National Federation of the Blind v. Linda Lamone , 813 F.3d 494 ( 2016 )


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  •                                 PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 14-2001
    NATIONAL FEDERATION OF THE BLIND; KENNETH CAPONE; MELISSA
    RICCOBONO; JANICE TOOTHMAN,
    Plaintiffs - Appellees,
    v.
    LINDA H. LAMONE, State Administrator, State Board of
    Elections, in her official capacity; DAVID J. MCMANUS, JR.,
    Chairman, State Board of Elections, in his official
    capacity; BOBBIE S. MACK, Member, State Board of Elections,
    in her official capacity; PATRICK J. HOGAN, Member, State
    Board of Elections, in his official capacity; MICHAEL R.
    COGAN, Member, State Board of Elections, in his official
    capacity;   KELLY  A.   HOWELLS,  Member, State   Board  of
    Elections, in her official capacity,
    Defendants – Appellants,
    and
    AMERICAN    COUNCIL     OF   THE    BLIND   OF    MARYLAND;
    VERIFIEDVOTING.ORG; SAVEOURVOTES.ORG; CINDY LABON; CHARLES
    CRAWFORD; JANE SHEEHAN,
    Intervenors.
    --------------------------
    CIVIL RIGHTS EDUCATION AND ENFORCEMENT CENTER; MARYLAND
    DISABILITY LAW CENTER; ADAPT MARYLAND; AMERICAN CIVIL
    LIBERTIES UNION; ARC MARYLAND; ARC OF THE UNITED STATES;
    ASSOCIATION OF ASSISTIVE TECHNOLOGY ACT PROGRAMS; DISABILITY
    LAW CENTER FOR VIRGINIA; DISABILITY RIGHTS ADVOCATES;
    DISABILITY   RIGHTS  BAR   ASSOCIATION;  DISABILITY   RIGHTS
    EDUCATION & DEFENSE FUND; DISABILITY RIGHTS NORTH CAROLINA;
    FREEDOM CENTER; IMAGE CENTER FOR PEOPLE WITH DISABILITIES;
    INDEPENDENCE NOW; JUDGE DAVID L. BAZELON CENTER FOR MENTAL
    HEALTH LAW; LEAGUE FOR PEOPLE WITH DISABILITIES; MARYLAND
    DEVELOPMENTAL DISABILITIES COUNCIL; MARYLAND DISABILITIES
    FORUM; NATIONAL ASSOCIATION OF THE DEAF; NATIONAL DISABILITY
    RIGHTS NETWORK; ON OUR OWN OF MARYLAND; PARALYZED VETERANS
    OF AMERICA; PEOPLE ON THE GO; PROTECTION AND ADVOCACY FOR
    PEOPLE WITH DISABILITIES; SOUTHERN MARYLAND CENTER FOR
    INDEPENDENT LIVING; UNITED SPINAL ASSOCIATION; WEST VIRGINIA
    ADVOCATES; UNITED STATES OF AMERICA,
    Amici Supporting Appellees.
    Appeal from the United States District Court for the District of
    Maryland, at Baltimore.    Richard D. Bennett, District Judge.
    (1:14-cv-01631-RDB)
    Argued:   October 28, 2015             Decided:   February 9, 2016
    Before GREGORY, DUNCAN, and FLOYD, Circuit Judges.
    Affirmed by published opinion.    Judge Floyd wrote the opinion,
    in which Judge Gregory and Judge Duncan joined.
    ARGUED: Julia Doyle Bernhardt, OFFICE OF THE ATTORNEY GENERAL OF
    MARYLAND, Baltimore, Maryland, for Appellants.    Jessica Paulie
    Weber, BROWN, GOLDSTEIN & LEVY, LLP, Baltimore, Maryland, for
    Appellees.   Thomas Evans Chandler, UNITED STATES DEPARTMENT OF
    JUSTICE, Washington, D.C., for Amicus United States of America.
    ON BRIEF: Brian E. Frosh, Attorney General of Maryland, OFFICE
    OF THE ATTORNEY GENERAL OF MARYLAND, Baltimore, Maryland, for
    Appellants. Daniel F. Goldstein, BROWN, GOLDSTEIN & LEVY, LLP,
    Baltimore, Maryland, for Appellees.     Amy F. Robertson, CIVIL
    RIGHTS EDUCATION AND ENFORCEMENT CENTER, Denver, Colorado;
    Alyssa R. Fieo, MARYLAND DISABILITY LAW CENTER, Baltimore,
    Maryland, for Amici Civil Rights Education and Enforcement
    Center, Maryland Disability Law Center, ADAPT Maryland, American
    Civil Liberties Union, Arc Maryland, Arc of the United States,
    Association of Assistive Technology Act Programs, disAbility Law
    Center for Virginia, Disability Rights Advocates, Disability
    Rights Bar Association, Disability Rights Education & Defense
    Fund, Disability Rights North Carolina, Freedom Center, IMAGE
    Center for People with Disabilities, Independence Now, Judge
    2
    David L. Bazelon Center for Mental Health Law, League for People
    with Disabilities, Maryland Developmental Disabilities Council,
    Maryland Disabilities Forum, National Association of the Deaf,
    National Disability Rights Network, On Our Own of Maryland,
    Paralyzed Veterans of America, People on the Go, Protection and
    Advocacy for People with Disabilities, Southern Maryland Center
    for Independent Living, United Spinal Association, and West
    Virginia Advocates.    Vanita Gupta, Principal Deputy Assistant
    Attorney General, Mark L. Gross, Civil Rights Division, UNITED
    STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Amicus
    United States of America.
    3
    FLOYD, Circuit Judge:
    Maryland allows any voter to vote via absentee ballot.                               A
    voter may obtain a blank hardcopy absentee ballot by mail, fax,
    or by downloading and printing one from a website.                            The hardcopy
    ballot must be marked by hand, signed, and returned via mail or
    hand-delivery to the voter’s local election board.
    The         National        Federation    of     the    Blind      and     individual
    disabled     Maryland          voters   sued   state       election   officials      under
    Title   II       of    the    Americans     with    Disabilities      Act     (“ADA”)   and
    Section 504 of the Rehabilitation Act.                       Plaintiffs allege that
    marking      a        hardcopy     ballot     by    hand    without      assistance      is
    impossible for voters with various disabilities, and that they
    have therefore been denied meaningful access to absentee voting.
