PART II: KEY ADA TITLE II TERMS AND CONCEPTS AND HOW THEY APPLY TO TANF PROGRAMS

Introduction

      The heart of Title II lies in a handful of key concepts, an understanding of which is essential for advocates.  These concepts are interrelated, and a court’s decision on how one of them applies to a particular situation will often dictate how the others apply.  As a result, you should consult most or all of the Chapters in Part II, not just the ones you think may apply.

      Given the close connections among all of the core ADA concepts, many ADA case opinions have multiple grounds for their rulings.  Therefore, by necessity, the Manual does not include all of the alternative grounds for each court decision.  You should always consult the case law in your jurisdiction rather than relying solely on the Manual.  

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Chapter 5: Individual with a Disability

A.  In General

      There has been extensive litigation on the ADA definition of “disability” in cases brought under Title I of the ADA, which covers discrimination in employment.  As the section of the ADA defining “disability” applies to all of the titles of the ADA, these cases are directly relevant to who can bring ADA claims against state and local government agencies under Title II. 

      Much of the litigation has focused on the question of whether a physical or mental impairment causes a “substantial limitation” on a major life activity.  In fact, in one major study of Title I court decisions, plaintiffs’ inability to prove that a major life activity was substantially limited was among the six most common reasons that plaintiffs lost their cases.[368] EEOC regulations define substantial limitation as “[inability] to perform a major life activity that the average person in the general population can perform or significantly restricted as to the condition, manner or duration under which an individual can perform a particular major life activity as compared to the condition, manner or duration under which the average person in the general population can perform that same major life activity.”[369]  This would mean, for example, that an individual who can walk, but only for a short distance, with great difficulty or extremely slowly, would be substantially limited in the major life activity of walking.

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(i) Actual Disability

      In Sutton v. United Airlines, Inc.,[370] the Supreme Court held that when determining whether an individual is substantially limited in a major life activity, the effect of “mitigating measures” such as glasses, hearing aids, medication, and prosthetic devices must be taken into account.[371]  In Sutton, two airline pilots with severe myopia that was corrected with glasses sued United Airlines after the airline refused to hire them on the basis that their uncorrected vision made them unsuitable for the job.  The pilots sued, but the Supreme Court held that their case was properly dismissed because they did not have disabilities under the ADA.  The Court held that the determination of whether an individual has a substantially limiting impairment must be made by viewing the impairment in its “mitigated state, i.e., taking into account the effect of any medication, equipment or other measures used to treat or correct the impairment or its effects.  As the pilots stated in their complaint that with glasses they were not limited in seeing, the Court held that they had not pled that they were substantially limited in a major life activity of seeing and granted the defendant’s motion to dismiss.[372]

      In taking this approach, the Court explicitly rejected the EEOC’s Interpretive Guidance to Title I regulations, which stated that “the determination of whether an individual is substantially limited must be made on a case-by-case basis, without regard to mitigating measures such as medicines, or assistive or prosthetic devices,”[373] and the approach taken in DOJ’s Interpretive Guidance to Title II regulations on this issue.[374] The Court also ignored statements in the ADA legislative history,[375] and rejected the approach taken by most of the Circuits.[376]   The Court’s rationale for this lack of deference was that Congress gave the EEOC and DOJ authority to promulgate regulations on specific titles of the ADA, and the definition of “disability” is not in those titles but is located in a section of the statute defining terms that are generally applicable throughout the statute.[377]  While this is true, Congress must have understood that defining the term would be a part of both agencies’ responsibilities, since there is no way they can interpret and enforce Titles I through III without doing so.

      Sutton creates a double standard for people with disabilities and employers.  The employer in Sutton obviously considered plaintiffs’ uncorrected vision relevant to its decision not to hire them, yet the Court held that it was not relevant to whether the plaintiffs could sue to challenge the very same employment decision.

      In Albertsons, Inc.  v. Kirkingburg,[378] decided on the same day, the Court went further and held that an individual’s “ability to compensate” for an impairment, whether conscious or unconscious, is a “mitigating measure.”  Therefore, it held, if as a result of this compensation an individual is no longer substantially limited in a major life activity, the individual is not a person with a disability covered by the ADA.[379]  The plaintiff in Albertsons was an individual with monocular vision who learned to compensate for this condition, although he performed the major life activity of seeing differently than others did.     

