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WHERE DO YOU WORK? 
This document contains general information for educational purposes and should not be construed as legal advice. It is not intended to be a comprehensive 
statement of the law and may not reflect recent legal developments. Created in 2014 by Disability Rights NC.
“WHAT IF…?” 
· What if you never got to make a mistake? 
· What if your money was always kept in an envelope where you 
couldn't get it? 
· What if you grew old and never knew adulthood? 
· What if your only chance to be with people different from you 
was with your own family? 
· What if the job you did was not useful? 
· What if you never got to make a decision? 
· What if you never got a chance?” 
-Linda Stengle, Laying Community Foundations 
for Your Child with a Disability 
Picture: Keys 
2
Why We Advocate That 
People With Disabilities Work 
·$1,145/month August 
2014 average SSDI 
benefit 
·$972/month 
2014 poverty guideline 
for household of one 
·$553/month August 
2014 average SSI benefit 
Picture: dollar bill with 
(ages 18-64) 
pennies stacked on top. 
3
Scenarios: 
Encouraging Work
Franklin 
Franklin is 35 years 
old and has been 
receiving SSDI 
benefits since he 
had a TBI 5 years 
ago. He just had 
his second child 
and would like to 
return to work to 
bring more money 
into the household. 
Picture: father and daughter. 5
Franklin (2) 
· Trial Work Period – individual can earn over Substantial 
Gainful Activity (SGA) limits for a total of 9 total months 
(do not have to be consecutive) and none of the earnings 
will be counted for purposes of benefit eligibility 
· Extended Period of Eligibility (EPE) – for 36 months after 
TWP, receive SSDI for any month earnings fall below SGA. 
· Expedited Reinstatement – if the individual has 
demonstrated ability to earn SGA and benefits have 
stopped, but is now unable to continue earning SGA, the 
individual can request expedited reinstatement of 
benefits up to 5 years later without having to complete a 
new application. 
6
Franklin (3) 
If Franklin uses the Ticket to Work program: 
· He receives a “ticket” that he can assign to an 
Employment Network. In return, the Employment 
Network will provide him with vocational services and 
equipment to aid him in finding or maintaining 
employment, and will earn payment commensurate with 
his success in employment. 
· Suspension of Medical Continuing Disability Reviews 
(CDR) – if the Ticket is assigned before notice of a medical 
CDR is given, no CDRs will be conducted while Franklin is 
participating and making progress in the Ticket to Work 
program. 
7
Franklin (4) 
If Franklin is receiving SSDI of $1100/month and finds 
a full-time job earning $35,000 per year. 
· First twelve months: 
- maintains SSDI during trial work period and 
extended period of eligibility. Total income: $4000 
per month 
· After TWP, SSDI benefits cease 
- Monthly income of about $2900 still far exceeds 
SSDI, and enables income growth not tied to SSDI 
limits 
8 
- Remains Medicaid eligible through the Medicaid
Jasper 
Jasper is 16 years 
old and has 
autism. When he 
graduates from 
high school, 
Jasper plans to 
work and have an 
apartment. 
Picture: Boy standing in front of 
periodic table of elements. 
9
Jasper (2) 
If Jasper has SSI, are he and his parents aware of available work 
incentives*? 
· Plan To Achieve Self-Support (PASS) plan: individual with disability is 
allowed to save up money towards work goal. For example, allows 
individuals to save up money for vehicle, wheelchair, or computer if 
needed to work. (If not for the PASS plan, the money saved would be 
considered an “asset” that counts against Jasper in determining his 
SSI eligibility.) 
· Student Earned Income Disregard: individual under age 22 who is 
regularly attending school is allowed to earn up to $1,730/month, 
and up to $6,960/year, and it will not be counted as income for 
purposes of calculating SSI benefit amount. 
*Consult a Work Incentives Planning Agency (WIPA) for help. 
10
Jasper (3) 
As a student with autism enrolled in public school, Jasper 
should already be identified as a student with a disability 
and be receiving special education services under an IEP. 
 A student with an IEP has the right to 
a transition plan. 
- Age 14+: must include 
statement of need for services 
to support student’s transition to 
“life after high school” 
Picture: student 
- Age 16+: must set goals to be met during high school to help 
student transition, and identify the services needed to meet 
goals (parents may consider advocating for this stage of 
planning to begin at 14 for students with complex needs) 
11
Jasper (4) 
Transition Plan goals 
to be addressed: 
 additional 
education 
 employment 
 living 
arrangements 
 community 
participation 
Is the plan “real”? 
· The plan is specific 
about how student 
will reach goals. 
· Other agencies are 
included in 
planning, such as 
VR, mental health. 
12
Jasper (5) 
Additional referrals/resources for Jasper: 
· Vocational Rehabilitation 
- May pay for college tuition and supplies 
- May provide supported employment services 
- May pay for vehicle modifications and other 
independent living needs 
· Managed Care Organization (MCO): 
- These entities manage publicly-funded behavioral 
health services, including Supported Employment, 
CAP I/DD (Innovations Waiver) 
13
Mercedes 
Mercedes has just graduated from 
high school. Mercedes has 
significant physical disabilities 
and receives personal care and 
other medical services through 
Medicaid. She is fearful about 
trying work because she is 
worried about losing Medicaid. 
Picture: woman reading book. 14
Mercedes (2) 
Mercedes should be made aware of Health Coverage for 
Workers with Disabilities (the Medicaid Buy-In). Individuals 
who are eligible: 
- are between the ages of 16 and 64 
- have a disability (as defined by the Social Security 
Administration) 
- are working 
- have unearned income (e.g. SSDI, SSI, alimony) 
under 150% of the federal poverty level. There is no 
earned income limit. 
Fees and premium amounts included in manuscript attachments. 
15
Jack 
Jack receives 
$721/month of SSI 
and is interested in 
trying work. He’s 
not sure whether 
he wants to work 
part-time or full-time. 
16 
Picture: man looking at stock prices
Jack (2) 
-Job pays $10/hour 
-20 hours/week 
· Jack will earn 
$866/month 
· Jack’s SSI will be 
reduced to $331; 
he will maintain 
Medicaid 
· His overall income 
will increase to 
about $1197/month 
· Job pays $10/hour 
· 40 hours/week 
· Jack will earn 
$1,733/month. 
· Jack will lose SSI 
cash payment. 
· Maintains 
Medicaid through 
buy-in. 
· Free from 
17 
burdens of SSI
EMPLOYMENT RIGHTS: 
ADA OVERVIEW 
Picture: people working in an office.
ADA Definition of Disability 
· a physical or mental 
impairment that 
substantially limits 
one or more major life 
activities 
OR 
· a person with a record 
of such an impairment 
(even if that record is 
inaccurate) 
OR 
· a person who is 
regarded as having 
such an impairment 
In contrast to the 
definition of 
disability used by 
SSA, the ADA 
definition of 
disability does not 
turn on the ability 
to work or do a 
certain kind of 
work. 
19
ADA Definition of Disability (2) 
Substantially Limits 
· An impairment is a 
disability if it 
substantially limits the 
condition, manner, or 
duration under which 
an individual can 
perform a major life 
activity as compared to 
most people in the 
general population 
Duration 
· Temporary, non-chronic 
impairment of short 
duration (like broken 
bone) usually not 
substantially limiting 
· Impairments that are 
episodic or in remission 
are disabilities if 
substantially limiting 
when active 
20
ADA Definition of Disability (3) 
Major Life Activities include, 
but are not limited to: 
· Hearing 
· Speaking 
· Breathing 
· Learning 
· Working 
· Standing 
· Lifting 
· Bending 
· Concentrating 
· Thinking 
…and major bodily 
functions: 
· Immune system 
· Normal cell growth 
· Digestive 
· Bowel 
· Bladder 
· Reproductive functions 
· Neurological 
· Brain 
· Respiratory 
· Circulatory 
21 
· Endocrine
Who does the ADA not cover? 
Some people are explicitly excluded from 
coverage, including: 
· current users of illegal drugs 
- those with a history, but who are not current 
abusers of drugs or alcohol are covered 
- employer may conduct drug tests on 
employees for illegal drugs 
· transgendered, homosexual, and bisexual 
individuals 
· those who have the conditions of compulsive 
gambling, kleptomania, or pyromania 
22
Reasonable Accommodation (1) 
· Before rights attach, must establish that individual is 
“qualified” to do the job – meaning he or she can, 
with or without reasonable accommodation, perform 
the essential functions of a desired job or job 
currently held. 
· A reasonable accommodation is any modification, 
adjustment, or change to the work environment that 
will enable a qualified person with a disability to 
perform the job or to access the benefits available to 
similarly situated employees who do not have a 
disability. 
