Honoring The Rehabilitation Act of 1973

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By Mary Greenfield

The Rehabilitation Act of 1973 passed crucial supports for people with disabilities that remain central to the Vocational Rehabilitation (VR) system we know today. Known simply as the Rehab Act, this legislation stands on the shoulders of decades of public rehabilitation laws in the United States. In celebration of the anniversary of the Rehab Act, The Center for Advancing Policy on Employment for Youth (CAPE-Youth) honors this legislation by outlining its history and importance for youth and young adults with disabilities.  

A Short History

The earliest acts establishing rehabilitation services in the United States were passed in 1918 and 1920. These rehabilitation acts provided soldiers returning injured from World War I and civilians with disabilities, respectively, access to employment services. While helpful for supporting veterans and some of the general population in obtaining employment, these initial acts limited the provision of VR services to people with specific disabilities.

The federal government passed subsequent amendments to these acts in 1943, 1954, and 1965. Overall, these amendments:

  1. Provided VR services to a greater diversity of disability types;
  2. expanded infrastructure for VR centers;
  3. diversified the types of services VR could offer; and
  4. increased funding for the public VR system as it grew in popularity across the United States.

By the end of the 1960s, the VR system was streamlined to serve tens of thousands of people with disabilities, while its earliest iterations only served thousands. Disability rights activists around this time began lobbying for a renewed focus on serving people with the most significant disabilities.

Enacting the Rehabilitation Act of 1973

In response to these sentiments, President Nixon signed the Rehabilitation Act of 1973. There are seven titles in the Rehab Act. A few of the great things the Rehab Act achieved was:

  • creation of Independent Living Services Program; the Centers for Independent Living Program; and the National Institute on Disability, Independent Living, and Rehabilitation Research;
  • renewed focus on VR service delivery to people with the most significant disabilities;
  • customization of VR services to meet the individual needs of people with disabilities; and
  • reduction of physical barriers to attaining employment.

Section 504

One of the reasons the Rehab Act is so famous is found in Title V. This title is a civil rights provision – the first civil rights legislation for people with disabilities in the United States. The standards established in this title were used in Title I of the Americans with Disabilities Act. Section 504 of the Rehab Act is particularly important for youth and young adults with disabilities, the focus of CAPE-Youth’s work.

Section 504 states:

No otherwise qualified individual with a disability in the United States, as defined in section 705(20) of this title, shall, solely by reason of his or her 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 or under any program or activity conducted by any Executive agency or by the United States Postal Service.

Simply, Section 504 makes it illegal for the government, and any program or organization using government funding, to discriminate against individuals with disabilities in employment practices or in program participation.

Regulations for enforcing Section 504 of the Rehab Act were only passed after a protest movement of the disability community. The movement included many young adults and people from varied backgrounds who demanded 504’s implementation and full civil rights.

Equal Access to Education

The education system is one of the largest entities in the United States receiving federal funds. For youth and young adults with disabilities, Section 504 requires education systems to provide reasonable accommodations to promote equal access to all aspects of the educational experience while in school.

Outside of the classroom, Section 504 regulations mandate the accessibility of school buildings and facilities to students with disabilities. In the classroom, Section 504 defines a qualifying student with a disability. This definition serves as the guideline for who has access to receiving a Free Appropriate Public Education (FAPE) under the Individuals with Disabilities Education Act (IDEA). Providing a FAPE entails accommodating students with disabilities so they can participate and benefit from the educational environment to the same extent as nondisabled students. Because of Section 504, schools now identify students that are eligible for specialized accommodations because of their disability, then outline what services should be provided. Schools also have procedures in place to evaluate the effectiveness of supports and rework accommodations if needed.

A 504 plan is a document outlining the accommodations, interventions, and resources a student with a disability needs to successfully perform in a generalized education setting. This is usually administered by school staff in consultation with a 504 team made up of teachers, guidance counselors, and a parent/guardian. A 504 plan operates similarly to an Individualized Education Program (IEP), but outlines changes that can be made to the learning environment instead of accommodations related to the curriculum.

