Definition of DisabilityDefinition of Disability (by law)
 To be protected by the ADA, a person must meet the definition of the
term "qualified individual with a disability" as defined by the
Act and implementing regulations.2 This Compliance Manual
section discusses the ADA definition of the term "disability."3
The definition of the term "qualified individual with a disability"
and the appropriate analysis for determining whether a person
meets that definition will be discussed in a separate forthcoming
Compliance Manual section.
A major part of the inquiry in an ADA charge often will
be the determination of whether the charging party is protected
by the Act. This determination frequently requires more
extensive analysis than does the determination of whether a
person is protected by other nondiscrimination statutes. For
example, it is generally clear whether a person is of a
particular race, national origin, age, or sex that is alleged to
be the basis of discrimination. By contrast, it often is less
clear whether a person's physical or mental condition constitutes
an impairment of sufficient degree to establish that the person
meets the statutory definition of an individual with a
"disability."
The definition of "disability" under the ADA reflects
the intent of Congress to prohibit the specific forms of
discrimination that persons with disabilities face. While
individuals with disabilities may experience the types of
discrimination that confront other groups, they also may
encounter unique forms of discrimination because of the nature of
their disabilities and the effect that their present, past, or
perceived conditions have on other persons. The purpose of the
ADA is to eliminate discrimination that confronts individuals
with disabilities.
Since the definition of the term "disability" under the
ADA is tailored to the purpose of eliminating discrimination
prohibited by the ADA, it may differ from the definition of
"disability" in other laws drafted for other purposes. For
example, the definition of a "disabled veteran" is not the same
as the definition of an individual with a disability under the
ADA.4 Similarly, an individual might be eligible for disability
retirement but not be an individual with a disability under the
ADA. Conversely, a person who meets the ADA definition of
"disability" might not meet the requirements for disability
retirement.
(b) Statutory Definition -- With respect to an
individual, the term "disability" means
(A) a physical or mental impairment that
substantially limits one or more of the major life activities of
such individual;
(B) a record of such an impairment; or
(C) being regarded as having such an
impairment.
42 U.S.C. § 12102(2); see also 29 C.F.R. § 1630.2(g).
A person must meet the requirements of at least one of these
three criteria to be an individual with a disability under the
Act.
The first part of the definition covers persons who
actually have physical or mental impairments that substantially
limit one or more major life activities. The focus under the
first part is on the individual, to determine if (s)he has a
substantially limiting impairment. To fall under the first part
of the definition, a person must establish three elements:
(1) that (s)he has a physical or mental impairment
(2) that substantially limits
(3) one or more major life activities.
The second and third parts of the definition cover
persons who may not have an impairment that substantially limits
a major life activity but who have a history of, or have been
misclassified as having, such a substantially limiting
impairment, or who are perceived as having such a substantially
limiting impairment. The focus under the second and third parts
is on the reactions of other persons to a history of an
impairment or to a perceived impairment. A history or perception
of an impairment that substantially limits a major life activity
is a "disability." These parts of the definition reflect a
recognition by Congress that stereotyped assumptions about what
constitutes a disability and unfounded concerns about the
limitations of individuals with disabilities form major
discriminatory barriers, not only to those persons presently
disabled, but also to those persons either previously disabled,
misclassified as previously disabled, or mistakenly perceived to
be disabled. To combat the effects of these prevalent
misperceptions, the definition of an individual with a disability
precludes discrimination against persons who are treated as if
they have a substantially limiting impairment, even if in fact
they have no such current incapacity.
(c) Summary -- To determine whether a charging
party is protected by the ADA, the EEOC
investigator initially should determine why the charging party
believes that the respondent has discriminated against him/her on
the basis of disability. The charging party's response usually
will provide the investigator with a starting point for analysis
by identifying the type of condition at issue. For example, if
the charging party replies that the respondent refused to hire
him/her because it learned that the charging party had received
psychiatric treatment, then the investigator will know to
investigate whether the charging party has, has a record of, or
is regarded as having a psychiatric disability. (Of course,
further investigation may reveal other disabilities that may
constitute the reason for the challenged employment action.)
The investigator then should determine whether the
charging party meets the first part of the definition of
"disability"; that is, the investigator should determine whether
the charging party actually has a physical or mental impairment
that substantially limits a major life activity. In that regard,
the investigator should determine whether the charging party's
condition is an impairment. See § 902.2, infra. If the
condition is an impairment, then the investigator should
determine whether the charging party's impairment substantially
limits a major life activity other than working. See §
902.4(c)(1), infra. If the impairment does not, then the
investigator should determine whether the charging party is
substantially limited in the ability to work. See §
902.4(c)(2), infra.
If the charging party does not meet the first part of
the definition of "disability," or if the investigator after
attempting an analysis is unsure whether the charging party meets
the first part, then the investigator should determine whether
the charging party meets the second or third part of the
definition. See §§ 902.7, .8 infra. With respect to
the second part, the investigator should determine whether the
charging party has a history of, see § 902.7(b), infra, or
has been misclassified as having, see § 902.7(c), infra, an
impairment that substantially limited a major life activity.
With respect to the third part, the investigator should determine
whether the charging party is regarded as having an impairment
that substantially limits a major life activity. In that regard,
the investigator should determine whether the charging party (1)
has an impairment that does not substantially limit a major life
activity but that is regarded as being substantially limiting,
see § 902.8(c), infra, (2) has an impairment that is
substantially limiting only as a result of the attitudes of
others, see § 902.8(d), infra, or (3) has no impairment but
is regarded as having a substantially limiting impairment, see
§ 902.8(e), infra.
902.2 Impairment
(a) General -- The person claiming to be an
individual with a disability as defined by the
first part of the definition must have an actual impairment. If
the person does not have an impairment, (s)he does not meet the
requirements of the first part of the definition of disability.
Under the second and third parts of the definition, the person
must have a record of a substantially limiting impairment or be
regarded as having a substantially limiting impairment.5
A person has a disability only if his/her limitations
are, were, or are regarded as being the result of an impairment.
It is essential, therefore, to distinguish between conditions
that are impairments and those that are not impairments. Not
everything that restricts a person's major life activities is an
impairment. For example, a person may be having financial
problems that significantly restrict what that person does in
life. Financial problems or other economic disadvantages,
however, are not impairments under the ADA. Accordingly, the
person in that situation does not have a "disability" as that
term is defined by the ADA. On the other hand, an individual may
be unable to cope with everyday stress because (s)he has bipolar
disorder. Bipolar disorder is an impairment. In that situation,
the analysis proceeds to whether the individual's impairment
substantially limits a major life activity.
(b) Regulatory Definition -- A physical or mental
impairment means
(1) [a]ny physiological disorder, or condition,
cosmetic disfigurement, or anatomical loss affecting one or more
of the following body systems: neurological, musculoskeletal,
special sense organs, respiratory (including speech organs),
cardiovascular, reproductive, digestive, genito-urinary, hemic
and lymphatic, skin, and endocrine; or
(2) [a]ny mental or psychological disorder, such
as mental retardation, organic brain syndrome, emotional or
mental illness, and specific learning disabilities.
29 C.F.R. § 1630.2(h); see also S. Rep. No. 116, 101st
Cong., 1st Sess. 22 (1989) [hereinafter Senate Report]; H.R. Rep.
No. 485 pt. 2, 101st Cong., 2d Sess. 51 (1990) [hereinafter House
Education and Labor Report]; H.R. Rep. No. 485 pt. 3, 101st
Cong., 2d Sess. 28 (1990) [hereinafter House Judiciary Report].
This regulatory definition does not set forth an
exclusive list of specific impairments covered by the ADA.
Instead, the definition describes the type of condition that
constitutes an impairment.
The first step in investigating whether a charging
party has a disability is investigating whether (s)he has an
impairment, has a record of an impairment, or is regarded as
having an impairment. In many cases, it is obvious that a
condition is an impairment. In other cases, however, it is not
obvious. When it is unclear whether a charging party has an
impairment, the investigator should ask the charging party for
medical documentation that describes his/her condition. Medical
documentation that describes the charging party's condition or
that contains a diagnosis of the condition will help to determine
if the charging party has an impairment.6 In addition, the
investigator should ask the respondent to provide copies of
relevant medical documentation concerning the charging party's
condition that the respondent has in his/her possession. Such
documentation should include the results of any medical
examination conducted or ordered by the respondent as well as
copies of medical documentation that the charging party provided
to the respondent. If the investigator requests the information
directly from a third party, rather than from the charging party
or the respondent, then the investigator first should obtain a
signed medical release from the charging party and should submit
the release with the request. Other information, such as the
charging party's description of his/her condition or statements
from the charging party's friends, family, or co-workers, also
may be relevant to determining whether the charging party has an
impairment.
(c) Conditions That Are Not Impairments
(1) Statutory and Legislative History
Exceptions
-- The statute and the legislative history
specifically state that certain conditions are not impairments
under the ADA.7 The term "impairment" does not include
homosexuality and bisexuality. 42 U.S.C. § 12211(a); see
also 29 C.F.R. § 1630.3(e); H.R. Rep. No. 596, 101st Cong.,
2d Sess. 88 (1990) [hereinafter Conference Report]; House
Education and Labor Report at 142; House Judiciary Report at 75.
Further, environmental, cultural, and economic disadvantages such
as a prison record or a lack of education are not impairments.
Senate Report at 22; House Education and Labor Report at 51-52;
House Judiciary Report at 28. In addition, age, by itself, is
not an impairment. See Senate Report at 22; House Education and
Labor Report at 52; House Judiciary Report at 28. A person who
has a medical condition (such as hearing loss, osteoporosis8, or
arthritis) often associated with age has an impairment on the
basis of the medical condition. A person does not have an
impairment, however, simply because (s)he is advanced in years.
29 C.F.R. pt. 1630 app. § 1630.2(h).
Example 1 -- CP has been unemployed for two
years. Although she has actively sought work, CP has not been
able to find a job. CP asserts that employers will not hire her
because she is a convicted felon who served three years in prison
for armed robbery. CP argues that her prison record is a
disability because it prevents her from getting a job. CP,
however, does not have a disability because she does not have a
physical or mental impairment as defined by the ADA. A prison
record is not an impairment for ADA purposes.
Example 2 -- CP applies for a job as a cashier
at his neighborhood supermarket. The store manager speaks with
CP briefly and then asks CP to fill out a written job application
form. CP does not complete the form because he cannot read it.
CP, who has the equivalent of a second-grade education, was never
taught to read. CP does not have a physical or mental impairment
as defined by the ADA. A lack of education is not an impairment
for ADA purposes.
Example 3 -- Same as Example 2, above, except CP
cannot read because he has a severe form of dyslexia. CP has an
impairment as defined by the ADA. Dyslexia, a learning
disability, is an impairment for ADA purposes.
Example 4 -- CP, who is sixty-three, has
osteoporosis. The osteoporosis, a reduction in bone quantity, is
an impairment as defined by the ADA. CP's age, sixty-three, is
not a physical or mental impairment as defined by the ADA.
(2) Physical Characteristics -- Simple
physical characteristics are not impairments under the
ADA. For example, a person cannot claim to be impaired because
of blue eyes or black hair. Senate Report at 22; House Education
and Labor Report at 51; House Judiciary Report at 28. Similarly,
a person does not have an impairment simply because (s)he is
left-handed. de la Torres v. Bolger, 781 F.2d 1134, 39 EPD Par.
35,883, 1 AD Cas. (BNA) 852 (5th Cir. 1986).9
Further, a characteristic predisposition to illness or
disease is not an impairment. 29 C.F.R. pt. 1630 app. §
1630.2(h). A person may be predisposed to developing an illness
or a disease because of factors such as environmental, economic,
cultural, or social conditions. This predisposition does not
amount to an impairment.
(3) Pregnancy -- Because pregnancy is not
the result of a physiological disorder, it is not an impairment.
29 C.F.R. pt. 1630 app. § 1630.2(h); see also Byerly v. Herr
Foods, Inc., 61 EPD Par. 42,226, 2 AD Cas. (BNA) 666 (E.D. Pa.
1993). Complications resulting from pregnancy, however, are
impairments.10
Example 1 -- CP is in the third trimester of her
pregnancy. Her pregnancy has proceeded well, and she has
developed no complications. CP does not have an impairment.
Pregnancy, by itself, is not an impairment.
Example 2 -- Same as Example 1, above, except CP
has developed hypertension. CP has an impairment, hypertension.
(Remember that the mere presence of an impairment does not
automatically mean that CP has a disability. Whether the
hypertension rises to the level of a disability will turn on
whether the impairment substantially limits, or is regarded as
substantially limiting, a major life activity.)
(4) Common Personality Traits -- Like
physical characteristics, common personality traits also are not
impairments. In Daley v. Koch, 892 F.2d 212, 214, 52 EPD Par.
39,534 at 60,471, 1 AD Cas. (BNA) 1549, 1550 (2d Cir. 1989), a
psychological profile of an applicant for a police officer
position determined that the applicant "showed 'poor judgment,
irresponsible behavior and poor impulse control'" but did not
have "any particular psychological disease or disorder." The
court ruled that the applicant's personality traits did not
constitute an impairment. 892 F.2d at 215, 52 EPD at 60,473, 1
AD Cas. at 1551.
