CODI: Cornucopia of Disability Information ACCESS TO HIGHER EDUCATION FOR STUDENTS WITH DISABILITIES
 
Web codi.buffalo.edu
           ACCESS TO HIGHER EDUCATION FOR STUDENTS WITH DISABILITIES:
          WHAT IS REASONABLE? WHAT IS FUNDAMENTAL? & WHO IS QUALIFIED?

                              L. Scott Lissner
                                 DRAFT 5/92

             Nearly twenty years ago landmark legislation, Section 504 of
        the  Rehabilitation  Act of 1973 [1], was enacted to insure  that
        individuals with disabilities [2] had access to higher education.
        The  passage of time has not served to simplify the  issues  sur-
        rounding  access,  nor  allowed them to be relegated  to  a  back
        burner.   Because of the changing demographics, the enactment  of
        the Americans With Disabilities Act [3] (ADA), and the publicity and
        public awareness inspired by the ADA;  institutions are likely to
        face  increased  litigation if they do not renew their  focus  on
        access. [4]
             It  is outside the focus of this review to  demonstrate  the
        scope  of  this issue by fully presenting  the  demographics.  In
        brief there are 43 million Americans with disabilities, over  4.3
        million students in the public school system have been identified
        as  entitled to legal protection, and there are over 1.5  million
        colleges  students  with  disabilities on  our  campuses.   Based
        on demographics alone we can expect the numbers of individuals with
        disabilities participating in higher education to continue to
        rise  over the next ten year period. [5]   This review will  explore
        the  key  federal  legislation, and  court  interpretations  that
        guarantee  access to higher education for individuals with  disa-



        --------------------

        1. Pub. L. No. 93-112, 29 U.S.C. SS791 (1991).

        2. The author recognizes that individual with disabilities is the
        currently accepted language; in discussing older legislation  and
        court  cases  the author, for the sake of clarity, will  use  the
        terms  handicapped,  disabled,  etc.  as  used  in  the  original
        sources.  Such terms should be considered interchangable for  the
        purposes of this analysis.

        3. Pub. L. No. 101-336, 42 U.S.C. SS12101 (1991).

        4. Hill, W.A., Americans With Disabilities Act of 1990:  Signifi-
        cant  Overlap with Section 504 For Colleges and Universities.  18
        J.C.U.L.  415-417 (1991).  Rothstein, L.F., Students,  Staff  and
        Faculty With Disabilities Current Issues for Colleges and Univer-
        sities.  17 J.C.U.L. 471 (1990).  Kramer, S.G. & Dorman,  A.B.  A
        White  Paper on the Americans With Disabilities Act.   Proskaure,
        Rose, Goetz & Mendelson. New York, NY. (1990).

        5.  Lissner, L.S. Students With Disabilities: The  Pragmatics  of
        Programs  and Policies.  In At Risk Students, R.  Hashway  (Ed.).
        Praeger Press, New York, NY (In Press).



        --------------------


        bilities. [1]    The reader should keep in mind that a balance  must
        be struck in order to meet our dual responsibilities of providing
        equal access and maintaining the mission, quality and,  integrity
        of academic programs.
             This review will first place Rehabilitation Act into context
        then  examine the courts' enforcement of the regulations  promul-
        gated under it.  The final section will provide a brief  examina-
        tion  of the impact of the ADA on existing legislation  and  case
        law affecting higher education.
             Within  the above framework, this analysis  will follow  the
        four  elements  that  the courts require for a  complaint  to  be
        actionable under Section 504:  1) the program must receive feder-
        al financial assistance to fall in the Act's jurisdiction; 2) the
        plaintiff  must have a disability as defined by the Act;  3)  the
        plaintiff  must be otherwise qualified; 4) the denial  of  access
        must impermissibly discriminate. [2]

                  SECTION 504 OF THE REHABILITATION ACT OF 1973

             It  is important to keep in mind that the federal laws  con-
        cerned with access for people with disabilities are civil  rights
        laws.   Their intent, language, and remedies are similar to those
        of Title VI, Civil Rights Act of 1964, and Title IX of the Educa-
        tion Amendments of 1972, which provide protection from  discrimi-
        nation on the basis of race and sex.  The intent of this legisla-
        tion  is   to provide qualified persons with  disabilities  equal
        opportunities  in  society  [8].  The congressional mandate  is  for
        equal  access not affirmative action. [9]  It is also  important  to
        note  that  the  courts have given particular  deference  to  the
        administrative  regulations developed to enforce the  Rehabilita-
        tion  Act.  This strong reliance on the regulations to  establish
        congressional intent is in recognition of the fact that  Congress
        participated  in  their development and formally  endorsed  their
        final form. [10]
            "No  otherwise qualified handicapped individual  in  the
            United  states shall, solely by reason of his  handicap,

        --------------------

        1.  It  is  also beyond the present scope to  fully  explore  the
        parallell hiring issues.  The reader is refered to Hill cited  in
        note 1 for an exploration of these issues.

        2. Bonner v. Arizona Department of Corrections, 714 F. Supp. 420,
        421 (1989).

        8.  Consoidated  Rail Corp. v. Darrone, 104 S. Ct.  1250  &  1255
        (1984).  Beihl, R.G. Guide to the Section 505 Self Evaluation for
        Colleges and Universities NACUBO, Washington D.C. (1978).   Kram-
        er,  S.G.  &  Dorman, A.B. A White Paper on  the  Americans  With
        Disabilities  Act. Proskaure, Rose, Goetz & Mendelson. New  York,
        NY. (1990).

        9. Southeastern Community College v. Davis, 442 U.S. 407-412.

        10.  Consolodated Rail Corp. v. Darrone 104 S. Ct. 1254-1255,  nn.
        14-16 (1984).  Nassau County v. Arline 480 U.S. 276-278 (1987).



