 572 (M.D. Pa.1999).
115
Olmstead has focused federal and state attention on the development of policies that would expand home and
community-based care for individuals with disabilities. For a more detailed discussion of Olmstead, see CRS Report
R40106, Olmstead v. L.C.: Judicial and Legislative Developments in the Law of Deinstitutionalization, by (name red
acted).

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fundamental-alteration component of the reasonable-modifications regulation would allow the
State to show that, in the allocation of available resources, immediate relief for the plaintiffs
would be inequitable, given the responsibility the State has undertaken for the care and treatment
of a large and diverse population of persons with mental disabilities.” This examination of what
constitutes a reasonable modification may have implications for the interpretation of similar
concepts in the employment and public accommodations Titles of the ADA.116

Other Title II Cases
Courts have examined various other issues regarding compliance with Title II. For example, in
Crowder v. Kitagawa, a Hawaii regulation requiring the quarantine of all dogs, including guide
dogs for visually impaired individuals, was found to violate Title II.117 Other Title II cases have
involved whether curb ramps are required,118 the application of Title II to a city ordinance
allowing open burning,119 and the application of the ADA to a city’s zoning ordinances.120

Transportation Provisions
Title II also provides specific requirements for public transportation by intercity and commuter
rail and for public transportation other than by aircraft or certain rail operations.121 All new
vehicles purchased or leased by a public entity that operates a fixed route system must be
accessible, and good faith efforts must be demonstrated with regard to the purchase or lease of
accessible use vehicles. Retrofitting of existing buses is not required. Paratransit services must be
provided by a public entity that operates a fixed route service, other than one providing solely

116
See also Frederick L., Nina S., Kevin C. And Steven F. v. Department of Public Welfare, 422 F.3d 151 (3d Cir.
2005), where the court found that Pennsylvania’s Department of Public Welfare was obligated to integrate eligible
patients into local community-based settings and was required to articulate a commitment to this requirement in a
specific comprehensive, effectively working, plan before it could utilize a “fundamental alteration” defense.
117
Crowder v. Kitagawa, 81 F.3d 1480 (9th Cir. 1996). The court stated: “Although Hawaii’s quarantine requirement
applies equally to all persons entering the state with a dog, its enforcement burdens visually-impaired persons in a
manner different and greater than it burdens others. Because of the unique dependence upon guide dogs among many
of the visually-impaired, Hawaii’s quarantine effectively denies these persons ... meaningful access to state services,
programs, and activities while such services, programs, and activities remain open and easily accessible by others.”
118
In Kinney v. Yerusalim, 812 F.Supp. 547 (E.D. Pa. 1993), aff’d 9 F.3d 1067 (3d Cir. 1993), cert. denied, 511 U.S.
1033 (1994), the court found that street repair projects must include curb ramps for individuals with disabilities.
Similarly, see Ability Center of Greater Toledo v. Lechner, 385 F.3d 901 (6th Cir. 2004), where the court held that Title
II “does not merely prohibit intentional discrimination. It also imposes on public entities the requirement that they
provide qualified disabled individuals with meaningful access to public services, which in certain instances necessitates
that public entities take affirmative steps to remove architectural barriers to such access in the process of altering
existing facilities.” At 912. See also Barden v. Sacramento, 292 F.3d 1073 (9th Cir. 2002), cert. denied, 539 U.S. 958
(2003). See also 28 C.F.R. §35.151(e)(1), where the Department of Justice details the requirements for curb ramps.
119
Heather K. v. City of Mallard, Iowa, 946 F.Supp. 1373 (N.D.Iowa 1996).
120
Innovative Health Systems, Inc. v. City of White Plains, 117 F.3d 37 (2d Cir. 1997).
121
42 U.S.C. §§12141-12165. P.L. 104-287 added a new definition. The term “commuter rail transportation” has the
meaning given the term “commuter rail passenger transportation” in 45 U.S.C. §502(9). For a more detailed discussion
of the transportation provisions, see CRS Report RS22676, Public Transportation Providers’ Obligations Under the
Americans with Disabilities Act (ADA), by (name redacted). Airplanes are covered by the Air Carriers A ccess Act, 49
U.S.C. §41705. For a discussion of this law, see CRS Report RL34047, Overview of the Air Carrier Access Act
(ACAA), by (name redacted).

