WI Community Service v. City of Milwaukee , 465 F.3d 737 ( 2006 )


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  •                                 In the
    United States Court of Appeals
    For the Seventh Circuit
    ____________
    No. 04-1966
    WISCONSIN COMMUNITY SERVICES, INC.
    and WISCONSIN CORRECTIONAL
    FOUNDATION, INCORPORATED,
    Plaintiffs-Appellees,
    v.
    CITY OF MILWAUKEE,
    Defendant-Appellant.
    ____________
    Appeal from the United States District Court
    for the Eastern District of Wisconsin.
    No. 01 C 575—Lynn Adelman, Judge.
    ____________
    REARGUED EN BANC JANUARY 18, 2006—DECIDED SEPTEMBER 26, 2006
    ____________
    Before FLAUM, Chief Judge, and BAUER, POSNER,
    EASTERBROOK, RIPPLE, MANION, KANNE, ROVNER, WOOD,
    EVANS and WILLIAMS, Circuit Judges.Œ
    RIPPLE, Circuit Judge. Wisconsin Community Services
    (“WCS”),1 a provider of treatment to mentally ill patients,
    brought this action under Title II of the Americans with
    Œ
    The Honorable Diane S. Sykes took no part in the consideration
    or decision of this case.
    1
    Wisconsin Community Services was formerly Wisconsin
    Correctional Foundation. The name was changed while this
    action was pending in the district court.
    2                                                 No. 04-1966
    Disabilities Act (“ADA”), 
    42 U.S.C. §§ 12131-12134
    , and
    section 504 of the Rehabilitation Act of 1973, 
    id.
     § 794. The
    WCS sought an injunction ordering the City of Milwaukee
    (“the City”) to issue a zoning permit that would allow it
    to move its mental health clinic to an area of Milwaukee,
    Wisconsin, where health clinics are permitted only on a
    case-by-case basis. The district court granted partial sum-
    mary judgment to WCS, concluding that the ADA and the
    Rehabilitation Act obligated the City to accommodate the
    disabilities of WCS’ patients by allowing WCS to move to its
    desired location. For the reasons set forth in this opinion, we
    reverse the judgment of the district court and remand for
    proceedings consistent with this opinion.
    I
    BACKGROUND
    A. Wisconsin Community Services
    WCS is a private, non-profit organization that provides a
    variety of inpatient and outpatient services to indivi-
    duals afflicted with severe mental illnesses.2 WCS pro-
    vides patients, who cannot live alone without substan-
    tial assistance, with psychiatric treatment, counseling, med-
    ication monitoring, transportation and help in finding
    housing and employment. A number of WCS’ patients have
    a history of substance abuse, and a majority have had
    previous run-ins with the criminal justice system; WCS
    often accepts patient referrals from court-related agencies
    2
    The parties have stipulated that these individuals are “dis-
    abled” within the meaning of the ADA and the Rehabilitation
    Act. R.45, Ex.E-1 at 8.
    No. 04-1966                                                 3
    such as the United States Probation Service. Although
    WCS staff sometimes will treat patients in their homes, most
    of WCS’ services are administered in a 7,500 square-foot
    mental health clinic located at 2023 West Wisconsin Avenue
    in the City of Milwaukee. Originally, WCS shared this
    facility with other non-profit organizations, but, as its
    clientele grew, WCS expanded to occupy the entire building.
    In 1994, at the time of this initial expansion, WCS employed
    twenty full-time employees and served 250 patients.
    By 1998, the staff at WCS’ 2023 West Wisconsin Avenue
    facility had grown to approximately forty full-time employ-
    ees serving approximately 400 patients. This increase in
    clients, services and personnel had caused a shortage in
    space available for employee parking, client treatment,
    group therapy sessions and other services. Faced with the
    shortage, WCS at first considered remodeling, but finally
    concluded that such a project would be too costly and
    would interfere with client care. WCS then began search-
    ing for a new building. Despite having a limited budget,
    WCS needed a facility that was located in a safe neighbor-
    hood and had adequate floor space, parking and access to
    public transit. After searching for three years, WCS was able
    to find two buildings that met its criteria. Neither property,
    unfortunately, was located in a neighborhood zoned for
    health clinics. Both were in areas where health clinics are
    permitted only as “special uses” that require issuance of a
    permit by the Milwaukee zoning authorities.
    WCS previously had received this type of special use
    permit for some of its other facilities. It therefore made an
    offer of purchase for one of the properties, contingent on
    obtaining the necessary special use permit from the Milwau-
    kee zoning board. The seller of this property, concerned
    about this contingency, declined to accept the offer. WCS
    4                                                 No. 04-1966
    then abandoned its efforts to purchase that property and
    instead made a similar contingent offer on the other identi-
    fied property. This facility was an 81,000 square-foot
    building located about one mile from its current facility at
    3716 West Wisconsin Avenue. The larger facility is located
    in an area zoned as a “local business district.” Milwaukee,
    Wis. Code § 295-703-1. According to the City Code’s “use
    table,” health care clinics, except for nursing homes, are
    deemed “special uses” for this zone. Id. § 295-603-1. Inciden-
    tally, the same zone allows foster homes, shelter care
    facilities, community living arrangements and animal
    hospitals either as “permitted” or “limited” (no special
    approval required) uses. Id. The seller accepted WCS’ offer.
    B. The First Proceeding Before the Board of Zoning
    Appeals
    Milwaukee’s City Code defines “special use” as “[a] use
    which is generally acceptable in a particular zoning dis-
    trict but which, because of its characteristics and the charac-
    teristics of the zoning district in which it would be located,
    requires review on a case by case basis to determine
    whether it should be permitted, conditionally permitted, or
    denied.” Milwaukee, Wis. Code § 295-7-166. Special use
    designations are instruments of municipal planning that
    allow city officials to retain review power over land uses
    that, although presumptively allowed, may pose special
    problems or hazards to a neighborhood. See generally Delta
    Biological Res., Inc. v. Bd. Zoning Appeals, 
    467 N.W.2d 164
    ,
    166-67 (Wis. Ct. App. 1991).
    In Milwaukee, an applicant for a special use permit must
    present its plans to the Department of City Develop-
    No. 04-1966                                                  5
    ment (“the DCD”), where they are reviewed by a plan
    examiner. If the DCD denies the special use application, the
    applicant may appeal the decision to the Milwaukee Board
    of Zoning Appeals (“BOZA”), where the application is
    reviewed, a public hearing is held and evidence is heard. See
    