        --------------------


            be  excluded from participation in, be denied the  bene-
            fits  of,  or  be subject to  discrimination  under  any
            program receiving federal financial assistance." [1]

             The   above  quote  from  the  Rehabilitation  Act  is   the
        congressional  mandate from which the regulations and court  
	interpretations concerning access to higher education for individuals 
 	with disabilities flows.  The Rehabilitation act goes on to define
        what  programs and activities fall under the act's  jurisdiction,
        who may be considered legally handicapped, and what remedies  are
        available against discrimination.
             The  original  phrasing of the Rehabilitation  Act  of  1973
        claimed under its jurisdiction programs and activities  receiving
        federal financial assistance.  In 1984 the supreme court  decided
        Grove  City  v. Bell [2] a sex discrimination suit  brought  to  the
        Court  under  title IX.  The Court held  that  student-aid  funds
        received  by  the  college crosses the  threshold  for  receiving
        federal  funds and thus triggers jurisdiction. [3]  In  establishing
        the  reach  of that jurisdiction the Court determined  that  only
        those programs directly receiving the federal funds were covered.
        Since  the only funds reach Grove City College, a  small  private
        institution,  were student financial aid funds the only  programs
        prohibited  against sex discrimination by title IX were those  of
        the  Financial  Aid Office.  The rest of  the  institution  could
        discriminate  on the basis of sex and by logical extension  disa-
        bility. [4]
             During the same session as the ruling on Grove City  College
        the    Court   decided   Consolidated   Rail    Corporation    v.
        Darrone. [5]   This action was brought under Section  504.  The
        Court held that the scope of 504's jurisdiction should be defined
        in the same narrow fashion as they had for Title IX in Grove City
        5College. [6]
             Congress  in direct response to the threat that these  cases
        represented  to the success and scope of the civil  rights  stat-
        utes, enacted the Civil Rights Restoration Act (CRRA). [7]  The CRRA
        amended  the  language in Title IX of the  Education  Amendments,
        Title VI of the Civil Rights act of 1964, The Age  Discrimination

        --------------------

        1. Pub. L. No. 93-112 Sec. 504, 29 U.S.C. SS791

        2. 465 U.S. 555

        3. Id. at 564

        4. Id. at 570-571.

        5. 465 U.S. 624.

        6. 465 U.S. 636.

        7. Pub. L. 100-259, 29 U.S.C.A. SS794 (1988).


        --------------------



        Act  of 1975 and Section 504 of the Rehabilitation Act of  1973. [1]
        In the context of Section 504 the legislative record states:
            "When  federal financial assistance is extended  to  any
            part  of  a  college,  university,  other  postsecondary
            institution,  or public system of higher education,  all
            of  the  operations of the  institution  or  educational
            system are covered." [2]


        The  amended Section 504 now includes the phrase  "...program  or
        activity means all of the operations of..." [3]
             In 1990 the United States Court of Appeals, Eleventh Circuit
        heard The U.S. v. University of Alabama. [4]  One of the issues in
        this  case  was Section 504 coverage  in terms of  the  provision
        of auxiliary  aids  to students in  non-credit  non-degree  courses.
        The Court held that "...any doubt that section 504 was intended
        to  cover non-degree and non-credit programs was resolved by  the
        Civil Rights Restoration Act..." [5]
             Having  established which programs and activities are  under
        Section 504 jurisdiction; an examination of who is protected must
        be  conducted.   This  examination rests on the  answers  to  two
        questions.  In light of the Rehabilitation Act, Who is considered
        "handicapped" and who may be considered "otherwise qualified"?
             The Rehabilitation Act of 1973 defines "handicapped  person"
        as:

            "...Any person who (i) has a physical or mental disabil-
            ity  which  substantially  limits one or  more  of  such
            person's  major  life activities, (ii) has a  record  of
            such an impairment, or (iii) is regarded as having  such
            an impairment." [6]
        Congress  listed three exclusions to the above  definition.   Ac-
        tions  against  individuals based on their  current  use  illegal
        drugs; alcoholics whose current use of alcohol prevents them from
        performing  the duties, meeting the standards, or pose  a  direct
        threat  to  property  or safety; individuals  with  a  contagious
        disease  or  infection that constitutes a direct  threat  to  the
        --------------------

        1. Hill, W.A., Americans With Disabilities Act of 1990: Signifi-
        cant Overlap with Section 504 for Colleges and Universities.   18
        J.C.U.L. 390-391.

        2. S. Rep. No. 64, 100th Cong., 2d. Sess. 16, in U.S.C.C.A.N. 3,
        18. (1988). Emphasis added.

        3. 29 U.S.C. SS 791 Section 504 (b).

        4. 908 F. 2d. 740.

        5. Id. at 750.

        6. Pub. L. No. 93-112, 29 U.S.C. SS791 (1991).



        --------------------


        safety  of  others have been excluded from protection  under  the
        Rehabilitation Act. [1]  
             The  term  physical impairment has been interpreted  by  the
        Department of Justice (DOJ) to include any physiological disorder
        or condition that affects the following systems or organs: neuro-
        logical,  musculoskeletal, sensory, respiratory,  cardiovascular,
        reproductive, digestive, genitourinary, lymphatic, or  endocrine,
        motor,  speech,  or skin.  The term mental  impairment  has  been
        interpreted  by  the  DOJ to include:  mental  and  psychological
        disorders  such  as mental retardation, organic  brain  syndrome,
        emotional or mental illness, and learning disabilities.  The  DOJ
        regulations  go on to define major life activities  as  functions
        such  as walking, speaking, seeing, hearing,  learning,  working,
        self care and breathing. [2]
             The  courts  have interpreted these regulations  to  include
        individuals with AIDS, hypersensitivity to smoke, arrested  alco-
        holism  and  drug addiction,  kleptomania,  compulsive  gambling,
        epilepsy, learning disabilities, and diabetes. [3]  The courts  have
        denied protection in cases involving individuals currently  using
        illegal drugs and alcohol; exhibiting self-destructive or violent
        behaviors; or with left-handedness, post-traumatic-stress  disor-
        der,  occasional episodes of stress, depression, and  mental  ex-
        haustion, crossed eyes, chronic lateness. [4]
             The  cases  where  the courts have  denied  protection,  for
        reasons  other  than jurisdiction, fall  into  three  categories.
        The condition in question was not found to interfere in one of life's
        major activities so the plaintiff is not legally handicapped; the
        case fell into one of the legislated exclusions, or the plaintiff
        was not otherwise qualified.  The boundaries between these  three
        categories  are at best ambiguous.  The majority of the case  law
        concerning Section 504 has centered on this issue of establishing
        the limits of protection.  After reviewing the parameters of  who
        is  protected the question of who bears the financial burden  for
        reasonable accommodations will be discussed
             Southeastern Community College v. Davis [5]  is one of the  few
        Supreme  Court Cases involving Section 504 and student access  to
        higher education.  Davis, a student with a severe hearing impair-
        ment  was denied admission to a nursing program.  This case  cen-
        tered on defining "fundamental/essential standards" to  determine
        if  the applicant was "otherwise qualified".  This  analysis  was

        --------------------

        1. Ibid.

        2. 28 C.F.R. 41 SS41.31 (1991).