23
Reasonable Accommodation (2) 
· Individuals must ask for reasonable 
accommodations; accommodations 
must be provided at the 
employer’s expense. 
· An employer may request medical 
documentation substantiating the 
employee’s need for an 
accommodation if the disability (or 
disabilities) and the nature of the 
employee’s physical limitations are 
not obvious. 
· Defense: undue hardship 
Picture: accessible parking sign. 
24
Leave As An Accommodation 
· Employer must grant leave 
unless it would be an undue 
hardship. 
· Employer must hold job open 
during leave. If holding job 
open would cause an undue 
hardship, employer must 
consider reassignment. 
· Employer may offer a different 
accommodation (such as 
telework or modified 
schedule) than leave if still 
Picture: calendar effective. 25
FMLA/ADA Overlap 
· Disability-related leave from work may sometimes qualify 
as a reasonable accommodation under the ADA and 
leave under the FMLA. 
· If both laws apply, employer must provide leave under 
whichever statute provides the greatest rights to 
employees. 
· If both laws apply, an employee can request additional 
leave beyond 12 week FMLA leave (or 26 weeks for 
military) as a reasonable accommodation under the ADA. 
· If leave qualifies as FMLA leave, the right to leave is 
absolute. FMLA does not consider the “reasonableness” 
of the leave. 
26
Statute of Limitations - ADA 
· Within 180 days of the discriminatory act, an 
employee must file an administrative complaint with 
the Equal Employment Opportunity Commission. 
· This is an administrative remedy which must be 
exhausted before individual can file court action, and 
can include mediation with the employer in an 
attempt to resolve the complaint. 
· If EEOC does not find a violation, employee receives 
a “right to sue letter” and has 90 days to file lawsuit 
in court or forfeit rights under ADA 
27
New Laws 
· Workforce Innovation and Opportunity Act (WIOA): 
Increased emphasis on employment of individuals 
with disabilities, particularly transition-age youth. 
· Home and Community Based Services (HCBS) 
regulations: defines “community based services” 
that can be supported with federal funds (and which 
cannot). 
· Executive Order 13658 (Establishing A Minimum 
Wage For Contractors): 14(c) subminimum wage 
must be calculated based on $10.10 minimum wage 
for federal contractors. 
28
Contact Information 
Disability Rights North Carolina 
3724 National Drive 
Suite 100 
Raleigh, NC 27610 
919.856.2195 
877.235.4210 
888.268.5535 TTY 
919.856.2244 fax 
www.disabilityrightsnc.org 
29

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Kaleo Supports - Where Do You Work 2014

  • 1. WHERE DO YOU WORK? This document contains general information for educational purposes and should not be construed as legal advice. It is not intended to be a comprehensive statement of the law and may not reflect recent legal developments. Created in 2014 by Disability Rights NC.
  • 2. “WHAT IF…?” · What if you never got to make a mistake? · What if your money was always kept in an envelope where you couldn't get it? · What if you grew old and never knew adulthood? · What if your only chance to be with people different from you was with your own family? · What if the job you did was not useful? · What if you never got to make a decision? · What if you never got a chance?” -Linda Stengle, Laying Community Foundations for Your Child with a Disability Picture: Keys 2
  • 3. Why We Advocate That People With Disabilities Work ·$1,145/month August 2014 average SSDI benefit ·$972/month 2014 poverty guideline for household of one ·$553/month August 2014 average SSI benefit Picture: dollar bill with (ages 18-64) pennies stacked on top. 3
  • 5. Franklin Franklin is 35 years old and has been receiving SSDI benefits since he had a TBI 5 years ago. He just had his second child and would like to return to work to bring more money into the household. Picture: father and daughter. 5
  • 6. Franklin (2) · Trial Work Period – individual can earn over Substantial Gainful Activity (SGA) limits for a total of 9 total months (do not have to be consecutive) and none of the earnings will be counted for purposes of benefit eligibility · Extended Period of Eligibility (EPE) – for 36 months after TWP, receive SSDI for any month earnings fall below SGA. · Expedited Reinstatement – if the individual has demonstrated ability to earn SGA and benefits have stopped, but is now unable to continue earning SGA, the individual can request expedited reinstatement of benefits up to 5 years later without having to complete a new application. 6
  • 7. Franklin (3) If Franklin uses the Ticket to Work program: · He receives a “ticket” that he can assign to an Employment Network. In return, the Employment Network will provide him with vocational services and equipment to aid him in finding or maintaining employment, and will earn payment commensurate with his success in employment. · Suspension of Medical Continuing Disability Reviews (CDR) – if the Ticket is assigned before notice of a medical CDR is given, no CDRs will be conducted while Franklin is participating and making progress in the Ticket to Work program. 7
  • 8. Franklin (4) If Franklin is receiving SSDI of $1100/month and finds a full-time job earning $35,000 per year. · First twelve months: - maintains SSDI during trial work period and extended period of eligibility. Total income: $4000 per month · After TWP, SSDI benefits cease - Monthly income of about $2900 still far exceeds SSDI, and enables income growth not tied to SSDI limits 8 - Remains Medicaid eligible through the Medicaid
  • 9. Jasper Jasper is 16 years old and has autism. When he graduates from high school, Jasper plans to work and have an apartment. Picture: Boy standing in front of periodic table of elements. 9
  • 10. Jasper (2) If Jasper has SSI, are he and his parents aware of available work incentives*? · Plan To Achieve Self-Support (PASS) plan: individual with disability is allowed to save up money towards work goal. For example, allows individuals to save up money for vehicle, wheelchair, or computer if needed to work. (If not for the PASS plan, the money saved would be considered an “asset” that counts against Jasper in determining his SSI eligibility.) · Student Earned Income Disregard: individual under age 22 who is regularly attending school is allowed to earn up to $1,730/month, and up to $6,960/year, and it will not be counted as income for purposes of calculating SSI benefit amount. *Consult a Work Incentives Planning Agency (WIPA) for help. 10
  • 11. Jasper (3) As a student with autism enrolled in public school, Jasper should already be identified as a student with a disability and be receiving special education services under an IEP.  A student with an IEP has the right to a transition plan. - Age 14+: must include statement of need for services to support student’s transition to “life after high school” Picture: student - Age 16+: must set goals to be met during high school to help student transition, and identify the services needed to meet goals (parents may consider advocating for this stage of planning to begin at 14 for students with complex needs) 11
  • 12. Jasper (4) Transition Plan goals to be addressed:  additional education  employment  living arrangements  community participation Is the plan “real”? · The plan is specific about how student will reach goals. · Other agencies are included in planning, such as VR, mental health. 12
  • 13. Jasper (5) Additional referrals/resources for Jasper: · Vocational Rehabilitation - May pay for college tuition and supplies - May provide supported employment services - May pay for vehicle modifications and other independent living needs · Managed Care Organization (MCO): - These entities manage publicly-funded behavioral health services, including Supported Employment, CAP I/DD (Innovations Waiver) 13
  • 14. Mercedes Mercedes has just graduated from high school. Mercedes has significant physical disabilities and receives personal care and other medical services through Medicaid. She is fearful about trying work because she is worried about losing Medicaid. Picture: woman reading book. 14
  • 15. Mercedes (2) Mercedes should be made aware of Health Coverage for Workers with Disabilities (the Medicaid Buy-In). Individuals who are eligible: - are between the ages of 16 and 64 - have a disability (as defined by the Social Security Administration) - are working - have unearned income (e.g. SSDI, SSI, alimony) under 150% of the federal poverty level. There is no earned income limit. Fees and premium amounts included in manuscript attachments. 15
  • 16. Jack Jack receives $721/month of SSI and is interested in trying work. He’s not sure whether he wants to work part-time or full-time. 16 Picture: man looking at stock prices
  • 17. Jack (2) -Job pays $10/hour -20 hours/week · Jack will earn $866/month · Jack’s SSI will be reduced to $331; he will maintain Medicaid · His overall income will increase to about $1197/month · Job pays $10/hour · 40 hours/week · Jack will earn $1,733/month. · Jack will lose SSI cash payment. · Maintains Medicaid through buy-in. · Free from 17 burdens of SSI
  • 18. EMPLOYMENT RIGHTS: ADA OVERVIEW Picture: people working in an office.
