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Cerebral Palsy at Work: Your ADA Rights to Accommodation, Fair Testing, and Equal Treatment

How the ADA and FMLA protect workers and job applicants with cerebral palsy, including coverage, hiring questions and tests, accommodations such as equipment and schedule changes, production standards, uneven discipline, harassment, leave, and deadlines.

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Why Cerebral Palsy 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 describes cerebral palsy as a group of neurologic disorders that cause problems with movement, balance, and posture; it can range from mild to severe, and the brain damage and disabilities it causes are permanent, although treatment can improve motor skills and the ability to communicate. Under 29 CFR 1630.2(j)(3)(iii), cerebral palsy is one of the impairments that should easily be concluded to substantially limit a major life activity, because it substantially limits brain function, and the EEOC's questions and answers on the ADA Amendments Act say the individualized assessment for these impairments should be particularly simple and straightforward. That means the fight in most cerebral palsy cases is not whether you are covered but whether your employer treated you fairly and met its accommodation duties.

Job Applications, Medical Questions, and Tests

Under 42 U.S.C. Section 12112(d)(2), before a job offer an employer may not ask whether you have a disability or about its nature or severity, though it may ask about your ability to perform job-related functions. After an offer, an employer may require a medical examination only if all entering employees are examined regardless of disability, and the results must be kept confidential. Section 12112(b)(7) is especially important for people with cerebral palsy: an employer must select and give employment tests so that, for an applicant or employee whose disability impairs sensory, manual, or speaking skills, the results reflect the skill or aptitude the test is meant to measure rather than the impaired manual or speaking skills, unless those skills are what the test is meant to measure. Separately, Section 12111(9) lists appropriate adjustment or modification of examinations as a reasonable accommodation, which in practice can mean extra time, a different format, or another way to respond.

Accommodations Workers With Cerebral Palsy 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, acquiring or modifying equipment or devices, and adjusting examinations, training materials, or policies. The EEOC's reasonable accommodation guidance treats a new employee's statement that her wheelchair does not fit under her desk as a request for accommodation, and says leave may be an accommodation for physical or occupational therapy or for repairs on a wheelchair, accessible van, or prosthetic device. An employer generally does not have to provide personal use items, such as a wheelchair, that you also need off the job, but items designed or required to meet job-related needs may be required. If more than one accommodation would work, the employer may choose which one to provide, and an undue hardship means significant difficulty or expense.

How to Ask and What Happens When an Employer Stalls

You may ask for an accommodation at any time by telling a supervisor, HR, or another appropriate person that you need a change at work because of a medical condition. You do not need to use the words reasonable accommodation. If your need is not obvious, your employer may ask for documentation from an appropriate professional, and the EEOC lists physical therapists, occupational therapists, and speech therapists among them alongside doctors. The EEOC says employers should act promptly and that unnecessary delays can violate the ADA. In one EEOC example, a wheelchair user asked for an accessible parking space because the narrow spaces left no room for his van ramp, asked again, and two months later nothing had been done; the EEOC said that lack of action amounted to a denial and violated the ADA. Keep a written record of each request and every response.

Production Standards and Uneven Discipline

The EEOC says an employer does not have to lower production standards, whether qualitative or quantitative, that apply equally to employees with and without disabilities, but it may have to provide an accommodation that helps you meet them, for example, equipment or a changed workstation. Conduct rules work the same way: an employer may hold you to the same conduct standards it applies to everyone else. What it may not do is single you out. In an EEOC example, a supervisor barred an employee whose cerebral palsy causes her hands to shake from the office kitchen for not cleaning up a spill, although he had never disciplined non-disabled employees who left a mess; the EEOC said singling her out could violate the ADA. The EEOC also says an employer may not require you to receive or change treatment to meet a conduct standard.

Harassment Over Speech or Movement

Harassment based on a disability is not allowed under the ADA. In an EEOC example, coworkers repeatedly taunted an employee with cerebral palsy because of his speech impediment; the supervisor did not know. Instead of reporting it, the employee destroyed some of their property, and the EEOC said the employer could discipline him for that response. The EEOC also said that once management knew about the taunting, it had to promptly investigate and, if it was harassment, take appropriate action to prevent it from happening again. The lesson is to report mockery of your speech, gait, or movements through your employer's complaint procedure, in writing if you can, and to keep copies, so the employer cannot say it did not know.

Leave, FMLA, Retaliation, and Deadlines

If you need time off for surgery, therapy, or recovery and have no paid leave left, unpaid leave may be a reasonable accommodation, and if you can no longer do your regular job, you may ask to be reassigned to a vacant position you can do. Under 29 CFR 825.115(c), a chronic condition that requires treatment visits at least twice a year and continues over an extended period can be a serious health condition under the FMLA. 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. 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. 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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