    Wis. Stat. § 62.23
    (7)(e). Consistent with this procedure, WCS
    submitted a plan to DCD, outlining its intent to relocate the
    mental health clinic and several of its administrative offices
    to the new building. The plan stated that WCS would
    occupy 32,000 out of the 81,000 square feet of space in the
    building. An additional 12,000 square feet, according to the
    plan, would be occupied by two existing tenants, a
    Walgreens pharmacy and an office of the Social Security
    Administration. The remaining 37,000 square feet, the plan
    stated, would be rented out for use as office space or for
    other commercial purposes.
    Under Wisconsin law, in deciding whether to issue a
    special use permit, the City’s zoning officials are guided by
    four statutory considerations: (1) protection of public health,
    safety and welfare; (2) protection of the use, value and
    enjoyment of other property in the neighborhood; (3) traffic
    and pedestrian safety; and (4) consistency with the City’s
    comprehensive plan. See Milwaukee, Wis. Code § 295-59-5.5.
    After reviewing WCS’ plan, DCD concluded that these
    criteria had not been met. Specifically, DCD expressed
    concern over the second factor, protection of neighboring
    property value. It stated that use of the property as a mental
    health clinic would jeopardize the commercial revitalization
    that the neighborhood currently was undergoing. WCS,
    availing itself of its right to administrative review, then
    appealed the DCD’s decision to Milwaukee’s BOZA.
    On March 22, 2001, BOZA held a hearing on WCS’ appeal.
    At the outset, WCS argued that, even if its proposal did not
    6                                                 No. 04-1966
    meet the special-use criteria, the ADA required BOZA to
    modify these criteria so that WCS would have the same
    opportunity to obtain a permit as would a clinic serving
    non-disabled individuals. BOZA denied this request
    because it did not believe that it had the authority to deviate
    from the City’s zoning code. Indeed, BOZA prohibited WCS
    from introducing evidence on the issue. Confined to making
    its case under the unmodified special use considerations,
    WCS presented evidence in an effort to refute the perception
    that the mental health clinic posed a safety threat and would
    discourage businesses from locating in the neighborhood.
    This evidence included testimony from a security official
    who told BOZA that, based on his own investigation, WCS’
    patients had not been the source of any safety problems in
    WCS’ current neighborhood. WCS also presented letters
    from its current neighbors to the same effect. Finally, WCS
    submitted evidence of an award it had received from the
    National Institute of Justice for exemplary care of previously
    institutionalized individuals with mental health needs.
    BOZA then heard testimony in opposition to the permit.
    An attorney representing several area businesses testified
    that opening a mental health clinic that serves a large
    number of young, unemployed males with histories of
    mental illness and illegal behavior substantially increases
    the chance of crime and anti-social behavior in the neighbor-
    hood. In a similar vein, a nearby high school voiced its fear
    that WCS’ clients would be riding public transit alongside
    its “young and vulnerable” students. R.15, Ex.B-1 at 43.
    Additionally, a neighborhood organization encouraged
    residents to object to WCS’ request; it circulated leaflets that
    argued that the clustering of WCS’ clientele “in one location
    on a daily basis raises a serious risk for the health and well
    being of people living and working in surrounding neigh-
    borhoods.” Id., Ex.B-3 at 327-28.
    No. 04-1966                                                  7
    On May 9, 2001, BOZA voted unanimously to deny
    WCS’ application for a special use permit. The accompany-
    ing written decision said only that the proposed use was
    inconsistent with the considerations set forth in the zon-
    ing code. However, several board members orally an-
    nounced the reasoning behind their decision. One member
    noted that the “overwhelming” opposition from neighbor-
    hood residents convinced him that the WCS clinic would
    have “a damaging effect upon neighboring business.” Id.,
    Ex.B-1 at 6. Another member stated that WCS’ clientele,
    with its large number of convicted criminals, raised “red
    flags” for local residents. Id. at 7. These board members did
    not think that BOZA had the duty to question the “percep-
    tions” of local residents regarding the possible dangers
    presented by WCS’ patients. Id. at 6-7.
    C. The First Federal Court Proceeding
    Although Wisconsin law allows for direct review by
    a Wisconsin state court of adverse BOZA decisions, see
    
    Wis. Stat. § 62.23
    (10), WCS instead filed the present action
    in the United States District Court for the Eastern District of
    Wisconsin, see Wisconsin Corr. Serv. v. City of Milwaukee, 173
    F. Supp. 2d. 842 (E.D. Wis. 2001) (“WCS I”). Its complaint
    alleged that BOZA had violated the ADA and the Rehabili-
    tation Act by failing to make reasonable modifications to its
    methods for determining whether to issue a special use
    permit. The complaint also requested an injunction directing
    Milwaukee to issue the desired permit.
    The district court held that BOZA had violated the federal
    disability laws when it failed even to consider making a
    reasonable modification to its policies to accommodate
    WCS’ request. The court began its analysis by noting the
    8                                                  No. 04-1966
    basic Supremacy Clause principle that federal laws are
    superior to conflicting local laws. See U.S. Const. art. VI, cl.
    2. The court noted that invocation of this basic principle did
    not necessarily mean that WCS was entitled to a special use
    permit as an accommodation under the ADA. BOZA’s
    failure even to consider WCS’ accommodation request,
    however, had deprived the court of a sufficient factual
    record on which to determine whether WCS had a right to
    such an accommodation. The court directed that BOZA hear
    evidence on WCS’ accommodation claim and determine: (1)
    whether WCS’ patients are “disabled”; (2) whether the
    requested accommodation is “reasonable” and “necessary”;
    and (3) whether the requested relief would work a “funda-
    mental change” to the services being rendered. See WCS I,
    173 F. Supp. 2d at 853 (quoting 
    28 C.F.R. § 35.130
    (b)(7)).
    D. The Second Proceeding Before the Board of Zoning
    Appeals
    On September 12, 2002, BOZA reconvened a public
    hearing to decide whether, and to what extent, the ADA and
    the Rehabilitation Act required it to modify its zoning
    policies in considering WCS’ application for a special use
    permit. BOZA heard testimony regarding the necessity of a
    modification, whether such modification was a reasonable
    accommodation and whether it might work any fundamen-
    tal change on the City’s zoning practices.
    Jill Fuller, WCS’ clinic administrator, was the first to
    testify. She described the state of overcrowding at WCS’
    current facility and the effect that these conditions were
    having on WCS’ patients. Individuals with severe men-
    tal disabilities, Fuller explained, are particularly sensitive to
    external stimuli and often have poor socials skills. Over-
    crowding in the common area of WCS’ facility—a room
    No. 04-1966                                                  9
    described by another WCS administrator as noisy, smoky
    and packed—created an extremely stressful environment for
    these patients and caused their symptoms to become more
    acute. Additionally, Fuller testified that overcrowding
    compromised the privacy of one-on-one therapy sessions,
    which represent a primary component of WCS’ treatment.
    WCS then presented testimony from its executive director,
    Stephen Swigart. He described the search process under-
    taken by WCS to find a new facility that, in addition to
    being of adequate size, would satisfy the clinic’s need for a
    central location, access to public transit, a serviceable floor
    plan, low renovation costs and a safe neighborhood. Swigart
    testified that, after being denied the special use permit, WCS
    had worked with city planners to locate a suitably zoned
    property, but that its efforts had been unsuccessful. Any
    potential alternatives, Swigart explained, were either
    unavailable or too costly.
    Finally, WCS presented expert testimony from Dr. Nancy
    Frank, the Chair and Associate Dean of the Department
    of Architecture and Urban Planning at the University of
    Wisconsin-Milwaukee. She opined that locating the men-
    tal health clinic at WCS’ desired location, 3176 West Wiscon-
    sin Avenue, would have a positive rather than an adverse
    effect on the surrounding neighborhood. Pointing out that
    a properly zoned health clinic already was located directly
    across the street from the proposed site, Frank noted that
    WCS’ clinic would be a consistent addition to the neighbor-
    hood and encourage commercial uses of a similar nature. In
    addition, Frank testified that the building at 3176 West
    Wisconsin Avenue had been mostly vacant for some time.
    According to Frank, the goal of city planners seeking to
    revitalize a commercial area should be to fill vacant space as
    quickly as possible. Frank predicted that relocating WCS
    10                                                No. 04-1966
    and all of its employees to the area would attract businesses
    such as “restaurants, dry cleaners [and] coffee shops” eager
    to serve the new influx of professionals. R.45, Ex.F-2 at 58.
    Frank further stated that “[i]t’s actually a strategy in urban
    redevelopment to try to get a good non-profit anchor in an
    area first because they’re often less dependant on having an
    area that already has a lot of consumer demand, and you
    can then build on that employee base.” 
    Id.
     When asked
    about safety concerns, Frank stated that four of the six
    parole offices in the City of Milwaukee were located in areas
    zoned for business use. Frank saw no reason why WCS’
    clinic would present any more of a safety risk than these
    offices.
    BOZA then heard testimony from Michael Murphy, an
    alderman representing the area in which WCS was seek-
    ing to relocate its clinic. Steadfastly opposed to WCS’ plans,
    Alderman Murphy stated that “WCS’ thrust to rip an 81,000
    square foot building out of the heart of this emerging
    business district could be fatal to this area.” 
    Id. at 94
    . When
    pressed on whether the new clinic conceivably could bring
    economic benefits to the neighborhood, Alderman Murphy
    conceded that the influx of professionals potentially could
    draw new businesses. He stated, nevertheless, that he
    objected to the plan because it meant that WCS, as a non-
    profit, would not pay tax on the space used for its clinic and
    operations; Alderman Murphy preferred a tax-paying
    commercial tenant in the space. Notably, the only submis-
    sion on whether WCS’ patients were a safety risk to the
    community were affidavits from business owners near the
    proposed site. None of these opinions, however, was
    supported by actual evidence.
    On December 22, 2002, BOZA issued a written decision
    denying the special use permit to WCS. It concluded that
    No. 04-1966                                                11
    WCS’ claim for an accommodation under the disabilities
    laws failed because such an accommodation was neither
    reasonable nor necessary. On the question of necessity,
    BOZA framed the inquiry as “whether the requested
    accommodation will ameliorate, that is, directly improve the
    burden of the mental illnesses from which [WCS’ patients]
    suffer.” 
    Id.,
     Ex.H at 2. Concluding that WCS had not
    satisfied its burden on this issue, BOZA noted that mental
    illness, unlike a physical impairment, “is not a one size fits
    all handicap or disability within the ADA.” 
    Id.
     Rather, in
    BOZA’s view, the mental disabilities suffered by WCS’
    patients were likely to vary dramatically across the patient
    population. It was therefore, according to BOZA, a “gross
    overgeneralization and speculation” for WCS to contend
    that each of its patients would respond favorably to treat-
    ment in the new, larger facility. 
    Id.
     Moreover, in BOZA’s
    estimation, the factors considered by WCS in seeking out a
    new facility were not linked to its patients’ disabilities.
    According to BOZA, “[t]he WCS search criteria resemble
    those of many other commercial businesses, profit or non
    profit, which have outgrown their physical premises and
    want to move into a larger setting.” 
    Id.
    BOZA concluded that, in addition to being unnecessary,
    the requested accommodation also was unreasonable. In
    making this determination, BOZA stressed that the relo-
    cation of WCS’ clinic to its proposed site would “place an
    undue financial burden on the district,” 
    id. at 5
    , threatening
    “the economic survival [of] this already shaky neighbor-
    hood,” 
    id. at 6
    . According to BOZA, these costs to the
    City were not outweighed by the needs of WCS because
    WCS apparently had other relocation options available
    in other neighborhoods.
    Finally, BOZA determined that the requested accommoda-
    12                                                 No. 04-1966
    tion, in addition to being unreasonable and unnecessary,
    fundamentally would alter the City’s zoning scheme:
    Every time a social service agency, AA club, homeless
    shelter serving mentally ill homeless people; hospital,
    psychologists or psychiatrists [sic] office, therapists’
    office, etc. wanted to locate their business in a zoning
    district requiring a special use to do so, the City or this
    Board would have to automatically consider giving
    them an accommodation under ADA regardless of the
    special use criteria in the City’s ordinance.
    
