Opening the School Door to Section 504

Brenda should have been excited. Her daughter Jessica would be starting kindergarten this fall. Jessica was smart as a whip and couldn’t wait to go to school. But Jessica had diabetes. The diabetes needed managing: she needed insulin administered and her blood glucose and diet monitored. When she got older Jessica would be able to manage the diabetes herself, but right now she was just too young.  Maybe Brenda could go to school with Jessica. But Brenda worked. Maybe if the school had a nurse, the nurse could help Jessica. But what if there wasn’t a nurse or the nurse was too busy? Brenda knew that kids with disabilities could get special services, but Jess had an illness not a disability. She certainly didn’t need special education. Was there anything Brenda could get the school to do?          

 Brenda called the school principal, Ms. Otero. Ms. Otero understood Brenda’s concern, but said not to worry. While Jessica may not need special education, her diabetes might be a disability under a law called Section 504. The school could develop something called a Section 504 Plan. The Section 504 Plan could include a nurse, or someone a nurse trained, monitoring blood glucose and administering insulin. Finally, Ms. Otero said that the “Section 504 Coordinator” would call Brenda to start the ball rolling to get Jessica these services. 

Schools and Section 504 of the Rehabilitation Act  

There are three federal laws that support students with disabilities in the public schools: the Individuals with Disabilities Education Act (IDEA), the Americans with Disabilities Act (ADA), and Section 504 of the Rehabilitation Act. The first, the IDEA, requires schools to provide a free appropriate publication education to students with disabilities who need special education and related services. Under the IDEA a child must have an impairment and need special education services to be considered a child with a disability. But under the other two laws, Section 504 and the ADA, a child can have a disability without needing special education.  Section 504 and the ADA protect people with disabilities from discrimination based on their disability. Regarding the public schools, these laws prohibit discrimination against students with disabilities. This means that schools must provide services to meet the individual needs of students with disabilities as adequately as the schools meet the needs of students without disabilities. These services are outlined in a Section 504 Plan.  The following are questions and answers regarding Section 504 and the public schools. The ADA has the same definition of disability and the same requirements regarding public school services to students with disabilities. 

1.     What is a disability under Section 504?

A person has a disability if they have a physical or mental impairment that substantially limits a major life activity. Life activities are functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working. All children who need special education under the IDEA also have disabilities under Section 504. But a child may have a disability under Section 504 and not need special education services.  For example, students, like Jessica, who have illnesses such as allergies, cancer, heart disease, high blood pressure, ulcers, kidney and liver disease, epilepsy, HIV/AIDS, or diabetes would be covered under Section 504. Other examples include children who have a limp, paralysis, arthritis, hearing loss, learning disabilities, attention deficit disorder, traumatic brain injuries, speech impairments, mental illness and visual impairments.

 2.     How do parents get Section 504 services for their child?

Complying with Section 504 is a general education responsibility just like complying with other laws prohibiting discrimination based on race, religion, or ethnic origin. Section 504 requires that school districts identify a “Section 504 Coordinator”. Parents should contact the school administration to identify their district’s 504 Coordinator. 

3.     How is Section 504 eligibility determined?

Parents can contact the school staff to begin the Section 504 evaluation process. First, the school will evaluate the child based upon the child’s needs. Then, the evaluation information will be reviewed to determine if the student has a disability. Eligibility is decided by a group: not just one individual. The group will be people who know the child, what the evaluation information means, and how to serve students with disabilities.  

4. What services are required under Section 504?

The school must provide the student a free appropriate public education. This means providing services to meet the individual needs of the student with a disability as adequately as the school meets the needs of students without disabilities. Schools are not required to lower standards for students with disabilities by changing the instructional level, content, or performance criteria. But Section 504 does require that schools provide students with disabilities an equal opportunity to demonstrate their knowledge and skills. Thus, a student who is blind or has difficulty taking tests might be entitled to a Braille copy of a test, shorter testing sessions, or extra time to take the test. But the content of the test is the same as the test provided to students without disabilities. Other examples of  Section 504 services include: 

● Providing a student who has cancer with a modified schedule that allows for rest and recuperation following chemotherapy;

●Providing a student who has a learning disability or visual impairment with a note-taker or tape recorder;

● Providing a student who has arthritis with a modified or adaptive physical education program;

● Providing a student with an emotional illness with an adjusted class schedule to allow time for counseling;

● Providing a student who has a physical impairment and has difficulty walking distances or climbing stairs with extra time between classes, relocated classes, and special parking.         

