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The Legal and Policy Perspective

Chapter 4

Introduction

Social care policy for individuals with disabilities originated in the nineteenth century and its legislative basis in welfare reforms introduced after the Second World War.

Americans with Disabilities Act (1990)

SSI Disability

Medicaid/Medicare

NASW – ethical principles

Social workers’ primary goal is to help people in need and to address social problems.

Social workers challenge social injustice.

Social workers respect the inherent dignity and worth of the person.

Social workers recognize the central importance of human relationships.

Social workers behave in trustworthy manner.

Social workers practice within their areas of competence and develop and enhance their professional expertise.

https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

Historical development of policy

Institutional care  Social inclusion  citizenship

Self-contained residential “colonies’ were set-up

Institutions for Individuals with disabilities

Texas School for the Blind

Gallaudet University

Founded in 1864

Originally for both blind and deaf students

Second important theme for policy is the distinction between those regarded as “deserving” of assistance from the state and those who are “undeserving”.

4 objectives that Guided policy

Containment and segregation

Aims to keep disabled people away from mainstream of social life

Institutions built for congregate living

Compensation

Aims to compensate disabled people for their lack of access to paid work

At first, restricted to those disabled as a result of accidents at work or injury during military service.

Progress has been made by blind people who successfully campaigned for legislation by marching on London

Welfare

Following the WWII, more comprehensive welfare legislation came into force.

Citizenship

Right to independent living and control over their own lives

Americans with Disabilities Act

Title I: Employment

Title II: State and Local Government Activities

Public Transportation

Title III: Public Accommodations / Commercial Facilities

Title IV: Telecommunications Relay Services

Video: https://www.youtube.com/watch?v=2Nt7GGZHyNc

Social Security Disability Insurance

Largest Federal program that provides assistance to people with disabilities.

Pays benefits to you and certain members of your family if you are “insured” meaning that you worked long enough and paid SS taxes

Supplemental Security Income

Pays benefits based on financial need.

Individual cannot earn more than $1,190 per month by working

For more information: https://www.ssa.gov/disability/

Medicaid – Government Health Insurance

Free or low-cost care though Medicaid based on income and family size

Covers people with disabilities

You must be approved from SSDI benefits to receive Medicare

Those who are approved for SSI will receive Medicaid

Supplemental Nutrition Assistance Program (SNAP)

Offers nutrition assistance to millions of eligible, low-income individuals and families and provides economic benefits to communities.

You receive Federal disability or blindness payments under the Social Security Act, including Supplemental Security Income (SSI) or Social Security disability or blindness payments. OR

You receive State disability or blindness payments based on SSI rules. OR

You receive a disability retirement benefit from a governmental agency because of a permanent disability. OR

You receive an annuity under the Railroad Retirement Act and are eligible for Medicare or are considered disabled under SSI. OR

You are a veteran who is totally disabled, permanently homebound, or in need of regular aid and attendance. OR

You are the surviving spouse or child of a veteran who is receiving VA benefits and is considered permanently disabled

ABLE Accounts

ABLE Accounts are much like the tax-free 529 accounts used to save for college education.

Disabled individuals, family, friends (or anyone else) may contribute a total of $14,000 into the account each year.

Limit over time is $300,000

Contribution to ABLE accounts are not tax deductible, but are excluded from the federal gift tax.

Money used for “qualified disability expenses”

Why?

Disabled people would lose their SSI Disability or Medicaid benefits if they have too much savings. Over $2,000.

Who is eligible for ABLE Accounts?

Only available to people who are

Blind

Have a physical/mental impairment marked and severe functional limitations which can be expected to result in death or have lasted or are expected to last for at least 12 months.

Must be before the person reaches the age of 26

More information: https://www.nolo.com/legal-encyclopedia/new-savings-accounts-able-disabled-people.html

Telecommunication Act

Section 255 and Section 251(a)(2) of the Communications Act of 1934, as amended by the Telecommunications Act of 1996

require manufacturers of telecommunications equipment and providers of telecommunications services to ensure that such equipment and services are accessible to and usable by persons with disabilities, if readily achievable.

These amendments ensure that people with disabilities will have access to a broad range of products and services such as telephones, cell phones, pagers, call-waiting, and operator services, that were often inaccessible to many users with disabilities. 

Fair Housing Act

1988

prohibits housing discrimination on the basis of race, color, religion, sex, disability, familial status, and national origin. 

requires owners of housing facilities to make reasonable exceptions in their policies and operations to afford people with disabilities equal housing opportunities.

