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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. <br /> <br /> <br />