      The full implications of these decisions are not yet clear. One troubling development is that a few cases decided after Sutton have held or implied that individuals who could have mitigated the effects of an impairment by taking a prescribed medication but failed to do so are not substantially limited in a major life activity.[380]  Sutton and Albertsons also create a potential tension between the ADA’s definition of disability and its reasonable accommodation and modification requirements. Paradoxically, defendants may now attempt to argue that some of the very measures people with disabilities seek as reasonable modifications for their disabilities, such as tutors with expertise in learning disabilities, and drug and alcohol treatment programs, mitigate the effects of impairments to such an extent that individuals receiving these measure no longer have disabilities and thus are no longer entitled to reasonable modifications under the ADA. As individuals with drug problems are only protected by the ADA if they have successfully completed treatment or are in treatment and not currently using illegal drugs,[381] this approach would be particularly absurd, because the same treatment that qualifies an individual with a drug problem for protection under the ADA may disqualify the individual from protection once the treatment takes effect.  Fortunately, some courts have already rejected this approach.[382]

      As bad as these Supreme Court decisions are, many people with disabilities will still be considered to have “actual” disabilities under the ADA.  Many people continue to be substantially limited in a major life activity even when they use hearing aids and other devices, equipment or medication. For many others, the substantial limitation is mitigated by medication or other measures only part of the time.  And mitigating measures such as medication may have side effects that themselves cause a substantial limitation in major life activities.[383]  In Sutton, the Court made clear that both “positive” and “negative” effects of mitigating measures must be taken into account in determining whether an individual is substantially limited,[384] and the negative effects of psychotropic medications used to treat psychiatric disabilities are specifically mentioned.[385] Cases decided in the wake of Sutton have had mixed results, and some plaintiffs’ claims have survived.[386]  In the future, advocates may want to focus on major life activities such as sleeping, thinking, interacting with others, and maintaining social and sexual relationships, particularly for clients with psychiatric disabilities, as these activities are often limited as a result of a psychiatric impairment, medication used to treat the impairment, or both.  In addition, a few plaintiffs have successfully argued that the onerous requirements of treatment for their disabilities are themselves a substantial limitation in numerous life activities.[387]  Even if courts interpret Sutton to disqualify people from ADA protection once treatments take effect, this should not affect initial coverage under the ADA or eligibility for reasonable modifications, as long as individuals are substantially limited in a major life activity when reasonable modifications are requested.                          

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 (ii) Regarded As Having a Disability

      The ADA also protects those who are “regarded as” having disabilities.[388]  Some individuals who do not meet the definition of having “actual” disabilities may be protected under the “regarded as” prong of the ADA’s disability definition.  Title II regulations define “regarded as having an impairment” as:  

1) has a physical or mental impairment that does not substantially limit major life activities but that is treated by a public entity as constituting such a limitation; 

2) has a physical or mental impairment that substantially limits major life activities only as a result of the attitudes of others toward such impairment; or 

3) has none of the impairments defined in paragraph (1) of this definition but is treated by a public entity as having such an impairment.[389] 

      To date, most cases brought under a “regarded as” theory implicitly rely on the first of these theories, namely that the individual has an impairment that is not substantially limiting but is regarded by others as being so. Unfortunately, some courts have misinterpreted this theory and required plaintiffs to prove that a perceived impairment was in fact substantially limiting.[390]  Plaintiffs have also had great difficulty with “regarded as” claims when they claim they were regarded as substantially limited in the major life activity of working.  EEOC regulations provide,[391] and courts have held, that to be substantially limited in the major life activity of working, individual must be limited in a “class of jobs” or a “broad range of jobs in various classes,”[392] not just one job.  However, this requirement has been extended from “actual” disability claims to “regarded as” claims, and courts have ruled for defendants because plaintiffs are unable to show that an employer regarded them as being substantially limited in a class of jobs.[293]  

      In Sutton, the Supreme Court put its seal of approval on this approach by holding that the plaintiffs did not state a claim under the “regarded as” theory of disability because their complaint pled that the employer regarded plaintiffs as disabled in the major life activity of working, yet alleged only that the employer regarded plaintiffs as unable to be “global airline pilots.”  According to the Court, “global airline pilot” was not sufficiently broad to constitute a “class of jobs.”  The Court held that to be regarded as substantially limited in working, the employer must regard the plaintiff as substantially limited in a class of jobs.  According to the Court, “global airline pilot” was not sufficiently broad enough to constitute a “class of jobs.”[394] 

      In Murphy v. United States Parcel Service, Inc.,[395] the third ADA case decided on the same day, the Court held that mechanic jobs that require a U.S. Department of Transportation (DOT) interstate driver’s license are not a “class of jobs.”  So a mechanic with high blood pressure whose employer believed he did not qualify for such a license was not “regarded as” unable to work under the ADA. 

