Arnold v. United Parcel ( 1998 )


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    United States Court of Appeals
    For the First Circuit
    ____________________
    No. 97-1781

    GLEN ARNOLD,

    Plaintiff, Appellant,

    v.

    UNITED PARCEL SERVICE, INC.,

    Defendant, Appellee.
    ____________________

    APPEAL FROM THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF MAINE

    [Hon. D. Brock Hornby, U.S. District Judge] ___________________
    ____________________

    Before

    Stahl, Circuit Judge, _____________

    Aldrich and Bownes, Senior Circuit Judges. _____________________
    ____________________

    Peter L. Thompson with whom Law Offices of Ronald Coles were on __________________ ____________________________
    brief for appellant.
    Barbara L. Sloan, with whom C. Gregory Stewart, General Counsel, ________________ __________________
    J. Ray Terry, Jr., Deputy General Counsel, Gwendolyn Young Reams, ___________________ ______________________
    Associate General Counsel, and Vincent J. Blackwood, Assistant General ____________________
    Counsel, were on brief for Equal Employment Opportunity Commission,
    amicus curiae.
    Charles W. March and Sunenblick, Reben, Benjamin & March on brief ________________ ___________________________________
    for American Diabetes Association, amicus curiae.
    S. Mason Pratt, Jr., with whom Catherine R. Connors, Brent G.T. ____________________ _____________________ __________
    Geraty, and Pierce, Atwood, Scribner, Allen, Smith & Lancaster were on ______ __________________________________________________
    brief for appellee.
    Loretta M. Smith on brief for New England Legal Foundation, __________________
    amicus curiae.

    ____________________

    February 20, 1998
    ____________________

















    BOWNES, Senior Circuit Judge. Glen Arnold brought this BOWNES, Senior Circuit Judge. ____________________

    action against United Parcel Service, Inc. (UPS), alleging that

    UPS refused to hire him because of his disability, diabetes

    mellitus, in violation of the Americans with Disabilities Act

    (ADA), 42 U.S.C. 12101 et seq. The district court granted ______

    summary judgment to UPS, on the ground that Arnold had not shown

    that he had a disability and therefore was not protected by the

    ADA's antidiscrimination provision. In making its determination,

    the court considered Arnold's diabetes in its treated state,

    after taking into account the ameliorative effects of his insulin

    medication. Arnold appeals, arguing that such an analysis was

    legally erroneous, inconsistent with the ADA and with the EEOC's

    interpretive regulations. He also argues that the facts he has

    introduced prove that he satisfies the statutory definition of an

    "individual with a disability," and that UPS has failed to

    demonstrate that it is entitled to judgment as a matter of law.

    UPS argues that the district court's analysis of Arnold's

    disability was proper, including its consideration of

    ameliorative medication. As an alternative ground for upholding

    the grant of summary judgment, UPS contends that federal

    regulations required it to deny Arnold's application for

    employment, and UPS is thereby entitled to judgment as a matter

    of law. We reverse and remand.

    Facts Facts _____

    Because this is an appeal from a grant of summary

    judgment in favor of defendant UPS, we state the facts in the


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    light most favorable to the nonmovant, Arnold. Dubois v. United ______ ______

    States Dep't of Agriculture, 102 F.3d 1273, 1284 (1st Cir. 1996), ___________________________

    cert. denied, 117 S. Ct. 2510 (1997). Plaintiff-Appellant Glen _____________

    Arnold has Type I insulin-dependent diabetes mellitus. As such,

    he is required to monitor his blood glucose levels throughout the

    day, and give himself injections of insulin two to four times a

    day. He is also required to pay constant attention to possible

    signs of hypoglycemia, and to follow a strict diet and exercise

    regimen to control the disease. His physician states that Arnold

    would die in the absence of his insulin injections. Arnold has

    successfully controlled his diabetes for twenty-three years.

    In October, 1995, Arnold telephoned a human resources

    representative at UPS about applying for the position of "cover

    mechanic." The position called for covering the shifts of night-

    time mechanics in four locations: Wells, Maine, and Dover,

    Laconia, and Twin Mountain, New Hampshire. Arnold had worked as

    an automotive mechanic for six years, and had obtained an

    associate degree in automotive technology.

    After the initial phone conversation, Arnold met in

    person with both the human resources representative for UPS, Paul

    Tanguay, and with John Kennedy, UPS's fleet supervisor for its

    North New Hampshire division. By all accounts, both meetings

    went well. As a result, Kennedy indicated to Arnold that the job

    was his if he wanted it.

    The next day, Arnold contacted Kennedy, and said that

    he wanted the job. The two agreed on an October 16, 1995 start


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    date. Arnold was informed shortly thereafter that he would be

    required to pass a driving test, have his fingerprints taken,

    fill out additional paperwork, and submit to a Department of

    Transportation (DOT) physical.1 On or about October 12, 1995,

    Arnold filled out the paperwork, was fingerprinted, and passed

    the driving test. He was then sent to a local health care

    facility, Seacoast Redicare, for the DOT physical. At the

    physical, Arnold, responding to a question from the physician,

    indicated that he was an insulin-dependent diabetic. The

    physician informed him that DOT regulations preclude insulin-

    dependent diabetics from obtaining the DOT certification required

    to operate commercial motor vehicles. On return to UPS, Tanguay

    informed Arnold that UPS could not hire him because he was unable

    to obtain DOT certification. Tanguay instead offered Arnold an

    alternate position, as a package "pre-loader," a position which

    provides substantially lower pay. Arnold did not respond to this

    alternate job offer.

    Arnold instituted this action on October 9, 1996 in the

    United States District Court for the District of Maine under the

    ADA, 42 U.S.C. 12101 et seq., and the Maine Human Rights Act, 5 _______

    M.R.S.A. 4551 et seq. On March 14, 1997, after discovery had ________

    been completed, UPS filed a motion for summary judgment. On May

    5, 1997, Magistrate Judge David Cohen submitted his Recommended

    Decision, ruling in favor of UPS on the grounds that, because
    ____________________

    1. UPS requires all of its mechanics to acquire certification to
    operate commercial motor vehicles as ostensibly mandated by the
    United States Department of Transportation.

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    Arnold's diabetes was effectively controlled by insulin

    injections, he was not disabled within the meaning of the ADA.

    On May 30, 1997, the district court (Hornby, J.) affirmed

    Magistrate Judge Cohen's recommendation, and entered judgment in

    favor of UPS. This appeal followed.

    I I

    The district court determined that, as a matter of law,

    Arnold was not disabled within the meaning of the ADA, because

    his insulin-dependent diabetic condition did not substantially

    limit one or more of his major life activities.2 The district

    court addressed the question of substantial limitation by

    analyzing Arnold's diabetic condition after he took his _____

    ameliorative medications, rather than analyzing his unameliorated

    diabetes. For the reasons that follow, we think this analysis

    was erroneous as a matter of law.

    A A

    The "starting point for interpretation of a statute 'is

    the language of the statute itself.'" Kaiser Aluminum & Chem. ________________________

    Corp. v. Bonjorno, 494 U.S. 827, 835 (1990) (quoting Consumer _____ ________ ________

    Prod. Safety Comm'n v. GTE Sylvania, Inc., 447 U.S. 102, 108 ____________________ ___________________
    ____________________

    2. Arnold also sued under the Maine Human Rights Act. Because
    interpretation of the Maine Act has historically "proceeded hand
    in hand" with interpretation of the ADA, and because the ADA has
    "provided guidance to Maine courts in interpreting the state
    statute," Soileau v. Guilford of Maine, Inc., 105 F.3d 12, 14 _______ ________________________
    (1st Cir. 1997) (citing Winston v. Maine Technical College Sys., _______ ____________________________
    631 A.2d 70, 74 (Me. 1993)), our resolution of the ADA claims,
    alleging unlawful discrimination and failure to make reasonable
    accommodations to Arnold's disability, will very likely dispose
    of Arnold's single state-law claim of disability discrimination,
    which we leave to the district court on remand.

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    (1980)); see Telematics Int'l, Inc. v. NEMLC Leasing Corp., 967 ___ _______________________ ___________________

    F.2d 703, 706 (1st Cir. 1992). If the language of a statute "is

    plain and admits of no more than one meaning" and "if the law is

    within the constitutional authority of the law-making body which

    passed it," then "the duty of interpretation does not arise" and

    "the sole function of the courts is to enforce the statute

    according to its terms." Caminetti v. United States, 242 U.S. _________ _____________

    470, 485 (1917); see also Chevron USA Inc. v. Natural Resources ________ ________________ _________________

    Defense Council, Inc., 467 U.S. 837, 842-43 (1984). The plain ______________________

    meaning of a statute's text must be given effect "unless it would

    produce an absurd result or one manifestly at odds with the

    statute's intended effect." Parisi by Cooney v. Chater, 69 F.3d _________________ ______

    614, 617 (1st Cir. 1995). Of course, we focus on "the plain

    meaning of the whole statute, not of isolated sentences."

    Beecham v. United States, 511 U.S. 368, 372 (1994), and we _______ ______________

    interpret the statute's words "'in light of the purposes Congress

    sought to serve,'" Dickerson v. New Banner Inst., Inc., 460 U.S. _________ ______________________

    103, 118 (1983) (quoting Chapman v. Houston Welfare Rights Org., _______ ____________________________

    441 U.S. 600, 608 (1979)).

    Thus, the district court is correct that we need not

    look into a statute's legislative history if the statutory

    language is plain, see Summit Inv. & Dev. Corp. v. Leroux, 69 ___ __________________________ ______

    F.3d 608, 610 (1st Cir. 1995) ("Plain statutory language does not

    prompt recourse to countervailing legislative history."), at

    least in the absence of a "clearly expressed legislative intent




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    to the contrary,"3 Dickerson, 460 U.S. at 110 (internal quotation _________

    marks and citation omitted); United States v. Caron, 77 F.3d 1, 4 _____________ _____

    (1st Cir. 1996). If the text is not unambiguously clear,

    however, we are obliged to turn to other sources to discern the

    legislature's meaning. One important source, of course, is the

    legislative history. If that history reveals an unequivocal

    answer, we do not look to the interpretation that may be given to

    the statute by the agency charged with its enforcement.