When students reach the postsecondary level, or college, many of the federally mandated supports from the high school level no longer apply. However, these students with disabilities are still protected under Section 504, which requires Institutions of Higher Education receiving federal assistance to provide necessary supports for students with documented disabilities. Postsecondary accommodations under 504 are available through an application process, which vary depending on institutional requirements. Generally, students share any documentation of their disability with a disability services representative and work with them to determine what they need for success in a postsecondary environment.

Equal Access to Workforce Services

Section 504 also has implications for students entering the workforce. It says that employers who receive federal funding (i.e., covered employers) cannot discriminate against qualified applicants with a disability. For example, Section 504 limits covered employers from asking medical questions about a disability during the job application process.

Section 504 also requires covered employers to provide reasonable workplace accommodations and supports to employees with disabilities, as needed and requested, as long as the accommodations will not create an undue hardship. Regulations also prohibit an employer from retaliating against employees who ask for accommodations. The protections and requirements of Section 504, paired with the vocational training resources put in place by other sections of the Rehabilitation Act, provide a network of resources for youth and young adults with disabilities to access the workforce.

To learn more about the protections of Section 504, click here. To stay up to date with CAPE-Youth, follow @CSG_CAPEYouth on Twitter/X and like CAPE-Youth on Facebook. If you have questions about the policies or programs in your state that support youth and young adults with disabilities, check out our website or submit a free request for technical assistance.

Long-Term Care Workforce the Focus of Pennsylvania Summit

A June 21 in-person and virtual summit in Bucks County, Pennsylvania, expanded on a 10-year strategic plan unveiled by the state to meet the needs of its older residents. Through the summit, participants highlighted ways to support the long-term care workforce and caregivers, as well as strategies to support them.

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OVI releases resources for supporting voters in military service, their families and US citizens living abroad

The Overseas Voting Initiative has released two resources to help election officials support military service members, their family members and U.S. citizens living abroad who are interested in voting from abroad. Both publications were developed in collaboration with our working group of state and local election officials and the U.S. Department of Defense Federal Voting Assistance Program.

The first resource is a toolkit for state and local election officials that are building relationships with military installations in their community. Titled “Toolkit: Building Relationships with Local Installations,” this resource provides seven tools that can be used to build lasting relationships with military bases. It also includes a helpful email template for outreach to the voting assistance officer assigned to the military base near you.

Building Relationships with Local Installations

The second resource outlines a series of best practices for websites that support military service members, their families and U.S. citizens living abroad. These nine best practices highlight how states can ensure that their election websites provide the most utility for these voters. By ensuring valuable information can be found online, these voters who may not be able to call during regular business hours will be able to answer questions they may have.

Best Practices for State UOCAVA Web Pages

For questions, please contact [email protected] or Casandra Hockenberry at [email protected].

Japan Hosts Delegation, Promotes Education, Engagement with the World as Keys to its Future

By Sean Slone, Senior Policy Analyst

CSG Senior Policy Analyst Sean Slone traveled to Japan in February as a delegate to this year’s Local Government Exchange and Cooperation Seminar hosted by the Council of Local Authorities for International Relations (CLAIR).

Each year, CLAIR invites a group of senior state and local government officials and staff from the organizations that serve them to experience Japan firsthand and engage in enlightening information exchanges and networking. The Japan Local Government Centre, CLAIR’s U.S. office in New York City, is a longtime partner of CSG and other state and local government organizations. Slone was chosen by CSG leadership to participate based on his long tenure at CSG.

This year’s delegation included a mayor from Washington, a state senator from Hawaii and representatives of the International City/County Management Association, National Association of Counties, National Conference of State Legislatures, Sister Cities International, and the Association of Municipal Managers, Clerks and Treasurers of Ontario. The group spent time in Tokyo learning about the local government system before riding the bullet train to Okayama Prefecture for a regional study tour in the southern part of Honshu Island on the Seto Inland Sea.


The United States has a lot riding on the success of Japan. For one thing, the country is a major market for U.S. goods and services, including agricultural products, commercial aircraft and pharmaceuticals.

Moreover, in 2022, Japanese automakers manufactured about 2.82 million vehicles at production facilities in the United States, supporting more than 2.3 million U.S. jobs. Those automobile manufacturers play an essential role in the U.S. economy having invested more than $60 billion in manufacturing facilities over the past 40 years.