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commuter bus service.122 Rail systems must have at least one car per train that is accessible to
individuals with disabilities.123
Draft guidelines have been published by the Architectural and Transportation Barriers
Compliance Board (Access Board) regarding the accessibility of public rights-of-way.124 The
purpose of the draft guidelines is to gather additional information for the regulatory assessment
and the preparation of technical assistance materials to accompany a future rule. The Board will
issue a notice of proposed rulemaking at a future date and will solicit comments at that time, prior
to issuing a final rule.

Remedies
The enforcement remedies of Section 505 of the Rehabilitation Act of 1973, 29 U.S.C. §794a, are
incorporated by reference.125 These remedies are similar to those of Title VI of the Civil Rights
Act of 1964, and include damages and injunctive relief. The Attorney General has promulgated
regulations relating to subpart A of the Title,126 and the Secretary of Transportation has issued
regulations regarding transportation.127

Barnes v. Gorman
The Supreme Court in Barnes v. Gorman128 held in a unanimous decision that punitive damages
may not be awarded under Section 202129 of the ADA and Section 504 of the Rehabilitation Act
of 1973.130 Jeffrey Gorman uses a wheelchair and lacks voluntary control over his lower torso
which necessitates the use of a catheter attached to a urine bag. He was arrested in 1992 after
fighting with a bouncer at a nightclub and during his transport to the police station suffered
significant injuries due to the manner in which he was transported. He sued the Kansas City
police and was awarded over $1 million in compensatory damages and $1.2 million in punitive
damages. The Eighth Circuit court of appeals upheld the award of punitive damages but the
Supreme Court reversed. Although the Court was unanimous in the result, there were two
concurring opinions and the concurring opinion by Justice Stevens, joined by Justices Ginsburg
and Breyer, disagreed with the reasoning used in Justice Scalia’s opinion for the Court.
Justice Scalia observed that the remedies for violations of both Section 202 of the ADA and
Section 504 of the Rehabilitation Act are “coextensive with the remedies available in a private

122

42 U.S.C. §12143.
42 U.S.C. §12162.
124
70 Federal Register 70734 (November 23, 2005).
125
42 U.S.C. §12133.
126
28 C.F.R. Part 35.
127
49 C.F.R. Parts 27, 37, 38.
128
536 U.S. 181 (2002).
129
42 U.S.C. §12132. Section 203, 42 U.S.C. §12133, contains the enforcement provisions.
130
29 U.S.C. §794. Section 504 in relevant part prohibits discrimination against individuals with disabilities in any
program or activity that receives federal financial assistance. The requirements of Section 504, its regulations, and
judicial decisions were the model for the statutory language in the ADA where the nondiscrimination provisions are not
limited to entities that receive federal financial assistance.
123

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cause of action brought under Title VI of the Civil Rights Act of 1964.”131 Neither Section 504
nor Title II of the ADA specifically mention punitive damages, rather they reference the remedies
of Title VI of the Civil Rights Act. Title VI is based on the congressional power under the
Spending Clause132 to place conditions on grants. Justice Scalia noted that Spending Clause
legislation is “much in the nature of a contract” and, in order to be a legitimate use of this power,
the recipient must voluntarily and knowingly accept the terms of the “contract.” “If Congress
intends to impose a condition on the grant of federal moneys, it must do so unambiguously.”133
This contract law analogy was also found to be applicable to determining the scope of the
damages remedies and, since punitive damages are generally not found to be available for a
breach of contract, Justice Scalia found that they were not available under Title VI, Section 504 or
the ADA.

Public Accommodations
General Requirements
Title III provides that no individual shall be discriminated against on the basis of disability in the
full and equal enjoyment of the goods, services, facilities, privileges, advantages, or
accommodations of any place of public accommodation by any person who owns, leases (or
leases to), or operates a place of public accommodation.134 Entities that are covered by the term
“public accommodation” are listed, and include, among others, hotels, restaurants, theaters,
auditoriums, laundromats, museums, parks, zoos, private schools, day care centers, professional
offices of health care providers, and gymnasiums.135 Religious institutions or entities controlled
by religious institutions are not included on the list.
There are some limitations on the nondiscrimination requirements, and a failure to remove
architectural barriers is not a violation unless such a removal is “readily achievable.”136 “Readily
achievable” is defined as meaning “easily accomplishable and able to be carried out without
much difficulty or expense.”137 Reasonable modifications in practices, policies or procedures are
required unless they would fundamentally alter the nature of the goods, services, facilities, or
privileges or they would result in an undue burden.138 An undue burden is defined as an action
involving “significant difficulty or expense.”139
Title III contains a specific exemption for religious entities.140 This applies when an entity is
controlled by a religious entity. For example, a preschool that is run by a religious entity would
131

