Insurance and HMOs
A reader wrote that she had a child born with multiple disabilities.
Her child needed a pulmonologist, a lung specialist. Her current specialist was leaving
the HMO and there was not another on the HMO list. She was afraid that the HMO would not
provide the needed specialist. Readers, your HMO must provide any needed specialist
the primary care physician indicates a patient needs. The HMO must make arrangements, at
their expense, for the specialist whether or not that specialty is on the HMO list or out
of their network. HMO's provide that information in their policies. They refer you to the
Texas Administrative Code 11.0506.15. I suggest anyone needing a copy of that law request
it from your insurance company or locate it on the Internet. The Texas Department of
Insurance has a website (http://www.tdi.state.tx.us),
but I could not find the provision for out of network specialists on their website. If one
of you finds it, please let me know. I have an inquiry addressed to the Secretary of
State. I will let you know what I find out. Complaints against the insurance company
should be addressed to:
Texas Department of Insurance
333 Guadalupe St.
Austin, Texas 78701 |
or |
Texas Department of Insurance
P.O. Box 149104-78714
Austin, Texas 78714-9104
Toll Free: 1-800-252-3439 |
Complaints must be in writing, and the
Texas Department of Insurance will send you a complaint form upon request.

ADD/ADHD and Test Accommodations
Another inquiry came to me this month from a friend. This friend was
seeking assistance for an individual with Attention Deficit Disorder/Attention Deficit
Hyperactivity Disorder (ADD/ADHD). These disorders are characterized by the inability to
concentrate and fidgety behavior that can be controlled to some extent by medications. The
only problem is that this particular individual with this disorder wants to apply to law
school. She requires some reasonable accommodations to take the entry examination, the
LSAT. However the Law School Admission Council (LSAC) has declined her request to have
reasonable accommodations made despite her providing them with records from her doctors
(including a psychiatrist), a letter from her undergraduate university that allowed her
the accommodations the student needed and the completed forms that the LSAC demanded.
This student wanted to sue the LSAC under the Americans with
Disabilities Act, Title 3, Section 309 which states that any private organization that
administers examinations for future education or licensing must abide by the ADA
guidelines. This student needs $15 - 20,000 in order to sue. The Department of Justice has
already filed suit against the LSAC for disability discrimination but that case deals with
physical disabilities. Although the student could probably use that case as a precedent, I
do not believe that she wants to wait that long.
My suggestions included contacting her State representatives, the
governor, advocacy organizations in her State and trying to become part of the law suit
already in progress. I am open for other suggestions and thoughts on this matter. Please
send me any that you have. Thanks.

Reading Suggestions for the Year 2000
- A Guide to Legal Rights for People With Disabilities, Marc. D.
Stolman
- A Wide and Capable Revenge, Thomas McCall
- Advancing Your Citizenship: Essays on Consumer Involvement of the
Handicapped, Philip L. Browning
- Bad-Mouthing: The Language of Special Needs, Jenny Corbett
- Between Voice and Silence: Women and Girls, Race and Relationship,
Carol Gilligan
- Beyond Disability: Towards an Enabling Society, Gerald Hales
- Building Community: A Manual Exploring Issues of Women and
Disability, Education Equity Concepts
- Challenges of Emerging Leadership: Community Based Independent
Living Programs and the Disability Rights Movement, Inst Educational Leadership
- Claiming Disability: Knowledge and Identity, Simi Linton
- Confronting the Stigma in Their Lives, James R. Dudley
- Deaf and Disabled or Deafness Disabled: Towards a Human Rights
Perspective, Mairian Corker
- Deaf Empowerment: Emergence, Struggle and Rhetoric, Katherine
A. Jankowski
- Disability Rights Guide, Charles D. Goldman
- Disability, Liberation and Development, Peter Coleridge
- Disabled People As Second Class Citizens, Eisenburg
- Disabled We Stand, Allan T. Sutherland
- Disabled, Female, and Proud!: Stories of Ten Women With
Disabilities, Harilyn Rousso
- Disabling Barrers Enabling Environments, John Swain
- Disabling Laws, Enabling Acts: Disability Rights in Britain and
America, Caroline Gooding
- Dispelling the Shadows of Neglect: A Survey on Women with
Disabilities in Six Asian and Pacific Countries, ILO
- Educational Rights of Children With Disabilities: A Primer for
Advocates, Eileen L. Ordover
- Enforcing Normalcy: Disability, Deafness and the Body, Lennard
J. Davis
- Equal Access: Safeguarding Disability Rights, Gregory J.
Walters
- Equal Opportunities and Social Policy: Issues of Gender, Race, and
Disabillity, Barbara Bagilhole
- From Good Will to Civil Rights: Transforming Federal Disability
Policy, Richard K. Scotch
- Home at Last: How Two Young Women With Profound Intellectual and
Multiple Disabilities Achieved Their Own Home, Pat Fitton
- Imprinting Our Image: An International Anthology by Women With
Disabilities, Diane Driedger and Susan G. Dueck, Editors
- In Search of Freedom: How Persons With Disabilities Have Been
Disenfranchised from the Mainstream of Society, Willie V. Bryan
- Include Me In: Disability, Rights and the Law in Queensland,
Jennifer Fitzgerald
- Living Outside Inside: A Disabled Woman's Experience Towards a
Social and Political Perspective, Susan Hannaford
- Modernism and Disability, Wolf Wofensberger
- No Pity: People With Disabilities Forging a New Civil Rights
Movement, Joseph Shapiro
- Nothing About Us Without Us: The Dialectics of Disability
Oppression and Empowerment, James I. Charlton
- Pride Against Prejudice: Transforming Attitudes to Disability,
Jenny Morris
- Reaching the Hidden Majority: A Leader's Guide to Career
Preparation for Disabled Women and Girls, Mary Hopkins-Best
- The Abc-Clio Companion to the Disability Rights Movement, Fred
Pelka
- The Disability Rights Movement (Cornerstones of Freedom),
Deborah Kent
- The Disabled (Current Controversies), Brenda Stalcup, Editor
- The Politics of Disablement: A Sociological Approach, Michael
Oliver
- The Quiet Revolution: The Struggle for the Rights of Disabled
Americans, James Haskins
- The Rejected Body: Feminist Philosophical Reflections on
Disability, Susan Wendell
- The Right to Have Enough Money: A Straightforward Guide to the
Disability Income System in Canada, June Callwood
- The Women's Health and Aging Study: Health and Social
Characteristics of Older Women with Disability, Jack M. Gurelmik
- Vocational Rehabilitation for Women with Disabilities, Sheila
Stace
- With the Power of Each Breath: A Disabled Women's Anthology,
Susan E. Browne
- Women and Disability (Women and World Development Series),
Esther R. Boylan
- Women and Disability: The Double Handicap, Mary Jo Deegan and
Nancy A. Brooks, Editors
- Women with Disabilities, Harilyn Rousso
- Women With Disabilities: Essays in Psychology, Culture and
Politics, Michelle Fine and Adrienne Asch, Editors
- Women With Disabilities: Found Voices, Mary E. Willmuth,
Lillian Holcomb
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