Photo: CSG Senior Policy Analyst Sean Slone (second from right) poses for a photo alongside his CLAIR Fellowship Exchange Program attendees at the Korakuen Garden in Okayama on Feb. 15. Photo credit: Natalie O’Donnell Wood, National Conference of State Legislatures.

Located near the CSG national headquarters in Lexington, Kentucky, is the community Georgetown, which has benefited considerably from the presence of one of those manufacturers: Toyota Motor Manufacturing. Toyota set up shop in 1986 and now employs more than 9,300 individuals. By one estimate from a few years ago, if indirect jobs and spin-off companies are factored in, the number of jobs supported statewide is closer to 30,000.

State policymakers around the country recognize that maintaining the economic impact of a company like Toyota requires building and maintaining an educated workforce. But in recent years, that is where the United States has struggled, for several reasons. It’s estimated that the U.S. has lost as many as 1.4 million workers from the labor force since the start of the pandemic in February 2020. Meanwhile, the birth rate in the U.S. has decreased since the Great Recession, declining almost 23% between 2007 and 2022. Whereas in 1950, the average American woman gave birth to three children, today that number is around 1.6, significantly below the replacement rate of 2.1 children needed to sustain a stable population.   

While we may not talk much about such declines in the United States, Japanese government officials are very concerned about how a declining population and birth rate on the island nation may impact their future. It was a concern expressed by many of the officials the CLAIR delegation met with in February. However, that concern may ring slightly hollow as you’re wandering the busy streets of Tokyo’s Shinjuku neighborhood on a weekend night, making your way through a busy train station to catch the shinkansen — Japan’s smooth-running bullet train — or jostling with hundreds of other tourists for the best view at Tokyo Skytree, the 2,000-foot-high broadcasting and observation tower that affords a commanding sense of the scope of the world’s most populous city.

Still, government officials predict that most Japanese prefectures will see significant declines in population between now and 2050. Eleven prefectures will each see their population shrink by more than 30%, according to the National Institute of Population and Social Security Research. Moreover, the Health, Labor and Welfare Ministry reported that the number of babies born in 2021 fell by nearly 30,000 from the previous year. At the same time, the number of people age 65 or older in Japan reached a record high of 36.27 million in 2022.

The reason for the concern in Japan is that the regions expected to experience the biggest population declines are likely to face declining tax revenues and economic contraction, making it difficult to maintain infrastructure and local government services. And while Tokyo is expected to remain hugely popular both with Japanese and transplants from elsewhere — its population is expected to increase 2.5% over the same period — many believe the concentration of people in the city is a matter of some urgency. 

Shunsuke Kimura, a professor in the Graduate School of Governance Studies at Tokyo’s Meiji University, told CLAIR seminar delegates the nation’s long-term vision for taking action against a shrinking society includes four objectives:

  • Generating stable employment in regional areas.
  • Creating a new inflow of people into regional areas.
  • Fulfilling the hopes of the young generation for marriage, childbirth and parenthood.
  • Creating regional areas suited to the times with safe and secure living and cooperation with other regions of the country.

One factor that many believe could help lift Japan’s outlying regions — and one that U.S. communities might want to take some cues from — is a focus on education that emphasizes both civic engagement at home and study abroad programs that allow students to experience other parts of the world.

During a visit to Okayama Prefecture, CLAIR delegates had the opportunity to visit Joto High School and hear about the school’s system for “raising global leaders.” School officials detailed characteristics they aim for in their students, including both support for the local community and a global mindset. They said they seek to nurture creative and critical thinking as well as an ability to use advanced English. The school emphasizes three initiatives, including studying community issues, deepening cultural exchange, and fostering independence and autonomy. As part of a three-year program, students learn cross-curriculum research skills, visit local companies to learn about global issues, conduct empirical research with an emphasis on regional fieldwork, and in year three, do personalized, in-depth research and thesis writing in both English and Japanese, while focusing on four courses: humanities and social sciences, international studies, science and math, and music.

In one classroom at Joto, delegates observed students studying and discussing a simplified version of Shakespeare’s “Romeo and Juliet” in English (it was the week of Valentine’s Day). In another classroom, students were invited up front to play back elaborate musical compositions they had composed. Down the hall, others were conducting experiments with beakers and Bunsen burners.