    Id. at 3
    .
    E. The Second Federal Court Proceeding
    On January 24, 2003, WCS reinstated its action in federal
    court challenging the second BOZA ruling. It alleged that
    the City’s refusal to grant WCS a special use permit violated
    the ADA and the Rehabilitation Act. In determining the
    standard that it ought to employ in assessing WCS’ accom-
    modation claim, the district court declined, despite the
    parties’ recommendation, to apply the test that governs
    cases arising under the Fair Housing Amendments Act of
    1988 (“FHAA”). The FHAA requires a reasonable accommo-
    dation to zoning rules when necessary to afford a handi-
    capped person the “equal opportunity” to obtain housing.
    
    42 U.S.C. § 3604
    (f)(3)(B). In the district court’s view, this
    standard did not apply to the present case because WCS
    sought its accommodation not to obtain housing but to
    provide mental health services to its patients. Moreover, the
    court continued, “unlike housing, the general public does
    not require mental health services; thus, in the present case,
    it makes little sense to inquire whether the disabled are
    entitled to equal opportunity to such services.” Wisconsin
    Cmty. Servs. v. City of Milwaukee, 
    309 F. Supp. 2d 1096
    , 1105
    No. 04-1966                                                  13
    (E.D. Wis. 2004) (“WCS II”).
    Instead, relying upon our decision in Oconomowoc Residen-
    tial Programs, Inc. v. City of Milwaukee, 
    300 F.3d 775
     (7th Cir.
    2002), the court held that, to satisfy its initial burden, WCS
    must show that its requested accommodation is (1) reason-
    able and (2) necessary to enhance affirmatively its disabled
    patients’ “ ‘quality of life by ameliorating the effects of the
    disability.’ ” WCS II, 
    309 F. Supp. 2d at 1105
     (quoting
    Oconomowoc Residential Programs, 
    300 F.3d at 784
    ). Once
    WCS had made this showing, according to the district court,
    the City then must “demonstrate unreasonableness or
    undue hardship in the particular circumstances.” 
    Id.
    Applying this framework, the court first assessed the
    accommodation’s reasonableness by weighing the benefits
    to WCS’ clients against the potential cost to the City of
    issuing the special use permit. In the court’s view, WCS had
    presented convincing evidence that overcrowding was a real
    problem at its current facility and one that both aggravated
    the effects of its clients’ disabilities and impaired WCS’
    ability to provide services that ameliorate such effects. The
    new, larger facility, the court stated, would solve this
    overcrowding problem and benefit WCS’ patients substan-
    tially. Against this benefit, the court weighed the costs
    purportedly incurred by the City in undermining its zoning
    code, interfering with the revitalization of a business district
    and losing potential tax revenue. The court did not find
    these costs significant enough to outweigh the clear benefit
    that the special use permit would provide WCS. Crediting
    the testimony of Frank, the court found that WCS’ new
    clinic actually would benefit the economic development of
    the neighborhood. In any event, noted the court, having a
    tenant in a vacant building was better than having no tenant
    at all. Further, the court took the view that, given WCS’
    plans to lease a majority of its new space to commercial
    14                                              No. 04-1966
    tenants, the City would not be deprived of substantial tax
    revenue.
    The court next considered whether WCS had established
    that its requested accommodation was necessary. First,
    the court concluded that, for reasons it already had de-
    scribed in its reasonableness assessment, the proposed
    facility would ameliorate some of the effects of WCS’
    patients’ disabilities. Second, the court rejected the City’s
    argument that WCS could have moved its clinic to another
    location where a mental health clinic would not have
    required a special use permit. Under the court’s view of
    the evidence, this option was too costly for WCS. Al-
    though recognizing that WCS perhaps could have
    searched for available properties more effectively, the
    court held that necessity may be established simply by
    evidence of a good-faith, albeit failed, attempt to find an
    alternative to the accommodation requested.
    II
    DISCUSSION
    A.
    The legal question before us is whether, and to what
    extent, a city must modify its zoning standards to prevent
    them from discriminating against the disabled. The stat-
    utes relevant to answering that question are three separate
    but interrelated federal laws that protect persons with
    disabilities from discrimination. The first two laws chrono-
    logically were the Rehabilitation Act of 1973 and the FHAA.
    Enactment of the ADA followed in 1990. All three statutory
    schemes embrace the concept that, in certain instances, the
    policies and practices of covered entities must be modified
    to accommodate the needs of the disabled. We now shall
    examine each statute’s accommodation requirement in
    No. 04-1966                                                     15
    detail.
    1. The Rehabilitation Act of 1973
    The Rehabilitation Act, 
    29 U.S.C. § 701
     et seq., applies to
    federal government agencies as well as organizations that
    receive federal funds. The parties in this case stipulated that
    the City receives federal funding and is therefore covered by
    the Rehabilitation Act. Much of the Rehabilitation Act
    focuses on employment, but section 504 broadly covers
    other types of programs and activities as well. Section 504(a)
    provides that “[n]o otherwise qualified individual with a
    disability in the United States . . . shall, solely by reason of
    her or his disability, be excluded from the participation in,
    be denied the benefits of, or be subjected to discrimination
    under any program or activity receiving Federal financial
    assistance . . . .” 
    29 U.S.C. § 794
    (a).
    The Rehabilitation Act does not contain a general accom-
    modation requirement. Rather, in implementing the Re-
    habilitation Act,3 the Department of Health and Human
    Services (“HHS”) promulgated several regulations that
    specifically require reasonable accommodations. See Traynor
    3
    Courts tend to look to the Rehabilitation Act’s implementing
    regulations in interpreting other disability laws such as the
    ADA and the FHAA. See, e.g., Bragdon v. Abbott, 
    524 U.S. 624
    , 631-
    32 (1998) (stating that courts are required to “construe the ADA
    to grant at least as much protection as provided by the regula-
    tions implementing the Rehabilitation Act”); see also 
    42 U.S.C. § 12201
     (“Except as otherwise provided in this chapter, nothing in
    this chapter shall be construed to apply a lesser standard than the
    standards applied under title V of the Rehabilitation Act of 1973
    (
    29 U.S.C. § 790
     et seq.) or the regulations issued by Federal
    agencies pursuant to such title.”).
    16                                                No. 04-1966
    v. Turnage, 
    485 U.S. 535
    , 550 n.10 (1988) (observing that these
    regulations “were drafted with the oversight and approval
    of Congress and therefore constitute an important source of
    guidance on the meaning of § 504”) (internal quotation
    marks and citations omitted)). The most pertinent of these
    regulations requires recipients of federal funds to “make
    reasonable accommodation to the known physical or mental
    limitations of an otherwise qualified handicapped applicant
    or employee unless the recipient can demonstrate that the
    accommodation would impose an undue hardship on the
    operation of its program.” 
    28 C.F.R. § 41.53
    . The regulation’s
    use of the terms “applicant or employee” suggests that it
    pertains most directly to workplace accommodation, rather
    than to the modification of a city’s zoning practices.
    Nevertheless, the Supreme Court has located a duty to
    accommodate in the statute generally. In Alexander v. Choate,
    