5.     What is a Section 504 Plan?

A Section 504 Plan is a plan developed by a team, including the parents, who know the student’s needs and how to serve students with disabilities. The plan documents the student’s disability and the services required to ensure the student has equal access to the school program.Jessica’s Section 504 Plan would document that her diabetes is a disability. Her plan would include who would monitor her glucose and administer her insulin. It might also include a plan to train school staff in a basic understanding of diabetes, Jessica’s diabetes related needs, how to identify medical emergencies, and who to contact in case of an emergency. Here, Jessica is just starting kindergarten, but as she gets older she may be participating in field trips, sports, or other extracurricular activities. As those needs arise, her Section 504 Plan should include managing her diabetes in those circumstances.  

6.     Do parents have the right to appeal or complain under Section 504?

Parents have the right to have a hearing if they disagree with how the school is providing Section 504 services. They should contact their school district or state department of education for information about that process. Parents may also file a complaint with the federal Office for Civil Rights. Information about how to file a complaint or more information about Section 504 and the ADA can be found at the Office for Civil Rights website at www.ed.gov/ocr         

  Section 504 is not a special education law. It is a civil rights law that protects students with disabilities. A student can have a disability under Section 504 and not need special education. Jessica doesn’t need special education. She just needs a  plan to manage her diabetes. With that plan in place, she’ll do just fine.

24 Responses

  1. My son has been in the hospital and is now back at school he was given an IEP and the school is aware of the problem, he was diagnosed with explosive diorder, and bypolar, well the other day he had an episode at school and he got suspended for 3 days, the day he went back he got suspended for another 3 days, and we were told that the school pressed charges on him so my 8 year old son is on 6 months probation for something he cant control and the school knows he cant control this so what can we do.
    Bryan

  2. Bryan,

    Thanks for your question. I am sorry that your family is caught in such a difficult situation. Without knowing the specific details of this situation, I am going to try to provide some general information that may be helpful. Unfortunately the IDEA does not prevent a school district from contacting the police or pressing charges if they believe a “crime” has been committed. Removing a child through suspension for 6 days is not a “change in placement” that would automatically trigger the requirement that the school hold a manifestation determination meeting to identify if his behavior is related to his disability, conduct a functional behavioral assessment (FBA), and design and implement a behavior intervention plan(BIP). But the comments from the US Department of Education to the new IDEA regulations emphasize a proactive approach to conducting FBAs and designing BIPs when a child’s behaviors are impeding his learning. Additionally, if it is suspected that a child has a behavior related disability than a behavioral assessment should be done as part of the requirement to assess a student in all areas of suspected disability. Thus, I think that you could request an IEP meeting and request a functional behavior assessment and to design BIP to outline the appropriate response to any future misbehavior and a response that does not include judicial intervention.

  3. [...] appropriate public education under the Individuals with Disabilities Education Act (IDEA)  and Section 504. The public schools have an affirmative obligation during those school years to assess and identify [...]

  4. [...] for Civil Rights (OCR) issued a Dear Colleague letter advising educators that these actions violate Section 504 and Title II of the Americans with Disabilities Act and if reported will be investigated by [...]

  5. Hi Randy,
    I just have a (hopefully) quick question. Can a student who has a 504 plan also have a BIP developed if the need arises or must a student have an IEP to have a BIP?
    Thanks!

  6. Hi Christie,

    Great question! Yes, OCR has interpreted 504 to require that the stuedent’s 504 placement team develop a behavior management plan whenever it determines that the student’s disability related behavior problems interfere with the student’s ability to benefit from special edcuation and related services. In Independent School District #279, Elk Grove(CA) Unified School District, 25 IDELR 759 (OCR 1996)OCR stated:
    ” When a student who is disabled within the meaning of Section 504 manifests repeated or serious misconduct such that modifying the child’s negative behavior becomes a significant component of what actually takes place in the child’s educational program, an individual behavioral management plan may be required. The plan should ensure that the disabled child is able to successfully maintain the placement that is determined to appropriately meet his educational needs.”

    Thanks for the comment and great question.

  7. [...] by randychapman on July 24, 2008   In a previous post, Opening the School Door to Section 504, I discussed the Section 504 and ADA requirements to provide services to children with [...]

  8. I have a 5 year old who is a type I diabetic. She is going to be starting Kindergarten in a week. I was told that there would be a nurse on site when she attended, but the nurse resigned a month ago. The school never told and now here we are the week before school and there is no one (the staff doesn’t want the responsibility) to check her blood sugar level or give her insulin injections. Her blood sugar levels are very unpredictable. Would it be appropriate for me to require the school to provide my child a TDP (trained diabetic personnel who doesn’t have to have a medical background) to be with her when she’s at school? Her doctor also feels that this might be necessary for her. What are the laws regarding this?!

  9. Ray,

    Thank you for your comment. I can’t tell from your comment whether your daughter has a 504 Plan, an IEP, or neither and you relied on the fact a nurse would be available. If there is an IEP or a 504 Plan and the nursing service is listed on either as a related service or an accommodation, the school must provide the service for your daughter. If the school nurse has suddenly resigned, then I think the school needs to fill the position, contract with a private service, or otherwise ensure that this need is met(maybe the TDP will work). I don’t know whether a TDP can provide the service in your state. State law may require a nurse. If she has a 504 Plan with the nursing service listed and the district refuse to provide it you can file a complaint with the Office for Civil Rights(OCR). If she has an IEP, the nursing service is listed and they refuse to provide it, you can file a complaint with the state department of education and/or file a complaint with OCR. Or, you may choose to request a due process hearing.
    If your daughter does not have a 504 Plan then you should contact the 504/ADA Coordinator in your district to convene a meeting to determine 504 eligibility. Once eligiblity is established, the 504 Plan should be developed. Getting a statement from her doctor will help establish that she needs this service. Make aure it is documeted on the 504 Plan. If you think she needs special education services and might be eligible for IDEA services, then contact the child find personnel in the district and request an evalaution for special education eligibility. If eligibility is estabished, then make sure the nursing serovce is listed as a related service on her IEP. Again. the doctor’s support will be helpful in ensuring that. I wish you the best of luck. Having the doctor’s support should go a long way in resolving this.

  10. I have a 14 year old who is a cancer survivor. He had a left nephrectomy when he was 2 years old due to Wilm’s tumor.

    He has had a 504 plan in place since kindergarten for sports and for required restroom use and water use as needed.

    However, only recently has there been a conflict, with a teacher in his first year of high school. He does not require any ESE accomodations, except that a teacher cannot limit his use of the restroom, and he is to not participate in contact sports for fear of losing the remaining healthy kidney.

    The problem we now have is how points are acquired to earn a grade. The classroom instruction is the same for all students, however, 3 of 4 extra credit opportunities are contingent upon non-use of restroom passes. For example, 30 points ex.credit for no RR use in one quarter, 20 points for only 1 use, 10 points for only 2 uses, 4th ex. choice is 10 points for doing another section of chapter.

    This class period is right after lunch, and my son has to go to the restroom. His “restroom” card is almost full. I am sure the teacher will let him go even if the card is full, as it is required by the 504.

    However, does the fact that his condition prevents him from even attempting the top three extra credit opportunities make this a situation of him being discriminated/penalized due to his inability to “hold his urine” in exchange for extra credit, an instructional violation of the 504?

    I asked for a schedule change to morning hours…denied.
    I asked for a teacher change…denied.
    I asked for alternative extra credit assignments worth same value…..pending discussion, but anticipate denial.
    I asked for conference to resolve the matter….pending.
    I asked nurse for assistance, she sent special needs letter to all his teachers…she agrees with me that it violates the 504, but administration seems to be siding with the teacher.

    Any suggestions? Or am I grasping at straws?

