Archive for October, 2007

Americans with Disabilities Act

Tuesday, October 30th, 2007

posted by MaryMargaret Lytle

The U.S. Equal Employment Opportunity Commission


The Family and Medical Leave Act,
the Americans with Disabilities Act, and
Title VII of the Civil Rights Act of 1964

This fact sheet was prepared by the Equal Employment Opportunity
Commission's (EEOC) Office of Legal Counsel.  It is intended to
provide technical assistance on some common questions that have
arisen about the Americans with Disabilities Act of 1990 (ADA)
and Title VII of the Civil Rights Act of 1964 (Title VII) when
the Family and Medical Leave Act of 1993 (FMLA) also applies.

Introduction

Background

1.   Q:     What is the relationship between requirements of the
            FMLA,1 the ADA,2 and Title VII3?

     A:     The FMLA and the ADA both require a covered employer
            to grant medical leave to an employee in certain
            circumstances.4  The FMLA and Title VII both have
            requirements governing leave for pregnancy and
            pregnancy-related conditions.  

            In addition, under Title VII, employers must not
            discriminate on the basis of race, color, religion,
            sex, or national origin when they provide family or
            medical leave.

2.   Q:     Who enforces the FMLA?

     A:     The Department of Labor enforces the FMLA.  The EEOC
            has no enforcement responsibility for the FMLA.

3.   Q:     When did the FMLA go into effect?

     A:     The FMLA went into effect on August 5, 1993.5  The
            FMLA final rule became effective on April 6, 1995.6

Basic FMLA Requirements

4.   Q:     What leave is an employee entitled to under the FMLA?

     A:     Under the FMLA, an "eligible"7 employee may take up
            to 12 workweeks of leave during any 12-month period
            for one or more of the following reasons:

            (1)     The birth of a child, and to care for the
                   newborn child;

           (2)     The placement of a child with the employee
                   through adoption or foster care, and to care
                   for the child;8

           (3)     To care for the employee's spouse, son,
                   daughter, or parent with a serious health
                   condition; and

           (4)     Because a serious health condition makes the
                   employee unable to perform one or more of the
                   essential functions of his or her job.9

5.   Q:     What other rights do "eligible" employees have in
            conjunction with FMLA leave?

     A:     During FMLA leave, an employer must maintain the
            employee's existing level of coverage under a group
            health plan.10  At the end of FMLA leave, an employer
            must take an employee back into the same or an
            equivalent job.11

When FMLA, ADA and Title VII Coverage Overlap

6.   Q:     What employers are covered by the FMLA, the ADA and
            Title VII?     

     A:     The FMLA covers private employers with 50 or more
            employees.12  The ADA and Title VII cover private
            employers with 15 or more employees.13  Thus, only
            those private employers with 50 or more employees are
            covered concurrently by the FMLA, the ADA and Title
            VII.14  

            State and local government employers are covered by
            the ADA and the FMLA, regardless of the number of
            employees.15  State and local government employers
            are covered by Title VII, however, only if they have
            15 or more employees.16

7.   Q:     Are all employees who are protected by Title VII or
            the ADA also entitled to leave under the FMLA?

     A:     No.  Employees protected by Title VII or the ADA must
            be independently "eligible" for FMLA leave.
            "Eligibility" for FMLA leave depends on several
            factors, for example, length of service.17  In
            addition, an individual must be employed by an FMLA-
           covered employer with 50 or more employees to obtain
            FMLA leave.  See Question 6.

The ADA and the FMLA

FMLA "serious health condition" and ADA "disability"

8.   Q:     What is a "serious health condition" under the FMLA?

     A:     An FMLA "serious health condition" is "an illness,
            injury, impairment, or physical or mental condition
            that involves . . . [i]npatient care . . . or
            [c]ontinuing treatment by a health care provider."18  

9.   Q:     Is an FMLA "serious health condition" the same as an
            ADA "disability"?

     A:     No.  An FMLA "serious health condition" is not
            necessarily an ADA "disability."  An ADA "disability"
            is an impairment that substantially limits one or
            more major life activities, a record of such an
            impairment, or being regarded as having such an
            impairment.  

            Some FMLA "serious health conditions" may be ADA
            disabilities, for example, most cancers and serious
            strokes.  Other "serious health conditions" may not
            be ADA disabilities, for example, pregnancy or a
            routine broken leg or hernia.  This is because the
            condition is not an impairment (e.g., pregnancy), or
            because the impairment is not substantially limiting
            (e.g., a routine broken leg or hernia).