    469 U.S. 287
     (1985), handicapped individuals challenged a
    proposal by the State of Tennessee to reduce the number of
    inpatient hospital days that the state Medicaid program
    would pay hospitals on behalf of Medicaid recipients.
    Because handicapped individuals spend more time in
    hospitals, on average, than the non-disabled, the plaintiffs
    argued that Tennessee’s proposal had a disproportionate
    effect on the disabled and hence was discriminatory in
    violation of section 504 of the Rehabilitation Act. After
    rejecting Tennessee’s argument that federal law prohibits
    only intentional discrimination against the handicapped, the
    Court explained that “ ‘a refusal to modify an existing
    program might become unreasonable and discriminatory.’”
    
    Id. at 300
     (quoting Southeastern Cmty. Coll. v. Davis, 
    442 U.S. 397
    , 413 (1979)). The Rehabilitation Act’s promise of
    “meaningful access” to state benefits, according to the
    Court, means that “reasonable accommodations in the
    grantee’s program or benefit may have to be made.” 
    Id.
     at
    No. 04-1966                                                 17
    301.
    However, in applying this principle, the Court in Choate
    held that Tennessee’s proposal, in fact, did not deny the
    plaintiffs “meaningful access” to Medicaid services. This
    was because “[t]he new limitation [did] not invoke
    criteria that have a particular exclusionary effect on the
    handicapped; the reduction, neutral on its face, [did] not
    distinguish between those whose coverage will be re-
    duced and those whose coverage will not on the basis of any
    test, judgment, or trait that the handicapped as a class are
    less capable of meeting or less likely of having.” Id. at 302.
    More specifically, the Court noted that there was no
    “suggestion” in the record “that the illnesses uniquely
    associated with the handicapped or occurring with greater
    frequency among them cannot be effectively treated, at least
    in part, with fewer than 14 days’ coverage.” Id. n.22. In
    short, the Court held that, because the denial of benefits was
    not linked in any way to the plaintiffs’ particular disabili-
    ties, Tennessee’s hospital-day reduction, even when left
    unmodified, did not offend the Rehabilitation Act.
    Following Choate, several courts of appeals have adopted
    the view that the Rehabilitation Act requires public en-
    tities to modify federally assisted programs if such a
    modification is necessary to ensure that the disabled have
    equal access to the benefits of that program. See, e.g.,
    Henrietta D. v. Bloomberg, 
    331 F.3d 261
    , 274-75 (2d Cir. 2003).
    These circuits, including ours, also follow the corollary
    principle implicit in the Choate decision that the Rehabilita-
    tion Act helps disabled individuals obtain access to benefits
    only when they would have difficulty obtaining those
    benefits “by reason of” their disabilities, and not because of
    some quality that they share generally with the public. See,
    e.g., 
    id. at 276-79
     (acknowledging “that the ADA and the
    18                                                No. 04-1966
    Rehabilitation Act are addressed to rules that hurt people
    with disabilities by reason of their handicap, rather than
    that hurt them solely by virtue of what they have in com-
    mon with other people” (internal quotation marks, citations,
    alterations and emphasis omitted)); Washington v. Indiana
    High Sch. Athletic Assoc., 
    181 F.3d 840
    , 848 (7th Cir. 1999)
    (noting that, in a Rehabilitation Act modification claim,
    “[t]here must be a causal connection between the disability
    and [the plaintiff’s] ineligibility”); Forest City Daly Housing
    v. Town of N. Hempstead, 
    175 F.3d 144
    , 152 (2d Cir. 1999)
    (holding that, for claims under the FHAA, the ADA and the
    Rehabilitation Act, a proposed accommodation must be
    “necessary in light of the disabilities” of the plaintiffs; and
    dismissing claims because “no analogous housing opportu-
    nity exist[ed] for persons without disabilities” (internal
    quotation marks omitted)); Crowder v. Kitagawa, 
    81 F.3d 1480
    , 1485 (9th Cir. 1996) (relying on Choate to require
    Hawaii to modify a law that required carnivorous animals
    entering the state, including guide dogs, to be quarantined
    for 120 days because the quarantine discriminated against
    the visually impaired “by reason of their disability”); United
    States v. Bd. of Trs. of the Univ. of Alabama, 
    908 F.2d 740
    , 748
    (11th Cir. 1990) (recognizing that Choate requires an unmod-
    ified program to bear more heavily on the disabled on
    account of their disability and distinguishing the case of a
    deaf student who, unlike his non-handicapped peers, is less
    likely to benefit from his classes without a sign-language
    interpreter).
    2. The Fair Housing Amendments Act
    The duty to accommodate imposed by the FHAA, 
    42 U.S.C. § 3601
     et seq., mirrors in large part the modification
    obligations under the Rehabilitation Act. Enacted in 1988,
    No. 04-1966                                                      19
    the FHAA extended the scope of other federal housing laws
    to cover persons with disabilities. Under these amendments,
    disabled individuals may not be prevented from buying or
    renting private housing because of their disabilities. See 
    id.
    § 3604. They also must be provided reasonable “accommo-
    dation in rules, policies, practices, or services when such
    accommodation may be necessary to afford [them] equal
    opportunity to use and enjoy a dwelling.” Id. §
    3604(f)(3)(B).4
    Although the plain language of the FHAA provides little
    guidance concerning the reach of its accommodation
    requirement, the contours of the obligation have been given
    substantial elaboration by this court and other courts of
    appeals. The basic elements of an FHAA accommodation
    claim are well-settled. First, the requested accommodation
    must be reasonable, which, as we have stated, is a “highly
    fact-specific inquiry and requires balancing the needs of the
    parties. An accommodation is reasonable if it is both
    efficacious and proportional to the costs to implement it.”
    Oconomowoc Residential Programs, 
    300 F.3d at 784
     (internal
    citations omitted). In the zoning context, a municipality may
    4
    The legislative history of the Fair Housing Amendments Act
    explains:
    The Committee intends that the prohibition against discrimi-
    nation against those with handicaps apply to zoning deci-
    sions and practices. The Act is intended to prohibit the
    application of special requirements through land-use
    regulations, restrictive covenants, and conditional or special
    use permits that have the effect of limiting the ability of such
    individuals to live in the residence of their choice in the
    community.
    H.R. Rep. No. 100-711, at 24 (1988), reprinted in 1988 U.S.C.C.A.N.
    2173, 2185.
    20                                                   No. 04-1966
    show that a modification to its policy is “unreasonable if it
    is so at odds with the purpose behind the rule that it would
    be a fundamental and unreasonable change.” 
    Id.
     (internal
    quotation marks and citations omitted).
    Second, the requested accommodation must be “neces-