    Strickland v. Commissioner, Maine Dep't of Human Servs., 48 F.3d __________ _________________________________________

    12, 17 (1st Cir. 1995) (applying the test of Chevron, 467 U.S. at _______

    842-44). If the plain language and legislative history still

    leave some room for uncertainty about the statute's meaning, the

    court defers to the interpretation by an agency charged with

    enforcement of the statute, as long as that interpretation "flows

    rationally from a permissible construction of the statute." Id.; ___

    see Chevron, 467 U.S. at 843. ___ _______

    B B



    ____________________

    3. "[E]ven the most basic general principles of statutory
    construction must yield to clear contrary evidence of legislative
    intent." National R.R. Passenger Corp. v. National Ass'n of R.R. _____________________________ ______________________
    Passengers, 414 U.S. 453, 458 (1974). Thus, "[w]e have __________
    overridden literal language where it appeared inadvertent and
    undermined Congress' aim." United States v. Estrella, 104 F.3d _____________ ________
    3, 8 (1st Cir.), cert. denied, 117 S. Ct. 2494 (1997) (citing ____________
    United States v. Indelicato, 97 F.3d 627, 629-30 (1st Cir. 1996), _____________ __________
    cert. denied, 117 S. Ct. 1013 (1997)). Circuit courts have even ____________
    held that a court should reject the literal meaning of a statute
    in favor of one which furthers congressional intent. See Merz v. ___ ____
    Secretary of Health & Human Servs., 969 F.2d 201, 205-7 (6th Cir. __________________________________
    1992); Sciarotta v. Bowen, 837 F.2d 135, 138-39 (3d Cir. 1988); _________ _____
    Swain v. Schweiker, 676 F.2d 543, 546-47 (11th Cir. 1982). _____ _________

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    In the instant case, the statutory language is far from

    clear, particularly with respect to the key question in dispute

    here: should a court, in determining whether Arnold is "an

    individual with a disability," consider his untreated medical _________

    condition or his condition after treatment with ameliorating

    medications?

    The ADA protects a qualified individual with a

    disability from discrimination in employment, among other things.

    42 U.S.C. 12112(a) (1994). The statute defines "disability" to

    mean "(A) a physical or mental impairment that substantially

    limits one or more of the major life activities of [an]

    individual; (B) a record of such an impairment; or (C) being

    regarded as having such an impairment." 42 U.S.C. 12102(2)

    (1994). An individual must meet one of these three prongs in

    order to be covered under the ADA. If an individual is not

    "disabled" within the meaning of one of the three prongs, the ADA

    does not protect that person against discrimination on the basis

    of his disability, and we need not proceed beyond this threshold

    issue to determine either whether any adverse action has been

    taken based upon the person's disability or whether the employer

    should have reasonably accommodated that disability.

    The statute does not itself define the terms

    "impairment," "substantially limits," or "major life activity,"

    all of which could have more than one meaning. In particular,

    the statute does not indicate whether medications, prosthetic

    devices, or other ameliorative treatments should be considered by


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    a court in determining whether an individual suffers from an

    impairment and whether such impairment substantially limits a

    major life activity. "The statute certainly does not say

    'impairment plus treatment' or 'impairment after treatment' or

    'treated impairment'; it just says 'impairment.'" Sicard v. City ______ ____

    of Sioux City, 950 F. Supp. 1420, 1436 (N.D. Iowa 1996). A ______________

    reasonable person could interpret the plain statutory language to

    require an evaluation either before or after ameliorative

    treatment.

    If Congress has not expressly defined a statutory term

    or phrase, a court should "normally construe it in accordance

    with its ordinary or natural meaning." Smith v. United States, _____ _____________

    508 U.S. 223, 228 (1993); see Telematics, 967 F.2d at 706. But ___ __________

    even as to the "ordinary or natural meanings" of the ADA's words,

    reasonable minds can differ, especially regarding whether

    ameliorative measures should be taken into account in determining

    whether an individual is disabled within the meaning of the ADA.



    UPS argues that the statutory language plainly and

    unambiguously requires consideration of the impairment as treated

    with all ameliorative medications and other measures. In UPS's

    words, "substantially limits means substantially limits." But

    this formulation begs the question. The ambiguous issue is

    whether the ADA's reference to an "impairment" (which might or

    might not substantially limit a major life activity) means an

    impairment without treatment or an impairment after treatment.


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    The word "impairment" could conceivably be read to mean

    "impairment after the underlying condition is treated with

    ameliorative therapy," which is essentially the way the district

    court interpreted it. Or the word could be read to mean

    "impairment that results from the underlying condition in the

    absence of any ameliorative treatment," as the EEOC and the

    Justice Department have read it. The statutory language, on its

    face, gives no clue as to which interpretation Congress intended.

    Certainly that language does not plainly and unambiguously refute

    Arnold's contention that his underlying medical condition --

    diabetes mellitus -- constitutes an "impairment" that is

    protected by the ADA. Similarly, "[a]lthough the term

    'substantially limits' may be unambiguous in and of itself, it

    nonetheless does not speak to the issue before [us]; that is, the

    statute is silent as to whether a substantial limitation is to be

    considered with or without regard to mitigating measures."

    Wilson v. Pennsylvania State Police Dep't, 964 F. Supp. 898, 904 ______ ________________________________

    (E.D. Pa. 1997) (footnote omitted).

    Thus, the plain language of the ADA is not so clear and

    unambiguous as the district court and UPS have characterized it,

    so we turn to other tools of statutory construction.

    C C

    We begin with the legislative history of the ADA. Both

    the explicit language and the illustrative examples included in

    the ADA's legislative history make it abundantly clear that

    Congress intended the analysis of an "impairment" and of the


    -10- 10












    question whether it "substantially limits a major life activity"

    to be made on the basis of the underlying (physical or mental)

    condition, without considering the ameliorative effects of

    medication, prostheses, or other mitigating measures. For

    example, the House and Senate Committee reports explicitly state

    that, in determining whether an impairment substantially limits a

    major life activity, the impairment "should be assessed without

    considering whether mitigating measures, such as auxiliary aids

    or reasonable accommodations, would result in a less-than-

    substantial limitation." H.R. Rep. No. 101-485, pt. III, at 28

    (1989), reprinted in 1990 U.S.C.C.A.N. 445, 451 (House Judiciary ____________

    Report); see H.R. Rep. No. 101-485, pt. II, at 52 (1990), ___

    reprinted in 1990 U.S.C.C.A.N. 303, 334 ("House Labor Report") _____________

    (The determination whether an individual has a "disability"

    within the scope of ADA coverage "should be assessed without

    regard to the availability of mitigating measures, such as

    reasonable accommodations or auxiliary aids."); S. Rep. No. 101-

    116, at 23 (1989) ("Senate Report")(same).