      The plaintiffs in both Sutton and Murphy failed to assert that the employer regarded them as substantially limited in any major life activity other than working.  In light of these decisions and the amorphousness of the “class of jobs” concept, both “actual” and “regarded as” discrimination claims should be based on a major life activity, other than working, when possible.

      Advocates may also have greater success if they bring “regarded as” claims under the second and third “regarded as” theories. Advocates can argue that under the second theory, an employer’s attitude should be measured by the employer’s actions, not after-the-fact statements.  Under the third theory, there is no reference to major life activities, or to the employer’s beliefs; the relevant issue is the employer’s actions.

      Some courts have held or suggested that people who are protected under the ADA because they are “regarded as” having disabilities are not entitled to reasonable accommodations under Title I.[396] Therefore, it is probably preferable for a client to qualify for ADA protection as a person with an “actual” disability whenever possible.

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(iii) Record of Having a Disability

      The ADA also protects people who have a “record of” a disability.[397]  Title II regulations define “record of such impairment” as “had a history of, or has been misclassified as having,” a physical or mental impairment that substantially limits one or more major life activities.[398]  Department of Justice Interpretive Guidance to the Title II regulations states:  

This provision is included in the definition in part to protect individuals who have recovered from a physical or mental impairment that previously substantially limited them in a major life activity. Discrimination on the basis of such a past impairment is prohibited.  Frequently occurring examples of the first group (those who have a history of an impairment) are persons with mental or emotional illness, heart disease, or cancer; examples of the second group (those who have been misclassified as having an impairment) are persons who have been misclassified as having an impairment, mental retardation, or mental illness.[399] 

      To date, this prong of the ADA definition of disability has been the subject of less litigation than  “actual” and “regarded as” disability claims, although this may well change in light of Sutton, Murphy, and Albertsons.  As with the “actual” and “regarded as” disability prongs, courts have required plaintiffs to demonstrate that the prior impairment was in fact substantially limiting,[400] and have been reluctant to hold that particular conditions were substantially limiting per se.[401] 

      Three closely related issues may arise in “record of” claims.  The first is whether an individual who has not been diagnosed with a disability can have a “record of” a disability.  It may be possible to argue that an individual who seeks services from a state or government program at one point in time, or an individual who requests services for a disability and who later returns to the same agency, has established a record of a disability.  The reason for this is because the agency is on notice that the individual had a substantially limiting impairment, and given the passage of time, the long-term nature of the impairment is established.  The EEOC has stated in guidance that written records are not essential in “record of” claims.[402]

      The second issue is whether a defendant must have knowledge of prior substantially limiting impairment. Some cases suggest that the defendant’s knowledge is relevant to the “record of” determination.[403]  It may be possible to argue that when a defendant has enough information for a reasonable person to be on notice that an individual tried to disclose a disability in the past, this is sufficient.  It may also be possible to argue that when individuals seek services at an earlier time and have had symptoms of a disability, or attempt to disclose a disability, a defendant has knowledge of a disability that is sufficient for a “record of” claim.  The EEOC has taken the position that while a defendant’s knowledge of the disability is not necessary to prove coverage under the ADA, it is necessary to prove discrimination.[404]

      The third issue is causation, specifically, whether plaintiffs have to prove that the record of disability is related to the discrimination. In some cases, causation will be obvious, such as when a public entity opposes the establishment of a facility for individuals recovering from drug or alcohol addiction, or opposes a halfway house for people with psychiatric disabilities.[405]  It may also be possible to argue that when a defendant discriminates against an individual because of a current physical or mental condition that tends to last a long time and the individual can later demonstrate that the condition was substantially limiting, then there is a sufficient link between the condition and the discriminatory conduct. The EEOC has taken the position that written records or employer knowledge of those records are not essential in “record of” claims, but there must be evidence that an employer acted on the basis of the record to prove discrimination.[406] 

      If courts require plaintiffs to show written documentation of a prior substantially limiting impairment or to demonstrate that defendants knew about this documentation, then establishing that an individual has a “record of” a disability will be at least as difficult as establishing that a present impairment is an “actual” disability.  EEOC Interpretive Guidance states that there are many types of records that may contain evidence of a record of impairment, “including, but not limited to . . . educational, medical or employment records.”[407] Nevertheless, as these records are created for other purposes and often contain diagnostic information rather than information about an individual’s functional abilities, using such records to demonstrate the existence of a prior substantially limiting impairment has often proved difficult.  With mixed results, courts have addressed the question of whether an employer’s knowledge of leaves of absence,[408] functional limitations,[409] hospitalization,[410] diagnosis,[411] and eligibility determinations from other agencies[412] provide sufficient evidence that an employee had a record of a substantially limiting impairment.[413]

