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PDF1 - University of Maryland School of Law

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Conclusion 606. The Rehabilitation Act <strong>of</strong> 1973 61Enactment <strong>of</strong> Section 504 <strong>of</strong> the Rehabilitation Act 61Resort to Section 504 in the Aftermath <strong>of</strong> the Bloomington Infant Doe Case 63The "Interim Final Rule" <strong>of</strong> March 1983 64President's Commission Report 65American Academy <strong>of</strong> Pediatrics v. Heckler 68Proposed 504 Rule, July 1983 69Final 504 Rule 70Effect <strong>of</strong> <strong>University</strong> Hospital 71Bowenv. American Hospital Association 73Importance <strong>of</strong> Section 504 Enforcement 77Conclusion 777. The Child Abuse Amendments <strong>of</strong> 1984 79The Standard <strong>of</strong> Care 82Exceptions to Providing Treatment 88Enforcement <strong>of</strong> the Child Abuse Amendments 90Conclusion 928. Constitutional Issues 93The Constitutional Rights <strong>of</strong> Newborn Children with Disabilities 94Factors Limiting the Rights <strong>of</strong> Newborn Children with Disabilities 98Conclusion 1019. The Incidence <strong>of</strong> Discriminatory Denial <strong>of</strong> Medical Treatment 103Difficulties <strong>of</strong> Estimation 103Disincentives to Whistle Blowing 104Surveys <strong>of</strong> Physician Attitudes 104Turnbull Analysis 106Investigative Reporting 107Testimony from People with Disabilities and Their Relatives 108Recent Medical Literature 109ConclusionHO10. Child Protective Services Agencies and Enforcement <strong>of</strong> the Child AbuseAmendments <strong>of</strong> 1984IllCPS Delegation <strong>of</strong> Investigative ResponsibilityIllSpecial Relationship Among CPS Agencies and Doctors 113CPS Agencies' Failure to Comply with Federal Regulations 115CPS Attitudes to Treatment Principles 115Conflict <strong>of</strong> Interest 117Conclusion 11711. The Role and Performance <strong>of</strong> Infant Care Review Committees 118History 118Infant Care Review Committees in Action 122Infant Care Review Committees and Reporting 127Limitations <strong>of</strong> Hospital Self-policing 128Conclusion 129viii

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