    Indeed, Congress spoke directly to the medical

    condition at issue in this case: "persons with impairments, such

    as epilepsy or diabetes, which substantially limit a major life

    activity," are considered to have an actual disability, "even if

    the effects of the impairment are controlled by medication."

    House Labor Report at 52; see id. at 51 (Although it is not ___ ___

    possible to list all impairments covered by the ADA, "[t]he term ___

    includes . . . diabetes."); Senate Report at 22 (same). These


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    reports make it abundantly clear that Congress intended that the

    statutory definition of disability -- an "impairment that

    substantially limits [a] major life activit[y]" -- refers to the

    underlying medical condition, in this case Arnold's diabetes,

    without regard to whether "the effects of the impairment are

    controlled by medication." House Labor Report at 52.4

    The district court focused on another statement in the

    Senate Report (contained in the Report's discussion of prong 3

    but not contained in the House Reports):

    Another important goal of the third prong of
    the definition is to ensure that persons with
    medical conditions that are under control,
    and that therefore do not currently limit
    major life activities, are not discriminated
    against on the basis of their medical
    conditions. For example, individuals with
    controlled diabetes or epilepsy are often
    denied jobs for which they are qualified.
    Such denials are the result of negative
    attitudes and misinformation.

    Senate Report at 24; see Arnold v. United Parcel Serv., Inc., No. ___ ______ _________________________

    96-294-P-H, slip op. at 13 (D. Me. May 5, 1997). Noting that

    this "speaks to the 'uncertainty' about the value of legislative

    history, and the attendant skepticism with which courts should

    view such documents," the district court relies on the above-

    quoted passage from the Senate Report to conclude that the EEOC's

    interpretation does not flow rationally from a "permissible

    construction of the statute." Arnold, slip op. at 13 (applying ______

    the test of Chevron, 467 U.S. at 843). The court reached this _______
    ____________________

    4. Both the House Labor Report, at 51-52, and the Senate Report,
    at 22, specifically list diabetes as an impairment under prong _____
    one of the ADA's definition of "disability." ___

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    conclusion despite its recognition that "the need for deference

    to the agency's view 'looms large.'" Id. (quoting Strickland, 48 ___ __________

    F.3d at 17). The district court reasoned that the Senate

    Report's allusion to uncontrolled diabetes in the context of

    prong three demonstrates that Congress did not intend

    uncontrolled medical conditions to be included in prong one of

    the definition of "disability." But the district court has no

    explanation for why the Senate Report had previously said, in its

    discussion of prong one, that the question "whether a person has _________

    a disability should be assessed without regard to the

    availability of mitigating measures, such as reasonable

    accommodations or auxiliary aids." Senate Report at 23. Nor

    does the court explain why both House Reports and the Senate

    Report do not mean exactly what they say (evaluating "disability"

    without consideration of mitigating measures), especially since _______

    only the Senate Report made the supposedly significant statement

    limited to prong three.

    Most significantly, this "prong three" passage in the

    Senate Report is not actually inconsistent with that report's

    prior language (identical with that of the House Report) stating

    that courts should focus on the untreated impairments: these

    passages can be easily squared by recognizing that an individual

    could have a "disability" under both prong one (having an ____

    impairment that substantially limits a major life activity) and ___

    prong three ("regarded as" having such an impairment) at the same

    time; one does not preclude the other. The ADA protects any


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    individual with a "disability" against both discrimination based ____

    on prong one and discrimination based on prong three.

    D D

    "'As in all cases of statutory construction, our task

    is to interpret the words of [the statute] in light of the

    purposes Congress sought to serve.'" Dickerson, 460 U.S. at 118 _________

    (quoting Chapman, 441 U.S. at 608) (alteration in Dickerson); see _______ _________ ___

    Caron, 77 F.3d at 3-4. Thus, "[t]he definition of disability _____

    must be understood in light of congressional objectives in

    enacting the ADA." Soileau v. Guilford of Maine, Inc., 105 F.3d _______ _______________________

    12, 14 (1st Cir. 1997). The district court's interpretation of

    the ADA to require evaluation of an impairment like Arnold's

    diabetes only after ameliorative treatment such as insulin _____

    medication is inconsistent with those congressional objectives.

    The ADA is a "broad remedial statute." Penny v. United _____ ______

    Parcel Serv., 128 F.3d 408, 414 (6th Cir. 1997). It is a ____________

    "familiar canon of statutory construction that remedial

    legislation," such as the ADA, "should be construed broadly to

    effectuate its purposes." Tcherepnin v. Knight, 389 U.S. 332, __________ ______

    336 (1967). The fundamental purpose of the ADA is "to provide a

    clear and comprehensive national mandate for the elimination of

    discrimination against individuals with disabilities." 42 U.S.C.

    12101(b)(1) (1994). In the context of employment

    discrimination, the thrust of this purpose is essentially to

    protect individuals who have an underlying medical condition or

    other limiting impairment, but who are in fact capable of doing ___


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    the job, with or without the help of medications, prosthetic

    devices, or other ameliorative measures, and with or without a

    reasonable accommodation by the employer. See, e.g., 42 U.S.C. _________

    12101(a)(7) ("individuals with disabilities . . . have been faced

    with restrictions and limitations, [and] subjected to a history

    of purposeful unequal treatment, . . . based on characteristics

    that are beyond the control of such individuals and resulting

    from stereotypic assumptions not truly indicative of the

    individual ability of such individuals to participate in, and

    contribute to, society").5 The ADA protects such individuals

    from discriminatory actions by some employers who might

    erroneously believe the individual's medical condition renders

    her unable to do the particular job for which she has applied, or

    who might harbor an irrational prejudice against people suffering

    from such medical conditions. Cf. School Bd. of Nassau County v. ___ ___________________________

    Arline, 480 U.S. 273, 284 & n.13 (1987) (discussing the purpose ______

    of Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794

    (1994)).



    ____________________

    5. See also id. 12101(a)(2) ("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"); 12101(a)(3) ("discrimination
    against individuals with disabilities persists in such critical
    areas as employment"); 12101(a)(5) ("individuals with
    disabilities continually encounter various forms of
    discrimination, including outright intentional exclusion, the
    discriminatory effects of . . . exclusionary qualification
    standards and criteria, segregation, and relegation to lesser . .
    . jobs").

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    Conceptually, it seems more consistent with Congress's

    broad remedial goals in enacting the ADA, and it also makes more

    sense, to interpret the words "individual with a disability"

    broadly, so the Act's coverage protects more types of people

    against discrimination. Even with such a broad view of

    "disability," the concerns and interests of employers are still

    amply protected through the Act's other provisions. For example,

    the individual with a disability who seeks a job must still be

    "qualified," i.e., able to perform the essential functions of the

    job. 42 U.S.C. 12111(8), 12112(a) (1994). Additionally, if

    an accommodation is required in order to enable the individual to

    perform some of those job functions, we will examine the

    reasonableness of that accommodation, including its cost and

    other burdens on the employer's business operations. 42 U.S.C.

    12111(9), (10); see also Arline, 480 U.S. at 285 ("[T]he _________ ______

    definition of 'handicapped individual' [in 504 of the

    Rehabilitation Act] is broad, but only those individuals who are

    both handicapped and otherwise qualified are eligible for ___

    relief.").6

    The structure of the Act supports this conceptual

    distinction: the term "disability" is defined in 12102, a

    general section applicable to all subchapters and to all areas.

    The Act thus covers all "disabled" individuals and protects their

    rights to the extent defined in each subchapter. The terms
    ____________________

    6. We use case law under 504 of the Rehabilitation Act for
    guidance in interpreting the ADA. EEOC v. Amego, Inc., 110 F.3d ____ ___________
    135, 143 (1st Cir. 1997)(citing 42 U.S.C. 12117(b)).

    -16- 16












    "qualified" and "reasonable accommodation" are defined in

    12111, limited to "Subchapter 1 -- Employment." This particular

    subchapter defines and limits the substantive rights and

    responsibilities of employers and employees (or applicants for

    employment), balancing the interests of each, in furtherance of

    the purposes of the Act, within the particular context of

    employment.

    UPS argues that, were we to accept a broad definition

    of "individual with a disability" (i.e., if we examine the

    definition without considering ameliorative measures), then an

    unacceptably large percentage of the population will fall within

    the protective umbrella of the ADA. But that is what Congress

    intended. The very first finding Congress listed in the preamble

    to the Act is that "some 43,000,000 Americans have one or more

    physical or mental disabilities, and this number is increasing as

    the population as a whole is growing older." 42 U.S.C.

    12101(a)(1). It thus appears that Congress not only considered

    but actually intended that the ADA's protections sweep broadly,

    covering a significant portion of the American populace.

    One example that demonstrates how UPS's interpretation

    of the statute would be inconsistent with the Act's broad

    remedial purposes was pointed out by the EEOC in its amicus

    brief. Under UPS's interpretation, someone who could not afford

    treatment for his impairment would be protected by the ADA from

    discrimination in hiring. But once he was hired and obtained

    treatment under the employer's health plan, he would lose the


    -17- 17












    ADA's protection because he would no longer be "disabled." The

    employer could then fire him on the basis of his disability

    without fear of the protective consequences embodied in the ADA.

    UPS argues that "[t]his is simply not true; such conduct would be

    the very sort of situation the 'regarded as' prong was designed

    to cover." Even if such conduct were covered under prong three,

    that would not mean the same conduct is not also covered under

    prong one. Indeed, the House Report specifically mentions

    "persons with impairments, such as epilepsy or diabetes, which ________

    substantially limit a major life activity" and says that they are

    "covered under the first prong of the definition of disability, _____

    even if the effects of the impairment are controlled by

    medication." House Report at 52 (emphasis added); see Senate ___

    Report at 22. There is no reason this employee could not be

    protected under two prongs simultaneously. In light of the broad

    remedial purposes of the ADA, see Penny, 128 F.3d at 414, we ___ _____

    believe Congress intended the Act to prohibit such a termination

    under prong one.

    Similarly, UPS's reading would treat differently a

    plaintiff like Arnold (who takes his medications and thus would

    not be protected by the ADA, according to UPS) and a plaintiff

    who is also diabetic (i.e., suffering from the same medical

    condition as Arnold) but who cannot afford to take his

    medications. The latter plaintiff would be protected by the ADA

    according to UPS's analysis, but Arnold would not. We do not

    think Congress intended such an anomalous result.


    -18- 18












    Arnold's diabetes makes him just the type of person the

    ADA was designed to protect. He would have been hired by UPS but

    for his inability to get a commercial vehicle license, which was

    prevented only because he had diabetes (the underlying medical

    condition, without taking into account ameliorative treatment).

