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The Oregon Administrative Rules contain OARs filed through March 15, 2014
 
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OREGON HEALTH AUTHORITY

 

DIVISION 5

CLIENT RIGHTS

Prohibiting Discrimination Against Individuals with Disabilities

943-005-0000

Purpose

These rules (OAR 943-005-0000 through 943-005-0030) establish an Oregon Health Authority policy of non-discrimination on the basis of disability in accordance with the Americans with Disabilities Act of 1990 (ADA) and Section 504 of the Rehabilitation Act of 1973.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

943-005-0005

Definitions

The following definitions apply to OAR 943-005-0000 through 943-005-0030:

(1) "Alternate Format Communication" means printed material converted to a communication style that meets the accessibility needs of individuals with disabilities to achieve "effective communication." The types of alternate format that the Oregon Health Authority offers include but are not limited to: large print, Braille, audiotape, electronic format (E-mail attachment, diskette, or CD-ROM) and oral presentation.

(2) "Americans with Disabilities Act" is a comprehensive federal law passed in 1990, which prohibits discrimination on the basis of disability in employment, programs and services provided by state and local governments; goods and services provided by private companies; commercial facilities; telecommunications and transportation. The ADA was crafted upon a body of existing legislation, particularly the Rehabilitation Act of 1973 (Section 504), which states that no recipient of federal financial assistance may discriminate against qualified individuals with disabilities solely because of a disability. (Public Law 101-336)

(3) "An Individual with a Disability" means an individual who:

(a) Has a physical or mental impairment that substantially limits one or more major life activities; or

(b) Has a record or history of such an impairment; or

(c) Is regarded as having such an impairment.

(4) “Authority” means the Oregon Health Authority.

(5) "Auxiliary Aids or Services" mean devices or services that meet the accessibility needs of individuals with hearing, cognitive or speech impairments to achieve "effective communication." The types of auxiliary aids and services that the Authority offers include but are not limited to: qualified sign language interpreters, text telephone (TTYs), oral presentation, note takers and communication through computer keyboarding.

(6) "Direct threat" means a significant risk to the health or safety of others that cannot be eliminated or reduced to an accepted level through the provision of auxiliary aids and services or through reasonably modifying policies, practices or procedures, that person is not considered a qualified individual with a disability and may be excluded from Authority programs services or activities.

(7) "Federal Discrimination Complaint" means a complaint by a client, client applicant or specific class of individuals or their representative filed with a federal agency alleging an act of discrimination by a public entity.

(8) "Qualified Individual with a Disability" means an individual who can meet the essential eligibility requirements for the program, service or activity with or without reasonable modification of rules, policies or procedures, or the provision of auxiliary aids and services.

(9) "Reasonable Modifications" means a modification of policies, practices or procedures made to a program or service that allows an individual with a disability to participate equally in the program or benefit from the service.

(10) "Report of Discrimination" means a report filed with the Authority by a client, client applicant or specific class of individuals or their representative alleging an act of discrimination by the Authority or an Authority contractor, their agents or subcontractors, or a governmental entity under intergovernmental agreement with the Authority, regarding delivery of Authority services, programs or activities that are subject to Title II of the ADA or Section 504 of the Rehabilitation Act.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

943-005-0010

Non-discrimination

(1) No qualified individual with a disability shall, on the basis of disability, be discriminated against, be excluded from participation in, or be denied the benefits of the services, programs or activities of the Authority. In providing any benefit or service, the Authority may not, directly or through contractual or other arrangements, on the basis of a disability deny a qualified individual the opportunity to participate in a service, program or activity or to receive the benefit or services offered. The Authority may not discriminate against a qualified individual with a disability, on the basis of disability in the granting of licenses and certificates.

(2) The Authority shall provide services, programs and activities in the most integrated setting appropriate to the needs of qualified individuals with disabilities within the context of the program being administered. For purposes of this section, "Integrated Setting" means a setting that enables individuals with disabilities to interact with non-disabled persons to the fullest extent possible.

(3) The Authority may not require a qualified individual with a disability to participate in services, programs, or activities that are separate or different, despite the existence of permissibly separate or different programs or activities.

(4) The Authority may not apply eligibility criteria or standards that screen out or tend to screen out an individual with a disability from fully and equally enjoying any goods or services, unless such criteria can be shown to be necessary for the provision of those goods and services or is determined by the Authority to be a legitimate safety requirement.

(5) The Authority shall ensure each program, service, or activity, including public meetings, hearings and events, when viewed in the entirety, is readily accessible to and usable by individuals with disabilities. For purposes of this section, accessible means the ability to approach, enter, operate, participate in, or to use safely and with dignity by a person with a disability.

(6) Nothing in these rules prohibits the Authority from providing benefits or services to individuals with disabilities, or to a particular class of individuals with disabilities, beyond those required by law.

(7) Nothing in these rules requires an individual with a disability to accept a modification, service, opportunity, or benefit provided under these rules that the individual decides not to accept.

(8) The Authority shall provide auxiliary aids and services or alternate format communication to individuals with disabilities where necessary to ensure an equal opportunity to participate in, and enjoy the benefits of, a service, program or activity, unless it would result in a fundamental alteration of the program or an undue financial or administrative burden. Although the Authority shall determine which aid or format, if any, can be provided without fundamental alteration or undue burden, primary consideration should be given to the choice of the requestor.

(9) Except as authorized under specific programs, the Authority is not required to provide personal devices, individually prescribed devices, readers for personal use or study, or services of a personal nature.