42 U.S.C. §2000d et seq.
U.S. Const., Art. I §8, cl.1.
133
Pennhurst State School and Hospital v. Halderman, 451 U.S. 1, 17 (1981).
134
42 U.S.C. §12182.
135
42 U.S.C. §12181.
136
42 U.S.C. §12182(b)(2)(A)(iv).
137
42 U.S.C. §12181.
138
42 U.S.C. §12182(b)(2)(A).
139
28 C.F.R. §36.104.
140
42 U.S.C. §12187.
132

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not be covered under the ADA; however a preschool that is not run by a religious entity but that
rents space from the religious entity, would be covered by Title III.
Similarly, Title III does not apply to private clubs or establishments exempted from coverage
under Title II of the Civil Rights Act of 1964.141 In interpreting this provision,142 the Department
of Justice has noted that courts have been most inclined to find private club status in cases where
(1) members exercise a high degree of control over club operations, (2) the membership selection
process is highly selective, (3) substantial membership fees are charged, (4) the entity is operated
on a nonprofit basis, and (5) the club was not founded specifically to avoid compliance with
federal civil rights law. Facilities of a private club lose their exemption, however, to the extent
that they are made available for use by nonmembers as places of public accommodation.143
Title III also contains provisions relating to the prohibition of discrimination in public
transportation services provided by private entities. Purchases of over-the-road buses are to be
made in accordance with regulations issued by the Secretary of Transportation.144
The Department of Justice promulgated amendments to the Title III regulations that were
amended as published in the Federal Register on September 15, 2010.145 The amended Title III
regulations adopt accessibility standards consistent with the new minimum guidelines and
requirements issued by the Architectural and Transportation Barriers Compliance Board (Access
Board). In addition, the regulations include more detailed standards for service animals146 and
power-driven mobility devices, ticketing, and effective communication,147 and provide for an
element by element “safe harbor” in certain circumstances. The amended regulations took effect
March 15, 2011, but compliance with the 2010 standards for accessible design is not required
until March 15, 2012.

Bragdon v. Abbott and Direct Threats to Health and Safety
The nondiscrimination mandate of Title III does not require that an entity permit an individual to
participate in or benefit from the services of a public accommodation where such an individual
poses a direct threat to the health or safety of others.148 This issue was discussed by the Supreme
141

42 U.S.C. §2000a-3(a).
42 U.S.C. 12187.
143
Department of Justice, “ADA Title III Technical Assistance Manual” III-1.6000.
144
42 U.S.C. §12184. This section was amended by P.L. 104-59 to provide that accessibility requirements for private
over-the-road buses must be met by small providers within three years after the issuance of final regulations and with
respect to other providers, within two years after the issuance of such regulations.
145
75 Federal Register 56164 (September 15, 2010). For a more detailed discussion of the changes generally see CRS
Report R41376, The Americans with Disabilities Act (ADA): Final Rule Amending Title II and Title III Regulations, by
(name redacted) and (name redacted).
146
For a more detailed discussion of the provisions relating to service animals see CRS Report R41468, The Americans
with Disabilities Act (ADA) and Service Animals, by (name redacted).
147
For a more detailed discussion the amended regulations regarding effective communication in the hospital setting
see CRS Report 97-826, Americans with Disabilities Act (ADA) Requirements Concerning the Provision of Interpreters
by Hospitals and Doctors, by (name redacted). For a discussion of an advanced notice of proposed rulemaking
(ANPR) regarding captioning see CRS Report R41659, The Americans with Disabilities Act (ADA): Movie Captioning
and Video Description, by (name redacted).
148
For a more detailed discussion of this issue, see CRS Report RS22219, The Americans with Disabilities Act (ADA)
Coverage of Contagious Diseases, by (name redacted). The EEOC has discussed the concept of direct threat in the
(continued...)
142