    But Arnold alleges that, with treatment, he can perform the job

    despite his impairment if UPS will reasonably accommodate him.

    This would ordinarily be a factual question on the merits for the

    court to determine. Yet under UPS's and the district court's

    interpretation of the ADA, a person in this archetypal situation

    is not protected from discrimination by the ADA because he is not

    disabled and hence not even a proper plaintiff under the Act.

    According to UPS, in such circumstances, the trier of fact never

    gets to the merits of the alleged discrimination, of the

    "qualified individual" requirement,or of reasonableaccommodation.

    UPS's interpretation fails because, by "confus[ing] the

    disease with its treatment," Matczak v. Frankford Candy & _______ ___________________

    Chocolate Co., No. 96-1057, slip op. at 6 (3d Cir. Nov. 18, ______________

    1997), it conflates two separate parts of the ADA. The

    determination as to whether an individual is "disabled" is a

    threshold issue; if one is not disabled, then one is not

    protected by the ADA against discrimination. See Soileau, 105 ___ _______

    F.3d at 15. Once a person is determined to be covered by the

    ADA, then that person has a right not to be discriminated against

    in employment (inter alia) on the basis of her disability, as

    long as she is qualified for the job, with or without a


    -19- 19












    reasonable accommodation. Were we to adopt UPS's position in

    this case, a plaintiff would have to prove that she is

    "substantially limited" even with ameliorative medication -- and

    therefore possibly unable to perform some of the essential

    elements of the job -- in order just to be covered by the ADA's

    protective umbrella. Thus, under UPS's interpretation, the

    employer could avoid liability for discrimination by excluding

    the plaintiff from the ADA's coverage, without giving the

    applicant an opportunity to show that she is qualified for the

    job (with or without a reasonable accommodation), with

    ameliorative medication. See Robert L. Burgdorf, Jr., The ___ ___

    Americans With Disabilities Act: Analysis and Implications of a _________________________________________________________________

    Second-Generation Civil Rights Statute, 26 Harv. C.R.-C.L. L. ________________________________________

    Rev. 413, 448 (1991) (describing this as a "Catch-22 situation").

    All of the policy concerns that UPS raises in its brief

    can be addressed in the discrimination determination, i.e., the

    determination of whether the plaintiff is otherwise qualified for

    the job or can be made so with a reasonable accommodation. UPS

    will have every opportunity to demonstrate that Arnold is unable

    to perform one or more of the essential functions of the job.

    Indeed, the burden will be on Arnold to demonstrate that he is

    qualified for the job. UPS will also be free to try to show that

    any accommodations Arnold needs would be too expensive or

    otherwise too burdensome to be considered "reasonable." But none

    of UPS's articulated concerns are applicable at the threshold

    stage where the court is determining whether the individual is


    -20- 20












    disabled and therefore protected by the ADA in the first place.

    Thus, contrary to UPS's reading, the ADA's definition of

    "disability" is most consistent with the broad purposes of the

    statute if Arnold's impairment and its effects are evaluated in

    their untreated state, without the ameliorative effect of

    medications on his underlying medical condition.7

    Evaluating the statutory language of the ADA in light

    of the legislative history and the broad remedial purposes of the

    Act, we conclude that Congress intended a reviewing court to

    evaluate Arnold's disability based on his underlying medical

    condition without considering the ameliorative effects of his

    insulin medication. The district court erred in holding to the

    contrary.

    E E

    Even if the legislative history were not clear on this

    point, the court also erred in failing to afford adequate

    consideration to the similar interpretation set forth by the EEOC

    ____________________

    7. UPS's interpretation could very well produce results
    antithetical to its expressed concerns and to the Act's attempt
    to take such concerns into account. That a person with a
    disability is able to use medical knowledge or technology to
    overcome many of the effects of his illness (in Arnold's case, by
    a continuing regimen of medicine, proper eating habits, and rest)
    may mean that he will, in practice, rarely require any sort of
    accommodation from his employer; but his achievement should not
    leave him subject to discrimination based on his underlying
    disability. He should not be denied the protections of the ADA
    because he has independently taken the initiative and
    successfully brought his diabetes under control. It is hard to
    imagine that Congress wished to provide protection to workers who
    leave it to their employer to accommodate their impairments but
    to deny protection to workers who act independently to overcome
    their disabilities, thereby creating a disincentive to self-help.

    -21- 21












    in its guidelines. The ADA authorizes -- indeed "requires" --

    the EEOC to "issue regulations in an accessible format to carry

    out" the Act. 42 U.S.C. 12116 (1994). Pursuant to that

    authority, the EEOC has promulgated regulations, attached to

    which as an appendix it has compiled guidelines for interpreting

    the statute. According to those guidelines, the determinations

    of whether an individual has an "impairment" and whether that

    impairment "substantially limits a major life activity" should be

    made "on a case by case basis, without regard to mitigating

    measures such as medicines, or assistive or prosthetic devices."

    EEOC Interpretive Guidance, 29 C.F.R. Part 1630, App.

    1630.2(h) (1997) (physical impairment) and 1630.2(j)

    (substantially limits) (noting that "a diabetic who without

    insulin would lapse into a coma would be substantially limited

    because the individual cannot perform major life activities

    without the aid of medication" (citing Senate Report at 23; House

    Labor Report at 52)).