            In addition, the fact that an individual has a record
            of a "serious health condition" does not necessarily
            mean that s/he has a record of an ADA disability.
            Under the ADA, an individual must have a record of a
            substantially limiting impairment in order to be
            covered.

            Finally, just because someone has a "serious health
            condition" also does not mean that the employer
            regards him/her as having an ADA disability.  To
            satisfy this prong of the ADA definition of
            "disability," the employer must treat the individual
            as having an impairment that substantially limits one
            or more major life activities.19 

            To determine if an individual has an ADA disability,
            all pertinent evidence, including any information
            about whether the individual has or had a "serious
            health condition," should be considered.  Under the
            FMLA regulations, employers must allow EEOC
            investigators to review pertinent FMLA medical
            certifications and recertifications, and other
            relevant materials, upon request.20  

Medical Certifications, Inquiries and Confidentiality

10.  Q:     Is there a conflict between the FMLA provision
            allowing employers to ask for certification that an
            employee has a serious health condition and ADA
            restrictions on disability-related inquiries of
            employees?

     A:     No.  When an employee requests leave under the FMLA
            for a serious health condition, employers will not
            violate the ADA by asking for the information
            specified in the FMLA certification form.  The FMLA
            form only requests information relating to the
            particular serious health condition, as defined in
            the FMLA, for which the employee is seeking leave.
            An employer is entitled to know why an employee, who
            otherwise should be at work, is requesting time off
            under the FMLA.  If the inquiries are strictly
            limited in this fashion, they would be "job-related
            and consistent with business necessity" under the
            ADA.21

11.  Q:     May an employer keep a single confidential medical
            file for each employee, separate from the usual
            personnel file, for medical documentation under both
            the ADA and the FMLA?

     A:     Yes.  An employer may keep a single confidential
            medical file, separate from the usual personnel file,
            containing both FMLA and ADA medical information if
            the employer follows the ADA confidentiality
            standards.  This includes following the ADA
            interpretations of those confidentiality exceptions
            that are set forth in both the ADA and the FMLA
            regulations.22  For example, employers may not give
            supervisors and managers unlimited access to the
            medical files.  However, employers may give
            supervisors and managers information concerning
            necessary work restrictions and accommodations.23  

Comparison of ADA and FMLA Leave

12.  Q:     Does the FMLA's limit of 12 workweeks of leave in a
            12- month period mean that the ADA also limits
            employees to 12 weeks of leave per year?

     A:     No.  The FMLA does not mean that more than 12 weeks
            of unpaid leave automatically imposes an undue
            hardship for purposes of the ADA.  An otherwise
            qualified individual with a disability is entitled to
            more than 12 weeks of unpaid leave as a reasonable
            accommodation if the additional leave would not
            impose an undue hardship on the operation of the
            employer's business.  To evaluate whether additional
            leave would impose an undue hardship, the employer
            may consider the impact on its operations caused by
            the employee's initial 12-week absence, along with
            the undue hardship factors specified in the ADA.  See
            29 C.F.R. § 1630.2(p).

13.  Q:     How do the ADA and the FMLA requirements compare
            regarding intermittent or occasional leave?

     A:     Under the ADA, a qualified individual with a
            disability may work part-time in his/her current
            position, or occasionally take time off, as a
            reasonable accommodation if it would not impose an
            undue hardship on the employer.  If (or when) reduced
            hours create an undue hardship in the current
            position, the employer must see if there is a vacant,
            equivalent position for which the employee is
            qualified and to which the employee can be reassigned
            without undue hardship while working a reduced
            schedule.  If an equivalent position is not
            available, the employer must look for a vacant
            position at a lower level for which the employee is
            qualified.  Continued accommodation is not required
            if a vacant position at a lower level is also
            unavailable.24 

            The ADA does not prohibit an employer and an employee
            from agreeing on another mutually acceptable
            accommodation.  For example, an employer and employee
            may agree to a transfer, on either a temporary or a
            permanent basis, if both parties believe that such a
            transfer is preferable to accommodating the employee
            in his/her current position.