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Court in Bragdon v. Abbott, supra, where the Court stated that “the existence, or nonexistence, of
a significant risk must be determined from the standpoint of the person who refuses the treatment
or accommodation, and the risk assessment must be based on medical or other objective
evidence.” Dr. Bragdon had the duty to assess the risk of infection “based on the objective,
scientific information available to him and others in his profession. His belief that a significant
risk existed, even if maintained in good faith, would not relieve him from liability.” The Supreme
Court remanded the case for further consideration of the direct threat issue. On remand, the First
Circuit Court of Appeals held that summary judgment was warranted finding that Dr. Bragdon’s
evidence was too speculative or too tangential to create a genuine issue of fact.149
The Supreme Court declined to review a Fourth Circuit Court of Appeals decision regarding the
direct threat exception to Title III. In Montalvo v. Radcliffe,150 the Fourth Circuit held that
excluding a child who has HIV from karate classes did not violate the ADA because the child
posed a significant risk to the health and safety of others which could not be eliminated by
reasonable modification.

Martin v. PGA Tour and “Fundamental Alteration”
In Martin v. PGA Tour, the Supreme Court in a 7-2 decision by Justice Stevens held that the
ADA’s requirements for equal access gave a golfer with a mobility impairment the right to use a
golf cart in professional competitions.151 The Ninth Circuit had ruled that the use of the cart was
permissible since it did not “fundamentally alter” the nature of the competition.152
Title III of the ADA defines the term “public accommodation,” specifically listing golf courses.153
The majority opinion looked at this definition and the general intent of the ADA to find that golf
tours and their qualifying rounds “fit comfortably within the coverage of Title III.” The Court
then discussed whether there was a violation of the substantive nondiscrimination provision of
Title III. The ADA states that discrimination includes “a failure to make reasonable modifications
in policies, practices, or procedures, when such modifications are necessary to afford such goods,
services, facilities, privileges, advantages, or accommodations to individuals with disabilities,
unless the entity can demonstrate that making such modifications would fundamentally alter the
nature of such goods, services, facilities, privileges, advantages, or accommodations.”154

(...continued)
context of an influenza pandemic and determined that “[w]hether pandemic influenza rises to the level of a direct threat
depends on the severity of the illness.” http://www.eeoc.gov/facts/pandemic_flu.html.
149
Abbott v. Bragdon, 163 F.3d 87 (1st Cir. 1998), cert. denied, 526 U.S. 1131 (1999).
150
167 F.3d 873 (4th Cir. 1999), cert. denied, 528 U.S. 813 (1999).
151
532 U.S. 661 (2001).
152
204 F.3d 994 (9th Cir. 2000).
153
42 U.S.C. §12181(7).
154
42 U.S.C. §12182(b)(2)(A)(ii)(emphasis added). The Department of Justice regulations echo the statutory language
and provide the following illustration. “A health care provider may refer an individual with a disability to another
provider if that individual is seeking, or requires, treatment or services outside of the referring provider’s area of
specialization, and if the referring provider would make a similar referral for an individual without a disability who
seeks or requires the same treatment or services.” 28 C.F.R. §36.302. The concept of fundamental alteration did not
originate in the statutory language of the ADA but was derived from Supreme Court interpretation of Section 504 of
the Rehabilitation Act of 1973, 29 U.S.C. §794, which, in part, prohibits discrimination against an individual with a
disability in any program or activity that receives federal financial assistance and was the model on which the ADA
(continued...)