    sary,” meaning that, without the accommodation, the
    plaintiff will be denied an equal opportunity to obtain the
    housing of her choice. See 
    id. at 784
    ; see also Giebeler v. M &
    B Assocs., 
    343 F.3d 1143
    , 1155 (9th Cir. 2003); Smith & Lee
    Assocs., Inc. v. City of Taylor, 
    102 F.3d 781
    , 795 (6th Cir. 1996).
    This has been described by courts essentially as a causation
    inquiry. See, e.g., Lapid-Laurel, L.L.C. v. Zoning Bd. of Adjust-
    ment of Twp. of Scotch Plains, 
    284 F.3d 442
    , 460 (3d Cir. 2002)
    (“This requirement has attributes of a causation require-
    ment. And if the proposed accommodation provides no
    direct amelioration of a disability’s effect, it cannot be said
    to be necessary.” (internal quotation marks and citations
    omitted)).
    In addition, the FHAA links the term “necessary” to the
    goal of “equal opportunity.” 
    42 U.S.C. § 3604
    (f)(3)(B). The
    “equal opportunity” element limits the accommodation
    duty so that not every rule that creates a general inconve-
    nience or expense to the disabled needs to be modified.
    Instead, the statute requires only accommodations necessary
    to ameliorate the effect of the plaintiff’s disability so that she
    may compete equally with the non-disabled in the housing
    market. We have enforced this limitation by asking whether
    the rule in question, if left unmodified, hurts “handicapped
    people by reason of their handicap, rather than . . . by virtue of
    what they have in common with other people, such as a
    limited amount of money to spend on housing.” See Hemi-
    sphere Bldg. Co. v. Vill. of Richton Park, 
    171 F.3d 437
    , 440 (7th
    Cir. 1999) (emphasis in original).
    No. 04-1966                                                        21
    Most recently, we considered the “equal opportunity”
    limitation in deciding an FHAA claim brought by a group
    home challenging a city’s ad hoc decision to shut off the
    water supply to the group home’s land. See Good Shepherd
    Manor Found., Inc. v. City of Momence, 
    323 F.3d 557
    , 561-64
    (7th Cir. 2003). Rejecting the group home’s claim that the
    city had to modify its decision because shutting off its water
    harmed its disabled residents by preventing them from
    living in group homes, we stated that “[c]utting off the
    water prevents anyone from living in a dwelling, not just
    handicapped people.” 
    Id. at 562
    . Put differently, the plain-
    tiff’s accommodation claim failed because the disability
    suffered by the group home’s residents did not deny them
    an equal opportunity to obtain housing.5
    5
    Other circuits similarly have adopted the view that the FHAA’s
    accommodation requirement is limited only to lowering barriers
    to housing that are created by the disability itself. See, e.g., Forest
    City Daly Housing v. Town of N. Hempstead, 
    175 F.3d 144
    , 151-53
    (2d Cir. 1999) (upholding the decision of a zoning board to
    prevent a developer of an assisted living facility to relocate to a
    business zone and agreeing with the district court that “reason-
    able accommodations were not necessary to afford prospective
    residents an equal housing opportunity, because persons without
    disabilities do not have opportunities analogous to those being
    sought here”); Bryant Woods Inn, Inc. v. Howard County, 
    124 F.3d 597
    , 604 (4th Cir. 1997) (“The ‘necessary’ element—the FHA
    provision mandating reasonable accommodations which are
    necessary to afford an equal opportunity—requires the demonstra-
    tion of a direct linkage between the proposed accommodation
    and the ‘equal opportunity’ to be provided to the handicapped
    person. This requirement has attributes of a causation require-
    ment. And if the proposed accommodation provides no direct
    amelioration of a disability’s effect, it cannot be said to be
    (continued...)
    22                                                    No. 04-1966
    3. Title II of the Americans with Disabilities Act
    The ADA was built on the Rehabilitation Act and the
    FHAA, but extends the reach of those laws substantially.
    Invoking “the sweep of congressional authority, includ-
    ing the power to enforce the fourteenth amendment and
    to regulate commerce,” the ADA was designed “to pro-
    vide a clear and comprehensive national mandate for the
    elimination of discrimination against individuals with
    disabilities.” 
    42 U.S.C. § 12101
    (b)(1), (b)(4). It forbids
    discrimination against persons with disabilities in three
    major areas of public life: (1) employment, which is covered
    by Title I of the statute, 
    id.
     § 12111-12117; (2) public services,
    programs and activities, which are the subjects of Title II, id.
    § 12131-12165; and (3) public and private lodging, which is
    covered by Title III, id. § 12181-12189. See generally, Tennessee
    v. Lane, 
    541 U.S. 509
    , 516-17 (2004).
    This case concerns Title II, commonly referred to as the
    public services portion of the ADA. Title II provides that
    “no qualified individual with a disability shall, by reason of
    such disability, be excluded from participation in or be
    denied the benefits of the services, programs, or activities of
    a public entity.” 
    42 U.S.C. § 12132
    .
    As courts have held, municipal zoning qualifies as a
    public “program” or “service,” as those terms are employed
    in the ADA, and the enforcement of those rules is an
    5
    (...continued)
    ‘necessary.’ ” (emphasis in original)); Smith & Lee Assocs., Inc. v.
    City of Taylor, 
    102 F.3d 781
    , 795 (6th Cir. 1996) (concluding that,
    to satisfy the “necessary” element of a FHAA accommodation
    claim, the “[p]laintiffs must show that, but for the accommoda-
    tion, they likely will be denied an equal opportunity to enjoy the
    housing of their choice”).
    No. 04-1966                                                       23
    “activity” of a local government.6 Section 12131(2) goes on
    to define “qualified individual with a disability” as
    an individual with a disability who, with or without
    reasonable modifications to rules, policies, or practices, the
    removal of architectural, communication, or transporta-
    tion barriers, or the provision of auxiliary aids and
    services, meets the essential eligibility requirements for
    the receipt of services or the participation in programs
    or activities provided by a public entity.
    (emphasis added).7
    Unlike Title I and Title III, Title II of the ADA does not
    contain a specific accommodation requirement.8 Instead, the
    6
    See, e.g., Bay Area Addiction Research v. City of Antioch, 
    179 F.3d 725
    , 730-32 (9th Cir. 1999) (applying Title II to a city’s zoning
    requirements); Innovative Health Sys., Inc. v. City of White Plains,
    
    117 F.3d 37
    , 48-49 (2d Cir. 1997) (same).
    7
    In the opening provisions of the ADA, Congress made the
    following finding, applicable to the statute in all parts:
    individuals with disabilities continually encounter various
    forms of discrimination, including outright intentional
    exclusion, the discriminatory effects of architectural, trans-
    portation, and communication barriers, overprotective rules
    and policies, [and] failure to make modifications to existing
    facilities and practices . . . .
    