    After a bench trial, the district court found that Maryland’s
    program,     as        then    structured,     did    not    comport     with     ADA   and
    Rehabilitation           Act    requirements.        The     district    court     further
    found that plaintiffs’ proposed remedy—the use of an “online
    ballot marking tool” that would enable disabled voters to mark
    their ballots electronically—was a reasonable modification that
    did not fundamentally alter Maryland’s absentee voting program.
    Defendant election officials now appeal all these aspects of the
    district court’s decision.                For the reasons below, we affirm.
    4
    I.
    A.
    Elections     in    the    State         of    Maryland    are    overseen       by   the
    State Board of Elections (“Board”).                         Md. Code Ann., Elec. Law
    §§ 2-101     to    102    (Westlaw        current          through      the    2015     Regular
    Session of the General Assembly) (“Elec. Law”).                                The Board is
    comprised of five members.                  Elec. Law § 2-101(a).                   The Board
    appoints a State Administrator of Elections who is designated as
    “the     chief      State        election             official”       and     tasked         with
    administering Maryland’s election apparatus.                          
    Id. § 2-103.
    Maryland provides its voters with a number of different
    means to vote.            Maryland has nearly 2,000 polling places at
    which    a   voter       may     cast   a       ballot      on    Election      Day.         The
    overwhelming majority of these polling places are accessible to
    physically disabled voters and are staffed with election judges
    trained in serving voters with disabilities.                            The polling place
    voting machines have a number of accessibility features designed
    to assist disabled voters in casting their ballots.                                 Maryland’s
    voting machines allow voters to magnify the font of the ballot,
    to   alter   the     color     contrast,             and   to   position      the   interface
    screen    such     that     voters      can          sit   down   while       casting    their
    ballots.         The voting machines can also be programed for non-
    visual access by means of an audio ballot; when using the audio
    features     a    voter    receives         a    headset        and   numeric       keypad     to
    5
    navigate the ballot choices.                Voters who desire assistance in
    marking their ballots may be assisted by an individual of their
    choosing or by an election judge (in the presence of an election
    judge of another political party).                 The voting machines are not
    compatible with some common personal accessibility devices such
    as refreshable Braille displays.
    Maryland also allows voters to vote in person for an eight-
    day   period      before    Election       Day   at    sixty-four     early   voting
    polling stations.          All of these early voting polling places are
    physically accessible.
    Finally, any Maryland voter may vote by absentee ballot.                     A
    voter can obtain a ballot by mail, fax, or electronically by
    downloading a ballot from a website.                  A voter who electronically
    downloads    an    absentee       ballot    must      print   out   the   ballot   in
    hardcopy, mark their choices by hand, and then sign and return
    the   hardcopy     ballot    to    their    local     board   of    elections.     An
    absentee voter may designate an agent to pick up and deliver a
    ballot.     Absentee voters may also have an individual of their
    choice assist them in hand marking the ballot.
    B.
    Historically, as noted, an absentee voter who obtained an
    absentee ballot electronically needed to print out the blank
    ballot and mark their choices by hand on the printed hardcopy
    6
    ballot.       For several years, Maryland has been developing a piece
    of software referred to as an “online ballot marking tool.”                            The
    tool can be used by absentee voters who choose to obtain their
    absentee ballots electronically; the tool enables voters to mark
    their       choices   electronically     and      then     print     out   a    completed
    ballot. 1       When the ballot is printed, the voter’s selections
    appear on a number of pages followed by a separate signature
    page.       The voter must still sign the signature page and return
    the    entire    hardcopy    ballot    to       the    local    board   of     elections.
    Only printed and signed ballots received by a local board of
    elections are counted in determining the result of an election.
    Maryland’s Board developed the online ballot marking tool
    over    a    number   of   years,   including          with    the   participation      of
    plaintiff       National    Federation      of    the     Blind.        The    Board   has
    solicited feedback and implemented a number of usability and
    accessibility enhancements for disabled voters.                       The tool is not
    compatible with all computer browsers or operating systems, but
    does function properly with a variety of reasonably up-to-date
    products.             Importantly      for            individuals       with     certain
    1
    The tool provides the voter an interface program on the
    computer they are using.    Voters mark their ballots using the
    computer program and are then presented with a review screen
    that allows voters to verify that their selections are accurate.
    When a voter confirms the selections, the computer transmits the
    information to the state election board’s computer server. The
    server generates a marked ballot in the form of a PDF file,
    which the voter can then print out.
    7
    disabilities, the ability to use the tool on their own computers
    may enable them to use the personal assistive devices that they
    ordinarily       use    to    interface     with     the       computer,     such     as    a
    refreshable Braille display, to mark their ballot choices.
    C.
    An    early,     non-accessible       version          of   the    online    ballot
    marking tool was available to absentee voters during Maryland’s
    2012    primary       elections.        Following    the       primary     elections,       a
    question arose as to whether the tool needed to be officially
    certified pursuant to Maryland Election Law Section 9-102, which
    requires certification of any “voting system” prior to use.                                The
    Maryland Attorney General provided an opinion that the tool did
    not meet the statutory definition of a “voting system” and did
    not require certification.               See Certification of Voting Systems
    Does Not Apply to Absentee-Ballot-Marking Wizard, 97 Op. Md.
    Att’y    Gen.    32    (2012).         However,    apparently       due    to   lingering
    concerns over the status of the online ballot marking tool, the
    Board    only    made     the    tool    available       to    certain     overseas     and
    military absentee voters for the 2012 general election.                             Use of
    the     tool    in     the    2012     primary     and     general        elections     was
    apparently uneventful.
    The     Maryland      General    Assembly    subsequently          clarified     the
    status of the tool.             In 2013, the General Assembly passed the
    8
    “Improving Access to Voting Act,” 2013 Md. Laws Ch. 157, which,
    among other things, explicitly required the Board to certify any
    online ballot marking tool prior to use by voters.                      See 
    id. (codified at
    Elec. Law § 9-308.1).                 Certification requires a
    supermajority:       at least four of the five members of the Board
    must vote in favor of certification.             See Elec. Law § 2-102(c).
