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D-1 The source of the following text is: Transportation for Individuals with Disabilities (ADA), 49 C.F.R. Part 37, Appendix E. Available: http://www.ecfr.gov/cgi-bin/textidx?tpl=/ecfrbrowse/Title49/49cfr37_main_02.tpl [accessed June 15, 2018] Appendix E to Part 37âReasonable Modification Requests A. This appendix explains the Departmentâs interpretation of Â§Â§ 37.5(i) and 37.169. It is intended to be used as the official position of the Department concerning the meaning and implementation of these provisions. The Department also issues guidance by other means, as provided in Â§ 37.15. The Department also may update this appendix periodically, provided in response to inquiries about specific situations that are of general relevance or interest. B. The Departmentâs ADA regulations contain numerous requirements concerning fixed route, complementary paratransit, and other types of transportation service. Transportation entities nec- essarily formulate policies and practices to meet these requirements (e.g., providing fixed route bus service that people with disabilities can use to move among stops on the system, providing comple- mentary paratransit service that gets eligible riders from their point of origin to their point of desti- nation). There may be certain situations, however, in which the otherwise reasonable policies and practices of entities do not suffice to achieve the regulationâs objectives. Implementing a fixed route bus policy in the normal way may not allow a passenger with a disability to access and use the system at a particular location. Implementing a paratransit policy in the usual way may not allow a rider to get from his or her origin to his or her destination. In these situations, subject to the limitations dis- cussed below, the transportation provider must make reasonable modifications of its service in order to comply with the underlying requirements of the rule. These underlying provisions tell entities the end they must achieve; the reasonable modification provision tells entities how to achieve that end in situations in which normal policies and practices do not succeed in doing so. C. As noted above, the responsibility of entities to make requested reasonable modifications is not without some limitations. There are four classes of situations in which a request may legitimately be denied. The first is where granting the request would fundamentally alter the entityâs services, programs, or activities. The second is where granting the request would create a direct threat to the health or safety of others. The third is where without the requested modification, the individual with a disability is able to fully use the entityâs services, programs, or activities for their intended purpose. The fourth, which applies only to recipients of federal financial assistance, is where granting the request would cause an undue financial and administrative burden. In the examples that follow, these limitations are taken into account. A P P E N D I X D Current C.F.R. Language from Appendix E to Part 37
D-2 Implementing the U.S. DOT Reasonable Modification Rule D. The examples included in this appendix are neither exhaustive nor exclusive. Transportation entities may need to make determinations about requests for reasonable modification that are not described in this appendix. Importantly, reasonable modification applies to an entitiesâ own policies and practices, and not regulatory requirements contained in 49 C.F.R. Parts 27, 37, 38, and 39, such as complementary paratransit service going beyond 3/4 mile of the fixed route, providing same-day complementary paratransit service, etc. Examples 1. Snow and Ice. Except in extreme conditions that rise to the level of a direct threat to the driver or others, a passengerâs request for a paratransit driver to walk over a pathway that has not been fully cleared of snow and ice should be granted so that the driver can help the passenger with a disability navigate the pathway. For example, ambulatory blind passengers often have difficulty in icy condi- tions, and allowing the passenger to take the driverâs arm will increase both the speed and safety of the passengerâs walk from the door to the vehicle. Likewise, if snow or icy conditions at a bus stop make it difficult or impossible for a fixed route passenger with a disability to get to a lift, or for the lift to deploy, the driver should move the bus to a cleared area for boarding, if such is available within reasonable proximity to the stop (see Example 4 below). 2. Pick-Up and Drop Off Locations with Multiple Entrances. A paratransit riderâs request to be picked up at home, but not at the front door of his or her home, should be granted, as long as the requested pick-up location does not pose a direct threat. Similarly, in the case of frequently visited public places with multiple entrances (e.g., shopping malls, employment centers, schools, hos- pitals, airports), the paratransit operator should pick up and drop off the passenger at the entrance requested by the passenger, rather than meet them in a location that has been predetermined by the transportation agency, again assuming that doing so does not involve a direct threat. 3. Private Property. Paratransit passengers may sometimes seek to be picked up on private prop- erty (e.g., in a gated community or parking lot, mobile home community, business or government facility where vehicle access requires authorized passage through a security barrier). Even if the para- transit operator does not generally have a policy of picking up passengers on such private property, the paratransit operator should make every reasonable effort to gain access to such an area (e.g., work with the passenger to get the permission of the property owner to permit access for the paratransit vehicle). The paratransit operator is not required to violate the law or lawful access restrictions to meet the passengerâs requests. A public or private entity that unreasonably denies access to a para- transit vehicle may be subject to a complaint to the U.S. Department of Justice or U.S. Department of Housing and Urban Development for discriminating against services for persons with disabilities. 4. Obstructions. For fixed route services, a passengerâs request for a driver to position the vehicle to avoid obstructions to the passengerâs ability to enter or leave the vehicle at a designated stop loca- tion, such as parked cars, snow banks, and construction, should be granted so long as positioning the vehicle to avoid the obstruction does not pose a direct threat. To be granted, such a request should result in the vehicle stopping in reasonably close proximity to the designated stop location. Trans- portation entities are not required to pick up passengers with disabilities at nondesignated locations. Fixed route operators would not have to establish flag stop or route-deviation policies, as these would be fundamental alterations to a fixed route system rather than reasonable modifications of a system. Likewise, subject to the limitations discussed in the introduction to this appendix, paratransit opera- tors should be flexible in establishing pick up and drop off points to avoid obstructions. 5. Fare Handling. A passengerâs request for transit personnel (e.g., the driver, station attendant) to handle the fare media when the passenger with a disability cannot pay the fare by the generally established means should be granted on fixed route or paratransit service (e.g., in a situation where
Current C.F.R. Language from Appendix E to Part 37 D-3 a bus passenger cannot reach or insert a fare into the farebox). Transit personnel are not required to reach into pockets or backpacks in order to extract the fare media. 6. Eating and Drinking. If a passenger with diabetes or another medical condition requests to eat or drink aboard a vehicle or in a transit facility in order to avoid adverse health consequences, the request should be granted, even if the transportation provider has a policy that prohibits eating or drinking. For example, a person with diabetes may need to consume a small amount of orange juice in a closed container or a candy bar in order to maintain blood sugar levels. 7. Medicine. A passengerâs request to take medication while aboard a fixed route or paratransit vehicle or in a transit facility should be granted. For example, transit agencies should modify their policies to allow individuals to administer insulin injections and conduct finger stick blood glucose testing. Transit staff need not provide medical assistance, however, as this would be a fundamental alteration of their function. 8. Boarding Separately From Wheelchair. A wheelchair userâs request to board a fixed route or paratransit vehicle separately from his or her device when the occupied weight of the device exceeds the design load of the vehicle lift should generally be granted. (Note, however, that under Â§ 37.165(b), entities are required to accommodate device/user loads and dimensions that exceed the former âcom- mon wheelchairâ standard, as long as the vehicle and lift will accommodate them.) 9. Dedicated vehicles or special equipment in a vehicle. A paratransit passengerâs request for special equipment (e.g., the installation of specific hand rails or a front seat in a vehicle for the passenger to avoid nausea or back pain) can be denied so long as the requested equipment is not required by the Americans with Disabilities Act or the Departmentâs rules. Likewise, a request for a dedicated vehicle (e.g., to avoid residual chemical odors) or a specific type or appearance of vehicle (e.g., a sedan rather than a van, in order to provide more comfortable service) can be denied. In all of these cases, the Department views meeting the request as involving a fundamental alteration of the providerâs service. 10. Exclusive or Reduced Capacity Paratransit Trips. A passengerâs request for an exclusive paratransit trip may be denied as a fundamental alteration of the entityâs services. Paratransit is by nature a shared-ride service. 11. Outside of the Service Area or Operating Hours. A personâs request for fixed route or para- transit service may be denied when honoring the request would require the transportation provider to travel outside of its service area or to operate outside of its operating hours. This request would not be a reasonable modification because it would constitute a fundamental alteration of the entityâs service. 12. Personal Care Attendant (PCA). While PCAs may travel with a passenger with a disabil- ity, transportation agencies are not required to provide a personal care attendant or personal care attendant services to meet the needs of passengers with disabilities on paratransit or fixed route trips. For example, a passengerâs request for a transportation entityâs driver to remain with the passenger who, due to his or her disability, cannot be left alone without an attendant upon reaching his or her destination may be denied. It would be a fundamental alteration of the driverâs function to provide PCA services of this kind. 13. Intermediate Stops. The Department views granting a paratransit passengerâs request for a driver to make an intermediate stop, where the driver would be required to wait, as optional. For example, a passenger with a disability arranges to be picked up at a medical facility and dropped off at home. On the way, the passenger with a disability wishes to stop by a pharmacy and requests that the driver park outside of the pharmacy, wait for the passenger to return, and then continue the ride home. While this can be a very useful service to the rider, and in some cases can save the providerâs time and money (by scheduling and providing a separate trip to and from the drug store), such a stop
