Supreme Court of the United States

Olmstead v. L.c., by Zimring

June 22, 1999527 U.S. 581

Summary

The Court held that unjustified institutional isolation of persons with disabilities constitutes discrimination under Title II of the ADA. Community placement is required when state treatment professionals find it appropriate, the affected individuals do not oppose it, and placement can be reasonably accommodated considering available resources and others' needs. The Court affirmed in part, vacated in part, and remanded. Justice Ginsburg's discussion of the fundamental-alteration defense in Part III–B, joined by Justices O'Connor, Souter, and Breyer, explained that courts must consider the State's overall service obligations and equitable allocation of resources. Justice Stevens joined the majority portions and the judgment, although he preferred simply to affirm and leave correction of the subsequent district court ruling to further review. Justice Kennedy concurred in the judgment, emphasizing deference to medical and funding decisions and proposing further inquiry into differential treatment of comparable groups; Justice Breyer joined Part I of his opinion. Justice Thomas, joined by Chief Justice Rehnquist and Justice Scalia, dissented because respondents had not established differential treatment by reason of disability.

Holding

  • Whether unjustified institutional isolation constitutes disability discrimination under Title II.. Unjustified institutional isolation is discrimination based on disability. Community treatment is required when state professionals determine it is appropriate, the affected persons do not oppose it, and it can be reasonably accommodated considering state resources and the needs of others with mental disabilities.
  • How to evaluate the State's fundamental-alteration defense.. The four-Justice plurality would evaluate not merely the plaintiffs' placement costs against the entire mental health budget, but also unavoidable institutional costs, the range of services provided, and equitable allocation among persons needing care. An effectively working placement plan and a reasonably moving waiting list could satisfy the reasonable-modifications requirement.
  • Whether community placement mooted respondents' claims.. The case remained live because the controversy was capable of repetition yet evading review.

Docket 98-536

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