  • 19. ADA Definition of Disability · a physical or mental impairment that substantially limits one or more major life activities OR · a person with a record of such an impairment (even if that record is inaccurate) OR · a person who is regarded as having such an impairment In contrast to the definition of disability used by SSA, the ADA definition of disability does not turn on the ability to work or do a certain kind of work. 19
  • 20. ADA Definition of Disability (2) Substantially Limits · An impairment is a disability if it substantially limits the condition, manner, or duration under which an individual can perform a major life activity as compared to most people in the general population Duration · Temporary, non-chronic impairment of short duration (like broken bone) usually not substantially limiting · Impairments that are episodic or in remission are disabilities if substantially limiting when active 20
  • 21. ADA Definition of Disability (3) Major Life Activities include, but are not limited to: · Hearing · Speaking · Breathing · Learning · Working · Standing · Lifting · Bending · Concentrating · Thinking …and major bodily functions: · Immune system · Normal cell growth · Digestive · Bowel · Bladder · Reproductive functions · Neurological · Brain · Respiratory · Circulatory 21 · Endocrine
  • 22. Who does the ADA not cover? Some people are explicitly excluded from coverage, including: · current users of illegal drugs - those with a history, but who are not current abusers of drugs or alcohol are covered - employer may conduct drug tests on employees for illegal drugs · transgendered, homosexual, and bisexual individuals · those who have the conditions of compulsive gambling, kleptomania, or pyromania 22
  • 23. Reasonable Accommodation (1) · Before rights attach, must establish that individual is “qualified” to do the job – meaning he or she can, with or without reasonable accommodation, perform the essential functions of a desired job or job currently held. · A reasonable accommodation is any modification, adjustment, or change to the work environment that will enable a qualified person with a disability to perform the job or to access the benefits available to similarly situated employees who do not have a disability. 23
  • 24. Reasonable Accommodation (2) · Individuals must ask for reasonable accommodations; accommodations must be provided at the employer’s expense. · An employer may request medical documentation substantiating the employee’s need for an accommodation if the disability (or disabilities) and the nature of the employee’s physical limitations are not obvious. · Defense: undue hardship Picture: accessible parking sign. 24
  • 25. Leave As An Accommodation · Employer must grant leave unless it would be an undue hardship. · Employer must hold job open during leave. If holding job open would cause an undue hardship, employer must consider reassignment. · Employer may offer a different accommodation (such as telework or modified schedule) than leave if still Picture: calendar effective. 25
  • 26. FMLA/ADA Overlap · Disability-related leave from work may sometimes qualify as a reasonable accommodation under the ADA and leave under the FMLA. · If both laws apply, employer must provide leave under whichever statute provides the greatest rights to employees. · If both laws apply, an employee can request additional leave beyond 12 week FMLA leave (or 26 weeks for military) as a reasonable accommodation under the ADA. · If leave qualifies as FMLA leave, the right to leave is absolute. FMLA does not consider the “reasonableness” of the leave. 26
  • 27. Statute of Limitations - ADA · Within 180 days of the discriminatory act, an employee must file an administrative complaint with the Equal Employment Opportunity Commission. · This is an administrative remedy which must be exhausted before individual can file court action, and can include mediation with the employer in an attempt to resolve the complaint. · If EEOC does not find a violation, employee receives a “right to sue letter” and has 90 days to file lawsuit in court or forfeit rights under ADA 27
  • 28. New Laws · Workforce Innovation and Opportunity Act (WIOA): Increased emphasis on employment of individuals with disabilities, particularly transition-age youth. · Home and Community Based Services (HCBS) regulations: defines “community based services” that can be supported with federal funds (and which cannot). · Executive Order 13658 (Establishing A Minimum Wage For Contractors): 14(c) subminimum wage must be calculated based on $10.10 minimum wage for federal contractors. 28
  • 29. Contact Information Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh, NC 27610 919.856.2195 877.235.4210 888.268.5535 TTY 919.856.2244 fax www.disabilityrightsnc.org 29

Editor's Notes

  1. 42 USC 12102(4)(A); 29 CFR 1630; 29 CFR 1630.1(c)(4); 1630(j)(1)(4); EEOC Q&A for the Final Rule Implementing the ADAAA Franchi v. New Hampton School, 656 F. Supp. 2d 252 (D.N.H. 2009); Carmona V. Southwest Airlines Co. 604 F. 3d 848 (5th Cir. 2010); Gibbs v. ADS, 2011 WL 3205779 (D. Kan. July 28, 2011); Eldredge v. City of St. Paul, 2011 WL 3609399 (D. Minn. Aug. 15, 2011); Pridgen v. Department of Public Works, 2009 WL 4726691 (D. Md. Dec. 1, 2009).
  2. In EEOC regulations, but not in text of ADA: interacting with others, reaching, sitting; Verhoff v. Time Warner Cable, Inc. 299 Fed. Appx. 488, 494 (6th Cir. 2008)