        3.  Rothstein, L.F., Students, Staff and Faculty With  Disabili-
        ties: Current Issues for Colleges and Universities.  17  J.C.U.L.
        472 (1991).

        4. Id. at 475.

        5.  442 U.S. 397 (1979).


        --------------------



        based on the definition of qualified handicapped person  provided
        in  the regulations promulgated under Section 504 " With  respect
        to postsecondary and vocational education services, a handicapped
        person  who meets the academic and technical standards  requisite
        to  admission or participation in the recipient's education  pro-
        gram  or activity;" [1]  Additional elements in the Supreme  Court's
        analysis  included the impact on the safety of others, would  the
        level of accommodation required alter the nature of the  benefit,
        was there an undue burden on the institution and did the Rehabil
        itation Act require an affirmative action stance. [30]  The  Supreme
        Court's   Opinion  included the  following  statements  (emphasis
        added).
            "An  otherwise  qualified person is one who is  able  to
            meet  all  of a program's requirements in spite  of  his
            handicap."  [31]

            "We do not suggest that the line between lawful  refusal
            to extend affirmative action and illegal  discrimination
            against handicapped persons always will be clear.  It is
            possible to envision  situations where an insistence  on
            continuing  past requirements and practices might  arbi-
            trarily deprive genuinely qualified handicapped  persons
            of the opportunity to participate in a covered  program.
            Technological advances can be expected to enhance oppor-
            tunities  to rehabilitate the handicapped  or  otherwise
            qualify them for some useful employment.  Such  advances
            also  may enable the attainment of these  goals  without
            imposing undue financial and administrative burdens upon
            a  State.  Thus situations may arise where a refusal  to
            modify  and existing program might  become  unreasonable
            and discriminatory. [32]


             The Supreme Court's decision confirmed the right of institu-
        tions  to  set  and maintain standards as long as  they  are  not
        arbitrary.   In  evaluating students as  otherwise  qualified  by
        seeking  reasonable  accommodation  the  Court  established  that
        accommodations that fundamentally alter the nature of the benefit
        or  program are not reasonable and thus not required.  The  court
        also  examined  the  impact of the plaintiff's  presence  on  the
        safety  of others in the specific context of the setting.   Addi-
        tionally, the Court held that institutions must provide an  equal
        opportunity but are not generally obligated to provide  compensa-
        tory  opportunities  through  affirmative  action.   The  Court's
        analysis of these three elements resulted in finding for the

        --------------------

        1. 34 C.F.R. SS104.3 (k) (3) (1990).

        30. 442 U.S. 406-414 (1979).

        31. Id. at 406.

        32. Id. at 412-413.



        --------------------


        institution. [1]
             Following  the Davis decision the lower courts focused on  a
        very literal reading of the first quote in deciding cases for the
        next 5 to 6 years.  The essence of the logic applied was: a)  the
        institution  has set its standards; b) the student/applicant  can
        not meet these standards because of the disability; c)  therefore
        the  student/applicant is not otherwise qualified and  hence  not
        protected by the Rehabilitation Act of 1973.
             This  interpretation did not recognize the need to  evaluate
        either  the  basis of the standard nor the impact  of  reasonable
        accommodations.  Both  these  evaluations seem  implicit  in  the
        second  quote. This literal interpretation was corrected in  1985
        by the Supreme Court's opinion in Alexander v. Choate. [2]
             This  case  involves Medicaid recipients  in  Tennessee  who
        brought a class action suite which claimed that the new  policies
        had a disparate impact based on disability and hence  discrimina-
        tory under the Rehabilitation Act.  The Supreme Court's  Decision
        in this case is significant to higher education because it clari-
        fies both the legal definition of discrimination under the  Reha-
        bilitation Act and the Court's position in determining "otherwise
        qualified".
             The  Supreme Court held that proof of disparate impact  does
        not in and of itself prove discrimination.  Proof of  discrimina-
        tion  or  discriminatory effect rests in part on the  purpose  or
        intent  of  the benefit offered.  The Medicaid  program  did  not
        have  as its purpose "adequate health care for  all  recipi-
        ents" but a particular package of health care.  This package  was
        neutrally distributed without regard to disability so it was  not
        discriminatory  even though there was a disparate  impact.   This
        aspect  of the Court's opinion suggests that in determining if  a
        rule  or standard is discriminatory, its purpose should be  taken
        into account. [3]
             The  second significant element in this case is the  Court's
        discussion  of Southeastern Community College v. Davis.   In  its
        opinion,  the Supreme Court notes the literal  interpretation  of
        Southeastern  Community College v. Davis by the lower courts  and
        modifies it (emphasis added).
                  "Davis thus struck a balance between the statutory
            rights of the handicapped to be integrated into  society
            and  the  legitimate  interest of  federal  grantees  in
            preserving  the  integrity of their  programs:  while  a
            grantee  need not be required to make  'fundamental'  or
            'substantial'  modifications to accommodate  the  handi-
            capped, it may be required to make 'reasonable' ones.
                  The  balance  struck  in Davis  requires  that  an
            otherwise  qualified  handicapped  individual  must   be
            provided with meaningful access to the benefit that  the

        --------------------

        1. Id. at 406-415.

        2. 105 S.Ct. 712 (1985).