      As with “regarded as” claims, the question of whether individuals with a “record of” a disability are entitled to reasonable accommodations is unsettled in the case law.[414]   

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(iv) Major Life Activities

      ADA regulations contain examples of major life activities, including caring for oneself, performing manual tasks, walking, seeing, speaking, hearing, breathing, learning, and working,[415] but the list is not intended to be exclusive.[416] In its Guidance, the EEOC has identified several additional major life activities that may be of particular relevance to people with psychiatric disabilities, such as the ability to sleep, concentrate, and interact with others.[417]  In its Interpretive Guidance, the EEOC suggests that if an individual is limited in any other major life activity, work should not be used as the life activity that qualifies as individual as having a disability.[418]  As mentioned above, in Sutton the Supreme Court went further and expressed doubt about the notion that work is a major life activity under the ADA.[419]  

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(v) Duration of Substantial Limitation

      To qualify as a disability, the substantial limitation caused by an impairment, its effects must be permanent or long term, or expected to be permanent or long term.[420]  However, unlike the definition of disability used to determine eligibility for Social Security Disability and Supplemental Security Income,[421] the ADA does not require an expected duration of at least twelve months.  A condition that is potentially long term may qualify as a disability if its effects are severe and it is not possible to know its duration.[422]  The EEOC has said in Enforcement Guidance that an impairment is substantially limiting if it lasts for more than several months and significantly restricts a major life activity during that time.[423]  Yet the Enforcement Guidance states that chronic conditions with episodic symptoms, such as many psychiatric disabilities, are covered if they are substantially limiting in their active phase and there is a strong likelihood of recurrence.[424]  This means that each active phase need not last for several months. After Sutton, however, these recurring states would have to be substantially limiting even after mitigating measures are taken.  

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B. Individual with a Disability in TANF Programs

(i) The Effect of the Supreme Court’s Definition of “Actual” Disability on TANF Clients

      Although Sutton, Murphy, and Albertsons unquestionably limit the number of people protected by the ADA, for a number of reasons, they probably pose less of a problem for TANF applicants and recipients than for others.

      Many TANF applicants and recipients have disabilities that have never been diagnosed.[425]  Disabilities that have not been diagnosed are probably not being “mitigated” with medication or other treatment. TANF applicants and recipients with unmitigated disabilities that are substantially limiting should continue to fall within the ADA’s definition of disability.

      Psychiatric disabilities are common in the TANF population. As noted above, many people with psychiatric disabilities remain substantially limited in major life activities even when they have been diagnosed and medication has been prescribed for them, either because medication does not eliminate the symptoms that cause a substantial limitation, medication is not consistently available or affordable, or because the side effects of the medication cause or contribute to a substantial limitation in major life activities.

      Other disabilities that are common in TANF applicants and recipients are unlikely to be completely mitigated.  Many individuals with mental retardation and learning disabilities are able to learn skills and tasks with appropriate education and training, but many will remain substantially limited because of the time it takes to complete tasks.

      An argument can be made that some disabilities prevalent in the TANF population cannot be mitigated. Mental retardation is one example.  Education and training do not cause the brains of people with mental retardation to “compensate” for the developmental disability in the way that the plaintiff in Albertsons learned to compensate for his monocular vision.  Title II regulations identify learning as a major life activity.[426]  Individuals with mental retardation are substantially limited in the major life activity of learning regardless of any accommodations they receive. One court has taken this type of approach by holding that hearing aids and lip reading may improve the ability of a hearing-impaired individual to communicate but do not necessarily improve the ability to hear, a major life activity.[427]  One Circuit has implicitly rejected this approach by holding that individuals with learning disabilities may be able to “self-accommodate” to such an extent that they are not substantially limited.[428]    

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(ii) The Effect of the Supreme Court’s Definition of “Regarded As” Having a Disability on TANF Clients

      The “regarded as” theory of the ADA disability definition may prove less useful to TANF applicants and recipients than the “actual” disability theory, although this will largely depend on the nature of the discrimination.  If individuals with particular conditions are routed into particular types of training programs based on assumptions about their abilities, a “regarded as” theory should apply.  It should also apply when programs treat people with particular conditions less favorably than others because of myths, fears, and stereotypes.[429]

