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Legal Rights of Children with Epilepsy in School & Child Care

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What Laws Apply to <strong><strong>Child</strong>ren</strong> <strong>with</strong> <strong>Epilepsy</strong>?<br />

retardation, organic bra<strong>in</strong> syndrome, emotional or mental illness, and specific<br />

learn<strong>in</strong>g disabilities.” 34 C.F.R. 104.3(j)(2)(i).<br />

2.19 Q: Are all people <strong>with</strong> epilepsy automatically covered by Section 504?<br />

A: Probably not. The United States Supreme Court held <strong>in</strong> Sutton v. United<br />

Airl<strong>in</strong>es, Inc., 527 U.S. 471 (1999), a case <strong>in</strong>terpret<strong>in</strong>g the ADA, that, <strong>in</strong><br />

determ<strong>in</strong><strong>in</strong>g if an impairment “substantially limits” a major life activity, it is<br />

necessary to look at any measures the person has taken to mitigate or m<strong>in</strong>imize<br />

the impairment, such as medications or assistive devices like eyeglasses or<br />

prosthetics. Because the def<strong>in</strong>ition <strong>of</strong> disability under the ADA is identical to the<br />

def<strong>in</strong>ition conta<strong>in</strong>ed <strong>in</strong> Section 504, the Sutton hold<strong>in</strong>g appears equally<br />

applicable to Section 504. Therefore, if a person <strong>with</strong> epilepsy has wellcontrolled<br />

seizures or has mild seizures that do not substantially limit a major<br />

life activity, and does not have significant side effects from antiepileptic<br />

medication, he or she will not be considered disabled unless he or she meets one<br />

<strong>of</strong> the other prongs <strong>of</strong> the def<strong>in</strong>ition — i.e., has a record <strong>of</strong> such an impairment<br />

or is regarded as hav<strong>in</strong>g such an impairment. However, a student who requires<br />

school personnel to adm<strong>in</strong>ister antiepileptic medication to him or her dur<strong>in</strong>g the<br />

school day would be covered under Section 504 even if his or her seizures were<br />

well controlled. See Chapter 5 for further discussion <strong>of</strong> Section 504 and special<br />

education.<br />

2.20 Q: What is a “major life activity” under Section 504?<br />

A: Major life activities <strong>in</strong>clude functions such as walk<strong>in</strong>g, see<strong>in</strong>g, hear<strong>in</strong>g, car<strong>in</strong>g<br />

for one’s self, speak<strong>in</strong>g, breath<strong>in</strong>g, learn<strong>in</strong>g and work<strong>in</strong>g. 34 C.F.R.<br />

104.3(j)(2)(ii).<br />

2.21Q: What are the requirements <strong>of</strong> Section 504 for public school systems?<br />

A: Public school systems must provide a free appropriate public education to each<br />

“qualified handicapped person” <strong>in</strong> the jurisdiction regardless <strong>of</strong> the nature or<br />

severity <strong>of</strong> the person’s disability. A person is qualified if he or she is <strong>of</strong> an age<br />

at which children <strong>with</strong>out disabilities attend school or at which state law<br />

mandates that education services be provided to children <strong>with</strong> disabilities. An<br />

appropriate education is regular or special education <strong>with</strong> related aids and<br />

services that “are designed to meet <strong>in</strong>dividual educational needs <strong>of</strong> handicapped<br />

people as adequately as the needs <strong>of</strong> nonhandicapped people are met” and that<br />

meet the requirements <strong>of</strong> the regulations. 34 C.F.R. 104.33. 13<br />

13 The Education Department’s Section 504 regulations use the terms “handicap” and “handicapped<br />

persons.” However, Section 504 itself, consistent <strong>with</strong> the language used <strong>in</strong> the ADA, <strong>in</strong>stead makes<br />

reference to “disability” and “<strong>in</strong>dividuals <strong>with</strong> disabilities.” The regulations have not yet been revised to<br />

adopt this more current and preferable language.<br />

22

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