        3. Id. at 415-418.



        --------------------


            grantee  offers.  The benefit itself, of course,  cannot
            be  defined in a way that effectively  denies  otherwise
            qualified handicapped individuals the meaningful  access
            to which they are entitled; to assure meaningful access,
            reasonable  accommodations in the grantee's  program  or
            benefit may have to be made." [1]


             In  the  above interpretation of its  earlier  opinion,  the
        Supreme Court has clearly set the definition of otherwise  quali-
        fied to include the ability to meet a standard or participate  in
        a program with reasonable modifications or accommodations.
             The various strands of review in the Davis decision have  be
        picked  up  by the lower courts in a number of  higher  education
        cases.   In  Doe v. New York University [37] a medical  student  was
        denied  readmission based on a history violent and self  destruc-
        tive  behavior.  The court held that the student's  psychological
        disorder was a disability but that her exclusion was not a viola-
        tion of Section 504.   The court's decision was based the  appre-
        ciable risk she presented to herself and others. [38]
              Several cases stand as a balance to Doe and offer  guidance
        in  examining  potential risk and safety issues.  In  Pushkin  v.
        Regents  of the University of Colorado [39]  Dr. Pushkin was  denied
        admittance  to a psychiatric residency program.  Dr. Pushkin  has
        Multiple Sclerosis and as a result uses a wheelchair.  A  faculty
        committee  stated  that Dr. Pushkin did not  have  the  necessary
        emotional  stability to contend with patients' reactions  to  his
        disability.  The court held that decisions based on the  possible
        reactions of others, not on risk, violated the central intent  of
        Section 504. [40]
             In 1987 the Supreme Court decided The School Board of Nassau
        County,  Florida  v. Arline [41].  This case involved  a  elementary
        school teacher, Arline, who was diagnosed as having  tuberculosis
        in  1957.   It  was  in remission  between  1957  and  1977.   In
        1977,  March  1978 and November 1978 hospitalized  for  T.B.
        She was suspended with pay for the remainder of the 1978-79 year.
        After a hearing she was then discharged because of her continuing
        Tuberculosis  and  the  perceived  threat that  it  presented  to
        others. [42]

        --------------------

        1. Id. at 720.

        37. 666 F.2d. 761 (1981).

        38. Id. at 777.

        39. 658 F.2d. 1372 (1981).

        40. Id. at 1389-1390.

        41. 480 U.S. 273 (1987).

        42. Id. at 276-275.


        --------------------



             There are two aspects to the Supreme Court's finding in this
        case  that  are relevant to higher education.  First,  the  Court
        held  that a person suffering from a contagious disease could  be
        considered  "handicapped"  under the  Rehabilitation  Act. [1]   The
        Court also provided guidelines for conducting an otherwise quali-
        fied  inquiry.   These guidelines can be readily applied  to  the
        academic  context  as can bee seen in the quote  below  (emphasis
        added).
                 "The remaining question is whether Arline is other-
            wise qualified for the job of elementary  schoolteacher.
            To  answer  this question in most  cases,  the  district
            court will need to conduct an individualized inquiry and
            make  appropriate findings of fact.  Such an inquiry  is
            essential  if 504 is to achieve its goal  of  protecting
            handicapped  individuals  from  deprivations  based   on
            prejudice stereotypes, of unfounded fear, . . ."  [2]

            "In  the  employment  context,  an  otherwise  qualified
            person is one who can perform 'the essential  functions'
            of  the job in question.  When a handicapped  person  is
            not able to perform the essential functions of the  job,
            the  court  must also consider whether  and  'reasonable
            accommodations' by the employer would enable the  handi-
            capped person to perform those functions.  Accommodation
            is not reasonable if it either imposes 'undue  financial
            and administrative burdens' on a grantee, or requires  a
            'fundamental alteration' in the nature of the program." [3]

             In  its opinion, the Court is clearly requiring  that  deci-
        sions  be  made on a case by case contextual  basis.   The  Court
        added  this  test  when considering otherwise  qualified  in  the
        context  of  contagious disease: What is the nature of  the  risk
        (transmission),  the duration of the risk, severity of  the  risk
        (third party harm), and probability of transmission and degree of
        harm.  These factors should be considered in light of  reasonable
        medical  judgments of public health officials. [46]  Chalk  v.  U.S.
        Dist. Court of California [47]  extended protections offered by  the
        Arline decision to individuals with AIDs.
             Another  line of reasoning that the courts have  applied  in
        considering  the  otherwise qualified issues is can  the  student
        meet  the standards of the program.  In these cases it is  impor-
        tant  to  remember that the institution must reach  its  decision
        based  on  the applicants abilities, not  assumptions  concerning

        --------------------

        1. Id. at 280-286.

        2. Id. at 287.

        3. Id. at 287 note 16.

        46. Id at 288.

        47. 840 F.2d 701 (1988).


        --------------------



        their  disability. [1]  In Anderson v. University of Wisconsin [2]  the
        Seventh  Circuit Court held that the law school could deny  read-
        mission to an alcoholic student.
             The courts opinion was based on two critical elements.   The
        student  was  still using alcohol and the institution  based  its
        decision  on Anderson's academic prospects.  The court  noted  in
        this  particular  case that "Nothing in the record  suggest  that
        the University's  decision was based on stereotypes about  alcoholism
        as  opposed to honest judgments about how Anderson had  performed
        in fact and could be expected to perform." [3]  The court  broadened
        this  statement  and provided an important  precedent  by  adding
        "Just  as Title VII of the Civil Rights Act of 1964 ensures  only
        equal treatment and not 'correct' decisions...the  Rehabilitation
        Act  requires  only stereotype-free assessment  of  the  person's
        abilities and prospects rather than a correct decision." [4]
             In  1989  a student at the University  of  California  filed
        suit, Campbell A. Dinsmore v. Charles C. Pugh and the Regents  of
        the  University of California. [5]  The student, who  has  dyslexia,
        requested  extended time on tests.  This request  was  documented
        and  approved by the Disabled Student Services Office.  A  mathe-
        matics instructor claimed "there was no such thing as a  learning
        disability"  and  refused  the accommodation on  the  grounds  of
        academic freedom. [6]  Attempts by Disabled Student Services  failed
        to  resolve the impasse and the student filed suit  against  both
        the University and the instructor under Section 504.  The settle-
        ment  directed the University of California to  establish  proce-
        dures    for   faculty   to   question    accommodations    while
 	protecting students' rights and required monetary damages of the 
	instructor. The case has not fully resolved the issue who decides an 
	accommodation  is reasonable, the instructor, disability  services,  



        --------------------

        1.  See the discussion of Davis (note 36) and Pushkin (note  40)
        above.

        2. 841 F. 2d. 737 (1988).

        3. Id. at 741.

        4. Ibid.

        5.   Heyward,  S.   Provision of  Academic  Accommodations:  Can
        faculty members be held personally liabel for failure to accommo-
        date disabled students?  Disability Accommodation Digest,  Vol.1,
        No. 1 Pages 1 and 4 (1991). [The District Court suit was  settled
        out  of court so there is no case reported.  (Phone  conversation
        with Salome Heward 3/6/92.)]