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(iii) The Effect of the Supreme Court’s Definition of “Record Of” Having a Disability on TANF Clients

      The “record of” prong may also prove less useful in the TANF context than the “actual disability” theory, because so many TANF applicants and recipients have undiagnosed disabilities, existing records of other agencies will rarely have the type of information needed to establish a record of a substantially limiting impairment.  Even under broad interpretations of the “record of” theory, it may be difficult to show that a prior acute phase was sufficiently long and limiting to constitute a disability. If individuals are being routed into low-level programs by TANF agencies because programs are aware of individuals’ prior disabilities and are making assumptions about people’s current abilities based on this knowledge, the “record of” theory of coverage should be useful. 

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(iv) General Considerations When Using ADA Definition of Disability on Behalf of TANF Clients

      Wherever advocates seek to use the ADA on behalf of TANF applicants and recipients, several points are crucial.

      Not every person with a functional limitation will be an “individual with a disability” under the ADA.[430]  To be protected by the ADA, the substantial limitation must be caused by a physical or mental impairment.  Many people who have difficulty reading have learning disabilities or mild mental retardation, but some do not.  Only the former is protected under the ADA.  Difficulties with concentration, stress, agitation, and difficulty navigating the welfare system may be, but are not necessarily, symptoms of disabilities.  In many instances these symptoms and behaviors suggest the need for screening and assessment to determine whether the individual has a disability.  But alone, they are not conclusive evidence that an individual has a disability protected by the ADA.

      In addition, despite numerous studies documenting that many people in public assistance programs have disabilities, none of these reports define disability the same way as the ADA or Sutton. As a result, these studies do not necessarily reflect the percentage of TANF applicants and recipients with disabilities covered by the ADA.

      With a few exceptions, each TANF program is free under PRWORA to create its own exceptions to work requirements, time limits, sanctions, and other program requirements, and many have done so for at least some individuals with disabilities.[431]  TANF programs, however, rarely if ever use the ADA definition of disability when defining the category of individuals entitled to these exceptions.  For example, California TANF program (CalWORKS) exempts from work requirements individuals who provide medical proof of a disability that will last for more than 30 days and “significantly impair[] the recipient’s ability to be regularly employed or participate in welfare-to-work activities, provided that the individual is actively seeking appropriate medical treatment.[432] The New York TANF program exempts from work requirements individuals who are “disabled or incapacitated” as defined by the welfare agency or a private doctor referred by the agency[433] and those who are “ill or injured to the extent that he/she is unable to engage in work for up to three months as verified by medical evidence.”[434]  None of these definitions are identical to the ADA definition of disability. Some programs have no formal definition of disability for those eligible for exceptions based on physical or mental conditions because they do not differentiate between people with disabilities and people in other hard-to-serve populations.[435]  This means the population of individuals with physical and mental conditions eligible for exceptions to TANF requirements and people covered under the ADA will not completely overlap.  As a result, some individuals entitled to work exemptions and other exceptions to program requirements under state law will not be entitled to these exceptions as reasonable modifications under the ADA.  In addition, some individuals who are entitled to these exceptions as reasonable modifications under the ADA will not be entitled to them under state law, in which case it may be necessary to rely on the ADA in advocacy efforts. 

 


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    [368].  See John W. Parry, Study Finds Employers Win Most ADA Title I Judicial and Administrative Complaints, 22 Mental and Physical Disability L. Rep. 403-07 (1998) (finding that the “substantial limitation” requirement was one of six major reasons that plaintiffs lost Title I ADA claims).                                                                                              

    [369].  29 C.F.R. pt. 1630 app. § 1630.2(j) (1999). Department of Justice regulations do not define this term, but interpretive guidance to Title II contains the same definition.  See 28 C.F.R. pt. 35 app. A § 35.104 (1999).

    [370].  527 U.S. 471 (1999).

    [371].  See id. at 482.

    [372].  See id. at 488-89.

    [373].  29 C.F.R. pt. 35 app. A § 1630.2(j) (1999).  The EEOC subsequently amended its guidance to conform with Sutton.  See Interpretive Guidance on Title I of the Americans with Disabilities Act, 65 Fed. Reg. 36327 (June 8, 2000) (to be codified at 29 C.F.R. §§ 1630.2(h), (j)).

    [374].  See 28 C.F.R. § 35.104 (1999).