Ex: guide dog/service dog

requires landlords to allow tenants with disabilities to make reasonable access-related modifications to their private living space, as well as to common use spaces. (The landlord is not required to pay for the changes.)

requires that new multifamily housing with four or more units be designed and built to allow access for persons with disabilities. This includes accessible common use areas, doors that are wide enough for wheelchairs, kitchens and bathrooms that allow a person using a wheelchair to maneuver, and other adaptable features within the units.

Air carrier access act

prohibits discrimination in air transportation by domestic and foreign air carriers against qualified individuals with physical or mental impairments.

It applies only to air carriers that provide regularly scheduled services for hire to the public.

Requirements address a wide range of issues including boarding assistance and certain accessibility features in newly built aircraft and new or altered airport facilities.

Service animals: https://www.transportation.gov/individuals/aviation-consumer-protection/service-animals-including-emotional-support-animals

National Voter Registration Act

1993

“Motor Voter Act”

 to increase the historically low registration rates of minorities and persons with disabilities that have resulted from discrimination.

requires all offices of State-funded programs that are primarily engaged in providing services to persons with disabilities to provide all program applicants with voter registration forms, to assist them in completing the forms, and to transmit completed forms to the appropriate State official.

For more information: https://www.justice.gov/crt/voting-section

Voting Accessibility for the Elderly and Handicapped Act

1984

generally requires polling places across the United States to be physically accessible to people with disabilities for federal elections.

Where no accessible location is available to serve as a polling place, a political subdivision must provide an alternate means of casting a ballot on the day of the election.

This law also requires states to make available registration and voting aids for disabled and elderly voters, including information by TTYs (also known as TDDs) or similar devices.

Civil Rights of Institutionalized Persons Act

authorizes the U.S. Attorney General to investigate conditions of confinement at State and local government institutions such as prisons, jails, pretrial detention centers, juvenile correctional facilities, publicly operated nursing homes, and institutions for people with psychiatric or developmental disabilities.

Allow the Attorney General to uncover and correct widespread deficiencies that seriously jeopardize the health and safety of residents of institutions.

The Attorney General may initiate civil law suits where there is reasonable cause to believe that conditions are "egregious or flagrant," that they are subjecting residents to "grievous harm," and that they are part of a "pattern or practice" of resistance to residents' full enjoyment of constitutional or Federal rights, including title II of the ADA and section 504 of the Rehabilitation Act.

Architectural Barriers Act

requires that buildings and facilities that are designed, constructed, or altered with Federal funds, or leased by a Federal agency, comply with Federal standards for physical accessibility.

requirements are limited to architectural standards in new and altered buildings and in newly leased facilities.

Rehabilitation Act

The Rehabilitation Act prohibits discrimination on the basis of disability in programs conducted by Federal agencies, in programs receiving Federal financial assistance, in Federal employment, and in the employment practices of Federal contractors. The standards for determining employment discrimination under the Rehabilitation Act are the same as those used in title I of the Americans with Disabilities Act.

Rehabilitation ACT

Section 501 

requires affirmative action and nondiscrimination in employment by Federal agencies of the executive branch.

Section 503

requires affirmative action and prohibits employment discrimination by Federal government contractors and subcontractors with contracts of more than $10,000.

Section 504

states that "no qualified individual with a disability in the United States shall be excluded from, denied the benefits of, or be subjected to discrimination under" any program or activity that either receives Federal financial assistance or is conducted by any Executive agency or the United States Postal Service.

Section 508

establishes requirements for electronic and information technology developed, maintained, procured, or used by the Federal governme

Policies for Disabled Children

Education Policy

Individuals with Disabilities Act

Formally called the Education for all Handicapped Children Act of 1975

Requires public school to make available to all eligible children with disabilities a free appropriate public education in the least restrictive environment appropriate to their individual needs.

Schools must develop a Individualized Education Program (IEP’s) for each child.

Reviewed annually

Teams include child’s teacher, parents, an agency representative who is qualified to provide or supervise the provision of special education and other individuasl at the parents’ or agency’s discretion.

Rehabilitation Act: Section 504

Social Policy

States that “no qualified individual with a disability in the United States shall be excluded from, denied the benefits or, or be subjected to discrimination under” any program or activity that either receives Federal financial assistance or is conducted by any Executive agency or the United States Postal Service.

Dear Colleagues Letter

More information: https://www2.ed.gov/about/offices/list/ocr/504faq.html

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