        6. Id. at 1.


        --------------------


	the provost,  etc. [1]   While  Davis [2] ( as clarified  by  
	Alexander v. Choate [3]) addressed  admission issues, it seems likely  
	that the courts would apply similar reasoning to in class 
	accommodations. Instructors could reject recommended or documented 
	request for accommodations either because the fundamentally alter 
	the  course or they present an undue burden.  What ever grievance 
	procedures are developed to handle such impasses should satisfy due 
	process requirements and should either allow a decision before the 
	accommodation is needed or provide the student with the accommodation 
	until the decision is made.
             In  1990 Eva N. v. Brock, [4] a that case involved a K  through
        12 student who was both blind and mentally retarded, was decided.
        A  student  was denied admission to the Kentucky School  for  The
        Blind.   The  school claimed it was not intended or  equipped  to
        accommodate students with mental retardation. The federal  appel-
        late court held in favor of the school.
             This  case involved actions under both Section 504  and  the
        Education  for  All Handicapped Act [5]. The  courts  discussion  of
        the  Section 504 claim is one  relevant aspect  to  colleges
        and  universities.   In deciding whether the  accommodations  re-
        quested would require the school to make fundamental  alterations
        in  its program, the court looked to the schools  mission  state-
        ment.  The appellate court's reasoning followed the Supreme Court
        opinions in Davis [6] and Alexander  v. Choate [7].  In this  instance,
        as in the two Supreme Court cases discussed above, the review  of
        the  programs  purpose  was applied to establish  the  limits  of
        reasonable accommodations [8].  However this case potentially broad-
        ens  the  Supreme  Court's reasoning by  applying  this  judicial
        review to the school's mission statement as compared to the  more
        narrowly defined program mission in Davis [9].  This broader  review
        of  institutional  mission, combined with general  education  re-
        quirements, would seem to be the appropriate level of review  for
        evaluating  applicants to colleges and universities who have  not

        --------------------

        1.  Rothstein, L.F. Students, Staff and Faculty  with  Disabili-
        ties:  Current Issues for Colleges and Universities. 17  J.C.U.L.
        473.

        2. 442 U.S. 397.

        3. 105 S.Ct. 712.

        4. 741 F. Supp. 626 (1990).

        5. Pub. L. 94-142 20 U.S.C. SS1401.

        6. 442 U.S. 406

        7. 105 S. Ct. 712

        8. 741 F. Supp. 631-632.

        9. 442 U.S. 397.



        --------------------


        declared  a  major  and hence an intent to  pursue  a  particular
        academic program.
             Wynne v. Tufts [1] provides a set of clear guidelines in  exam-
        ining the question of reasonable accommodations.  In  1983  Wynne
        was  admitted  to  the medical school.  In  December  1984  Wynne
        became  aware of difficulties with multiple choice  testing.   He
        discussed  this  with  school officials in the  spring.   At  the
        end of  his first year he had failed 8 of 15 classes.  School  policy
        was that 5 failures were grounds for dismissal.  The Dean decided
        to permit Wynne to repeat the first year. [2]
             During  the  summer, at the school's  request  and  expense,
        Wynne sought a neuropsychological evaluation. The medical evalua-
        tors  results indicated that Wynne's profile fit that of  the  LD
        population.  Wynne repeated the eight failed courses and  audited
        3  that  he  had marginally passed.  He received  some  level  of
        counseling and tutoring as well as permission to tape lectures as
        accommodations. [3]
             This  time Wynne passed all but two courses.  As  a  further
        accommodation,  he  was allowed to repeat those  tests  (multiple
        choice format) but not to take them in an alternate format as  he
        requested.  Wynne passed one  but failed the other.  He was  then
        dismissed.  Wynne filed suite under the Rehabilitation Act  based
        on the school's refusal to modify the testing format.
             The  district court found for the university and  Wynne  ap-
        pealed.   The appellate court found that the school had not  pre-
        sented evidence that it had made any systematic search for accom-
        modations  in the testing format and that it's defense hinged  on
        the  a stated opinion that multiple choice testing was  fundamen-
        tal, not a reasoned justification.  The appellate court  remanded
        the case back to the district court with the cautions and  guide-
        lines quoted below (emphasis added):

                  "First,  as we have noted there is a real  obliga-
            tion on the academic institution to seek suitable  means
            of reasonably accommodating a handicapped person and  to
            submit  a  factual record indicating that  it  conscien-
            tiously carried out this statutory obligation.   Second,
            the  Ewing formulation, hinging judicial override  on  a
            'substantial   departure  from  the  accepted   academic
            norms,'  is not necessarily a helpful test in  assessing
            whether  professional  judgment has  been  exercised  in
            exploring  reasonable alternatives for  accommodating  a
            handicapped  person.  We say this because such  alterna-
            tives may involve new approaches or devices quite beyond


        --------------------

        1. 932 F. 2d. 19 (1991).

        2. Id. at 21.

        3. Ibid.



        --------------------


            'accepted academic norms.'" [1]

            ". . .There is no mention of any consideration of possi-
            ble alternatives, nor reference to any discussion of the
            unique qualities of multiple choice examinations.  There
            is  no  indication of who took part in the  decision  or
            when  it was made.  Were the simple conclusory  averment
            of the head of an institution to suffice, there would be
            no way of ascertaining whether the institution had  made
            a  professional  effort  to evaluate  possible  ways  of
            accommodating  a handicapped student or had  simply  em-
            braced what was most convenient for faculty and adminis-
            tration." [2]


             The  appellate  court's  ruling provides  a  framework  that
        institutions  can  use  in making  accommodation  decisions.   If
        called upon to justify a decision, an institution must be able to
        document the rational relationship of the standard to a student's
        academic program, what expertise was brought to bear in searching
        for reasonable accommodations, and how any denied  accommodations
        would either fundamentally alter the academic program in question
        or present the institution with an undue hardship.
             Tuft's  took heed of the appellate court's  guidelines  when
        they presented their case to the district court on remand.  Based
        on the additional evidence presented by Tufts the district  court
        agreed   with   Tufts  that  "...  changing  the   format   would
        compromise the tests' effectiveness at gauging a future doctor's 
	ability  to make subtle distinctions based on seemingly small but 
	significant differences in written information." [3]  In a summary 
	judgment  the district  court fond that the university had  "Clearly  
	evaluated alternatives and made a professional academic judgment in  
	deciding  not  to provide alternative tests." [4]  The court  found  
	that Wynne had been reasonably accommodated by being allowed to 
	repeat his first year classes, and by the school's provision of 
	notetakers, tutors and taped lectures. [5]
             The    final    case    presented    on    the    reasonable
        accommodation/otherwise qualified issue is Pandazides v. Virginia
        Board of Education. [6]     This  case involved a  college  graduate

        --------------------

        1. Id. at 25-26.

        2. Id. at 28.

        3. Handicapped Requirements Handbook, Supplement No.161, page  1,
        April 1992.

        4. Ibid.

        5. Ibid.

        6. 946 F. 2d. 345 (1991).