    42 U.S.C. § 12101
    (a)(5) (emphasis added).
    8
    Title I provides that an employer unlawfully discriminates
    by “not making reasonable accommodations to the known
    physical or mental limitations of an otherwise qualified individ-
    ual with a disability.” 
    42 U.S.C. § 12112
    (b)(5)(A). Similarly, Title
    III’s definition of discrimination includes “a failure to make
    (continued...)
    24                                                    No. 04-1966
    Attorney General, at the instruction of Congress,9 has issued
    an implementing regulation that outlines the duty of a
    public entity to accommodate reasonably the needs of the
    disabled. The Title II regulation reads:
    A public entity shall make reasonable modifications
    in policies, practices, or procedures when the modifica-
    tions are necessary to avoid discrimination on the basis
    of disability, unless the public entity can demonstrate
    that making the modifications would fundamentally
    alter the nature of the service, program, or activity.
    
    28 C.F.R. § 35.130
    (b)(7).10
    Before proceeding with an assessment of the case before
    8
    (...continued)
    reasonable modifications in policies, practices, or procedures,
    when such modifications are necessary to afford such goods,
    services, facilities, privileges, advantages, or accommodations
    to individuals with disabilities.” 
    Id.
     § 12182(b)(2)(A)(ii).
    9
    See 
    42 U.S.C. § 12134
    (a) (“[T]he Attorney General shall promul-
    gate regulations in an accessible format that implement this
    part.”). The Attorney General’s regulations, Congress further
    directed, “shall be consistent with this chapter and with the
    coordination regulations . . . applicable to recipients of Federal
    financial assistance under [§ 504 of the Rehabilitation Act].” Id. §
    12134(b).
    10
    The Supreme Court never has decided whether these reg-
    ulations are entitled to the degree of deference described in
    Chevron, U.S.A. Inc. v. National Resource Defense Council, Inc., 
    467 U.S. 837
    , 844 (1984). Nevertheless, the Court has said that,
    “[b]ecause the Department of Justice is the agency directed by
    Congress to issue regulations implementing Title II . . . its views
    warrant respect.” Olmstead v. L.C., 
    527 U.S. 581
    , 597-98 (1998)
    (internal citations omitted).
    No. 04-1966                                                    25
    us, we pause for a closer examination of the regulation
    promulgated under the ADA because the text of this
    regulation gives us several important guideposts for the
    resolution of this case. First, as our cases already hold,
    failure to accommodate is an independent basis for liability
    under the ADA. Second, the plain language of the regula-
    tion also makes clear that an accommodation only is
    required when necessary to avoid discrimination on the basis
    of a disability. Third, the regulation states, in its plain
    language, that any accommodation must be a reasonable one.
    We shall now examine each of these features of the regula-
    tion, keeping in mind that Congress has expressed its desire
    that interpretation of the ADA be compatible with interpre-
    tation of the other federal disability statutes, a point also
    made clear in several holdings of the Supreme Court.11
    Under the Title II regulation, a modification must be
    “necessary to avoid discrimination on the basis of disabil-
    ity.” 
    Id.
     In this way, the regulation differs slightly from the
    accommodation regulation promulgated under the Rehabili-
    tation Act, which does not contain any express language
    regarding necessity. See 
    id.
     § 41.53. However, as we
    noted earlier, Choate seems to read the Rehabilitation Act
    as containing a necessity requirement.
    Similarly, there is a minor difference between the Title II
    regulation and the FHAA’s accommodation provision.
    Although the FHAA’s accommodation provision does
    contain an express necessity requirement, the text is differ-
    ent from the ADA regulation. The FHAA version reads
    11
    See, e.g., Bragdon, 
    524 U.S. at 631-32
     (stating that courts are
    required to “construe the ADA to grant at least as much protec-
    tion as provided by the regulations implementing the Rehabilita-
    tion Act”).
    26                                                  No. 04-1966
    “necessary to afford . . . equal opportunity,” 
    42 U.S.C. § 3604
    (f)(3)(B); by contrast, the ADA version reads “necessary
    to avoid discrimination on the basis of disability,” 
    28 C.F.R. § 35.130
    (b)(7). Nevertheless, as we have interpreted it, the
    Title II regulation, like the FHAA provision, links necessity
    to a causation inquiry. In the context of the FHAA, we have
    enforced this limitation by asking whether the rule in
    question, if left unmodified, hurts “handicapped people by
    reason of their handicap, rather than . . . by virtue of what they
    have in common with other people, such as a limited
    amount of money to spend on housing.” See Hemisphere
    Bldg. Co., 
    171 F.3d at 440
     (emphasis in original). Similarly,
    under our Title II case law, the “on the basis of” language
    requires the plaintiff to show that, “but for” his disability,
    he would have been able to access the services or benefits
    desired. See Washington v. Indiana High Sch. Athletic Assoc.,
    