            Under the FMLA, an "eligible" employee may take leave
            intermittently or on a part-time basis25 for his or
            her own "serious health condition" when medically
            necessary for treatment or recovery, until s/he has
            used up the equivalent of 12 workweeks in a 12-month
            period.26  When such leave is foreseeable based on
            planned medical treatment, an employer may require
            the employee to temporarily transfer (for the
            duration of the leave) to an available alternative
            position for which the employee is qualified and
            which better suits his/her reduced hours.27  

14.  Q:     What are employees' reinstatement rights under the
            ADA and the FMLA?

     A:     Under the ADA, the employee is entitled to return to
            the same job unless the employer demonstrates that
             holding the job open would impose an undue hardship. 

            In some instances, an employee may request more leave under
            the ADA even after the employer has communicated that it
            cannot hold the employee's job open any longer (i.e., there
            is undue hardship).  In this situation, the ADA-covered
            employer must see if it has a vacant, equivalent position
            for which the employee is qualified and to which the
            employee can be reassigned without undue hardship to
            continue his/her leave.  If an equivalent position is not
            available, the employer must look for a vacant position at
            a lower level.  Continued accommodation is not required if
            a vacant position at a lower level is also unavailable.28

            In other instances, an employer may hold the original
            position open, and the employee may want to return to work,
            but may be unable to perform an essential function of the
            original position even with reasonable accommodation.
            Under the ADA, the employer must then consider
            reassignment, first to a vacant equivalent position for
            which the individual is qualified and, if one is
            unavailable, to a vacant position at a lower level.
            Further accommodation is not required if a vacant position
            at a lower level is also unavailable. 

            Under the FMLA, an employee is entitled to return to the
            same position or to an equivalent position.29  However, if
            an employee is unable to perform an essential function of
            the same or equivalent position because of a physical or
            mental condition, the FMLA does not require the employer to
            reinstate the employee into another job.30

15.  Q:     Do the ADA and the FMLA require an employer to continue an
            employee's health insurance coverage during medical leave?

     A:     Under the ADA, an employer must continue health insurance
            coverage for an employee taking leave or working part- time
            only if the employer also provides coverage for other
            employees in the same leave or part-time status.  The
            coverage must be on the same terms normally provided to
            those in the same leave or part-time status.

            Under the FMLA, an employer always must maintain the
            employee's existing level of coverage (including family or
            dependent coverage) under a group health plan during the
            period of FMLA leave, provided the employee pays his or her
            share of the premiums.31  An employer may not discriminate
            against an employee using FMLA leave, and therefore must
            also provide such an employee with the same benefits (e.g.,
            life or disability insurance) normally provided to an
            employee in the same leave or part-time status.32

ADA Compliance When the FMLA Also Applies

16.  Q:     If an individual requests time off for medical treatment,
            should the employer treat this as a request for FMLA leave
            and ADA reasonable accommodation?

     A:     If an employee requests time off for a reason related or
            possibly related to a disability (e.g., "I need six weeks
            off to get treatment for a back problem"), the employer
            should consider this a request for ADA reasonable
            accommodation as well as FMLA leave.  The employer may
            require FMLA certification33 and may make additional
            disability-related inquiries if necessary to decide whether
            the employee is entitled to reasonable accommodation
            because s/he also has a covered disability.  However, if
            the employee states that s/he only wants to invoke rights
            under the FMLA, the employer should not make additional
            inquiries related to ADA coverage.

17.  Q:     When both the ADA and the FMLA apply, how should the
            employer determine which terms and conditions govern the
            employee's initial 12 weeks of medical leave?

     A:     Under the FMLA rule, an employer must provide leave under
            whichever statutory provision provides the greater rights
            to employees.34  For examples of how this principle is
            applied, see the FMLA rule at §§ 825.702(b)-(e).

18.  Q:     As an alternative to a leave of absence, may an employer
            offer an effective reasonable accommodation that will
            enable an employee to continue working?

     A:     An employer may offer an employee a reasonable
            accommodation other than the leave s/he requested under the
            ADA, as long as it is effective.35  For example, an
            employer may offer an assistive device, an opportunity to
            work reduced hours in the employee's current job, or a
            temporary assignment to another job, if these are effective
            accommodations.  

            However, if the individual is "eligible" for leave under
            the FMLA and has a serious health condition that prevents
            him/her from performing an essential job function, s/he has
            the right to take a leave of absence of up to 12 workweeks
            in 12 months, even if s/he could continue working with an
            effective reasonable accommodation.36  While the FMLA does
            not prevent an employee from accepting an alternative to
            leave, the acceptance must be voluntary and uncoerced.37

The ADA and Family Leave

19.  Q:     Does the ADA require an employer to give an employee
            time off to care for a spouse, son, daughter, parent or
            other individual with a disability?

