Commemorating the Olmstead Anniversary with Revitalized


Twenty-four years in the past, Lois Curtis and Elaine Wilson helped change the world for folks with disabilities.  Lois and Elaine, two girls with psychiatric and mental disabilities, challenged their unjustified segregation in a Georgia psychiatric hospital in a lawsuit that reached america Supreme Court docket.  Within the 1999 landmark incapacity rights choice, Olmstead v. L.C., the Court docket dominated that unjustified segregation of individuals with disabilities violates the Individuals with Disabilities Act and that individuals with disabilities have a proper to obtain companies in essentially the most built-in setting acceptable to their wants.

The HHS Workplace for Civil Rights (OCR) is dedicated to advancing compliance with Olmstead and the mixing mandate.  Working alongside our different federal companions, OCR federal nondiscrimination legal guidelines that require entities to serve folks with disabilities in essentially the most built-in setting, together with Part 504 of the Rehabilitation Act, which applies to HHS packages and entities receiving HHS funds, Part 1557 of the Inexpensive Care Act, which applies to well being packages and actions, and Title II of the Individuals with Disabilities Act, which applies to state and native governments.

To that finish, we now have pursued a broad vary of compliance, coverage, and coordination actions through the previous 12 months to guard the rights of individuals with disabilities below the mixing mandate.  On August 4, 2022, OCR revealed a Notice of Proposed Rulemaking (NPRM) for Section 1557 within the Federal Register.  The NPRM requires coated entities to manage medical health insurance protection and different health-related protection in essentially the most built-in setting acceptable to the wants of certified people with disabilities.  As introduced within the Federal Register, we additionally plan on proposing proposed rules this 12 months below Part 504 that replace and make clear incapacity rights obligations, together with these below Olmstead. 

OCR is pleased with our partnerships all through the federal authorities to assist be sure that folks with disabilities have entry to the broader group.  Collectively, we’re dedicated to fulfilling the promise of Olmstead: that each one folks with disabilities can obtain companies in essentially the most built-in setting acceptable to their wants.  To that finish, we’re working with our HHS companions, together with the Administration for Group Residing, the Facilities for Medicare & Medicaid Providers, and the Substance Abuse and Psychological Well being Providers Administration, to supply technical help and coordination on their efforts to help group residing.  Earlier this 12 months, we additionally launched with the Division of Justice Civil Rights Division a Federal Interagency Coordinating Group to coordinate our Olmstead efforts within the Biden-Harris Administration precedence areas.

OCR can be launching a reinvigorated Olmstead Initiative to bolster our enforcement, compliance, coverage, technical help, and outreach efforts to help group residing.

The Olmstead choice reworked federal and state coverage from a segregated, institutional service mannequin  to advertise community-based helps. But, we acknowledge that for a lot of, the promise of Olmstead continues to be unfulfilled, as some folks with disabilities proceed to spend their lives in establishments or vulnerable to being institutionalized with out enough entry to alternate options. This Initiative renews our dedication to advancing the phrase and spirit of group integration, the Olmstead choice, Part 504, Part 1557, and the ADA.

These efforts will embrace:

  • Endeavor compliance and enforcement efforts to handle OCR complaints and limitations to group residing;
  • Making certain that HHS recipients of federal funds and state and native entities below Title II of the Individuals with Disabilities Act perceive and adjust to their obligations; and
  • Partaking in technical help and outreach efforts to make sure that suppliers know their obligations and stakeholders know their rights below the regulation.

We welcome info from the general public about particular person and systemic Olmstead compliance points that may profit from OCR’s investigation, technical help, and enforcement actions.  Should you consider that an individual with a incapacity has been denied entry to community-based companies and helps, chances are you’ll file a grievance with HHS OCR.

Melanie Fontes Rainer
Director, Workplace for Civil Rights
U.S. Division of Well being and Human Providers