    181 F.3d 840
    , 849 (7th Cir. 1999) (requiring a high school to
    modify its rule prohibiting “red-shirting” for a student
    whose learning disability required him to miss a year of
    school). Moreover, Title II’s necessity component mirrors the
    judicial gloss afforded to the Rehabilitation Act in Choate. As
    in Choate, a plaintiff invoking Title II’s modification require-
    ment must show that his disability is what causes his
    deprivation of the services or benefits desired. In short, each
    of these provisions requires the plaintiff to satisfy the
    “necessary” element by showing that the reason for his
    deprivation is his disability.
    The regulation also requires that any accommodation be
    a reasonable one. In the context of the FHAA, we have
    interpreted this requirement to mandate an inquiry into
    whether the accommodation is “both efficacious and
    proportional to the costs to implement it.” Oconomowoc
    Residential Programs, 
    300 F.3d at 784
    . In the zoning context,
    a municipality may show that a modification to its policy is
    No. 04-1966                                                      27
    “unreasonable if it is so at odds with the purpose behind the
    rule that it would be a fundamental and unreason-
    able change.” 
    Id.
     (internal quotation marks and citations
    omitted). This assessment is “a highly fact-specific in-
    quiry and requires balancing the needs of both parties.” 
    Id.
    In this regard, we think it is important to note that, in
    undertaking this highly fact-specific assessment, it is
    necessary that the court take into consideration all of the
    costs to both parties. Some of these costs may be objective
    and easily ascertainable. Others may be more subjective and
    require that the court demonstrate a good deal of wisdom in
    appreciating the intangible but very real human costs
    associated with the disability in question. On the other side
    of the equation, some governmental costs associated with
    the specific program at issue may be a matter of simply
    looking at a balance sheet. Others, however, may be those
    intangible values of community life that are very important
    if that community is to thrive and is to address the needs of
    its citizenry.12
    12
    Contrary to the assertions of the City, see Appellant’s Br. at 40-
    42 (quoting Bryant Woods, Inc. v. Howard County, Maryland, 
    124 F.3d 597
    , 603 (4th Cir. 1997)), we do not believe that, in conduct-
    ing this reasonableness inquiry, the district court owes special
    deference to the City’s zoning ordinance. The House Report
    accompanying the FHAA noted specifically that “[t]he Commit-
    tee intends that the prohibition against those with handicaps
    apply to zoning decisions and practices.” H.R. Rep. No. 100-711,
    at 24 n.63 (1988), reprinted in 1988 U.S.C.C.A.N. 2173, 2185.
    Furthermore, the House had rejected an amendment to the FHAA
    that “mandated” a showing of discriminatory “intent before a
    zoning decision [could be] struck down.” See id. at 89 (additional
    views of Representatives Swindall, Sensenbrenner, Shaw,
    Dannemeyer, Coble and Slaughter). Because the ADA is founded
    (continued...)
    28                                                    No. 04-1966
    We pause to emphasize one other important feature of the
    Title II regulation. We think that the regulation makes clear
    that the duty to accommodate is an independent basis of
    liability under the ADA. The language of the regula-
    tion itself certainly supports this view. By requiring mea-
    sures that are “necessary to avoid discrimination on the
    basis of disability,” 
    28 C.F.R. § 35.130
    (b)(7), the regulation
    clearly contemplates that prophylactic steps must be taken
    to avoid discrimination. Indeed, we have taken this view in
    our earlier cases, and other circuits also have favored this
    interpretation. See McGary v. City of Portland, 
    386 F.3d 1259
    ,
    1266 (9th Cir. 2004) (“The district court’s suggestion that
    McGary must allege that the City inconsistently enforced its
    nuisance abatement policy misses the point of a reasonable
    accommodation claim. Indeed, the crux of a reasonable
    accommodation claim is a facially neutral requirement that
    is consistently enforced.”); Henrietta D. v. Bloomberg, 
    331 F.3d 261
    , 276-77 (2d Cir. 2003) (“[A] claim of discrimination
    based on a failure reasonably to accommodate is distinct
    from a claim of discrimination based on disparate
    impact.”).13
    12
    (...continued)
    on the FHAA and is intended to expand upon rights guaranteed
    by that act, see supra at 21-22, we believe that these statements
    provide guidance with respect to the ADA, especially in the
    absence of contrary statutory language or legislative history
    specific to the ADA. The one-sentence dicta to the contrary in
    Bryant Woods is, notably, unsupported by citation. See 
    124 F.3d at 603
    .
    13
    Similarly, in Olmstead, two mentally ill patients brought a
    Title II action against a state hospital that refused to place them
    in a community living environment. The Court rejected the state’s
    argument that “discrimination” under Title II “necessarily
    (continued...)
    No. 04-1966                                                      29
    Under the law of this circuit, a plaintiff need not allege
    either disparate treatment or disparate impact14 in order
    to state a reasonable accommodation claim under Title II
    of the ADA. See Washington, 
    181 F.3d at 846-48
     (describ-
    ing the showing of a failure to accommodate as an inde-
    pendent method of proving discrimination under Title II);
    cf. Good Shepherd Manor Found., 
    323 F.3d at 561-62
     (holding
    that “reasonable accommodation is a theory of liability
    separate from intentional discrimination”). In sum, a Title II
    claim under the ADA “may be established by evidence that
    (1) the defendant intentionally acted on the basis of
    the disability, (2) the defendant refused to provide a
    reasonable modification, or (3) the defendant’s rule dis-
    proportionally impacts disabled people.” Washington, 
    181 F.3d at 847
    . The district court resolved WCS’ claim employ-
    ing the second approach, see Wisconsin Community Serv., 
    309 F. Supp. 2d at 1104
    , and our case law provides support for
    13
    (...continued)
    requires uneven treatment of similarly situated individuals.” 527
    U.S. at 598 (internal quotation marks omitted). “[S]atisfied that
    Congress had a more comprehensive view of the concept of
    discrimination advanced in the ADA,” id., the Court went on to
    hold that the state hospital violated Title II and 
    28 C.F.R. § 35.130
    (b)(7) by failing to accommodate the plaintiffs’ request for
    community living, 
    id. at 607
    .
    14
    We understand the City to be using “disparate impact” to
    signify the method of proof under anti-discrimination laws that
    compares the treatment among otherwise similarly situated
    individuals. See, e.g., Watson v. Fort Worth Bank & Trust, 
    487 U.S. 977
    , 987 (1988) (“The evidence in these ‘disparate impact’ cases
    usually focuses on statistical disparities, rather than specific
    incidents, and on competing explanations for those disparities.”).
    30                                                No. 04-1966
    such a cause of action.15
    B.
    With the key legislative provisions in full view, we
    turn now to the task of applying them to the case before us.
    In essence, we must decide whether, and to what extent, the
    Rehabilitation Act and Title II require the City to modify its
    zoning practices in order to accommodate the needs of the
    disabled individuals served by WCS.
    WCS submits that the City must waive application of
    its normal special-use criteria for WCS because it has shown
    that granting the permit will ameliorate overcrowding, a
    condition that particularly affects its disabled clients. Before
    accepting this position, however, we must ask whether WCS
    has satisfied the “necessity” element contained in the
    Rehabilitation Act as interpreted by Choate and in the Title
    II regulation, see 
    28 C.F.R. § 35.130
    (b)(7). WCS contends that
    the necessity element is satisfied simply when a modifica-
    tion helps the disabled, regardless of whether it is necessary
    to alleviate discrimination. Implicit in this position is that
    the federal accommodation obligation reaches not only rules
    that create barriers “on the basis of” a person’s disability,
    but also rules that are not disability-based and create
    obstacles to persons because of some factor unrelated to
    disability.
    As we already have discussed, with respect to the Rehabil-
    15
    Because the district court resolved WCS’ ADA claim on a
    reasonable accommodation basis, it did not have occasion to
    reach WCS’ disparate impact or disparate treatment arguments.
    We therefore do not address, nor do we offer any comment on,
    the merits of those claims.
    No. 04-1966                                                   31
    itation Act, Choate held that a modification is “necessary”
    only when it allows the disabled to obtain benefits that they
    ordinarily could not have by reason of their disabilities, and
    not because of some quality that they share with the public
    generally. See Choate, 
    469 U.S. at 302
    ; cf. Hemisphere Bldg. Co.,
    