     A:     The ADA's reasonable accommodation obligation does not
            require a covered employer to give an employee time off to
            care for a spouse, son, daughter, parent or other
            individual with a disability with whom the employee has a
            relationship.38  However, an employer would be required to
            provide leave on the same terms as it normally provides
            leave to employees who need to care for someone who is
            ill.39

Title VI

Disability Discrimination

Tuesday, October 30th, 2007

MaryMargaret Lytle has asked that we post further information on Disability Discrimination:

Title I of the Americans with Disabilities Act of 1990 prohibits private employers, state and local governments, employment agencies and labor unions from discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, job training, and other terms, conditions, and privileges of employment. The ADA covers employers with 15 or more employees, including state and local governments. It also applies to employment agencies and to labor organizations. The ADA’s nondiscrimination standards also apply to federal sector employees under section 501 of the Rehabilitation Act, as amended, and its implementing rules.
An individual with a disability is a person who:

  • Has a physical or mental impairment that substantially limits one or more major life activities;
  • Has a record of such an impairment; or
  • Is regarded as having such an impairment.

A qualified employee or applicant with a disability is an individual who, with or without reasonable accommodation, can perform the essential functions of the job in question. Reasonable accommodation may include, but is not limited to:

  • Making existing facilities used by employees readily accessible to and usable by persons with disabilities.
  • Job restructuring, modifying work schedules, reassignment to a vacant position;
  • Acquiring or modifying equipment or devices, adjusting or modifying examinations, training materials, or policies, and providing qualified readers or interpreters.

An employer is required to make a reasonable accommodation to the known disability of a qualified applicant or employee if it would not impose an “undue hardship” on the operation of the employer’s business. Undue hardship is defined as an action requiring significant difficulty or expense when considered in light of factors such as an employer’s size, financial resources, and the nature and structure of its operation.

An employer is not required to lower quality or production standards to make an accommodation; nor is an employer obligated to provide personal use items such as glasses or hearing aids.

Title I of the ADA also covers:

  • Medical Examinations and Inquiries
    Employers may not ask job applicants about the existence, nature, or severity of a disability. Applicants may be asked about their ability to perform specific job functions. A job offer may be conditioned on the results of a medical examination, but only if the examination is required for all entering employees in similar jobs. Medical examinations of employees must be job related and consistent with the employer’s business needs.
  • Drug and Alcohol Abuse
    Employees and applicants currently engaging in the illegal use of drugs are not covered by the ADA when an employer acts on the basis of such use. Tests for illegal drugs are not subject to the ADA’s restrictions on medical examinations. Employers may hold illegal drug users and alcoholics to the same performance standards as other employees.

It is also unlawful to retaliate against an individual for opposing employment practices that discriminate based on disability or for filing a discrimination charge, testifying, or participating in any way in an investigation, proceeding, or litigation under the ADA.

Statistics

In Fiscal Year 2006, EEOC received 15,575 charges of disability discrimination. EEOC resolved 15,045 disability discrimination charges in FY 2006 and recovered $48.8 million in monetary benefits for charging parties and other aggrieved individuals (not including monetary benefits obtained through litigation).

Tyranny at the Texas Medical Board

Monday, October 29th, 2007

According to an article published by Dr. Steven Hotze:

“The Texas Medical Board (TMB) is denying physicians the constitutional right of due process, destroying their lives and the lives of the patients who rely upon them for care … The TMB allows anonymous complaints by insurance companies. These anonymous complaints target physicians who oppose the insurance companies’ “standards of care” which limit treatment options, deny claims and increase insurance company profits. The TMB then destroys the physicians whom the insurance companies have targeted. This is meant to teach a lesson to any physician who would dare challenge the insurance companies’ policies on patient care.” to read the complete article view:

http://drhotzeblog.netymology.com/2007/07/23/rein-in-the-texas-medical-board/

Chemical Sensitivity

Monday, October 29th, 2007

Many CFIDS/CFS/ME patients suffer from Chemical Sensitivity. MaryMargaret recommends the following sites:

Environmental Health Center - Dallas (Doctor Rea)
http://www.ehcd.com/

The American Environmental Health Foundation - Dallas (Doctor Rea)
http://www.aehf.com/

Mobility

Tuesday, October 23rd, 2007

Using the mobility scooters at large stores is a great way to not expend energy needlessly. Let’s face it all CFIDS PWC’s need more energy. If you want to have a more “normal life” use them. Every little way you save energy is really a way to expend energy on things you love to do.