        --------------------


        who  had  requested accommodations concerning  the  Communication
        Skills  Battery of the National Teachers Examination (NTE).   She
        asked  the Virginia Board of Education to waive this  requirement
        for licensure (and hence, employment) on the basis of a  learning
        disability.  She offered her performance evaluations while  work-
        ing  in  the classroom on probationary status as  an  alternative
        measure.  The state denied her the waiver. [1]
             The district court, relying on a literal interpretation of
        Southeastern Community College v. Davis, [73] found for the state in
        a  summary  judgment.  The appellate court negated  the  district
        courts judgment for the state and remanded issue for a finding of
        fact with guidance [74].
             In the appellate court's decision to remand and the guidance
        offered to the lower court closely parallel the Wynne v. Tufts. [75]
        This  indicates that the Rehabilitation Act is being  interpreted
        consistently across federal jurisdictions.  The court's  guidance
        to  the  lower court provides us with  additional  structure  for
        exploring the otherwise qualified/fundamental standard question:
            ".  .  . otherwise qualified may be understood  more  in
            terms  of  the job rather than an arbitrary set  of  re-
            quirements.   Therefore,  the trial court must  do  more
            than  simply determine whether or not  Pandazides  meets
            all  the stipulated requirements of the Board, but  look
            to what the position she seeks actually requires." [76]

            . . . Accordingly, defendants cannot merely mechanically
            invoke any set of requirements and pronounce the  handi-
            capped  applicant or prospective employee not  otherwise
            qualified.   The  district court must  look  behind  the
            qualifications.   To  do  otherwise  reduces  the   term
            'otherwise qualified' and any arbitrary set of  require-
            ments to a tautology." [77]


             In  the academic context, the Pandazides  decision  suggests
        that evaluating accommodations the institution should look to the
        ultimate  goal of the program and what it actually requires.   In
        refusing to accommodate a particular standard or requirement 
	institutions must rely on more than tradition  or  citing  the 
	standard  as common practice; they must demonstrate the  rational

        --------------------

        1. Id. at 347-348.

        73.  442 U.S. 397.

        74. 946 F. 2d. 350.

        75. 932 F. 2d. 19.

        76. 946 F.2d. 349.

        77. Ibid.

        --------------------




        and  essential  relationship between a requirement and  the  pro-
        gram's goal.  Additionally, they must show the lack of reasonable
        alternatives for achieving this goal.
              The  next two cases to be discussed centered on a  slightly
        different  set  of issues.  In Nathanson v.  Medical  College  of
        Pennsylvania [1]   there was no contention about jurisdiction,  that
        Nathanson had a disability due to a back injury, or that she  was
        otherwise qualified as a medical student. [2]  The accommodation  in
        question,  a  high backed chair with a high table  as  a  writing
        surface, clearly did not present an undue burden on the  institu-
        tion. [3]
             At  issue in this case was whether the plaintiff  had  given
        the  institution  notice and if so was it sufficient  to  require
        accommodation. [4]  The regulations under Section 504 forbid  pread-
        mission  inquiries except as part of an effort to  overcome  past
        discrimination [5].   The regulations provide for  confidential  in-
        quiries after acceptance. [6]  If students do not make their 
        disability  known  the institution is not  obligated  to  provide
        accommodations.
             This  case,  in part, addresses to whom and in  what  manner
        students  must identify their needs to initiate protection  under
        Section 504.  The regulations require the designation of at least
        on  employee to coordinate compliance efforts and notice of  non-
        discrimination  in  recruitment. [7]  In the case  under  discussion
        there is no mention of any notice provided by or policy  concern-
        ing  requesting  accommodations.   It must be  assumed  that  the
        Institutions policies are silent  on this matter and that notice,
        if any, was a minimal disclaimer on the application and  recruit-
        ment materials (i.e. We do not discriminate on the basis of ...).
             The  plaintiff  contended that several interviews  with  the
        dean  served as sufficient notification.  The facts collected  by
        the  district  court,  prior to issuing  summary  judgment,  were
        unclear as to how clearly the plaintiff expressed her needs.   It
        was clear that the plaintiff expressed her inability to  continue


        --------------------

        1. 926 F. 2d. 1368 (1991).

        2. Id at 1380.

        3. Id. at 1371.

        4. Id. at 1382. (a second count was filed in this case  claiming
        Tortious  interference with existing and  prospective  contracts.
        This aspect of the case is not germane to access issues.)

        5.  34 C.F.R. SS104.42 (4) (1990).  Such inquiries must  be  both
        voluntary and confidential.

        6. Ibid.

        7. 34 C.F.R. SS104.7 and SS104.8 (1990).



        --------------------


        due  to the seating. [1]  The district court found in favor  of  the
        college  and the plaintiff appealed.  The appellate  court  found
        that there were issues of fact left to be determined and reversed
        the grant of summary judgment and remanded the case. [2]
             In a recent article Maureen McCarthy reported a case from
        the Oklahoma state court that is currently on appeal. [87]  The case
        involves  a  student  who had never  identified  himself  to  the
        schools disability support services and was eventually  suspended
        for  academic  reasons.  Prior to the suspension,  the  student's
        advisor  noted his academic difficulties  and suggested  that  it
        might  be  a learning disability but did not advise  the  student
        about how to request accommodations.  Again, institutional policy
        was silent on this matter.
             The student had been diagnosed as learning disabled in third
        grade,  but  his parents did not inform him of  this  fact  until
        after the college suspension. The student requested reinstatement
        with  accommodations after the dismissal.  The reinstatement  was
        denied and the student filed suit. [88]
             Based  on  the advisor's comments the court found  that  the
        institution was obligated to make the request process known to
        the student.  Failure to do so resulted in benign discrimination.
        The court ordered the student reinstated, reconsideration of  his
        earlier  grades, and access to accommodations.  The case is  cur-
        rently on appeal. [89]
             Regardless of the ultimate outcomes of the remand or appeals
        in  these two cases, They clearly put institutions on  notice  to
        develop and insure the distribution of a reasonable policy for
        requesting  accommodations.  Unfortunately, they do  not  provide
        any guidance in shaping such policies. The regulations [90]  provide
        only  minimal guidance by requiring that each institution  desig-
        nate  at  least one person to coordinate compliance  efforts  and
        adopt  grievance  procedures  that  incorporate  appropriate  due
        process.
             The last two cases to be discussed focus on the issue of who
        bears  the financial burden for accommodations.  The first  case,
        University  of Texas v. Camenisch [91], was appealed to the  Supreme

        --------------------

        1. 926 F. 2d. 1381-1383.