    The Board continued to make improvements to the version of
    the tool that had been used in the 2012 election cycle.                         In
    particular, the Board implemented certain changes to make the
    tool more accessible to voters with disabilities.                 Additionally,
    in accordance with the 2013 Improving Access to Voting Act, the
    Board hired an independent consultant, Unatek Inc. (“Unatek”),
    to perform security testing on the tool.                  Unatek produced a
    report in December 2013 concluding that use of the tool was
    secure.
    In February 2014, the Board met and discussed the online
    ballot    marking    tool.     The   Board    reviewed    the     December   2013
    Unatek report and interviewed the report’s author.                   Some Board
    members continued to express concerns about the security of the
    tool, and the Board did not hold a certification vote.
    The     Board     subsequently        hired    a    second     independent
    consultant,   Mainstay       Enterprises,    Inc.    (“Mainstay”),     to    audit
    the Unatek security report.           The Mainstay audit concluded that
    Unatek’s    security     assessment        had     followed     industry     best
    9
    practices.    The Board also received and reviewed public comments
    and had Board staff obtain information on the use of similar
    ballot marking tools in other states.
    The certification issue was again discussed at the Board’s
    April 2014 meeting.     At the meeting, Mainstay briefed the Board
    on the results of its audit.      Some Board members continued to
    express concerns about certification and the Board did not take
    a certification vote.
    D.
    On May 19, 2014, plaintiffs sued Linda Lamone, Maryland’s
    State Administrator of Elections, and the five Board members,
    all in their official capacities.     At the heart of plaintiffs’
    suit are claims that Maryland’s absentee voting process violates
    the ADA and the Rehabilitation Act.      Plaintiffs sought both a
    declaratory judgment to that effect as well as an injunction
    requiring state election officials to make the online ballot
    marking tool available for use starting with the 2014 general
    election. 2   The district court subsequently scheduled a bench
    trial to begin on August 13, 2014.      The schedule would provide
    2 Plaintiffs also sought a preliminary injunction requiring
    election officials to make the tool available for the June 24,
    2014 primary election.    The district court held a hearing on
    June 11, 2014, and ultimately denied plaintiffs’ request.
    10
    defendants with sufficient time to implement the tool before the
    2014 general election in the event that plaintiffs prevailed.
    While the suit was pending, the Board held a specially-
    scheduled    meeting     on    July   10,    2014,   with   one   Board    member
    absent.     The four Board members in attendance voted 3 to 1 to
    certify   the   online    ballot      marking   tool.       The   vote    did   not
    satisfy the statutory supermajority requirement and the tool was
    not certified.
    The district court held a three-day bench trial beginning
    on August 13, 2014. 3         The district court heard testimony on:            the
    3 On August 1, 2014, less than two weeks before trial,
    several individuals and entities who were similarly situated to
    plaintiffs here filed a motion to intervene in the case.     The
    putative intervenors asserted similar ADA and Rehabilitation Act
    claims, along with additional claims against Maryland state
    officials    under   18 U.S.C. § 1983    for   various   alleged
    constitutional violations. The putative intervenors argued that
    their rights had been violated in ways substantially similar to
    plaintiffs, but sought an almost diametrically opposed remedy—an
    injunction barring certification of the online ballot marking
    tool.   Very broadly, the putative intervenors appeared to be
    concerned that the tool plaintiffs sought to require Maryland to
    use was not sufficiently accessible to disabled voters.
    The district court held a conference with all parties and
    the putative intervenors on August 8, 2014. With the agreement
    of the parties, the district court held the motion sub curia and
    permitted the putative intervenors to participate in the trial.
    In its memorandum opinion in this case, the district court
    ultimately granted the motion to the extent of the intervenors’
    participation up to and through trial, and considered the
    intervenors’ evidence and legal arguments in reaching its
    decision; the district court denied the motion to the extent the
    intervenors sought to assert independent claims against the
    defendants.   It does not appear that either the parties or the
    (Continued)
    11
    difficulties disabled voters have experienced while voting; the
    Board’s development of the online ballot marking tool and the
    Board’s   deliberation      over      certification;      the   accessibility     of
    the tool for disabled voters; and the security risks posed by
    the tool.
    The district court found that “the evidence demonstrated
    specific difficulties that some disabled voters have experienced
    while voting,” J.A. 1043, and that “under the current absentee
    ballot    voting    program,    individuals       with    disabilities    such    as
    those     of    the     Plaintiffs          cannot       vote      privately     and
    independently.”        J.A. 1044.          The district court credited the
    results    of   a   University        of   Baltimore     usability     study    that
    concluded the tool was “highly accessible for disabled voters,”
    J.A. 1047-48, though the district court acknowledged that two
    individuals     testified      that    they     had   difficulty    accessing    and
    using the tool during a public demonstration period.                    J.A. 1048.
    The district court found the tool “compatible with reasonably
    up-to-date computer and screen access software,” “designed in
    accordance with the Web Content Accessibility Guidelines,” and
    “compatible     with   refreshable         Braille     displays.”       
    Id. The district
    court did find that there were still “challenges to
    intervenors have appealed any part of the district court’s
    disposition on this issue, and we see no reason to disturb it.
    12
    private and independent voting by absentee ballot for disabled
    voters    even       when     using       the   tool,”        including      that       “disabled
    voters    may    need        assistance         in    signing       their    ballots       before
    submission.”            
    Id. “However, the
        testimony      at     trial       also
    indicated that, because the signature sheet prints on a separate
    page, the risk of disclosure of a disabled voter’s selections
    was minimalized and, in any event, was significantly less than
    that     afforded           under     the       current        paper        absentee        ballot
    system . . . .”            J.A. 1048-49.
    With    respect        to    the    security         risks   posed     by    the     online
    ballot    marking           tool,     the       district        court       credited       expert
    testimony       that        the     tool    “exhibited          software          independence,
    meaning a change to the voting software used for an election
    cannot    cause        an    undetectable            change    to    the     outcome       of    an
    election” and that “there were no additional risks that did not
    exist in other methods already available to Maryland voters.”
    J.A. 1049.           The district court found that the tool was “not
    without       some     security       risks”         including      that     “malware       could
    enable [a] third party to observe a voter’s selections” and that
    “a   voter’s         selections       could      be     captured       if    a     third    party
    infiltrated          the    Board’s        server      during       the     time    a     voter’s
    selections and/or the printable ballot were being transmitted.”
    J.A. 1049-50.          Additionally, “[t]here was no evidence at trial
    that   the     online       ballot    marking         tool    had    been     tested       against
    13
    intentional        attempts   to     infiltrate         or   hack   into    the    Board’s
    server or the tool.”          J.A. 1050.
    The district court further found that “it is clear that
    most voters may mark their absentee ballots without assistance”
    and that plaintiffs “should be afforded the same opportunity,
    but the State’s current voting program does not allow for it.”
    J.A. 1055.         Based on the facts found at trial, the district
    court concluded that plaintiffs had established that they had
    been denied meaningful access to absentee voting in Maryland in
    violation     of     Title    II    of    the     ADA    and   Section     504     of    the
    Rehabilitation Act.           The district court entered a declaratory
    judgment     for    plaintiffs       to   this     effect.      The    district      court
    further concluded that plaintiffs’ proposed remedy, access to
    the online ballot marking tool, was a reasonable modification
    that   did    not    fundamentally          alter   Maryland’s        voting      program.
    Consistent with these conclusions, the district court entered a
    permanent     injunction           prohibiting      defendants        from     violating
    plaintiffs’ rights under the ADA and the Rehabilitation Act and
    requiring     defendants      to     make    the    online     ballot      marking      tool
    available to plaintiffs for the 2014 general election.                                  This
    appeal followed.
    14
    II.
    We review judgments resulting from a bench trial under a
    mixed standard of review:          factual findings may be reversed only
    if clearly erroneous, while conclusions of law are examined de
    novo.       Plasterers’ Local Union No. 96 Pension Plan v. Pepper,
    
    663 F.3d 210
    , 215 (4th Cir. 2011).                    We review the grant of a
    permanent injunction for abuse of discretion.                   Legend Night Club
    v. Miller, 
    637 F.3d 291
    , 297 (4th Cir. 2011).
    Defendants’    appeal    principally           focuses    on    the    district
    court’s three core legal conclusions:                  (1) that plaintiffs have
    been denied meaningful access to absentee voting in violation of
    the ADA and the Rehabilitation Act; (2) that the online ballot
    marking tool constitutes a reasonable remedial modification; and
    (3) that requiring defendants to allow use of the tool does not
    fundamentally alter Maryland’s voting program.                       We address each
    of these issues in turn.
    III.
    Title II of the ADA 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,     or   be
    subjected     to   discrimination    by       any   such     entity.”        42   U.S.C.
    15
    § 12132. 4    To make out a violation of Title II, plaintiffs must
    show:      (1)    they   have     a     disability;    (2)   they   are    otherwise
    qualified to receive the benefits of a public service, program,
    or   activity;    and    (3)     they    were    denied   the   benefits    of   such
    service,     program,      or     activity,       or   otherwise     discriminated
    against,     on   the    basis    of     their   disability.        Constantine   v.
    Rectors & Visitors of George Mason Univ., 
    411 F.3d 474
    , 498 (4th
    Cir. 2005).
    Only the third of these elements—whether plaintiffs were
    denied the benefits of a public service, program, or activity on
    the basis of their disability—is at issue here. 5                      Much of the
    4Section 504 of the Rehabilitation Act similarly 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. “Claims under the ADA’s Title II and the Rehabilitation
    Act can be combined for analytical purposes because the analysis
    is ‘substantially the same.’”   Seremeth v. Bd. of Cty. Comm'rs
    Frederick Cty., 
    673 F.3d 333
    , 336 n.1 (4th Cir. 2012) (quoting
    Doe v. Univ. of Md. Med. Sys. Corp., 
    50 F.3d 1261
    , 1265 n.9 (4th
    Cir. 1995)). Because under the circumstances presented in this
    case plaintiffs’ ADA and Rehabilitation Act claims rise and fall
    together,   for  simplicity  our   opinion  combines   them  and
    principally analyzes the ADA claim. Cf., e.g., A Helping Hand,
    LLC v. Baltimore Cty., Md., 
    515 F.3d 356
    , 362 (4th Cir. 2008)
    (“Congress has directed courts to construe the ADA to grant at
    least as much protection as the Rehabilitation Act and its
    implementing regulations.”).
    5  Title II allows plaintiffs to pursue three distinct
    grounds for relief: (1) intentional discrimination or disparate
    treatment; (2) disparate impact; and (3) failure to make
    reasonable accommodations.   A Helping Hand, LLC, 515 F.3d at
    (Continued)
    16
    dispute revolves around the proper way to define the scope of
    the relevant public service or program at issue.              Plaintiffs
    argue that the appropriate analytic scope is Maryland’s absentee
    voting program.      Defendants urge analysis of Maryland’s voting
    program   in   its   entirety,   encompassing      the   various    voting
    alternatives—including    in-person    voting—available     to     Maryland
    voters.   Defendants argue that even if absentee voting is not
    fully accessible, the full accessibility of Maryland’s in-person
    polling places provides disabled voters with meaningful access
    to voting.     As explained below, we conclude that defendants’
    proposed focus is overbroad and would undermine the purpose of
    the ADA and its implementing regulations.
    A.
    Defendants’     argument    for    holistic     consideration      of
    Maryland’s voting program is in some immediate tension with the
    362.   Defendants somewhat mischaracterize plaintiffs’ claims as
    advancing a disparate impact theory of discrimination.       See,
    e.g., Br. of Appellants 38.    While some sort of disparity will
    necessarily be present in cases of discrimination, that does not
    mean that all discrimination cases are legally evaluated as
    “disparate impact” cases; we do not interpret plaintiffs’
    arguments as advancing a legal disparate impact theory (and the
    district court did not evaluate them as such).      We understand
    plaintiffs to be pursuing their claims on the theory that
    defendants have failed to make reasonable accommodations that
    would   afford   disabled   individuals  meaningful   access   to
    Maryland’s absentee voting program.
    17
    text of the ADA.         Title II states that a disabled individual may
    not be “excluded from participation in or be denied the benefits
    of the services, programs, or activities of a public entity, or
    be subjected to discrimination by any such entity.”                              42 U.S.C.
    § 12132.        Defendants’ proposed focus on voting in its entirety
    effectively reads out much of this language, suggesting that
    Title II prohibits only complete exclusion from participation in
    broadly-defined          public    programs.             However,         Title    II     is
    disjunctive.        By its own terms it is not limited only to public
    “programs”; it applies to “services, programs, or activities.”
    
    Id. (emphasis added).
           Title    II      does        not   only    prohibit
    “exclusion       from    participation”        in   a    public      program;     it    also
    separately prohibits “den[ying] the benefits” of that program.
    
    Id. 6 And
    in addition to those prohibitions, Title II separately
    generally       prohibits      “discrimination          by    any    [public]     entity.”
    
    Id. Although the
       bare    language         of    Title      II     does   not
    definitively resolve the question of appropriate scope, it does
    6
    The United States, as amicus, suggests that defendants
    would still be in violation of Title II even were we to conclude
    that Maryland’s entire voting program was “the” program subject
    to Title II’s requirements. We acknowledge that it is possible
    to view the ability to vote from the comfort of one’s home as
    one of the “benefits” of Maryland’s overall voting program, the
    denial of which benefit on the basis of disability might support
    a Title II claim.   However, given our conclusion below that we
    must evaluate Maryland’s absentee voting program directly, we
    need not address the United States’s contention.
    18
    suggest     to    us     that      some     granularity        in     analytic      focus     is
    necessary.
    The Supreme Court has cautioned against defining the scope
    of a public benefit so as to avoid questions of discriminatory
    effects.       In Alexander v. Choate, 
    469 U.S. 287
    , 301 (1985), a
    Rehabilitation Act case, a unanimous Court counseled that in
    assessing whether a disabled individual had been provided with
    meaningful       access       to    a     benefit,      “[t]he      benefit     itself,      of
    course,    cannot        be   defined       in    a    way   that     effectively     denies
    otherwise        qualified         handicapped          individuals      the     meaningful
    access    to     which    they      are    entitled.”          See    also    
    id. at n.21
    (citing        with      approval          the        government’s       statement          that
    “[a]ntidiscrimination              legislation         can   obviously    be     emptied     of
    meaning if every discriminatory policy is ‘collapsed’ into one’s
    definition of what is the relevant benefit”).                                The logic of
    Alexander further suggests that we should proceed cautiously to
    avoid defining a public program so generally that we overlook
    real difficulties in accessing government services.
    Also significant for our analysis of the proper scope of
    review here is the fact that Maryland allows any voter to vote
    by   absentee      ballot.          Elec.     Law      §§    9-301,    9-304.        Absentee
    ballots are not provided only to a limited set of voters with a
    demonstrated need to vote absentee; they are instead provided to
    the entire Maryland electorate at the option of each individual
    19
    voter.     On the whole, then, we think it is far more natural to
    view absentee voting—rather than the entire voting program—as
    the appropriate object of scrutiny for compliance with the ADA
    and the Rehabilitation Act.
    Defendants’               remaining           arguments              against           this
    straightforward conclusion are unpersuasive.                           Defendants cite an
    ADA-implementing regulation, 28 C.F.R. § 35.150(a), which they
    assert    requires         a    reviewing    court       to    view    Maryland’s          voting
    program    “in       its       entirety.”        However,        the    cited        regulation
    expressly pertains to “existing facilities.”                            See 
    id. On its
    face, this regulation simply provides that a public entity does
    not have to make each of its facilities accessible as long as
    individuals         with       disabilities      have     access       to    that        entity’s
    offered        public      services.             This     regulation           is        targeted
    principally at physical accessibility and allows a public entity
    to   provide        accessibility       alternatives           that    would       not    require
    large-scale architectural modifications of existing facilities.
    Accord     
    Constantine, 411 F.3d at 489
        (discussing          28 C.F.R.
    § 35.150(a) and explaining that “structural changes in existing
    physical        facilities”          are      “probably          the        most      expensive
    enterprise” in providing accessibility).
    Other ADA-implementing regulations, however, are applicable
    here     and    conflict         with   defendants’           proposed       focus       on   the
    entirety       of     Maryland’s        voting       program.          As      one       example,
    20
    28 C.F.R.       §    35.130        (“General     prohibitions      against
    discrimination”)        directly    implements    the    general     anti-
    discrimination mandate of Title II.            Subsection (b)(7) of the
    regulation requires public entities to make certain reasonable
    modifications in “policies, practices, or procedures when the
    modifications are necessary to avoid discrimination on the basis
    of disability”; this regulation clearly contemplates a focus on
    accessibility at a more granular level than entire government
    programs—the    level    of   “policies,   practices,   and   procedures.”
    
    Id. 7 Defendants
    also cite to three district court decisions from
    other circuits that they argue stand for the proposition that
    all aspects of a state’s voting program must be viewed together
    when analyzing an ADA claim.          Br. of Appellants 55-56.      It is
    7
    As another example, 28 C.F.R. § 35.160 states that “[a]
    public entity shall take appropriate steps to ensure that
    communications with [disabled persons] are as effective as
    communications with others” and “shall furnish appropriate
    auxiliary   aids  and   services   where   necessary  to   afford
    individuals with disabilities . . . an equal opportunity to
    participate in, and enjoy the benefits of, a service, program or
    activity of a public entity.”       
    Id. § (a)(1),
    (b)(1).     The
    requirement to provide “auxiliary aids and services” again
    suggests to us that accessibility cannot be adequately assessed
    at the highest level of program abstraction. The United States
    argues that this particular regulation alone is a sufficient
    basis to affirm the decision here.     Br. for United States as
    Amicus Curiae 17-19.     We think that the ADA itself and the
    general anti-discrimination regulation discussed above provide
    the most direct resolution in this case. We therefore need not
    consider whether there might be other independent bases that
    support an ADA or Rehabilitation Act claim on the facts here.