CFIDS and the Workplace: You Have Rights

Wednesday, October 10th, 2007

MaryMargaret, Houston CFIDS Member and OASIS Consultant (see “Speaker” information), contributed this piece in response to another member’s difficulty at work.

******************************************************

The criteria for determining disability for the Social Security Disability Insurance (SSDI) is different from that used to determine disability for the purpose of job accommodations under the Americans With Disabilities Act (ADA).

A person may qualify under the ADA for job accommodations but still not receive SSDI. For example, many people in wheelchairs or who are blind or deaf work rather than receive SSDI, and do require job accommodations.

Applying for SSDI

When applying for SSDI, it is imperative to have an attorney’s assistance. There is no charge for the service until the case is won. Law limits how much the attorney can collect from you after the case is won. You will also need a credible doctor(s) and possibly other professionals on your team.

Requesting Job Accommodations Under the ADA

When requesting job accommodations, it is imperative to utilize organizations such as those listed below. You usually need just one of these organizations unless they advise you otherwise. This advocacy organization won’t charge you any money and becomes a part of your team of professionals who assist you in acquiring job accommodations. You will also need a credible doctor(s) and possibly other professionals on your team.

  • Advocacy, Inc.
  • ILRU
  • Houston Center for Independent Living (HCIL)
  • Equal Employment Opportunity Commission (EEOC)

A Word of Advice

It is best to bring your boss and coworkers along with you rather than establish an oppositional stance with them. This may seem obvious, but can be more difficult than it sounds, especially with hidden disabilities that they may not understand.

Even within the world of disability advocacy itself, sometimes you may encounter built-in prejudices against people with hidden disabilities on the part of people with visible disabilities. Do your best to keep all these people on your side of the table.

Having advocacy organizations trained in how to present the information to your employer in a non-alienating manner is vital to your ultimate success. You always want to be seen as a valuable employee that people want around who just happens to have a disability.

CFIDS and related conditions can put us in a place where what we show is our frustration or anger. We must work against that. Counseling is very helpful as a place to vent and discuss your frustrations; it may even very likely save you your job.

MaryMargaret Lytle

Houston, Texas
October 2007

Job Accommodation Network

Wednesday, October 10th, 2007

Provided by MaryMargaret:

If you are having trouble with your current employer with regard to work and job accommodation CFIDS is considered a “hidden disability”:

CFIDS
http://www.jan.wvu.edu/media/cfsy.htm

Cognitive Impairment
http://www.jan.wvu.edu/media/cogn.htm

Chemical Sensitivity / Environmental Illness
http://www.jan.wvu.edu/media/chem.htm

Fibromyalgia
http://www.jan.wvu.edu/media/fibr.htm

Alphabetical List of All Disorders / Disabilities
http://www.jan.wvu.edu/media/atoz.htm

ILRU (Independent Living Research Utilization)
http://www.ilru.org/

New Book “Cellular Hypoxia & Neuro-Immune Fatigue” by David S. Bell, MD

Tuesday, October 2nd, 2007

Dr. David Bell is a well recognized expert in Chronic Fatigue Syndrome. He began his study of the condition following an outbreak in 1985 in Lyndonville, NY and has written numerous medical articles and books. He has served on the board of directors of the International Association of Chronic Fatigue syndrome and was chairman of the Department of Health and Human Services Chronic Fatigue Syndrome Advisory Committee.Chronic Fatigue Syndrome, Fibromyalgia, Multiple Chemical Sensitivities, Myalgic Encephalomyelitis, Orthostatic Intolerance, Chronic Lyme Disease, Transformed Migraine make up a spectrum of illnesses characterized by reduction in daily activity, severe fatigue, widespread pain, and numerous other symptoms. Despite severe and sometimes disabling symptoms, the affected patient looks relatively well. In this book a mechanism is presented arguing that these illnesses are characterized and defined by decreased cellular energy production, or cellular hypoxia. The term Neuro-Immune Fatigue is suggested for this spectrum of conditions. This is not a book that describes the signs and symptoms of the illnesses in this spectrum; it is a book that explores mechanisms that lie beneath the complex patterns of symptoms.

www.immunesupport.com/shop/product.cfm?PRODUCT__CODE=BK88&LN=2