  11. Tess, thnks for posting your comment and for providing such a precise description of this unfortunate conflict. As I understand it, your son’s access to some extra credit opportunties is being limited or denied because of a policy that bases those opportunites on limited restroom use. In your son’s case his loss of a kidney has resulted in his needing more frequent access to the restroom. I think this clearly violates Section 504 and the ADA. Your proposal of alternative extra credit assignments is reasonable. Here is a link to a website with a sample 504 plan for a child with diabetes that specifically inlcudes a provision for not restricting restroom access. http://www.diabetes.org/uedocuments/ad-504-adanasndredf-2007.doc You are not grasping at straws and you should be able to get this policy modified and written into your son’s 504 plan. You may need to contact the Section 504 coordinator for your school district if the school principal is not helpful. Good luck!

  12. Hi Randy,

    Thanks for this great information. I’m in the process of trying to get a 504 plan for my hearing impaired daughter. The school is not disputing that she has a disability under Section 504, but seems to think there has to be an adverse effect (i.e., bad grades). They are pointing to her good grades as evidence that a 504 plan is not warranted. Are they correct in their belief that there must be an academic deficit to qualify for a plan?

    I would appreciate any guidance you can provide.
    Colleen

  13. Colleen,

    Thanks for the comment, the kind words, and a great question. To be eligible under 504 the student must have a physical or mental impairmtn the substantially limits a major life activity. Some educators mistakenly believe that the major life activity of “learning” must be limited for 504 to apply to a student.In “Letter to McKethan” at 23 IDELR 540 (OCR 1995)OCR clarified that:

    “You stated that some legal experts have said that, in order for an elementary or secondary student to be eligible for special education under Section 504 or Title II, the student must possess a mental or physical impairment that substantially limits the major life activity of learning. While it may be true in a practical sense that most impairments that would be of concern in an education setting would be those that impair learning, the statement you made is not legally correct.

    Students may have a disability that in no way affects their ability to learn, yet they may need extra help of some kind from the system to access learning. For instance, a child may have very severe asthma (affecting the major life activity of breathing) that requires regular medication and regular use of an inhaler while in school. Without regular administration of the medication and inhaler, the child cannot remain in school. Whether that help is called special education, or related services, or supplementary services is irrelevant under Section 504 and Title II. Such questions might be more appropriate under a funding statute such as the IDEA.”

    Under 504 the focus is on ensuring that the student with a disability is provided regular or special education and related services that are designed to meet that student’s needs as adequatley as the needs of students wihtout disabilities are met. Bad grades are not required.

  14. Thank you so much, Randy! That’s just what I needed to know.

    Colleen

  15. Colleen,

    You are very welcome and good luck.

  16. [...] with the Office for Civil Rights. (For a general discussion of Section 504  please see my posting Opening the Scool Door to Section 504). Two days later, on December 19, 2001, a call was placed from the Rock Hill Elementary [...]

  17. [...] to those services to ensure they have equal access to educational services (please see my post Opening the School Door to Section 504 ). This court decision is about who, under California law, can administer the insulin. For now, the [...]

  18. I have a 5 yr old who has been in 2 years Special Ed Preschool, now in Special Ed Kindergarten. Current IEP is in place. Over the last few months, he has been diagnosed with Aplastic Anemia, in and out of the hospital, has not recently, nor will he be able to attend school to because of immune deficiencies due to low blood counts. What can I expect from school as far as in home education provided by the public school system, and also therapies. Last 3 years he has qualified for speech and occupational therapies at school.

  19. Hi Nina and thank you for your question. The IDEA is very clear that all students with disabilities under the IDEA are entitled to a free appopriate public education, including students who are in the hospital or at home. (See the definition of special education at 34 CFR 300.39(a)(1)(i) and continuum of alternative placements at 34 CFR 300.115). If, for health reasons, a child cannot attend school and must be in the hospital or instructed at home, the IEP team must design a program to meet the child’s individual needs and provide th eprogram in the home or hospital. If a student needed a related service such as speech and OT, that service should be included in the IEP, whether the student is at school, at home, or in the hospital. I wish you luck and trust the IEP team will design a program to deliver the services your child needs in your home.