    171 F.3d at 440
     (asking whether the rule in question, if left
    unmodified, hurts “handicapped people by reason of their
    handicap, rather than . . . by virtue of what they have in
    common with other people, such as a limited amount of
    money to spend on housing” (emphasis in original)). The
    inquiry is the same under the ADA regulation, which asks
    whether a modification is “necessary to avoid discrimina-
    tion on the basis of disability.” 
    28 C.F.R. § 35.130
    (b)(7).
    Framed by our cases as a causation inquiry, the element is
    satisfied only when the plaintiff shows that, “but for” his
    disability, he would have been able to access the services or
    benefits desired. See Washington, 
    181 F.3d at 849
    .
    On the present record, WCS’ inability to meet the
    City’s special use criteria appears due not to its client’s
    disabilities but to its plan to open a non-profit health clinic
    in a location where the City desired a commercial, taxpaying
    tenant instead. As far as this record indicates, the
    City would have rejected similar proposals from non-
    profit health clinics serving the non-disabled. WCS contends
    that Title II’s accommodation requirement calls, in such a
    situation, for “ ‘preferential’ treatment and ‘is not limited
    only to lowering barriers created by the disability itself.’ ”
    Appellee’s Br. at 30 n.5 (quoting Giebeler, 
    343 F.3d at 1154
    ).
    WCS’ view, however, is inconsistent with the “necessity”
    element as it has been defined under the Rehabilitation Act,
    the FHAA and Title II of the ADA. On this record, because
    the mental illness of WCS’ patients is not the cause-in-fact
    of WCS’ inability to obtain a suitable facility, the program
    that it seeks modified does not hurt persons with disabilities
    32                                                No. 04-1966
    “by reason of their handicap.” Hemisphere Bldg. Co., 
    171 F.3d at 440
     (emphasis in original).
    WCS responds that the Supreme Court’s decision in
    US Airways, Inc. v. Barnett, 
    535 U.S. 391
     (2001), has overruled
    the principle, central to previous Title II accommodation
    decisions, that the proposed modification must be necessary
    to avoid discrimination on the basis of a disability. In
    Barnett, a case decided under Title I of the ADA, a US
    Airways baggage handler injured his back and requested
    transfer to a mailroom position that recently had become
    available. US Airways refused because, under its seniority
    policy, the company was required to award the position to
    a more senior employee. Recognizing that US Airways’
    seniority policy must yield, under certain circumstances, to
    the needs created by the plaintiff’s disability, the Supreme
    Court held that the plaintiff should be permitted to rebut the
    presumption that his requested modification to the neutral
    seniority policy was unreasonable.
    According to WCS’ characterization, in Barnett, the
    seniority policy treated the disabled and non-disabled alike,
    and it was a non-disability characteristic (seniority) that
    denied Barnett the job. WCS sees no distinction between
    Barnett and the present case: Just as the plaintiff in Barnett
    was ineligible for the mail room position because of his
    seniority rather than his disability, WCS was ineligible for
    a special use permit because it was a non-profit health clinic,
    not because its clients were disabled. Because the Supreme
    Court allowed Barnett’s claim to go forward, albeit with a
    heightened burden of persuasion, WCS submits that it has
    satisfied the necessity element of its accommodation claim.
    We cannot accept this argument. Barnett and the present
    case simply deal with different analytical problems. Fairly
    read, Barnett did not deal with the issue of necessity-causal-
    No. 04-1966                                                    33
    ity, which was addressed in the cases we discussed earlier.
    Rather, it dealt with the second question that courts must
    confront in Title II accommodation cases: whether the
    accommodation was reasonable. Yet, this element cannot be
    reached until it has been determined that an accommoda-
    tion is necessary because a person’s disability is the cause
    for his being denied the service or benefit. As we explained
    earlier, to satisfy Title II’s necessity element, a plaintiff must
    show that, “but for” its disability, it would have received
    the ultimate benefit being sought—which, in WCS’ case, is
    a larger facility. Washington, 
    181 F.3d at 849
    . The same is
    true under the Rehabilitation Act. See Choate, 
    469 U.S. at 302
    .
    If the City’s zoning rules are to be compared to the seniority
    policy in Barnett, WCS must demonstrate that, because of its
    clients’ disabilities, it cannot relocate to a suitable site. Only
    then will the unmodified policy hurt the disabled on account
    of their disability. Only then will the modification be
    “necessary to avoid discrimination on the basis of disabil-
    ity.” 
    28 C.F.R. § 35.130
    (b)(7).
    The district court assumed that the proposed modification
    could be deemed “necessary” even if the disabilities suf-
    fered by WCS’ patients were not the cause-in-fact of its
    inability to find a larger building. The district court failed to
    apply a “but for” causation standard in determining the
    necessity element of WCS’ accommodation claim. Choosing
    this course was error in light of the prevailing standards
    under our case law. We therefore must remand to the
    district court so that it may afford the parties the opportu-
    nity to develop the question of whether WCS has been
    prevented, because of its clients’ disabilities, from locating
    34                                                 No. 04-1966
    a satisfactory new facility.16
    Conclusion
    For the foregoing reasons, we reverse the judgment of
    the district court and remand for proceedings consistent
    with this opinion. The City may recover its costs in this
    court.
    REVERSED and REMANDED
    EASTERBROOK, Circuit Judge, concurring. One question
    on which the parties have disagreed is whether 
    28 C.F.R. §35.130
    (b)(7), which was promulgated under Title II of
    the Americans with Disabilities Act, establishes an ac-
    commodation requirement in addition to the statutory rules
    16
    Because we have determined that the district court erred
    in determining whether the accommodation was “necessary,” we
    need not reach the question of whether its determination that the
    accommodation was “reasonable” was error.
    Also, as noted above, see supra note 15, because the district
    court resolved WCS’ claim on the failure of the City to offer a
    reasonable accommodation, the court did not address WCS’
    alternative theories of disparate impact and disparate treatment.
    The district court is free to consider those claims on remand
    should WCS ultimately fail with respect to its reasonable
    accommodation claim.
    No. 04-1966                                                    35
    that prohibit disparate treatment and limit disparate impact.
    The district judge said “yes,” the panel said “no,” and now
    the en banc court says “yes.” Having written the panel’s
    opinion saying “no,” see 
    413 F.3d 642
    , 646-47 (7th Cir. 2005),
    I now join the en banc opinion saying “yes,” because further
    consideration has led me to conclude that the right question
    is what this regulation means rather than what label to
    attach to its provisions.
    The regulation provides:
    A public entity shall make reasonable modifications
    in policies, practices, or procedures when the modi-
    fications are necessary to avoid discrimination on the
    basis of disability, unless the public entity can demon-
    strate that making the modifications would fundamen-
    tally alter the nature of the service, program, or activity.
    A proposed accommodation is required only if it is “neces-
    sary” to “avoid discrimination”. That an alteration in zoning
    rules would be convenient or helpful to a plaintiff does not
    make the change “necessary.” Moreover, “discrimination”
    exists only if the zoning regulation (or other rule at issue)
    hurts “handicapped people by reason of their handicap, rather
    than . . . by virtue of what they have in common with other
    people, such as a limited amount of money to spend” (slip
    op. at 18, 21, 26-27 & 32, all quoting from Hemisphere
    Building Co. v. Richton Park, 
    171 F.3d 437
    , 440 (7th Cir. 1999)
    (emphasis in original)). That was the panel’s view as well.
    
    413 F.3d at 646
    .
    In a brief amicus curiae filed at the court’s request, the Civil
    Rights Division of the Department of Justice told us that this
    regulation creates an accommodation requirement distinct
    in the sense that disparate impact may be established by
    case-specific as well as statistical evidence. In employment-
    36                                                No. 04-1966
    discrimination litigation under Title VII of the Civil Rights
    Act of 1964 or the Age Discrimination in Employment Act,
    a “disparate impact” means a statistically significant
    adverse effect of a rule that is neutral in its terms. There is
    no good reason, however, why a regulation may not take a
    different approach to disparate-impact theories in disability-
    discrimination cases, where the circumstances of the
    affected persons may be so different—and the number of
    zoning or housing-code rules so numerous—that statistical
    analysis would be impractical. Title II does not specify a
    regimen for disparate-impact analysis, which means that a
    regulation requiring local zoning rules to yield when
    “necessary” to avoid applicant-specific disparate impacts
    that occur by reason of disability is a reasonable way to
    implement the statute. So I accept the Civil Rights Division’s
    reading of this regulation, and I understand the court’s
    opinion to do so too.
    A true Copy:
    Teste:
    _____________________________
    Clerk of the United States Court of
    Appeals for the Seventh Circuit
    USCA-02-C-0072—9-26-06
    

Document Info

Docket Number: 04-1966

Citation Numbers: 465 F.3d 737

Judges: Per Curiam

Filed Date: 9/26/2006

Precedential Status: Precedential

Modified Date: 1/12/2023

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