Example 1 -- CP is a lawyer who is impatient
with her co-workers and her boss. She often loses her temper,
frequently shouts at her subordinates, and publicly questions her
boss's directions. Her colleagues think that she is rude and
arrogant, and they find it difficult to get along with her. CP
does not have an impairment. Personality traits, such as
impatience, a quick temper, and arrogance, in and of themselves
are not impairments.
Example 2 -- Same as Example 1, above, except
CP's behavior results from bipolar disorder. CP has an
impairment, bipolar disorder.11
Example 3 -- CP is an account manager who is in
charge of developing a major advertising campaign for his firm's
biggest client. Although he used to be easygoing and relaxed in
the office, CP has become very irritable at work. He has twice
lost his temper with his assistant, and he recently engaged in a
shouting match with one of his superiors. CP has consulted a
psychiatrist, who diagnosed a recurrence of the post-traumatic
stress disorder for which CP was treated several years ago. CP
has an impairment. CP's post-traumatic stress disorder, a mental
disorder, is a mental impairment.12
(5) Normal Deviations in Height, Weight, or
Strength -- Similarly, normal deviations in height, weight, or
strength that are not the result of a physiological disorder are
not impairments.13 29 C.F.R. pt. 1630 app. § 1630.2(h); see
also Jasany v. United States Postal Service, 755 F.2d 1244,
1249, 36 EPD Par. 35,070 at 36,835, 1 AD Cas. (BNA) 706, 709 (6th
Cir. 1985). At extremes, however, such deviations may constitute
impairments. Further, some individuals may have underlying
physical disorders that affect their height, weight, or strength.
(i) For example, a four foot, ten inch
tall woman who was denied employment as an automotive production
worker because the employer thought she was too small to do the
work does not have an impairment. See American Motors Corp. v.
Wisconsin Labor and Industry Review Commission, 119 Wis. 2d 706,
350 N.W.2d 120, 36 EPD Par. 34,936, 1 AD Cas. (BNA) 611 (1984)
(interpreting state law). The woman's height was below the norm,
but her small stature was not so extreme as to constitute an
impairment and was not the result of a defect, disorder, or other
physical abnormality. On the other hand, a four feet, five
inches tall man with achondroplastic dwarfism14 does have an
impairment. See Dexler v. Tisch, 660 F. Supp. 1418, 1425, 43 EPD
Par. 37,280 at 48,207, 1 AD Cas. (BNA) 1086, 1092 (D. Conn.
1987). The man's stature was the result of an underlying
disorder, achondroplastic dwarfism, which is an impairment.
(ii) Being overweight, in and of itself,
generally is not an impairment. See 29 C.F.R. pt. 1630 app.
§ 1630.2(h) (noting that weight that is "within 'normal'
range and not the result of a physiological disorder" is not an
impairment); see also id. § 1630.2(j) (noting that, "except
in rare circumstances, obesity is not considered a disabling
impairment"). Thus, for example, a flight attendant who, because
of avid body building (which resulted in a low percentage of body
fat and a high percentage of muscle), exceeds the airline's
weight guidelines does not have an impairment. See Tudyman v.
United Airlines, 608 F. Supp. 739, 746, 38 EPD Par. 35,674 at
40,015, 1 AD Cas. (BNA) 664, 669 (C.D. Cal. 1984). Similarly, a
mildly overweight flight attendant who has not been clinically
diagnosed as having any medical anomaly does not have an
impairment. Underwood v. Trans World Airlines, 710 F. Supp. 78,
83-84, 51 EPD Par. 39,297 at 59,106-07 (S.D.N.Y. 1989)
(plaintiff's state action preempted by federal law where
plaintiff failed to establish that being mildly overweight
brought her within class protected by state human rights law with
broad definition of disability).
On the other hand, severe obesity,15 which has been
defined as body weight more than 100% over the norm, see The
Merck Manual of Diagnosis and Therapy 981 (Robert Berkow ed.,
16th ed. 1992), is clearly an impairment. See Cook v. Rhode
Island Dep't of Mental Health, Retardation and Hosp., 10 F.3d 17,
63 EPD Par. 42,673, 2 AD Cas. (BNA) 1476 (1st Cir. 1993). In
addition, a person with obesity may have an underlying or
resultant physiological disorder, such as hypertension or a
thyroid disorder. A physiological disorder is an impairment.