        2. Id. at 1392.

        87.  McCarthy, M. Appropriate Academic Accommodations: a Look  at
        Oklahoma  State  University v. Pat  Smith.  Latest  Developments,
        Association  of Handicapped Student Service Programs in  Postsec-
        ondary Education, Winter 1992, Pages 2-3.

        88. Ibid.

        89. Ibid.

        90. 34 C.F.R. SS104.7 (1990).

        91. 451 U.S. 390.


        --------------------



        Court.  The appeal questioned the injunctive relief.
             Camenisch,  a  deaf  graduate student,  requested  that  the
        university  to pay for a sign interpreter for his  courses.   The
        university  refused  to  pay based on  a  financial  needs  test.
        Camenisch  filed  for a preliminary injunction and  received  it.
        The  injunction was affirmed by the appellate  court.   Camenisch
        posted bond pending a decision. In the interim Camenisch graduat-
        ed and the appeal of the injunction reached the Supreme Court. [1]
             The  Supreme  Court found that since the conditions  of  the
        injunction had been irrevocably meet that this issue was moot and
        they  remanded  the issue of who should bay for  the  interpreter
        back  to the lower court. [2]  In his concurring opinion Chief  Jus-
        tice  Burger notes "The trial court must, amongst  other  things,
        decide  whether  the  federal  regulations  at  issue,  which  go
        beyond the carefully worded nondiscrimination provision of SS504,  
	exceed the powers of the Secretary under SS504." [3]
             The  above  case did not answer the question of  who  should
        pay, but in 1990 the question was answered in U.S. of America  v.
        The  University  of Alabama [4].  Based on an unresolved  Office  of
        Civil  Rights  complaint  under Section 504,  a  suit  was  filed
        against the University of Alabama (UAB) on four issues; a  finan-
        cial needs test in requesting auxiliary aids, the refusal  extend
        auxiliary  aids and accommodations to non-credit/non-degree  stu-
        dents, [5]  the  inaccessibility of the transportation  system,  and
        that  a separate lab and restricted hours of access to  the  pool
        were discriminatory.  The appellate court held against UAB on all
        four counts. [6]
             The  courts  ruling on the transportation  system,  the  re-
        stricted  lab hours and the restricted pool hours rested  on  two
        elements.   The services did not provide equal access  nor  where
        they available in the most integrated setting possible. [7]
             The  two  most significant aspects of the  court's  decision
        are:  1)  all  students (part  time,  non-degree,  in  non-credit
        courses,  etc.) are protected by the Rehabilitation Act;  2)  the
        ultimate financial burden for auxiliary aids is the institution's.   
	The  court said that the institution may  work  with  a student  to 
	seek funding through state vocational  rehabilitation

        --------------------

        1. Id. at 390.

        2. Id. 1385.

        3. Id. at 1836.

        4. 908 F. 2d. 740 (1990).

        5.  This aspect of the case was discussed as part of the  juris-
        diction question at note 21.

        6. 908 F. 2d. 752.

        7. Id. 750-753.


        --------------------



        services and/or private sources but if those funds are not avail-
        able, the institution must assume the cost for accommodations  or
        auxiliary aids. [1]  This obligation is limited by two statements
        in  the regulations; auxiliary  aids for personal use  and  undue
        burden.  The regulations under Section 504 provide the  following
        guidelines for these two limits:
            "(2) Auxiliary aids may include taped texts,  interpret-
            ers  or other effective methods of making orally  deliv-
            ered  materials available to students with  hearing  im-
            pairments, readers in libraries for students with visual
            impairments,  classroom  equipment adapted  for  use  by
            students  with  manual impairments,  and  other  similar
            services  and  actions.   Recipients  need  not  provide
            attendants, individually prescribed devices, readers for
            personal use or study, or other devices or services of a
            personal nature."  [2]  (emphasis added)


             The second limit on this obligation is undue hardship.  This
        review was unable to locate any case law defining undue hardship,
        the following regulatory guidelines exist:
            "(c)  In determining pursuant to paragraph (a)  of  this
            section  whether an accommodation would impose an  undue
            hardship  on  the  operation of  a  recipient's  program
            factors to be considered include:
                (1) The overall size of the recipient's program with
                respect  to number of employees, number and type  of
                facilities, and size of budget;
                (2) The type of recipient's operation, including the
                composition  and structure of the  recipients  work-
                force; and
                (3)  The  nature  and  cost  of  the   accommodation
                needed." [3]


             The cases cited above have primarily focused on establishing
        the  limits of reasonable accommodation in the context of  either
        admission  and meeting academic/course requirements.  This  is  a
        reflection  of  the body of case law and not the  full  scope  of
        impermissible discrimination described by the regulations promul-
        gated  under  Section 504.   The  regulations  that  specifically
        apply to higher education [102] address admissions and  recruitment;
        general  treatment  of students; academic  adjustments;  housing;
        financial and employment assistance to students; and  nonacademic
        services.

        --------------------

        1. Id at 746-750.

        2. 34 C.F.R. SS104.44 (d) (2) (1990).

        3. Id. at SS104.12.

        102. 34 C.F.R. SS104 (E) (1990).