    21
    not clear to us that the cited cases in fact support defendants’
    proposition; in any event, we find them unpersuasive.                    Further,
    later decisions in some of those districts (and decisions by the
    courts of appeals sitting above them), flatly reject the very
    argument    defendants    advance   here.         See,   e.g.,   United       Spinal
    Ass’n v. Bd. of Elections in New York, 
    882 F. Supp. 2d 615
    , 623-
    24 (S.D.N.Y. 2012) (“It is abundantly clear that Defendants are
    obligated to provide a level of access to their voting program
    beyond the simple assurance that voters with disabilities are
    able to cast a ballot in some way, shape, or form.”); Disabled
    in Action v. Bd. of Elections in New York, 
    752 F.3d 189
    , 198-99
    (2d Cir. 2014) (“[T]o assume the benefit is . . . merely the
    opportunity to vote at some time and in some way [] would render
    meaningless    the   mandate   that   public       entities   may    not      afford
    persons with disabilities services that are not equal to that
    afforded others.” (quotation omitted)).
    B.
    Having determined that Maryland’s absentee voting program
    is   the    appropriate   subject     of    our    ADA    analysis,      we     must
    determine    whether   absentee     voting   is     accessible      to   disabled
    individuals as required by statute and implementing regulations.
    As the Supreme Court has explained:
    22
    Congress enacted the ADA in 1990 to remedy widespread
    discrimination against disabled individuals.        In
    studying the need for such legislation, Congress found
    that “historically, society has tended to isolate and
    segregate individuals with disabilities, and, despite
    some   improvements,  such   forms  of  discrimination
    against individuals with disabilities continue to be a
    serious and pervasive social problem.”
    PGA Tour, Inc. v. Martin, 
    532 U.S. 661
    , 674-75 (2001) (quoting
    42    U.S.C.        §    12101(a)(2)).             Congress    explicitly      found    that
    discrimination             was     not       limited    to     “outright       intentional
    exclusion,” but was also to be found in “the ‘failure to make
    modifications to existing facilities and practices.’”                                 
    Id. at 675
        (quoting          42     U.S.C.      §     12101(a)(5)).          After     thorough
    investigation and debate, Congress concluded that there was a
    “compelling             need”    for     a   “clear    and    comprehensive          national
    mandate”       to       both     eliminate       discrimination       and    to     integrate
    disabled       individuals         into      the    social    mainstream      of    American
    life.     
    Id. (internal citations
    omitted).                     “In the ADA, Congress
    provided that broad mandate.”                    
    Id. Congress has
    explicitly directed the Attorney General to
    promulgate                regulations              implementing             Title       II’s
    non-discrimination mandate.                      42 U.S.C. § 12134.            Pursuant to
    this directive, the Department of Justice (“DoJ”) promulgated a
    number    of    regulations,             including     28    C.F.R.   §     35.130.      That
    regulation provides:
    A public entity, in providing any aid, benefit, or
    service, may not . . . [a]fford a qualified individual
    23
    with a disability an opportunity to participate in or
    benefit from the aid, benefit, or service that is not
    equal to that afforded others . . . [or] [p]rovide a
    qualified individual with a disability with an aid,
    benefit, or service that is not as effective in
    affording equal opportunity to obtain the same result.
    28 C.F.R. § 35.130(b)(1)(ii)-(iii). 8                  We have recognized that
    “[t]he department’s regulations are the agency’s interpretation
    of     the    statute,    and    they    are     therefore   given   ‘controlling
    weight’ unless they conflict with other departmental regulations
    or the ADA itself.”             
    Seremeth, 673 F.3d at 338
    (citing Stinson
    v. United States, 
    508 U.S. 36
    (1993), and Chevron, U.S.A., Inc.
    v. Nat. Res. Def. Council, Inc., 
    467 U.S. 837
    , 844 (1984)).
    We have little trouble concluding from the record before us
    that       Maryland’s     absentee      voting     program   does    not   provide
    disabled individuals an “opportunity to participate . . . equal
    to that afforded others.”               See 28 C.F.R. § 35.130(b)(1)(ii).
    The district court found that “it is clear that most voters may
    mark their absentee ballots without assistance.”                       J.A. 1055.
    This       finding   is   not   clearly    erroneous.        The   district    court
    further found that Maryland’s current absentee voting program
    does not allow disabled individuals such as plaintiffs to mark
    their ballots without assistance.                
    Id. This finding
    is also not
    clearly      erroneous.         This   sharp   disparity     makes   obvious    that
    8The Rehabilitation Act’s regulations impose similar
    requirements. See, e.g., 45 C.F.R. § 84.4(b)(1)(ii)-(iii).
    24
    defendants      have        provided      “an    aid,     benefit,          or    service       [to
    disabled   individuals]            that    is    not     as    effective         in    affording
    equal opportunity to obtain the same result, to gain the same
    benefit,   or     to    reach      the    same       level     of    achievement         as   that
    provided to others.”               See 28 C.F.R. § 35.130(b)(1)(iii).                           The
    ADA requires more.
    Defendants do not seriously challenge the district court’s
    factual    findings         concerning      plaintiffs’             current      inability      to
    vote    without        assistance.              Instead,       defendants           argue     that
    plaintiffs have not been denied meaningful access to absentee
    voting because disabled individuals such as plaintiffs have no
    right to vote without assistance.                      See Br. of Appellants 59-60.
    This   argument        simply      misapprehends         the    nature       of       plaintiffs’
    claims.
    This case does not turn on whether there is a standalone
    right to vote privately and independently without assistance.