    We recognize that the EEOC interpretive guidelines are

    not controlling in the way that regulations promulgated pursuant

    to the Administrative Procedure Act, 5 U.S.C. 552, are

    controlling.8 Nevertheless, such interpretive guidelines "'do
    ____________________

    8. Under Chevron, 467 U.S. at 842-44, unless the plain language _______
    of a statute (or that language viewed in light of the legislative
    history) is clear, courts will defer to an interpretation of the
    statute by the agency charged with its enforcement if the
    agency's interpretation is "a permissible construction" of the
    statute's language and legislative history. Id. at 843. A ___
    permissible construction is one that is not "arbitrary,
    capricious, or manifestly contrary to the statute." Id. at 844. ___
    "The court need not conclude that the agency construction was the

    -22- 22












    constitute a body of experience and informed judgment to which

    courts and litigants may properly resort for guidance.'" Meritor _______

    Sav. Bank, FSB v. Vinson, 477 U.S. 57, 65 (1986) (quoting General ______________ ______ _______

    Elec. Co. v. Gilbert, 429 U.S. 141-42 (1976)); Grenier v. __________ _______ _______

    Cyanamid Plastics, Inc., 70 F.3d 667, 673 (1st Cir. 1995). They _______________________

    deserve at least as much consideration as a mere "internal agency

    guideline," which the Supreme Court has held is entitled to "some

    deference" as long as it is a permissible construction of the

    statute. Reno v. Koray, 515 U.S. 50, 61 (1995); see also ____ _____ _________

    Commonwealth of Mass. v. F.D.I.C., 102 F.3d 615, 621 (1st Cir. ______________________ ________

    1996) (holding that even something as informal as "[a]n

    established administrative practice interpreting a statute" or "a

    new policy . . . announced in a . . . presentation by one of the

    [agency's] staff attorneys at a conference" "may be entitled to

    deference," although "something less than full Chevron _______

    deference," even if the administrative practice or new policy is

    "not yet reduced to specific regulation" (citing F.D.I.C. v. ________

    Philadelphia Gear, 476 U.S. 426, 439 (1986))). _________________

    The EEOC's interpretation is not merely "permissible";

    it is entirely consistent with the ADA's legislative history and

    broad remedial purposes. See supra at Parts C and D. Moreover, ___ _____

    this court has previously "looked to" the same body of EEOC

    Interpretive Guidance that is at issue here, 29 C.F.R. Part 1630,
    ____________________

    only one it permissibly could have adopted to uphold the
    construction, or even the reading the court would have reached if
    the question initially had arisen in a judicial proceeding." Id. ___
    at 843 n.11 (citing FEC v. Democratic Senatorial Campaign Comm., ___ ____________________________________
    454 U.S. 27, 39 (1981)).

    -23- 23












    App. 1630, to illuminate our efforts to "interpret[] the ADA."9

    Grenier, 70 F.3d at 672; see Carparts Distrib. Ctr. v. Automotive _______ ___ ______________________ __________

    Wholesaler's Ass'n, Inc., 37 F.3d 12, 16 (1st Cir. 1994). In ________________________

    addition, the reasonableness of the EEOC's interpretation is

    bolstered by a virtually identical interpretation by the United

    States Department of Justice, which is charged with enforcing the

    ADA's prohibition of discrimination based on disability on the

    part of state and local governmental entities. See 28 C.F.R. ___

    Part 35, App. A 35.104 ("disability should be assessed without

    regard to the availability of mitigating measures").

    Defendant UPS claims that the EEOC's interpretation

    (and, inferentially, the Justice Department's) reads the words

    "substantially limits" out of the statute. The Eleventh Circuit

    rejected this argument in Harris v. H & W Contracting Co., 102 ______ ______________________

    F.3d 516, 521 (11th Cir. 1996), and so do we. UPS's argument

    essentially begs the question. The key question is whether the

    statutory word "impairment" refers to treated or untreated

    impairments. The "substantially limits" requirement pertains to

    the impairment referred to in the first part of the definitional

    sentence, regardless of whether that impairment is read to mean

    the condition in its treated or untreated state. Thus, far from

    reading that requirement out of the statute, the EEOC's

    interpretive guideline helps to clarify an ambiguity in the

    ____________________

    9. UPS itself relies on a different section of the same EEOC
    Interpretive Guidance, 29 C.F.R. Part 1630, App. 1630.15(e), in
    making its argument that the district court decision should be
    affirmed for a different reason than the court gave.

    -24- 24












    statute, and places the statutory words "substantially limits" in

    proper relation to the impairment. The guideline reads

    "substantially limits" as referring to the untreated impairment

    rather than the treated impairment. The trier of fact must still

    decide whether the untreated impairment "substantially limits"

    any major life activity before the untreated impairment

    constitutes a "disability" within the meaning of the ADA. This

    is a permissible reading of the ambiguous statutory language.

    Id. Surely, nothing in the language of the Act rules out this ___

    approach. Indeed, as noted supra, at least with respect to _____

    insulin-dependent diabetes mellitus, Congress appears to have had

    such an interpretation specifically in mind. See House Labor ___

    Report at 51-52; Senate Report at 22-23.

    UPS further argues that the EEOC "must be saying" that

    a person taking insulin is per se significantly restricted. This ______

    claim is also meritless. Nowhere does the EEOC interpretive

    guideline say that any particular medical condition would per se ______

    be treated as a disability or that any similar per se rule should ______

    apply. On the contrary, the EEOC regulations and guidelines

    emphasize the requirement that every person's situation be

    treated individually. See Appendix to Part 1630, "Background" ___

    (observing that "[t]his case-by-case approach is essential"); 29

    C.F.R. Part 1630, App. 1630.2(j) (Determinations of

    "impairment" and "substantial limit[ation]" should be made "on a

    case by case basis."); id. ("Some impairments may be disabling ___

    for particular individuals but not for others."). Again, the


    -25- 25












    only question before us is whether the impairment whose effects

    are evaluated in this case-by-case approach is the treated or the

    untreated medical condition.