    [375].  See S. Rep. No. 101-116, at 23 (1989); H.R. Rep. No. 101-485(III), at 28 (1990), reprinted in 1990 U.S.C.C.A.N. 267, 450-51; H.R. Rep. No. 101-485(II), at 42 (1990), reprinted in 1990 U.S.C.C.A.N. 267, 334.

    [376].  See, e.g., Doane v. City of Omaha, 115 F.3d 624 (8th Cir. 1997), cert. denied, 522 U.S. 1048 (1998); Harris v. H & W Contracting, 102 F.3d 516 (11th Cir. 1996); Roth v. Lutheran Gen. Hosp., 57 F.3d 1446 (7th Cir. 1995). But see Ellison v. Software Spectrum, Inc., 85 F.3d 187, 191 n.3 (5th Cir. 1996) (stating belief that Congress intended the substantial limitation determination be made with regard to mitigating measures).

    [377].  See Sutton v. United Airlines, Inc., 527 U.S. 471, 480 (1999).  Given this rationale, there is no reason to assume that the Supreme Court or lower courts will not defer to the EEOC and DOJ regulations, interpretations and guidance on other issues.

    [378].  See 527 U.S. 555 (1999).

    [379].  See id. at 566.

    [380].  See Tangires v. Johns Hopkins Hosp., 79 F. Supp.2d 587 (D. Md. 2000), aff’d, 2000 U.S. App. LEXIS 23555 (4th Cir. Sept. 20, 2000) (unpublished opinion); Spradley v. Custom Campers, Inc., 68 F. Supp.2d 1225 (D. Kan. 1999).

    [381].  See 42 U.S.C.A. § 12210 (West 2000). The one exception is when the discrimination is in the provision of health care of treatment for drug problems. See 42 U.S.C.A. § 12210(c) (West 2000).

    [382].  See Bay Area Addiction Research and Treatment, Inc. v. City of Antioch, No. C-98-2651 SI, slip op. at 9 (N.D. Cal. Mar. 16, 2000) (unpublished order) (granting preliminary injunction in a challenge to an ordinance barring the operation of a methadone maintenance program and rejecting the argument that plaintiffs were not protected by the ADA because the methadone mitigated their condition)[hereinafter Bay Area Order]; Finical v. Collections Unlimited, Inc., 65 F.2d 1032, 1038 (D. Ariz. 1999) (holding that an assisted listening device provided by an employer could not be considered a mitigating measure).

    [383].  See U.S. Equal Employment Opportunity Commission, Instructions for Field Offices: Analyzing ADA Charges After Supreme Court Decisions Addressing “Disability” and “Qualified” (1999) available at http://www.eeoc.gov/docs/field-ada.html (providing a detailed discussion of other ways in which individuals may qualify as substantially limited after Sutton).

    [384].  See Sutton v. United Airlines, Inc., 527 U.S. 471, 482 (1999).

    [385].  See id. at 484.

    [386].  See, e.g., Taylor v. Phoenixville Sch. Dist., 184 F.3d 296 (3d Cir. 1999) (reversing summary judgment for the defendant where plaintiff argued that medication used to treat a psychiatric disability caused a substantial limitation in thinking); McAndlin v. County of San Diego, 192 F.3d 1226 (9th Cir. 1999), amended 201 F.3d 1211 (9th Cir. 2000) (reversing summary judgment for the defendant because there was an issue of fact as to whether the plaintiff’s limitations in sleeping, sexual relations, and interacting with others were substantially limited); Belk v. Southwestern Bell Tel. Co., 194 F.3d 946 (8th Cir. 1999) (holding individual who wore leg brace was substantially limited in walking); but see Krocka v. City of Chicago, 203 F.3d 507 (7th Cir. 2000) (holding individual with severe depression who experienced no symptoms on medication was not a person with a disability).

    [387].  See Bay Area Order, supra note 382, at 9-10.

    [388].  See 42 U.S.C.A. § 12102(2)(c) (West 2000).

    [389].  See 28 C.F.R. § 35.104 (1999).

    [390].  See, e.g., Kocsis v. Multi-Care Mgmt., 97 F.3d 876, 885 (6th Cir. 1996); Welsh v. City of Tulsa, 977 F.2d 1415 (10th Cir. 1992 ) (Section 504 case).

    [391].  See 29 C.F.R. § 1630.2j(3) (1999).

    [392].  See Davidson v. Middlefort Clinic, Ltd., 133 F.3d 499 (7th Cir. 1998); Forrisi v. Bowen, 794 F.2d 931 (4th Cir. 1986) (Section 504 case).