Perhaps most impressive was a presentation from a young girl titled “Visualizing Abstract Japanese Aesthetics.” It was a highly conceptual, multi-disciplinary exploration of complex themes such as the core concept to Japanese aesthetics of “wabi-sabi” — the notion that beauty and enjoyment can be found within the deterioration of worldly things. Or as the young student put it, “beauty in decay.”

Joto students also can experience numerous international exchanges, including long-term or short-term study abroad programs in Australia, Canada and the United States.

Student exchange is also a focus at Okayama Prefectural University, the 30-year-old higher education institution in the city of Soja that was also on the delegation’s travel itinerary. University officials there highlighted global partner universities and international networks across North America, Europe, Asia, Oceania and Africa. The university serves a student body of just over 1,700 studying in areas like health and welfare science, computer engineering and design. One student detailed her year of study in Toronto at the University of Guelph, where she created a club for fellow students on making vegetarian Japanese food.

The international focus highlighted across Okayama seemed to reflect the life experience of Ryūta Ibaragi, the prefecture’s dynamic and long-serving governor, who in 1995 received a Master of Business Administration from the Stanford University Graduate School of Business. The governor, whom delegates got the chance to meet and exchange gifts with, has established as one of his priority initiatives reclaiming Okayama’s status as the “Education Prefecture.”

Photo: Ryūta Ibaragi, governor of Okayama Prefecture, speaks to members of the CLAIR delegation at the Okayama Prefectural Office on Feb. 14. Photo credit: Sean Slone.

While education may be a key to the future of many places in Japan as the country tries to reverse course on its shrinking society, another concern has emerged more recently in the island nation: a shrinking economy. Last year, Japan lost its spot as the world’s third-largest economy, contracting in the fourth quarter of 2023 and slipping into recession as it fell behind Germany.

But there aren’t many countries in the world where recession would look quite like this. There is commerce everywhere in Japan. From the high-end retailers at every multi-story department store in Tokyo to the businesses clustered around Japan’s train stations to the ubiquitous convenience stores where you can get a surprisingly decent late-night snack and cook and eat it on-site. Wandering the well-stocked aisles of the enormous Don Quijote discount store in Shinjuku, it begs the question: Who is buying all this stuff? Isn’t there a recession going on?

One place providing respite from the non-stop commerce is the peaceful Okayama Korakuen Garden, a 300-year-old Japanese garden that is considered one of the nation’s three great gardens. Unlike one of the gardens of Europe, where the goal is to keep things looking much as they did in the time of long-dead monarchs, Korakuen will not be the same 50 or 100 years from now, we were told. It is designed in the “scenic promenade” style, which presents the visitor with a new vista from every path or tea house on the property. And as an Italian guide told the delegation, the garden is a “moment in time.” It is a memento mori — a reminder of impermanence and the inevitability of death, a reminder of the beauty in decay. Like the cherry blossom — Japan’s enduring symbol of beauty and mortality — it is ephemeral, here one day and gone the next.

As the group prepared to leave Okayama Prefecture and return to Tokyo, delegates were invited to give their impressions of the trip. One of our fellow travelers suggested he needed a couple more days to experience Japan. I told the CLAIR and prefectural staff I needed a couple more lifetimes. But I get the feeling that if I were to return to Japan every year and immerse myself in the country, it would be difficult to ever truly know Japan. Like the garden, the country is a moment in time. A remarkable, unknowable place where past and present collide, and where its residents are trying to shape a bright future despite ominous headwinds.

Hawaii Looks to CSG, Other States to Address Long-Term Care System

State leaders from Hawaii hosted CSG and policymakers from California, Minnesota and Washington in late February to discuss successful policy strategies used to create a responsive and sustainable long-term care system. The day-long summit gathering more than 50 state policymakers and stakeholders included numerous policy examples by CSG from each of the seven state strategies to revitalize the long-term care workforce.

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Meeting the Mental Health Needs of the Public Sector Workforce

Public sector workers — including civil service, public health, law enforcement and more — are essential to effective state government, as they provide important services for all residents. However, the weight of this critical work can take a heavy toll on their mental health. To address their needs, policymakers and community partners can increase access to vital supports that help state and local workforces address the unprecedented mental health crisis among government employees.

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