    Plaintiffs’ argument is that defendants have provided such a
    benefit to non-disabled voters while denying that same benefit
    to    plaintiffs       on    the    basis       of    their     disability.              This    is
    precisely the sort of harm the ADA seeks to prevent.                                  Cf., e.g.,
    Disabled in 
    Action, 752 F.3d at 199-200
    (“Although [plaintiffs]
    were   ultimately       able       to   cast     their    vote       with     the     fortuitous
    assistance of others, the purpose of the Rehabilitation Act is
    ‘to     empower        individuals          with        disabilities             to     maximize
    25
    employment,          economic         self-sufficiency,               independence,         and
    inclusion and integration into society’ . . . .                               The right to
    vote should not be contingent on the happenstance that others
    are     available       to    help.”        (emphasis           by   2d   Circuit)(quoting
    29 U.S.C. § 701(b)(1))); Cal. Council of the Blind v. Cty. of
    Alameda,     985       F.     Supp.        2d     1229,     1239      (N.D.      Cal.   2013)
    (“[R]equiring blind and visually impaired individuals to vote
    with the assistance of a third party, if they are to vote at
    all, at best provides these individuals with an inferior voting
    experience       ‘not       equal     to       that    afforded       others.’”      (quoting
    28 C.F.R. § 35.130(b)(1)(ii))).
    Voting is a quintessential public activity.                                In enacting
    the   ADA,      Congress      explicitly           found    that      “‘individuals        with
    disabilities . . . have been . . . relegated to a position of
    political powerlessness in our society, based on characteristics
    that are beyond the control of such individuals.’”                               Tennessee v.
    Lane,     
    541 U.S. 509
    ,        516      (2004)    (quoting        42     U.S.C.    §
    12101(a)(7)).         Ensuring that disabled individuals are afforded
    an opportunity to participate in voting that is equal to that
    afforded others, 28 C.F.R. § 35.130, helps ensure that those
    individuals      are     never      relegated          to   a    position     of    political
    powerlessness.          We affirm the district court’s conclusion that
    by effectively requiring disabled individuals to rely on the
    assistance      of    others        to     vote    absentee,         defendants     have    not
    26
    provided     plaintiffs     with    meaningful        access     to    Maryland’s
    absentee voting program.
    IV.
    Determining    that    plaintiffs        have   been   denied    meaningful
    access to absentee voting does not end our analysis.                     Not all
    public      services,     programs,       or     activities      can    be    made
    meaningfully accessible to all citizens, or at least they cannot
    be made so without a prohibitive cost or unreasonable effort on
    the part of the public entity.             For this reason, to prevail on
    their     ADA   claim,      plaintiffs         must   propose     a    reasonable
    modification to the challenged public program that will allow
    them the meaningful access they seek.                  See, e.g., Halpern v.
    Wake Forest Univ. Health Scis., 
    669 F.3d 454
    , 464 (4th Cir.
    2012) (noting that federal law mandates that federal grantees
    and   public    accommodations     make     “reasonable”       modifications   to
    accommodate persons with disabilities). 9
    DoJ   regulations     implementing        the   ADA    explain   that   “[a]
    public entity shall make reasonable modifications in policies,
    practices, or procedures when the modifications are necessary to
    9Halpern was a Title III and Rehabilitation Act case. We
    have noted that in general the different language of Titles II,
    III, and the Rehabilitation Act should be construed together to
    the extent possible.   
    Halpern, 669 F.3d at 461-62
    (collecting
    cases).
    27
    avoid discrimination on the basis of disability.”                     28 C.F.R.
    § 35.130(b)(7). 10       A   modification       is   reasonable    if    it   is
    “reasonable on its face” or used “ordinarily or in the run of
    cases” and will not cause “undue hardship.”                  
    Halpern, 669 F.3d at 464
    (citing U.S. Airways, Inc. v. Barnett, 
    535 U.S. 391
    , 401-
    02 (2002)); cf. Henrietta D. v. Bloomberg, 
    331 F.3d 261
    , 280
    (2d.   Cir   2003)   (stating   that   the     burden   of   establishing     the
    reasonableness of an accommodation is “‘not a heavy one’” and
    that it “is enough for the plaintiff to suggest the existence of
    a plausible accommodation, the costs of which, facially, do not
    clearly exceed its benefits” (quoting Borkowski v. Valley Cent.
    Sch. Dist., 
    63 F.3d 131
    , 138 (2d Cir. 1995))).                Determination of
    the reasonableness of a proposed modification is generally fact-
    specific.     
    Halpern, 669 F.3d at 464
    .
    The   district   court   here   found    that    plaintiffs’     proposed
    modification—the online ballot marking tool—was both reasonably
    secure and reasonably accessible to disabled voters.                  Reviewing
    the record as a whole, these findings do not appear clearly
    erroneous and we see no need to disturb them.                Further, although
    not determinative by itself, the fact that a version of the tool
    10
    The regulations, however, do not require implementation
    of even reasonable modifications where 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).   We address defendants’ “fundamental
    alteration” defense below.
    28
    was voluntarily implemented by defendants in the 2012 elections—
    “without      any    apparent    incident,”     J.A.     1057—speaks         to   the
    reasonableness of using the tool.               Additionally, because the
    tool has already been developed, there does not appear to be any
    substantial cost or implementation burden that would need to be
    borne by Maryland to make the tool available for use.                        On the
    facts before us, we conclude that plaintiffs’ proposed use of
    the online ballot marking tool is a reasonable modification to
    Maryland’s absentee voting policies and procedures.
    V.
    Defendants      correctly     argue     that     even        a    reasonable
    modification to Maryland’s absentee voting program need not be
    made     if   that   modification     would    “fundamentally           alter”     the
    program.      See 28 C.F.R. § 35.130(b)(7); 
    Halpern, 669 F.3d at 464
    .     Defendants bear the burden of proving that the requested
    modification would be a fundamental alteration to the program.
    See 28 C.F.R. § 35.130(b)(7).                After considering defendants’
    arguments and reviewing the record as a whole, we conclude that
    they have not met this burden.
    Defendants’     principal    argument    is     that    certification        of
    voting    systems,    including     certification      of     the   online      ballot
    marking tool under Election Law Section 9-308.1, is fundamental
    to     Maryland’s    voting     program.      They    argue     from     this     that
    29
    requiring them to make the online ballot marking tool available
    for plaintiffs’ use, where that tool has not yet received the
    statutorily-required        supermajority     vote,   works    a   fundamental
    alteration to Maryland’s voting program.              Therefore, defendants
    argue, the district court abused its discretion in enjoining
    them to make the tool available to plaintiffs.            We disagree. 11
    As    an    initial    matter,    the   strong   form    of   defendants’
    argument—that the mere fact of a state statutory requirement
    insulates       public   entities     from   making   otherwise     reasonable
    modifications      to    prevent    disability   discrimination—cannot      be
    correct.    The Constitution’s Supremacy Clause establishes that
    valid federal legislation can pre-empt state laws.                 Oneok, Inc.
    v. Learject, Inc., 
    135 S. Ct. 1591
    , 1595 (2015) (citing U.S.
