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    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
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      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
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  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
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  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
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  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
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​Olmstead isn't a "Gift Horse" -- it's the Law ---- but one could be forgiven for thinking otherwise.

If the US Department of Justice (DOJ) thinks it needs additional authority to provide CLEAR OLMSTEAD REGULATIONS, we need to work together to provide that legal authority.

We don't think DOJ needs additional authority, but we can't wait another 20 years or likely more to achieve widespread Olmstead Compliance among the States.

Vague Olmstead Plans, Expensive Litigation --

THe Need for regulatory or statutory clarity



DOJ:  Day Statement of Interest (2011) --- Page 14 

 1.  To Successfully Assert a Fundamental Alteration Defense, a Public Entity Must Have a Comprehensive, Effectively Working Plan.


There are unresolved questions of fact about whether the District even has an Olmstead plan,[1] or if it does, whether this plan constitutes a “comprehensive, effectively working plan,” as required by Olmstead.  

While the Court of Appeals for the District of Columbia Circuit has not had the occasion to enunciate what constitutes a comprehensive, effectively working plan, the District has not established, as a matter of law, that its plan meets the standard of either of the circuit courts that have considered this issue. 


[1] Twelve years after the Olmstead decision, the District of Columbia has never finalized a written Olmstead plan, and is no longer even having interagency meetings to attempt to do so.  (Opp. Ex. H, 213:19-214:8.)  It is not clear that what the District of Columbia has done is sufficient to be considered an Olmstead plan at all.  However, for purposes of this Statement, the United States will refer to the District’s inchoate efforts as an Olmstead plan.

 


 "The Third Circuit has properly required a public entity to prove that it has developed and is implementing an Olmstead plan that demonstrates a specific and measurable commitment to action by the public entity, including goals, benchmarks, and timeframes for which the entity can be held accountable.[1]  Frederick L. II, 422 F.3d at 156-59. 

​ "The Third Circuit has also rejected a public entity’s vague, general assurances and good faith intentions of future community placement because such assurances may change, and has properly found that past progress in deinstitutionalization alone is insufficient to establish a comprehensive, effectively working Olmstead plan.  Id.; Frederick L. I, 364 F.3d at 499-501; Pa. Prot. & Advocacy, Inc., 402 F.3d at 383-85.
[1]

​

The Third Circuit held that:
a viable integration plan at a bare minimum should specify the time-frame or target date for patient discharge, the approximate number of patients to be discharged each time period, the eligibility for discharge, and a general description of the collaboration required between the local authorities and the housing, transportation, care, and education agencies to effectuate integration into the community. 
Frederick L. II, 422 F.3d at 160.



THE TRIALS & TRIBULATIONS OF EXECUTIVE AGENCY GUIDANCE: OLMSTEAD MEASURABLE GOALS
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Congressional Research Service
A Brief Overview of Rulemaking & Judicial Review (2017)
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What role do the courts have in rulemaking?

Courts review administrative decision-making under the requirements of the APA.

These requirements are intended to ensure that an agency rule is neither "arbitrary" nor "capricious," and that it does not exceed statutory authority.

The Players in Rulemaking | Center for Effective Governmenthttps://www.foreffectivegov.org › node
 An Overview of Federal Regulations and the Rulemaking Process
crsreports.congress.gov › product › pdf

Mar 19, 2021 · rulemaking authority to federal agencies to implement statutory programs. 


The regulations issued pursuant to this authority carry the force and effect of law and can have substantial implications for policy implementation. 


When issuing these regulations, agencies are required to follow a certain set of procedures prescribed in law and executive . . .
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​
​DOJ Enforcement is spotty at best.  Private Enforcement ----- while it can be done------ is EXPENSIVE.  Of course, the reason why DOJ Enforcement is Spotty is because of EXPENSE and RESOURCE ISSUES.

That is leaving People with Disabilities in this country in a DIFFICULT POSITION.


A lot of Olmstead is giving the States FLEXIBILITY --- and giving All Parties REASONABLENESS and giving People with Disabilities ACCOUNTABILITY through MEASURABLE (Numeric) GOALS, "REASONABLE" TIMEFRAMES, AND FUNDING TO SUPPORT THE PLAN.
1-8-2021: The Biden Administration, Olmstead, State Assistance & Administrative Enforcement
DOJ Regulatory Development

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System