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In theory, the Court opined, there might be a fundamental alteration of a golf tournament in two
ways: (1) an alteration in an essential aspect of the game, such as changing the diameter of the
hole, might be unacceptable even if it affected all players equally, or (2) a less significant change
that has only a peripheral impact on the game might give a golfer with a disability an advantage
over others and therefore fundamentally alter the rules of competition. Looking at both these
types of situations, Justice Stevens found that a waiver of the walking rule for Casey Martin did
not amount to a fundamental alteration. He noted that the essence of the game was shot-making
and that the walking rule was not an indispensable feature of tournament golf as golf carts are
allowed on the Senior PGA Tour as well as certain qualifying events. In addition, Justice Stevens
found that the fatigue from walking the approximately five miles over five hours was not
significant. Regarding the question of whether allowing Casey Martin to use a cart would give
him an advantage, the majority observed that an individualized inquiry must be made concerning
whether a specific modification for a particular person’s disability would be reasonable under the
circumstances and yet not be a fundamental alteration. In examining the situation presented, the
majority found that Casey Martin endured greater fatigue even with a cart than other contenders
do by walking.
Justice Scalia, joined by Justice Thomas, wrote a scathing dissent describing the majority’s
opinion as distorting the text of Title III, the structure of the ADA, and common sense. The
dissenters contended that Title III of the ADA applies only to particular places and persons and
does not extend to golf tournaments. The dissent also contended that “the rules are the rules,” that
they are by nature arbitrary, and there is no basis for determining any of them “non-essential.”

Spector v. Norwegian Cruise Line, Ltd. and the
Application of the ADA to Foreign Cruise Ships
The Supreme Court in Spector v. Norwegian Cruise Line, Ltd. held in a decision written by
Justice Kennedy that the ADA applies to companies that operate foreign cruise ships in U.S.
waters.155 Prior to this decision there had been a split in the circuits with the Eleventh Circuit
holding in Stevens v. Premier Cruises Inc.156 that Title III of the ADA does apply to foreign cruise
ships and the Fifth Circuit in Spector v. Norwegian Cruise Lines157 holding that the ADA would
not be applicable since applicability would impose U.S. law on foreign nations. The Supreme
Court’s decision specifically held that the statute is applicable to foreign ships in the United
(...continued)
was based. In Southeastern Community College v. Davis, 442 U.S. 397 (1979), the Supreme Court addressed a suit by a
hearing impaired woman who wished to attend a college nursing program. The college rejected her application because
it believed her hearing disability made it impossible for her to participate safely in the normal clinical training program
and to provide safe patient care. The Supreme Court found no violation of Section 504 and held that it did “not
encompass the kind of curricular changes that would be necessary to accommodate respondent in the nursing program.”
Since Davis could not function in clinical courses without close supervision, the Court noted that the college would
have had to limit her to academic courses. The Court further observed that “whatever benefits respondent might realize
from such a course of study, she would not receive even a rough equivalent of the training a nursing program normally
gives. Such a fundamental alteration in the nature of a program is far more than the ‘modification’ the regulation
requires.” (At 409-410.) In conclusion, the Court found that “nothing in the language or history of § 504 reflects an
intention to limit the freedom of an educational institution to require reasonable physical qualifications for admission to
a clinical training program.” (At 414.)
155
545 U.S. 119 (2005).
156
215 F.3d 1237 (11th Cir. 2000), rehearing and rehearing en banc denied, 284 F.3d 1187 (11th Cir. 2002).
157
356 F.3d 641 (5th Cir. 2004).

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States waters to the same extent that it is applicable to American ships in those waters. The
majority concurred that cruise ships need not comply with the ADA if modifications would
conflict with international legal obligations since the ADA only requires “readily achievable”
accommodations. The 5-4 decision, however, was fragmented with various Justices joining for
various aspects of the opinion. It is difficult, therefore, to determine exactly what type of
accommodations would be required by the application of the ADA. Since the case below had
been dismissed without a trial, it was remanded to determine the statutory requirements in this
particular situation. The question of whether Title III requires any permanent and significant
structural modifications that interfere with the international affairs of any cruise ship, foreign flag
or domestic, was specifically left undecided. Justice Scalia, in his dissenting opinion, argued that
the ADA should not be interpreted to apply in the absence of a clear statement from Congress.

ADA and the Internet
The ADA was enacted in 1990, prior to widespread use of the Internet, and does not specifically
cover the Internet.158 Similarly, the ADA regulations do not specifically mention the Internet.
However, the Department of Justice has indicated that it believes the ADA does require Internet
accessibility,159 and has issued an advanced notice of rulemaking (ANPR) stating that it is
considering revising the regulations implementing Titles II and III of the ADA to establish
specific requirements for state and local governments and public accommodations to make their
websites accessible to individuals with disabilities.160 In a hearing in the 111th Congress, DOJ
testified that although the ADA does not specifically mention the Internet, access to the Internet is
a civil rights issue. DOJ further stated,
the websites of entities covered by both Title II and Title III of the statute are required by law
to ensure that their sites are fully accessible to individuals with disabilities. The Department
is considering issuing guidance on the range of issues that arise with regard to the internet
sites of private businesses that are public accommodations covered by Title III of the ADA.
In so doing, the Department will solicit public comment from the broad range of parties
interested in this issue.161

Although the ADA was amended in 2008 to respond to a series of Supreme Court decisions that
had interpreted the definition of disability narrowly it did not address the issue of Internet
coverage.162 There has been no Supreme Court decision on point, and there have been few lower
court judicial decisions. The lower courts that have examined the issue have split, creating some
uncertainty. In addition, the use of a “nexus” approach in National Federation of the Blind v.

158

For a more detailed discussion of this issue, see CRS Report R40462, The Americans with Disabilities Act (ADA):
Application to the Internet, by (name redacted). A similar issue is raised by electronic book readers. See
http://www.ada.gov/kindle_ltr_eddoj.htm.
159
Achieving the Promise of the Americans with Disabilities Act in the Digital Age: Current Issues, Challenges, and
Opportunities: Hearing Before the H. Subcommittee on the Constitution, Civil Rights and Civil Liberties of the H.
Comm. on the Judiciary, 111th Cong., 2d Sess. (Testimony of Samuel R. Bagenstos, Principal Deputy Assistant
Attorney General for Civil Rights, Department of Justice), http://judiciary.house.gov/hearings/pdf/
Bagenstos100422.pdf.
160
http://www.ada.gov/anprm2010/web%20anprm_2010.htm.
161
Id.
162
The ADA Amendments Act, P.L. 110-325. For a more detailed discussion of P.L. 110-325, see CRS Report
RL34691, The ADA Amendments Act: P.L. 110-325, by (name redacted) and (name redacted).

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Target Corporation,163 requiring a connection between the Internet services and the physical place
in order to present an actionable ADA claim, would limit the application of the ADA to on-line
retailers. Despite this uncertainty, it would appear likely that the Department of Justice’s position
would prevail, especially in light of the ADA’s broad nondiscrimination mandate.
The question of ADA coverage of internet sites will undoubtedly continue to be a closely watched
issue.164 It should be noted that this issue does not effect the requirement that federal government
websites be accessible since the federal requirement is contained in a separate statute, Section 508
of the Rehabilitation Act.165

Vexatious Litigation
An issue which has prompted the introduction of bills in the last several Congresses involves the
filing of multiple law suits by an individual with a disability based on de minimis violations and
seeking money for a settlement.166 Although these cases are seldom tried in court, Molski v.
Mandarin Touch Restaurant167 did result in an opinion finding that the plaintiff was a vexatious
litigant who filed hundreds of law suits designed to harass and intimidate business owners into
agreeing to cash settlements. The district court ordered the plaintiff to obtain the leave of the
court prior to filing any other claims under the ADA. In a related suit, the California district court
also found against the counsel in the Molski case holding that the counsel was required to seek
leave of the court before filing any additional ADA claims.168
These two cases were upheld on appeal to the Ninth Circuit in Molski v. Evergreen Dynasty
Corp.169 After a detailed examination of the cases in light of standards for vexatious litigation, the
Ninth Circuit noted the following:

163
452 F.Supp.2d 946 (N.D. Calif. 2006). The case was settled on August 27, 2008. See http://www.nfb.org. For a
more detailed discussion of this case, see Isabel Arana DuPree, “Websites as ‘Places of Public Accommodation’:
Amending the Americans with Disabilities Act in the Wake of National Federal of the Blind v. Target Corporation,”
NC J. L. & Tech. 273 (2007); Jeffrey Bashaw, “Applying the Americans with Disabilities Act to Private Websites after
National Federation of the Blind v. Target,” 4 Shidler J. L. Com. & Tech. 3 (2008).
164
For a more detailed discussion of the issue, see National Council on Disability, “When the Americans with
Disabilities Act Goes Online: Application of the ADA to the Internet and the Worldwide Web,” (July 10, 2003)
http://www.ncd.gov/newsroom/publications/2003/adainternet.htm; The Association of the Bar of the City of New
York, “Website Accessibility for People with Disabilities,” 62 The Record 118 (2007); Steven Mendelsohn, and Martin
Gould, “When the Americans with Disabilities Act Goes Online: Application of the ADA to the Internet and the World
Wide Web,” 7 Comp. L. Rev. & Tech. J. 173 (2004).
165
29 U.S.C. §794(d), as amended by P.L. 105-220. Section 508 requires that the electronic and information
technology used by federal agencies be accessible to individuals with disabilities, including employees and member of
the public. Generally, Section 508 requires each federal department or agency and the U.S. Postal Service to ensure that
individuals with disabilities who are federal employees have access to and use of electronic and information technology
that is comparable to that of individuals who do not have disabilities. For more detailed information, see
http://www.section508.gov.
166
See section on legislation infra. See also CRS Report RS22296, The Americans with Disabilities Act: Legislation
Concerning Notification Prior to Initiating Legal Action, by (name redacted). For a discussion of vexatious lawsuits,
see Wayne C. Arnold and Lisa D. Herzog, “How Many Lawsuits Does It Take to Declare an ADA Plaintiff
Vexatious?” 48 Orange County Lawyer 50 (July 2006).
167
347 F.Supp.2d 860 (C.D.Calif. 2004).
168
Molski v. Mandarin Touch Restaurant, 359 F.Supp.2d 924 (C.D.Calif. 2005).
169
500 F.3d 1047 (9th Cir. 2007), cert. denied, 129 S. Ct. 594, 172 L. Ed. 2d 455 (2008).

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For the ADA to yield its promise of equal access for the disabled, it may indeed be necessary
and desirable for committed individuals to bring serial litigation advancing the time when
public accommodations will be compliant with the ADA. But as important as this goal is to
disabled individuals and to the public, serial litigation can become vexatious when, as here, a
large number of nearly-identical complaints contain factual allegations that are contrived,
exaggerated, and defy common sense.170

Similarly, the court of appeals held that the district court was within its discretion to impose a
prefiling order. The Ninth Circuit observed “[t]hat the Frankovich Group filed numerous
complaints containing false factual allegations, thereby enabled Molski’s vexatious litigation,
provided the district court with sufficient grounds on which to base its discretionary imposition of
sanctions.”171

Other Judicial Decisions
In Ford v. Schering-Plough Corporation,172 the Third Circuit found a disparity in benefits for
physical and mental illnesses did not violate the ADA and found that the disability benefits at
issue did not fall within Title III. The court stated “This is in keeping with the host of examples of
public accommodations provided by the ADA, all of which refer to places.”173 This conclusion
was found to be in keeping with judicial decisions under Title II of the Civil Rights Act of 1964,
42 U.S.C. §2000(a).
Another issue under Title III is whether franchisers are subject to the Title. In Nef v. American
Dairy Queen Corp., the Fifth Circuit Court of Appeals found that a franchiser with limited control
over the store a franchisee runs is not covered under Title III of the ADA.174

Remedies
The remedies and procedures of Title II of the Civil Rights Act of 1964 are incorporated in Title
III of the ADA. Title II of the Civil Rights Act has generally been interpreted to include injunctive
relief, not damages. In addition, state and local governments can apply to the Attorney General to
certify that state or local building codes meet or exceed the minimum accessibility requirements
of the ADA. The Attorney General may bring pattern or practice suits with a maximum civil
penalty of $50,000 for the first violation and $100,000 for a violation in a subsequent case. The
monetary damages sought by the Attorney General do not include punitive damages. Courts may
also consider an entity’s “good faith” efforts in considering the amount of the civil penalty.
Factors to be considered in determining good faith include whether an entity could have
reasonably anticipated the need for an appropriate type of auxiliary aid to accommodate the
unique needs of a particular individual with a disability. Regulations relating to public
accommodations have been promulgated by the Department of Justice175 and regulations relating

170

Id. at 38.
Id. at 43.
172
145 F.3d 601(3d Cir. 1998), cert. denied, 525 U.S. 1093 (1999).
173
Id. at 612.
174
58 F.3d 1063 (5th Cir. 1995), cert. denied, 516 U.S. 1045 (1996)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/crs%3A98-921. Public record. Not legal advice.