    Const. Art. VI, cl. 2).             The Supreme Court has held that the
    ADA’s Title II, at least in certain circumstances, represents a
    valid exercise of 14th Amendment powers, 
    Lane, 541 U.S. at 533
    -
    34, and as such it trumps state regulations that conflict with
    its requirements.        As the Sixth Circuit has put it, “[r]equiring
    public entities to make changes to rules, policies, practices,
    or services is exactly what the ADA does.”               Jones v. City of
    11 Given our conclusion that use of the online ballot
    marking tool does not fundamentally alter Maryland’s program, we
    discern no abuse of discretion in the district court’s decision
    to issue the injunction as the other factors to be considered
    easily weigh in favor of granting injunctive relief. Cf. Legend
    Night 
    Club, 637 F.3d at 302-03
    .
    30
    Monroe, MI, 
    341 F.3d 474
    , 487 (6th Cir. 2003) (citing Oconomowoc
    Residential Programs, Inc. v. City of Milwaukee, 
    300 F.3d 775
    ,
    782-83 (7th Cir. 2002)), abrogated on other grounds by Anderson
    v. City of Blue Ash, 
    798 F.3d 338
    (6th Cir. 2015); accord Mary
    Jo C. v. New York State and Local Ret. Sys., 
    707 F.3d 144
    , 163
    (2d Cir. 2013) (“If all state laws were insulated from Title
    II’s   reasonable    modification    requirement      solely   because     they
    were state laws . . . the ADA would be powerless to work any
    reasonable modification in any requirement imposed by state law,
    no matter how trivial the requirement and no matter how minimal
    the costs of doing so.”).
    However, we also think that the converse proposition cannot
    be correct either.       Certain requirements of state law could in
    fact be fundamental to a public program in a way that might
    resist    reasonable   modifications      otherwise    necessary   to    bring
    that program into compliance with the ADA.            Defendants here urge
    that Maryland’s statutory certification requirement is just such
    an example:      certification, they argue, goes to the very heart
    of the voting program by ensuring the integrity of the voting
    process    as   a    whole.      Public   confidence     in    elections     is
    undoubtedly     an   important   governmental    concern.       But   on    the
    record before us defendants simply have not established their
    premise, that is, that use of the online ballot marking tool
    degrades the integrity of Maryland’s voting processes.
    31
    Put    another    way,     defendants     are   merging      Maryland’s
    procedural certification requirement with substantive concerns
    about whether the tool should be certified.            The mere fact that
    a procedural requirement has not been met does not necessarily
    mean that the underlying substantive purpose of that requirement
    has not been met.         The underlying question is fact-specific.
    See, e.g., 
    Halpern, 669 F.3d at 464
    -68; cf. 
    Jones, 341 F.3d at 480
      (“In   cases     involving    waiver     of   applicable     rules   and
    regulations, the overall focus should be on whether waiver of
    the rule in the particular case would be so at odds with the
    purposes behind the rule that it would be a fundamental and
    unreasonable    change.”       (quotation     omitted)).     The     relevant
    inquiry here is not whether certification qua certification is
    fundamental to Maryland’s voting program, but whether use of the
    tool without certification would be so at odds with the purpose
    of certification that such use would be unreasonable. 12
    Here, the district court found, after a three-day bench
    trial, that the tool is reasonably secure, safeguards disabled
    voters’ privacy, and (in earlier versions at least) has been
    12The problem with conflating procedure and substance here
    can be illustrated by analogy to the archetypal physical
    accessibility modifications often associated with the ADA.    It
    would   be   difficult  for  a   government   entity  to  resist
    installation of, for example, wheelchair ramps for a new
    courthouse, solely by enacting a law requiring that ramps be
    certified and then declining to certify any ramps.
    32
    used in actual elections without apparent incident. 13                 We do not
    think these findings are clearly erroneous and defendants have
    not provided any substantial reasons that they should be called
    into question.        Cf., e.g., 
    Pepper, 663 F.3d at 215
    (“[I]f the
    district court's account of the evidence is plausible in light
    of the record in its entirety, we will not reverse the district
    court's finding simply because we have become convinced that we
    would have decided the question of fact differently.” (quoting
    TFWS, Inc. v. Franchot, 
    572 F.3d 186
    , 196 (4th Cir. 2009))).                    On
    the record as a whole, we do not conclude that use of the online
    ballot      marking   tool   is    so   at    odds   with    the     purposes   of
    certification that its use would be unreasonable.                  We agree with
    the district court that defendants have not met their burden to
    show that plaintiffs’ proposed modification—use of the online
    ballot marking tool—would fundamentally alter Maryland’s voting
    program.
    VI.
    We recognize that some of the standard analytic language
    used     in   evaluating     ADA   claims—“failure      to    make     reasonable
    accommodations”; “denial of meaningful access”—carries with it
    13
    Nothing in the post-trial record indicates any problems
    with the use of the tool by plaintiffs in the 2014 general
    election subsequent to the district court’s decision.
    33
    certain   negative     connotations.         We   would   be    remiss     in    not
    highlighting that the record is devoid of any evidence that the
    defendants     acted   with   discriminatory        animus     in    implementing
    Maryland’s absentee voting program.               Indeed, we recognize that
    Maryland’s decision to provide “no excuse” absentee voting to
    all its citizens provides a benefit that is far from universal
    across the United States.
    However, the ADA and the Rehabilitation Act do more than
    simply provide a remedy for intentional discrimination.                         They
    reflect broad legislative consensus that making the promises of
    the Constitution a reality for individuals with disabilities may
    require even well-intentioned public entities to make certain
    reasonable accommodations.       Our conclusions here are not driven
    by   concern    that    defendants     are    manipulating          the   election
    apparatus intentionally to discriminate against individuals with
    disabilities; our conclusions simply flow from the basic promise
    of equality in public services that animates the ADA.
    For the foregoing reasons, we affirm.
    AFFIRMED
    34