We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Patient Page |

The Americans With Disabilities Act FREE

Amy E. Thompson, MD
JAMA. 2015;313(22):2296. doi:10.1001/jama.2015.6296.
Text Size: A A A
Published online

The Americans with Disabilities Act (ADA) was signed into law in 1990. This year marks the 25th anniversary of this landmark act.

The ADA protects the civil rights of more than 50 million Americans with disabilities. Its purpose is to make sure they have the same opportunities as everyone else to fully participate in public life.

Under the ADA, a disability is defined as a physical or mental impairment that substantially limits 1 or more major life activities. Major life activities include things like speaking, walking, caring for oneself, and performing manual tasks. The law also protects people with a history of such an impairment and those who are regarded as having such an impairment.

The ADA prohibits discrimination in all areas of public life, including

  • Employment

    • An employer cannot discriminate against a qualified person with a disability with regard to practices like hiring, firing, advancement, and training.

    • Employers must also make reasonable accommodations for an employee’s disability as long as the accommodations are not too difficult or expensive. An accommodation might be a modified work schedule or a special piece of equipment.

  • State and local governments: All public entity (state and local government) services, programs, and activities must be accessible to people with disabilities. This includes public transportation services like bus and rail systems.

  • Public accommodations: Public accommodations are places that are privately owned but open to the public. Examples are doctors’ offices, pharmacies, museums, restaurants, day care centers, educational institutions, hotels, libraries, and stores. They must be accessible to people with disabilities and they cannot discriminate based on disability.

  • Telecommunications: Emergency telephone services, such as 911, are now directly accessible by people with speech, hearing, and other disabilities. In addition, telephone and Internet companies must provide relay services so that people with disabilities can communicate by phone.


  • • Service animals are allowed in most areas of public facilities and private businesses, with some exceptions for safety.

  • • When necessary, public entities and private businesses must provide communication aids or services to people with speech, hearing, or vision disabilities. For example, a doctor’s office may need to provide a sign language interpreter for a patient who is deaf and needs to discuss a complex medical issue.

  • • Many new construction projects must meet accessibility standards. These design standards might include, for example, van-accessible parking spaces or doors that can safely and easily be operated by people using wheelchairs or other mobility aids.

  • • Public and private hospitals, health care clinics, and doctor’s offices must be accessible so that all patients can receive equal medical care. Examination rooms and medical equipment should not pose barriers to care.

Box Section Ref ID

For More Information

To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA’s website at jama.com. Many are available in English and Spanish.


The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.

Sources: ADA National Network, US Department of Education, US Department of Justice Civil Rights Division

Topic: Health Care Policy




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Spanish Patient Page: Ley sobre Estadounidenses con Discapacidades

Supplemental Content

Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles