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Amputation and Limb Loss at Work: Your ADA Rights

How the ADA and FMLA protect workers and job applicants with an amputation or limb loss, including coverage, prosthetics as mitigating measures, pre-offer questions, physical tests and qualification standards, accommodations such as job restructuring, equipment, and workspace changes, leave for prosthetic repairs and therapy, veterans' rights, retaliation, and deadlines.

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Why a Missing Limb Should Easily Qualify as a Disability

Title I of the Americans with Disabilities Act applies to private employers with 15 or more employees for 20 or more weeks in the current or preceding calendar year and to state and local government employers; federal workers are covered through the Rehabilitation Act, and many state laws reach smaller employers. MedlinePlus explains that people can lose all or part of an arm or leg for many reasons, including blood flow problems from atherosclerosis or diabetes, injuries from traffic accidents and military combat, cancer, and birth defects. Under 29 CFR 1630.2(j)(3)(iii), it should easily be concluded that partially or completely missing limbs substantially limit musculoskeletal function, and the regulation says the individualized assessment for these impairments should be particularly simple and straightforward. So in most limb loss cases, the real questions are whether the employer met its accommodation duties and whether it judged you on your abilities rather than on assumptions.

A Prosthetic Limb Does Not Erase Coverage

Under 42 U.S.C. Section 12102(4)(E), whether an impairment substantially limits a major life activity is decided without regard to the helpful effects of mitigating measures, and the statute expressly lists prosthetics including limbs and devices, along with mobility devices and assistive technology. The EEOC's guide for veterans gives prosthetic limbs as an example of a mitigating measure that must be ignored. So an employer cannot argue that you are not disabled because you walk well or work well with a prosthesis. MedlinePlus notes that learning to use an artificial limb takes time and that some amputees have phantom pain, and some have skin problems from wearing one, which is one reason needs can change even after you adapt.

Job Applications, Physical Tests, and Qualification Standards

Before a job offer, under 42 U.S.C. Section 12112(d)(2), an employer may not ask whether you have a disability or about its nature or severity, though it may ask whether you can perform job-related functions. Under Section 12112(b)(6), qualification standards, employment tests, or other selection criteria that screen out or tend to screen out people with disabilities are discriminatory unless the employer shows they are job-related for the position and consistent with business necessity. A lifting, climbing, or agility requirement that is not tied to what the job actually requires can therefore be challenged. Under Section 12112(b)(5)(A), not making reasonable accommodations to the known limitations of a qualified applicant or employee is discrimination unless the employer can show undue hardship, and that duty covers the application process as well as the job.

Accommodations Workers With Limb Loss Often Request

Under 42 U.S.C. Section 12111(9), reasonable accommodation may include making existing facilities accessible and usable, job restructuring, part-time or modified work schedules, reassignment to a vacant position, and acquiring or modifying equipment or devices. The EEOC's veterans guide lists examples such as a one-handed keyboard for someone missing an arm or hand, reconfiguring a workspace including adjusting the height of a desk or shelves, a modified or part-time schedule, and reassignment to a vacant position. In an EEOC example, a member of a cleaning crew who wears a prosthetic leg can do his essential functions but finds climbing steps painful and difficult, so the employer may swap his marginal task of sweeping stairs for a coworker's task of cleaning a small kitchen. An employer generally does not have to provide a prosthetic limb or other personal use items that you also need off the job, but items specifically designed or required to meet job-related needs may be required. If more than one accommodation would work, the employer may choose among effective options, and an undue hardship means significant difficulty or expense.

Leave for Surgery, Therapy, and Prosthetic Repairs

The EEOC's reasonable accommodation guidance says permitting accrued paid leave or unpaid leave is a form of reasonable accommodation when needed because of a disability, and it lists obtaining medical treatment such as surgery, rehabilitation services, physical or occupational therapy, and obtaining repairs on a wheelchair, accessible van, or prosthetic device among the reasons. An employer does not have to provide more paid leave than it gives similarly situated employees. Under the Family and Medical Leave Act, 29 CFR 825.113 makes a condition involving inpatient care a serious health condition, and 29 CFR 825.114 defines inpatient care as an overnight stay in a hospital, hospice, or residential medical care facility, including any period of incapacity or later treatment connected with that stay, which can make an amputation surgery a serious health condition. Under 29 CFR 825.110, an eligible employee has worked for the employer for at least 12 months, has at least 1,250 hours of service in the 12 months before leave starts, and works at a location where the employer has at least 50 employees within 75 miles.

Veterans With Service-Connected Limb Loss

The EEOC's guide for veterans lists missing limbs among common injuries veterans experience and says partially or completely missing limbs will easily be concluded to be disabilities under the ADA. It also says a veteran with a VA or military disability rating is probably covered by the ADA, although the ADA uses different standards, and that a veteran who meets the ADA's definition is covered whether or not the disability is service-connected. Separately, the Uniformed Services Employment and Reemployment Rights Act protects reemployment rights after military service; according to the EEOC guide, if a returning veteran is not qualified for the position he or she would have held because of a disability, the employer must make reasonable efforts to help qualify the veteran for a job of equivalent seniority, status, and pay.

Retaliation and Deadlines

Under 42 U.S.C. Section 12203, an employer may not retaliate against you for opposing disability discrimination or taking part in an ADA charge or investigation, or coerce, intimidate, threaten, or interfere with you for exercising ADA rights. Keep a written record of each accommodation request, every response, and any discipline that follows. A charge with the EEOC generally must be filed within 180 calendar days of the discriminatory act, extended to 300 days where a state or local agency enforces a law prohibiting the same kind of discrimination; federal employees generally must contact an agency EEO counselor within 45 days.

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