    [393].  See, e.g., Koscis, 97 F.3d at 885; Welsh, 977 F.2d at 1417.

    [394]. 527 U.S. at 493.

    [395]. 527 U.S. 516 (1999).

    [396].  See, e.g., Weber v. Strippet, Inc., 186 F.3d 907, 917 (8th Cir. 1999); Deane v. Pocono Med. Ctr., 142 F.3d 138, 148 n.12 (3d Cir. 1999) (en banc) (court did not decide issue but stated that there was “considerable force” to the position that individuals “regarded as” having disabilities are not entitled to reasonable accommodations); but cf. Katz v. City Metal Co., 87 F.3d 26 (1st Cir. 1996) (assuming that an individual “regarded as” having a disability is entitled to reasonable accommodations).

    [397].  42 U.S.C.A. § 12102(2)(b) (West 2000).

    [398].  28 C.F.R. § 35.104(3) (1999).

    [399].  28 C.F.R. pt. 35 app. A § 35.104 (1999).

    [400].  See, e.g., Colwell v. Suffolk County Police Dep’t, 158 F.3d 635 (2d Cir. 1998), cert. denied, 526 U.S. 1018 (1999); Sorenson v. Univ. of Utah Hosp., 194 F.3d 1084 (10th Cir. 1999); Goldsmith v. Jackson Mem’l Hosp. Pub. Health Trust, 33 F. Supp. 2d 1336 (S.D. Fla. 1998), aff’d, 198 F.3d 263 (11th Cir. 1999); Barger v. Owens-Brockway Glass Container, Inc., No. 97-4418 FMS, 1999 U.S. Dist. LEXIS 945 (N.D. Cal. Feb. 1, 1999); Buchanan v. Safeway Stores, Inc., No. 95-1658 FMS, 1996 U.S. Dist. LEXIS 18325  (N.D. Cal. Dec. 6, 1996).

    [401].  See, e.g., Goldsmith, 33 F. Supp.2d at 1342 (history of alcoholism is not a per se record of a disability); Jones v. HCA Health Serv. of Kansas, Inc., No. 94-1412 JTM, 1998 U.S. Dist. LEXIS 4419, at *32 (D. Kan. Mar. 9, 1998) (court refuses to hold that a history of drug use is always substantially limiting).

    [402].  See U.S. Equal Employment Opportunity Commission, Executive Summary: Compliance Manual Section 902, Definition of the Term “Disability” (2000) [hereinafter EEOC Disability Definition], available at http://www.eeoc.gov/docs/902cm.html.

    [403].  See, e.g., Whitfield v. Pathmark Stores, 39 F. Supp.2d 434, 444 (Del. 1999); Mark v. Burke Rehabilitation Hosp., No. 94-CV-3596, 1997 U.S. Dist. LEXIS 5159  (S.D.N.Y. Apr. 17, 1997).

    [404].  EEOC Disability Definition, supra note 402.

[405].  See Bay Area Order, supra note 382, at 10.

    [406].  See EEOC Disability Definition, supra note 402.

    [407].  29 C.F.R. § 1630.2(k) (1999).

    [408].  See, e.g., Whitfield, 39 F. Supp.2d at 444; Mastio, 948 F. Supp. at 1414; Hilburn v. Murata Elec. of N. Am., 17 F. Supp.2d 1230 (N.D. Ga. 1998); Granzow v. Eagle Food Ctrs., Inc., 27 F. Supp.2d 1105 (N.D. Ill. 1998).

    [409].  See, e.g., Whitfield, 39 F. Supp.2d at 444.

    [410].  See, e.g., Marke v. Burke Rehabilitation Hosp., 1997 WL 189124, at *4 (S.D.N.Y. Apr. 17, 1997); Madjessi v. Macy’s West, Inc., 993 F. Supp. 736 (N.D. Cal. 1997).

    [411].  See, e.g., Granzow, 27 F. Supp.2d at 1110; Mastio, 948 F. Supp. at 1396.

    [412]  See, e.g., Kaleriristos v. CTF Hotel Mgmt. Corp., 958 F. Supp. 641 (D.D.C.), aff’d mem., 132 F.3d 1481 (D.C. Cir. 1997); Howell v. Sam’s Club, 959 F. Supp. 260 (E.D. Pa. 1997) aff’d, 141 F.3d 1153 (3d Cir. 1998).