D-4 Implementing the U.S. DOT Reasonable Modification Rule in the context of a shared-ride system is not required. Since paratransit is, by its nature, a shared-ride system, requests that could disrupt schedules and inconvenience other passengers could rise to the level of a fundamental alteration. 14. Payment. A passengerâs request for a fixed route or paratransit driver to provide the transit service when the passenger with a disability cannot or refuses to pay the fare may be denied. If the transportation agency requires payment to ride, then to provide a free service would constitute a fundamental alteration of the entityâs service. 15. Caring for Service Animals. A paratransit or fixed route passengerâs request that the driver take charge of a service animal may be denied. Caring for a service animal is the responsibility of the passenger or a PCA. 16. Opening Building Doors. For paratransit services, a passengerâs request for the driver to open an exterior entry door to a building to provide boarding and/or alighting assistance to a passenger with a disability should generally be granted as long as providing this assistance would not pose a direct threat, or leave the vehicle unattended or out of visual observation for a lengthy period of time. Note that a request for âdoor-through-doorâ service (i.e., assisting the passenger past the door to the building) generally would not need to be granted because it could rise to the level of a fundamental alteration. 17. Exposing Vehicle to Hazards. If the passenger requests that a vehicle follow a path to a pick up or drop off point that would expose the vehicle and its occupants to hazards, such as running off the road, getting stuck, striking overhead objects, or reversing the vehicle down a narrow alley, the request can be denied as creating a direct threat. 18. Hard-to-Maneuver Stops. A passenger may request that a paratransit vehicle navigate to a pick-up point to which it is difficult to maneuver a vehicle. A passengerâs request to be picked up in a location that is difficult, but not impossible or impracticable, to access should generally be granted as long as picking up the passenger does not expose the vehicle to hazards that pose a direct threat (e.g., it is unsafe for the vehicle and its occupants to get to the pick-up point without getting stuck or running off the road). 19. Specific Drivers. A passengerâs request for a specific driver may be denied. Having a specific driver is not necessary to afford the passenger the service provided by the transit operator. 20. Luggage and Packages. A passengerâs request for a fixed route or paratransit driver to assist with luggage or packages may be denied in those instances where it is not the normal policy or prac- tice of the transportation agency to assist with luggage or packages. Such assistance is a matter for the passenger or PCA, and providing this assistance would be a fundamental alteration of the driverâs function. 21. Request to Avoid Specific Passengers. A paratransit passengerâs request not to ride with certain passengers may be denied. Paratransit is a shared-ride service. As a result, one passenger may need to share the vehicle with people that he or she would rather not. 22. Navigating an Incline, or Around Obstacles. A paratransit passengerâs request for a driver to help him or her navigate an incline (e.g., a driveway or sidewalk) with the passengerâs wheeled device should generally be granted. Likewise, assistance in traversing a difficult sidewalk (e.g., one where tree roots have made the sidewalk impassible for a wheelchair) should generally be granted, as should assistance around obstacles (e.g., snowdrifts, construction areas) between the vehicle and a door to a passengerâs house or destination should generally be granted. These modifications would be granted subject, of course, to the proviso that such assistance would not cause a direct threat, or leave the vehicle unattended or out of visual observation for a lengthy period of time. 23. Extreme Weather Assistance. A passengerâs request to be assisted from his or her door to a vehicle during extreme weather conditions should generally be granted so long as the driver leaving
Current C.F.R. Language from Appendix E to Part 37 D-5 the vehicle to assist would not pose a direct threat, or leave the vehicle unattended or out of visual observation for a lengthy period of time. For example, in extreme weather (e.g., very windy or stormy conditions), a person who is blind or vision-impaired or a frail elderly person may have difficulty safely moving to and from a building. 24. Unattended Passengers. Where a passengerâs request for assistance means that the driver will need to leave passengers aboard a vehicle unattended, transportation agencies should generally grant the request as long as accommodating the request would not leave the vehicle unattended or out of visual observation for a lengthy period of time, both of which could involve direct threats to the health or safety of the unattended passengers. It is important to keep in mind that, just as a driver is not required to act as a PCA for a passenger making a request for assistance, so a driver is not intended to act as a PCA for other passengers in the vehicle, such that he or she must remain in their physical presence at all times. 25. Need for Return Trip Assistance. A passenger with a disability may need assistance for a return trip when he or she did not need that assistance on the initial trip. For example, a dialysis patient may have no problem waiting at the curb for a ride to go to the dialysis center, but may well require assistance to the door on his or her return trip because of physical weakness or fatigue. To the extent that this need is predictable, it should be handled in advance, either as part of the eligibility process or the providerâs reservations process. If the need arises unexpectedly, then it would need to be handled on an ad hoc basis. The paratransit operator should generally provide such assistance, unless doing so would create a direct threat, or leave the vehicle unattended or out of visual observa- tion for a lengthy period of time. 26. Five-Minute Warning or Notification of Arrival Calls. A passengerâs request for a telephone call 5 minutes (or another reasonable interval) in advance or at time of vehicle arrival generally should be granted. As a matter of courtesy, such calls are encouraged as a good customer service model and can prevent âno shows.â Oftentimes, these calls can be generated through an automated system. In those situations where automated systems are not available and paratransit drivers con- tinue to rely on hand-held communication devices (e.g., cellular telephones) drivers should comply with any State or Federal laws related to distracted driving. 27. Hand-Carrying. Except in emergency situations, a passengerâs request for a driver to lift the passenger out of his or her mobility device should generally be denied because of the safety, dignity, and privacy issues implicated by hand-carrying a passenger. Hand-carrying a passenger is also a PCA-type service which is outside the scope of driver duties, and hence a fundamental alteration.