04 ATTACHMENT 1 - Laserfiche WebLink

Heidi Murphy Final Report to City of Pleasanton Library and Recreation Department February 26, 2019 page 4 Department when requests for modification are received. This is a smart practice for the implementation of title H 35.130(b)(7). Technology is changing the way supports are provided for people with disabilities. A wearable insulin patch is a good example. It is important to acknowledge that not every type of support. the City will encounter is necessarily known today. As technology changes, City staff should remain current by reviewing information provided by registrants about new technologies and supports. This is particularly true in the evolution of treatments for diabetes and seizure disorders. 14. -We suggest that reasonable modifications be grouped in three categories. Those are listed below: A. Mandated supports are modifications specifically referenced in the statute, title II regulation, court orders, and implemented as smart practices. B. Personal supports are modifications. that involve providing services for a registrant who, because of his or her disability, may not be able to perform themselves. These may include holding and presenting of prescription. medication in a way that is consistent with state law, and other similar tasks. It is unclear as to whether this type of support will be viewed by a federal District Court as a reasonable modification. That said, many cities across the United States provide some personal supports as a reasonable modification. C. Quasi -medical or medical supports. are modifications that require the administration of medication, or some other quasi -medical or medical technique. To date, this type of support has not been. viewed by a federal District Court as a reasonable modification. While -there are settlement agreements between US Department of Justice and other entities on these subjects, there is not yet a precedent decision of which we are aware. To our knowledge, most cities in the United States do not provide these supports. We note that some modifications could fit into more than one category. Two examples are the administration of Epinephrine and Glucagon. As disability becomes more complex, we believe the City will receive more requests for supports. in the latter two categories. This is a -smart practice for the implementation of title ll. 15. We believe strongly in the value of citizen feedback. A. Continue the work of the City-wide Human Services Commission. B.. From time to time, gather information from the public with disabilities regarding accesspreferences and priorities.