20
<br />major life activity.” The City may counter that protection under the ADA and the RA does not
<br />extend to clients of SEPs, as current users of illegal drugs may not be “qualified individual\[s\]
<br />21
<br />with a disability.” Both statutes contain limited carve-outs exempting discrimination protections
<br />from those who are “currently engaging in the illegal use of drugs” when the “covered entity acts
<br />22
<br />on the basis of” the plaintiff's illegal use of drugs.
<br />These statutory exclusions are inapplicable in the present context. This is because both
<br />statutes limit their “current use” exceptions with safe harbor provisions guaranteeing the
<br />protection of health services to individuals who currently use illegal drugs. Both the ADA and RA
<br />23
<br />maintain that covered entities are prohibited from denying “health services, or services
<br />provided in connection with drug rehabilitation” to an individual on the basis of that individual’s
<br />24
<br />current illegal use of drugs, if they are otherwise entitled to such services. The SUD treatment
<br />cases outlined above have not considered the applicability of the safe harbor provision to the
<br />substance use disorder context because the patients in question were participating in
<br />25
<br />rehabilitation programs and no longer using illegal drugs. While courts have yet to litigate the
<br />applicability of the safe harbor provision to SEPs, ample reasoning supports the contention that
<br />patients of SEPs would fall under the protections of the safe harbor provision.
<br />An analysis of the legislative reasoning behind the adoption of the statutory carve-out
<br />supports the contention that the safe harbor provision should be applicable in the present
<br />context. The statutory exemption excluding ADA protection for individuals currently using illegal
<br />drugs was adopted to serve an employment function: The legislative purpose was focused on
<br />ensuring that employers could discharge employees who may have been under the influence or
<br />otherwise impaired while at work and that employers could not discharge employees who were
<br />26
<br />recovering from SUD. The fact that Congress, through the safe harbor provision, explicitly
<br />provided for an exception for patients seeking health services, even if those individuals are
<br />27
<br />currently using drugs, is important. As one Federal District Court judge reasons, “\[i\]f the \[ADA\]
<br />and \[RA\] were interpreted to exempt from its protections individuals with drug addictions
<br />
<br />20
<br /> U.S. Dep’t of Health & Human Services Office for Civil Rights, Fact Sheet: Drug Addiction and Federal Disability Rights Laws
<br />(Oct. 25, 2018), https://www.hhs.gov/sites/default/files/drug-addiction-aand-federal-disability-rights-laws-fact-sheet.pdf.
<br />21
<br /> 42 U.S.C. § 12131; 29 U.S.C. § 794.
<br />22
<br /> See 42 U.S.C. § 12210(a); 29 U.S.C. § 705(20)(C)(i).
<br />23
<br /> “Covered entities may include, but are not limited to: Substance Use Disorder Treatment Programs, Hospitals and Health Clinics,
<br />Pharmacies, Contracted Service Providers, Medical and Dental Providers, Nursing Homes, Child Welfare Agencies, State Court
<br />Systems. In addition, state and local governments are prohibited from discriminating on the basis of disability.” (emphasis
<br />added). U.S. Dep’t of Health & Human Servs. Office for Civil Rights, Fact Sheet: Drug Addiction and Federal Disability Rights Laws
<br />(Oct. 25, 2018), https://www.hhs.gov/sites/default/files/drug-addiction-aand-federal-disability-rights-laws-fact-sheet.pdf.
<br />24
<br /> 42 U.S.C. § 12210(c); 29 U.S.C. § 705(20)(C)(iii).
<br />25
<br /> See New Directions Treatment Servs. v. City of Reading, 490 F.3d 293, 309 (3d Cir. 2007) (“The ADA and Rehabilitation Act
<br />specifically provide that a person who has completed a supervised rehabilitation program or is currently participating in such a
<br />program and “is no longer engaging” in drug use shall be deemed a qualified individual”); MX Grp., Inc. v. City of Covington, 293
<br />F.3d 326, 339 (6th Cir. 2002) (“Indeed, the statute itself contemplates that individuals participating in drug rehabilitation programs,
<br />who are no longer using drugs or presumably impaired by their effects, are covered by the Act”).
<br />26
<br /> See New Directions Treatment Servs. v. City of Reading, 490 F.3d 293, 309 (3d Cir. 2007) (quoting Brown v. Lucky Stores, Inc.,
<br />246 F.3d 1182, 1188 (9th Cir. 2001) (quoting H.R. Rep. No. 101–596, at 62 (1990); H.R. Rep. No. 101–596, at 62 (1990); U.S. Code
<br />Cong. & Admin. News 1990, pp. 565, 570–571 (Conf. Rep.)).
<br />27
<br /> The U.S. Department of Health and Human Services Center for Substance Abuse Treatment has provided guidance on this
<br />regulation, stating that as an example that “a hospital that specializes in treating burn victims could not refuse to treat a burn victim
<br />because he uses illegal drugs, nor could it impose a surcharge on him because of his addiction.” U.S. Dep’t of Health & Human
<br />Servs. Ctr. for Substance Abuse Treatment, Substance Abuse Treatment for Persons With HIV/AIDS, 37 Treatment Improvement
<br />Protocol (TIP) Series 1, 187 (2008), https://www.ncbi.nlm.nih.gov/books/NBK64923/pdf/Bookshelf_NBK64923.pdf.
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