        --------------------


             One reason that the cases to not represent the full range of
        impermissible discrimination may be the clarity and the specific-
        ity  of the regulations.  Another reason is that  admissions  and
        meeting  academic requirements are central to  higher  education.
        Finally,  it  is  likely that other  issues  have  been  resolved
        through  administrative  proceedings  of  the  Office  of   Civil
        Rights [1].
             There  are  four principles in the regulations that  are  of
        particular    importance.    The   first   is    the    otherwise
        qualified/fundamental standard question that has been the primary
        focus  of  the courts.  The remaining three are  most  integrated
        setting, programmatic access, and reasonable self help.
             The    regulations   require   that   when   a   range    of
        accommodations are  possible  the choice should weigh in favor of  
	options  that produce  the least separation or isolation for the 
	students  with disabilities.   It  is not considered  appropriate  
	to  establish separate  sections, residences, etc. that limits or 
	isolates  the students. [2]   Within the confines of the most  
	integrated  setting institutions, not the student, may choose 
	between equally  effective accommodations.
             The  concept of programmatic access rests on  the  following
        regulatory  language: "Programs, when viewed as a whole,  provide
        an  equal opportunity for the participation of  qualified  handi-
        capped persons." [3]  Campuses do not have to be barrier free.  If a
        building  in  not accessible and classes can  be  rescheduled  as
        needed,  then as a whole you have provided access.  If not  every
        residence  hall is accessible, but those that are provide a  com-
        parable range of housing choices, then your housing is as a whole
        accessible.
             The  final principle is that of reasonable self help.   This
        concept rests on the on the fact that students must self identify
        and  request accommodations [4] and on the opinion in U.S.  v.  Ala-
        bama [5] concerning student participation in the search for  outside
        funding  sources.  This principle assumes that the  student  will
        initiate  the process and can be expected to play an active  part
        in identifying and arranging accommodations.
             On  July 26, 1990 Public Law 101-336, [108] the Americans  with

        --------------------

        1.  The author could find no central reporting system for Office
        of Civil Rights Proceedings.  Information may be obtained through
        a  request  under  the Freedom of Information Act  but  this  was
        beyond the time frame allowed for this review.

        2. 34 C.F.R. SS104.43 (d) (1990).  908 F. 2d. 740.

        3. Id. at SS104.43.

        4. 34 C.F.R. SS104.42 (1990).

        5. 908 F. 2d. 740.

        108. 42 U.S.C. SS791 (1991).


        --------------------



        Disabilities  Act of 1990 (ADA) was passed by the Congress.   The
        ADA prohibits discrimination against people with disabilities  in
        the areas of private employment, public accommodations and  serv-
        ices,  transportation, and telecommunications.  Both  public  and
        private  educational settings are covered under the Public accom-
        modations section of the ADA. [1]

             In  its application to curricular and extra curricular  pro-
        grams  in  higher education, the ADA borrows its  framework  from
        Section  504 and demands virtually the same standard for  compli-
        ance.  This means that the direct impact of ADA for higher educa-
        tion  is  minimal.  However, it is expected that as  the  ADA  is
        implemented  it  will increase the college  applicant  pool  both
        because  of  the expanding career opportunities for  people  with
        disabilities  and  because  of the increased  visibility  in  the
        media.   This  increasing applicant pool will not  only  be  more
        aware of its opportunities, but also its civil rights. [2]

             Additionally, many states have enacted legislation following
        the  principles established at the federal level.   According  to
        the federal statutes, state regulations take precedence when they
        are more stringent [3].  The guiding principle in evaluating compli-
        ance  is compliance with the most demanding or  specific  regula-
        tions.
                                   CONCLUSIONS
             Section  504  of the Rehabilitation act as  amended  by  the
        Civil Rights Restoration Act covers all programs at any  institu-
        tion  that receives federal funds.  This includes student  finan-
        cial aid as well as more direct funding.  If there are any insti-
        tutions that actually receive none of these federal monies,  they
        are  covered under the ADA.  The ADA requires virtually the  same
        level of accommodation as Section 504.
             An  individual with a disability is not automatically  enti-
        tled  to any specific accommodation.  In order for an  accommoda-
        tion to be required the student must make his or her needs known.
        It must be clear that a physical arrangement, particular require-
        ment,  criterion, method of instruction, or method of  evaluation
        interacts with the individuals disability in a disproportionately
        adverse  fashion.  If there is an adverse interaction,  then  the
        individual  is  entitled to  accommodation  unless  accommodation
        would  fundamentally alter the student's program or  present  the
        institution  with  an  undue burden.  If more  than  one  equally
        effective  accommodation exists, institutions have the  right  to
        choose  among them.  Institutional choice is limited by the  need
        to  provide accommodations in the most integrated setting  possi-
        ble.
             Accommodations  for physical access are relatively  straight

        --------------------

        1. 18 J.C.U.L. 389 (1990).

        2. Id at 415-417.

        3. Pub. L. No. 93-112, 29 U.S.C. SS791 (1991).


        --------------------



        forward.   The  individual's needs are usually apparent  and  the
        appropriate  alterations, relocations, or adaptive  equipment  is
        generally clear.  Defining the limits of reasonable accommodation
        in  the academic arena is more complex task.  In attempting  this
        task,  it is important to remember that the laws are designed  to
        insure  an equal opportunity for individuals  with  disabilities.
        This  includes an equal opportunity to have their skills,  knowl-
        edge,  and abilities honestly and accurately evaluated.  The  law
        is only meant to guarantee that abilities, not disabilities,  are
        the basis for evaluation.
             In  an academic context, there are two levels of  accommoda-
        tion  to consider; within a course and requirements  for  program
        completion (i.e. substituting or waiving specific courses).   The
        guiding principles in evaluating the reasonableness of accommoda-
        tions is do they represent a fundamental alteration in the course
        or  program.  Financial, logistic, and administrative  considera-
        tions do not enter into the definition of reasonableness but  may
        exempt an accommodation based on undue hardship.
             Within  a course, testing and evaluation  formats,  instruc-
        tional delivery systems and methods, and specific course  activi-
        ties are subject to accommodation.  Not subject to  accommodation
        within  a course are alterations in the specific  skills,  knowl-
        edge, and objectives upon which the course is based.  In claiming
        a fundamental standard, institutions must be able to  demonstrate
        that  they  have made a good faith search  for  alternatives  and
        arrived at the conclusion through a reasoned analysis.
             If a student with a disability can not successfully complete
        course  requirements  (or any other graduation  requirement  i.e.
        time limits) the next consideration is whether or not the  course
        or  requirement represents an essential or fundamental aspect  of
        the program.  To be essential to the program a course or require-
        ment  must  represent  skills, knowledge or  abilities  that  are
        critical  to  the programs stated goals and purposes.  Again,  in
        denying an accommodation a good faith effort and reasoned  analy-
        sis are required.


        

 

UB School of Public Health and Health Professions