    UPS's argument blurs the distinction between our

    analytical process or methodology, on the one hand, and the

    substantive conclusion that results from that process. The

    EEOC's reading of the statute does not become a per se rule _______

    simply because, when an individualized evaluation is applied to

    individuals who have a particular medical condition, the result

    will almost always turn out to be the same. For example, even

    under UPS's reading of the statute, virtually all quadriplegics

    will probably be found to qualify as "individuals with

    disabilities" under the ADA, but this result does not mean courts

    are applying a per se rule rather than an individualized _______

    analysis.

    F F

    Finally, the majority of federal circuit courts that

    have considered this issue have followed the EEOC interpretation

    that ameliorative measures should not be considered in

    determining whether an impairment substantially limits an

    individual's major life activities. See Matczak, slip op. at 6- ___ _______

    7; Doane v. City of Omaha, 115 F.3d 624, 627-28 (8th Cir.), cert. _____ _____________ _____

    denied, 118 S. Ct. 693 (1998); Harris, 102 F.3d at 520-21 ______ ______

    (reviewing legislative history and concluding that the EEOC

    Interpretive Guidance is a permissible construction of the

    statute); Holihan v. Lucky Stores, Inc., 87 F.3d 362, 366 (9th _______ ___________________


    -26- 26












    Cir. 1996), cert. denied, 117 S. Ct. 1349 (1997); Roth v. ____________ ____

    Lutheran Gen. Hosp., 57 F.3d 1446, 1454 (7th Cir. 1995). But see ___________________ _______

    Sutton v. United Air Lines, 130 F.3d 893, 902 (10th Cir. 1997); ______ ________________

    Gilday v. Mecosta County, 124 F.3d 760, 767 (6th Cir. 1997) ______ _______________

    (Kennedy, J., concurring in part and dissenting in part); id. at ___

    768 (Guy, J., concurring in part and dissenting in part); Ellison _______

    v. Software Spectrum, Inc., 85 F.3d 187, 191 n.3 (5th Cir. 1996) _______________________

    (dicta).

    UPS argues in its brief that these courts did not

    really follow the EEOC interpretation of the law but rather

    "merely acknowledged the existence of the EEOC guidelines." UPS

    is simply wrong. Matczak, Doane, Roth, and Harris do not merely _______ _____ ____ ______

    "acknowledge" the "existence" of the guidelines. They state a

    principle of law -- that ameliorative medications are not to be

    considered in determining whether an individual is disabled and

    therefore protected by the ADA from discrimination -- and then

    cite the EEOC guidelines as one ground in support of this

    principle. See Matczak, slip op. at 6-7; Doane, 115 F.3d at 627 ___ _______ _____

    (stating that "analysis of whether [plaintiff] is disabled does

    not include consideration of mitigating measures"); Roth, 57 F.3d ____

    at 1454; Harris, 102 F.3d at 521 (concluding that the EEOC's ______

    interpretation is "firmly rooted in the ADA's legislative

    history").

    UPS is correct that the Harris court, in reaching the ______

    same conclusion, applied full Chevron deference to the EEOC's _______

    guidelines, rather than the lesser degree of deference that


    -27- 27












    Meritor requires for interpretive rules that have not undergone _______

    the full APA promulgation process. See Meritor, 477 U.S. at 65; ___ _______

    see also supra at 22. But the conclusion in Harris remains ________ _____ ______

    valid, including its determination that the EEOC's interpretation

    of the ADA is a permissible one. UPS has no persuasive rebuttal

    to the lesser degree of deference that we have applied pursuant

    to Meritor -- giving some consideration to the EEOC's _______ ____

    interpretation. Like the Harris court, we find the EEOC's ______

    interpretation to be consistent with the ADA's legislative

    history, as outlined supra, and with the overall protective _____

    purpose of the ADA; the interpretation is therefore permissible.

    We conclude, therefore, that the ADA protects Arnold

    from discrimination if he is disabled based on his underlying

    medical condition, without regard to whether some of his

    limitations are ameliorated through medication or other

    treatment. This holding is based on the facts of this case and

    is limited to the condition presented here, namely diabetes

    mellitus. We venture no opinion as to whether we would reach the

    same conclusion if other medical conditions or other facts were

    presented.10 We conclude in this case that the EEOC's guidelines

    are worthy of consideration and that Arnold's diabetes, in its


    ____________________

    10. For example, we might reach a different result in the case
    of a myopic individual whose vision is correctable with
    eyeglasses. The availability of such a simple, inexpensive
    remedy, that can provide assured, total and relatively permanent
    control of all symptoms, would seem to make correctable myopia
    the kind of "minor, trivial impairment[]," Senate Report at 23,
    that would not be considered a disability under the ADA.

    -28- 28












    untreated state, is a disability protected from discrimination by

    the ADA.11

    The judgment of the district court is reversed, and the reversed ________

    case is remanded for further proceedings consistent with this remanded ________

    opinion. Costs on appeal are awarded to Arnold.



































    ____________________

    11. Arnold argues that, even looking at his condition after
    amelioration, his impairment substantially limits his ability to
    engage in a number of major life activities. We need not address
    this question, because we have held that the appropriate analysis
    under the ADA is to evaluate his impairment's limiting effects
    without regard to ameliorative medication and treatment.

    -29- 29