  20. [...] Posted by randychapman on March 31, 2009      Last fall the Americans with Disabilities Amendments Act was passed and signed into law (please see my post President Signs ADA Amendments Act of 2008). The ADA Amendments Act broadened the definition of disability under the ADA and Section 504. In particular it prohibited the consideration of mitigating measures when determining whether an impairment substantially limits an individual’s major life activities. The Office for Civil Rights (OCR) within the US Department of Education has recently revised a document that addresses Frequently Asked Questions about Section 504 and the Education of Children with Disabilities to reflect those changes. (For a general overview of 504 and students with disabilities please see my post Opening the School Door to Section 504.)  [...]

  21. Hi Randy,

    My six year old son Connor has a 504 policy that I am trying to get updated . He just recently had a one side seizure (simple Complex seizure) which was not related to a fever . We decided not to put him on medicine at this time. We had to provide the school with some medicine, if he has another seizure they have to give him the medicine if the seizure last more than 5 minutes. (the Doctor said there is 85-90% chance of reoccurance). He also has a condutive hearing loss,high functioning Autism, Submucous cleft palate , and Chronic Sinus infections. We provided the school with all the medical documentation for these medical conditions and are trying to add high functioning Autism and Chronic sinus infection and hx of Afebril seizures to his current 504 policy. I sent a certified letter to the person in charge of the 504 policy and gave them a time frame to response back to us. I asked if they are unable to accomadate this request for a response back in writing for reason of denial or otherwise I would like a copy of his updated 504 policy. That time frame has come and past and he did not respond back to us. What would be our next step? We would also like to add some accomadation on his 504 policy that are not currently on his 504 policy recommended by the Audiologist and add some recommendations for his recent seizure. What can we do if the school refuses?

    Kelli

    • Hi Kelli,
      My oldest son is named Connor as well. I’m sorry you’re having difficulty getting a response form the school district’s 504 Coordinator. I think your request to add high functioning autism and and chronic sinus infection to his 504 plan is a request for an evalaution. The district must respond to a request for an evalaution within a reasonable time. In an OCR decision out of Michigan, since the district had a policy (and state law required) of evalauting within 30 days of the parent’s consent, the district violated 504 when it took over two months to do the evaluation. (Community High School District 51 IDELR 228, Oct 2008). In your case, the district certainly should have responded to you and in addition the district is required to provide you with a notice of your procedural safeguards if it decides not to identify Connor has having autism and the sinus infection. You might check the school district’s policies regarding 504 to see if they have a timeline and a grievance process. If the district does not respond or refuses to make the recommended accommodations, you can file a complaint with the Office for Civil Rights(http://www.ed.gov/about/offices/list/ocr/docs/howto.html?src=rt) , file a grievance under the district’s policies, request a hearing, or file suit. My guess is something short of filing a lawsuit will get some action. You might also contact your state’s Protection & Advocacy System (P&A) for advice/assistance. You can find the P&A in your state at the website of the National Disability Rights Network http://www.ndrn.org. I wish you luck and all the best in getting this resolved.

  22. Hi Randy
    I have a 12 yr old daughter that has a moderate to severe hearing loss. Attends RSP and a DHH comes out to visit about three times a week. Ive requsted a tutor and maybe one on one instructions cause she struggles on some of the subjects. And in the past she has done better with one on one. Is it the schools resposnsible in providing these services? This has been so fusterating cause the school cant even give me resources for my daugter and next year she will be in 8th grade and i know she will struggle even more.I was just aware of 504 im going to go to the district to see how to go about starting the paper work.

    • Hi Tina and thank you for your question. A moderate to severe hearing loss would ne considered a disability under Section 504 and the ADA. You are right to contact the school district and request an evaluation for 504 eligibility. Once eligible, the issue will be what services does your daughter require so that her individual educational needs are met as adequately as the school meets the needs of students without disabliities? What those services are would be determined through a 504 planning process. It is possible that additional support through a tutor or 1:1 instruction might be required, but there may be other ways of supporting your daughter. You might contact Disability Rights California, California’s Protection & Advocacy System, at http://www.disabilityrightsca.org/about/index.htm. They have a regional office in San Diego. I wish you the best of luck in getting services for your daughter.

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