    [413].  Compare Hillburn, 17 F. Supp.2d at 1382 (employer knowledge of leave of absence insufficient to establish record of disability), with Whitfield, 39 F. Supp.2d at 444 (employer knowledge of leaves of absence sufficient to defeat employer motion for summary judgment on whether plaintiff had a record of a substantially limiting impairment). 

    [414].  See, e.g., Davidson v. Middlefort Clinic, Ltd., 133 F.3d 499, 509 (7th Cir. 1998) (court did not reach the issue but suggests that people with a record of disability may be entitled to at least some types of accommodations).

    [415].  See 28 C.F.R. § 35.104 (1999).

    [416].  See id. (“[T]he phrase major life activities means functions such as walking, seeing, hearing, speaking, breathing, learning, and working.”) (emphasis added); see also 29 C.F.R. § 1630.2(i) (1999) (defining major life activities in exactly same language).

    [417].  See U.S. Equal Employment Opportunity Commission, EEOC Enforcement Guidance: The Americans with Disabilities Act and Psychiatric Disabilities 10-12 (1999) [hereinafter EEOC Psychiatric Disabilities Guidance] available at http://www/eeoc.gov/docs/psych.html.

    [418].  29 C.F.R. § 1630.2(j) (1999).

    [419].  See Sutton, 527 U.S. at 492 (“We note, however, that there may be some conceptual difficulty in defining 'major life activities' to include work.”).

    [420].  See 29 C.F.R. § 1630.2(j)(2)(iii); see also Ryan v. Grae & Rybicki P.C., 135 F.3d 867, 871 (2d Cir. 1998) (holding that plaintiff’s colitis, often asymptomatic, was neither permanent nor long term and therefore not substantially limiting); Brown v. Lankenau Hosp., 1997 U.S. Dist. LEXIS 7289, at *4 (E.D. Pa. May 16, 1997) (looking at duration of impairment in making disability determination); Downs v. Massachusetts Bay Transp. Auth., 13 F. Supp.2d 130, 139 (D. Mass. 1998) (denying summary judgment where unclear whether plaintiff’s injuries involved temporary or permanent effects.)

    [421].  See 42 U.S.C.A. § 423d(1) (West 2000); 42 U.S.C.A. § 1382c(3) (West 2000).

    [422].  See supra note 400.

    [423].  See EEOC Disability Definition, supra note 402; EEOC Psychiatric Disabilities Guidance, supra note 417.

    [424].  See EEOC Psychiatric Disabilities Guidance, supra note 412, at 9.

    [425].  See Profile of Disability, supra note 3; Implementing Welfare Reform, supra note 7.

    [426].  See 28 C.F.R. § 35.104(3) (1999).  DOJ Section 504 coordination regulations, which Congress instructed DOJ to use as the basis for Title II regulations, also includes learning as a major life activity. See 28 C.F.R. §41.31(b)(2) (1999). Congress mentioned learning as a major life activity in the Committee Reports. See S. Rep. No. 101-116, at 22 (1989); H.R. Rep. No. 101-485(III), at 28, reprinted in 1990 U.S.C.C.A.N. 267, 451.

    [427].  See Finical v. Collections Unlimited Inc., 65 F.Supp.2d 1032 (D. Ariz. 1999).

    [428].  See Bartlett v. New York State Bd. of Law Examiners, 226 F.3d 69, 80 (2nd Cir. 2000).

    [429].  See Bay Area Addiction Research and Treatment, Inc. v. City of Antioch, 179 F.3d 725, 737 (9th Cir. 1999).

    [430].  Cf., Mitchell v. Barrios-Paoli, 687 N.Y.S.2d 319, 326 (N.Y. App. Div. 1st 1999) (challenging placement of people with disabilities into public assistance jobs incompatible with their disabilities where the court decertified the plaintiff class on the basis that not all individuals who were “employable with limitations” affected by work experience requirements were people with disabilities under the ADA).

    [431].  See The Urban Institute, State Welfare-to-Work Policies for People with Disabilities: Changes Since Welfare Reform 8 (October 1998) [hereinafter October 1998 Urban Institute Report], available at http://www.urban.org/welfare/we12work.pdf.

    [432].   See e.g. Cal. Welf. & Inst. Code § 11320.3(b)(3)(A) (West 2000).

    [433].  See  N.Y. Comp. Codes R. & Regs. tit.12 § 1300.2 (b)(4) (1999).

    [434].  N.Y. Comp. Codes R. & Regs. tit.12 § 1300.2(b)(1) (1999).

    [435].  See October 1998 Urban Institute Report, supra note 431, at 8.