See 29 C.F.R. § 1630.2(h).16
(6) Persons with One of These Conditions and
an Impairment -- A person who has one or more
of these characteristics or traits also may have other conditions
that are physical or mental impairments. See Senate Report at
22; House Education and Labor Report at 52; House Judiciary
Report at 28. Thus, a left-handed individual who has a heart
condition has an impairment. Although left-handedness is not an
impairment, heart disease is an impairment.
(d) Contagion -- A contagious disease is an
impairment.17 The contagious nature of the disease
does not, by itself, remove that condition from the protection of
the ADA. In School Bd. of Nassau County v. Arline, 480 U.S. 273,
42 EPD Par. 36,791, 1 AD Cas. (BNA) 1026 (1987), the United
States Supreme Court considered the case of an elementary school
teacher who had been discharged because she had experienced a
recurrence of tuberculosis. The Supreme Court found that the
tuberculosis, which had affected the teacher's respiratory
system, constituted an impairment. 480 U.S. at 281, 42 EPD at
45,635, 1 AD Cas. at 1029. In so doing, the Court rejected the
argument that the contagious effects of a condition (i.e., the
effects of the condition on others) could be distinguished from
the effects of the condition on the carrier. 480 U.S. at 282, 42
EPD at 45,636, 1 AD Cas. at 1029-30.
The legislative history to the ADA expressly provides
that infection with the Human Immunodeficiency Virus (HIV) is an
impairment under the Act. Senate Report at 22; House Education
and Labor Report at 51; House Judiciary Report at 28. Thus, for
the purposes of the ADA, an individual with HIV infection has an
impairment.18
(e) Voluntariness -- Voluntariness is irrelevant
when determining whether a condition constitutes an impairment.
For example, an individual who develops lung cancer as a result
of smoking has an impairment, notwithstanding the fact that some
apparently volitional act of the individual may have caused the
impairment. The cause of a condition has no effect on whether
that condition is an impairment. See House Judiciary Report at
29 (noting that "[t]he cause of a disability is always irrelevant
to the determination of disability"); see also Cook v. Rhode
Island Dep't of Mental Health, Retardation and Hosp., 10 F.3d 17,
63 EPD Par. 42,673, 2 AD Cas. (BNA) 1476 (1st Cir. 1993).
Further, the voluntary use of a prosthetic device or other
mitigating measure to correct or to lessen the effects of a
condition also has no bearing on whether that condition is an
impairment. See § 902.5, infra.
902.3 Major Life Activities
(a) General -- For an impairment to rise to the
level of a disability, it must substantially limit, have
previously substantially limited, or be perceived as
substantially limiting, one or more of a person's major life
activities. There has been little controversy about what
constitutes a major life activity. In most cases, courts have
simply stated that an impaired activity is a major life activity.
In general, major life activities "are those basic activities
that the average person in the general population can perform
with little or no difficulty." 29 C.F.R. pt. 1630 app. §
1630.2(i).
(b) Regulatory Definition -- Commission
regulations define the term "major life activities" to mean
"functions such as caring for oneself, performing manual tasks,
walking, seeing, hearing, speaking, breathing, learning, and
working." 29 C.F.R. § 1630.2(i); see also Senate Report at
22; House Education and Labor Report at 52; House Judiciary
Report at 28.
This list is not an exhaustive list of all major life
activities. Instead, it is representative of the types of
activities that are major life activities. Specific activities
that are similar to the listed activities in terms of their
impact on an individual's functioning, as compared to the average
person, also may be major life activities. Thus, as the
interpretive appendix to the regulations notes, "other major life
activities include, but are not limited to, sitting, standing,
lifting, [and] reaching." 29 C.F.R. pt. 1630 app. §
1630.2(i). Mental and emotional processes such as thinking,
concentrating, and interacting with others are other examples of
major life activities.19
(c) Judicial Interpretations -- Courts
interpreting the Rehabilitation Act of 1973 also have found that
other activities constitute major life activities. Such major
life activities include sitting and standing, Oesterling v.
Walters, 760 F.2d 859, 861, 36 EPD Par. 35,201 at 37,485, 1 AD
Cas. (BNA) 722, 723 (8th Cir. 1985); and reading, Pridemore v.
Rural Legal Aid Society, 625 F. Supp. 1180, 1183-84, 40 EPD Par.
36,184 at 42,659, 2 AD Cas. (B |