(10) The Authority may not assess a charge or fee to an individual with a disability or any group of individuals with disabilities to cover the costs of measures required to provide the individual with the non-discriminatory treatment required by this policy.

(11) The Authority may not deny individuals the opportunity to participate on planning or advisory boards based on their disability.

(12) The Authority may not discriminate against individuals that do not have disabilities themselves, but have a known relationship or association with one or more individuals with disabilities.

(13) The Authority's determination of direct threat to the health and safety of others must be based on an individualized assessment relying on current medical evidence, or the best available objective evidence that shows:

(a) The nature, duration and severity of the risk,

(b) The probability that a potential injury will actually occur; and

(c) Whether reasonable modifications of policies, practices or procedures will lower or eliminate the risk.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

943-005-0015

Illegal Drug Use

(1) Except as provided in section (2) of this rule, OAR 943-005-0000 through 943-005-0030 does not prohibit discrimination against an individual based on that individual's current illegal use of drugs.

(2) The Authority may not deny health services or services provided in connection with drug rehabilitation to an individual on the basis of that individual's current use of drugs, if the individual is otherwise entitled to such services. However, a drug rehabilitation or treatment program may deny participation to individuals who engage in illegal use of drugs while they are in the program.

(3) A program may adopt reasonable policies related to drug testing that are designed to ensure that an individual who formerly engaged in the illegal use of drugs is not now engaging in the current illegal use of drugs.

(4) A client with a psychoactive substance use disorder resulting from current illegal use of drugs is not considered to have a disability under OAR 943-005-0000 through 943-005-0030 unless the client has a disability due to another condition.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

943-005-0020

Reasonable Modifications

(1) The Authority shall make reasonable modifications to policies, practices or procedures of a program, services or activity when the modifications are necessary to avoid discrimination based on disability unless the modification would fundamentally alter the nature of the program, service or activity or create an undue administrative or financial burden.

(2) When providing program access to a qualified individual with a disability would cause a fundamental alteration of the program, service or activity or undue financial or administrative burden, the Authority shall, to the extent the benefit of the program, service or activity can be achieved, provide program access to the point at which the program becomes fundamentally altered or experiences an undue burden.

(3) Alternate format communication is considered to be within the scope of reasonable modifications.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

943-005-0025

Requesting a Reasonable Modification

(1) To request a reasonable modification to an Authority program, service, or activity a client applicant, client or public member must submit to program staff a request for a reasonable modification to the applicable program. Requests may be made verbally or by completing the Request for Reasonable Modification form.

(2) Upon receipt of a request for modification the Authority shall:

(a) Determine whether additional documentation regarding the claimed disability is needed and request such documentation;

(b) Within 15 working days of the request or the receipt of additional medical documentation, whichever is later, provide to the requestor notification of approval, approval with alternative modifications or denial of the request for reasonable modification. All denials and approvals with alternative modifications that were not requested shall be clearly labeled a "Preliminary Notification Subject to Review."; and

(c) Ensure that approved modifications occur within a reasonable time.

(3) A "Reasonable Modification Team" (Team) means a two person team appointed by program managers that meet to evaluate a Request for Reasonable Modification decision that either denied the request or approved the request but with modifications other than those requested.

(4) This process may include additional communication with the individual requesting the reasonable modifications.

(5) Preliminary Notifications shall be reviewed by a Reasonable Modification Team, which shall notify the requestor of the final result of the review within 15 working days of the preliminary notification or within 15 working days following receipt of medical or other supporting documentation requested by the Team, whichever is later.

(6) An individual whose request for reasonable modification has been denied or approved with alternative modifications which the individual believes to be inadequate may file a Report of Discrimination with the Authority within 60 days of the final result or file a complaint with the appropriate federal regulatory agency within 180 days of the final result.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

943-005-0030

Report of Discrimination and Other Remedies Available for Alleged Discrimination

(1) A client or client applicant or specific class of individuals or their representative may file with the Authority a Report of Discrimination based on disability in the following circumstances:

(a) The final result under OAR 943-005-0025 for a Reasonable Modification Request was denied or was approved with an alternative to the requested modification which is believed to be inadequate;

(b) A request for auxiliary aids and services was denied or was approved with an alternative to the request which is believed to be inadequate;

(c) A request for an alternate format communication was denied or was approved with an alternative to the request which is believed to be inadequate;

(d) Inability to access facilities used for Authority programs;

(e) Denial of participation in Authority programs and services.

(2) A Report of Discrimination must be filed within 60 calendar days of the date of the alleged discrimination unless otherwise set forth in these rules

(3) A Report of Discrimination may be submitted verbally or on a Report of Discrimination Form available at any Authority office or by calling any Authority office.

(4) The claim of discrimination shall be investigated and shall include an interview with the complainant. At the conclusion of the investigation, a Letter of Determination shall be issued within 40 calendar days from the receipt of the Discrimination Report.

(5) An individual may appeal the Letter of Determination to the Civil Rights Review Board (CRRB) within 30 calendar days of receiving the Letter of Determination. CRRB means a panel of Authority employees appointed by the Director that reviews the decisions made by the Authority ADA Coordinator or the Civil Rights Investigator on discrimination complaints filed with the Authority.

(6) At the discretion of CRRB, this may include additional communication with the client.

(7) The remedies available under OAR 943-005-0000 through 943-005-0030 are available in addition to other remedies available under state or federal law or Oregon Administrative Rules, except that these remedies must be exhausted where exhaustion is a requirement of seeking remedies in another forum.

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042
Hist.: OHA 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 19-2011, f. 8-30-11, cert. ef. 9-1-11

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