1. Litigating ADA Title II Meaningful Access Claims Mark C. Weber Disability Rights Consortium at Equip for Equality (c) 2016 Mark C. Weber

2. 2 Key Points Meaningful Access Ideas Alexander v. Choate ADA Title II Unsuccessful Title II Meaningful Access Cases Successful Approaches to Title II Cases with Issues of Meaningful Access Potential Medicaid Issues and Responses

3. Meaningful Access San Antonio Indep. Sch. Dist. v. Rodriguez Board of Educ. v. Rowley 3

4. Alexander v. Choate 4

5. ADA Title II Forbids Disability Discrimination in Services, Programs, and Activities of State and Local Government Connection to Section 504 Role of the Title II Regulations 5

6. Title II Meaningful Access: Unsuccessful Cases Wright v. Giuliani Louis v. New York City Housing Authority Jones v. City of Monroe (Contrast Bassilios v. City of Torrance) R.K. v. Board of Educ. of Scott Cty. Arc of Wash. State, Inc. v. Braddock 6

7. Title II Meaningful Access: Successful Approaches Reliance on Specific Regulations: K.M. ex rel. Bright v. Tustin Unified Sch. Dist. Integration: Olmstead v. L.C. ex rel. Zimring; Steimel v. Wernert 7

8. Other Successful Cases and Ideas Reasonable Accommodation: A.G. v. Paradise Valley Unified Sch. Dist. It’s an Issue of Fact: American Council of the Blind v. Paulson 8

9. Potential Medicaid Issues Low Reimbursement Rates Few Medicaid Providers, Managed Care Threats of Block Grants, Funding Cuts, etc. 9

10. A Few Additional Cases Relevant to Medicaid Issues Helen L. v. DiDario Henrietta D. v. Bloomberg Weaver v. N.M. Human Servs. Dep’t Rodde v. Bonta Argenyi v. Creighton Univ. Rejection of Oregon Rationing Proposal 10

11. Questions, Comments? 11

12. Sources Early Meaningful Access Cases: San Antonio Indep. Sch. Dist. v. Rodriguez, 411 U.S. 1 (1973); Board of Educ. v. Rowley, 458 U.S. 176 (1982); Alexander v. Choate, 469 U.S. 287 (1985) Unsuccessful Cases: Wright v. Giuliani, 230 F.3d 543 (2d Cir. 2000); Louis v. N.Y. City Hous. Auth., No. 15 Civ. 3122, 2016 WL 297563 (S.D.N.Y. Jan. 14, 2016); Jones v. City of Monroe, 341 F.3d 474 (6th Cir.2003), abrogated in part not relevant, Anderson v. City of Blue Ash, 798 F.3d 338, 357 n.1 (6th Cir. 2015) (Contrast Bassilios v. City of Torrance, No. CV 14-03059-AB, 2015 WL 10570160 (C.D. Cal. Dec. 4, 2015)); R.K. v. Board of Educ. of Scott Cnty., No. 5:09–CV–344–JMH, 2014 WL 4277482 (E.D. Ky. Aug. 28, 2014), aff’d, No. 14-6213, 2016 WL 457026 (6th Cir. Feb. 5, 2016); Arc of Wash. State, Inc. v. Braddock, 427 F.3d 615 (9th Cir. 2005) Specifics of Regulations Cases: K.M. ex rel. Bright v. Tustin Unified Sch. Dist., 725 F.3d 1088 (9th Cir. 2012); Chisolm v. McManimon, 275 F.3d 315 (3d Cir. 2001); Duvall v. Cty. of Kitsap, 260 F.3d 1124 (9th Cir. 2001) Integration Mandate Cases: Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999); Steimel v. Wernert, Nos. 15- 2377 & 15-2389, 2016 WL 2731505 (7th Cir. May 10, 2016); M.R. v. Dreyfus, 697 F.3d 706 (9th Cir. 2012); Fisher v. Okla. Health Care Auth., 335 F.3d 1175 (10th Cir. 2003) Reasonable Accommodations Cases: A.G. v. Paradise Valley Unified Sch. Dist. No. 69, 815 F.3d 1195 (9th Cir. 2016); Nat’l Fed’n of the Blind v. Lamone, 813 F.3d 494 (4th Cir. 2016); Crowder v. Kitagawa, 81 F.3d 1480 (9th Cir. 1996) Issue of Fact Cases: American Council of the Blind v. Paulson, 525 F.3d 1256 (D.C. Cir. 2008) (Section 504); Nat’l Fed’n of the Blind v. Lamone, 813 F.3d 494 (4th Cir. 2016); Cal. Found. for Indep. Living Ctrs. v. City of Sacramento, No. 2:12-CV-03056-KJM-GGH, 2015 WL 6744659 (E.D. Cal. Nov. 4, 2015) A Few Additional Cases Relevant to Medicaid Issues: Henrietta D. v. Bloomberg, 331 F.3d 261 (2d Cir. 2003); Helen L. v. DiDario, 46 F.3d 325 (3d Cir. 1995); Weaver v. N.M. Human Servs. Dep’t, 945 P.2d 70 (N.M. 1997); Rodde v. Bonta, 357 F.3d 988 (9th Cir. 2004); Argenyi v. Creighton Univ., 703 F.3d 441 (8th Cir. 2013) (Section 504 and ADA Title III) 12

13. More Sources Mary Crossley, Giving Meaning to “Meaningful Access” in Medicaid Managed Care,102 KY. L.J. 255 (2013-14) Leslie Pickering Francis & Anita Silvers, Debilitating Alexander v. Choate: “Meaningful Access” to Health Care for People with Disabilities, 35 FORDHAM URB. L.J. 447, 451-52 (2008) Alexander Abbe, Comment, “Meaningful Access” to Health Care and the Remedies Available to Medicaid Managed Care Recipients Under the ADA and the Rehabilitation Act, 147 U. PA. L. REV. 1161 (1999) Wendy F. Hensel & Leslie E. Wolf, Playing God: Legality of Plans Denying Scarce Resources to People with Disabilities in Public Health Emergencies, 63 FLA. L. REV. 719 (2011) 13