Medical-Legal Partnership

Health Equity:
Improving Children’s Health Outcomes and Eliminating Barriers to Care

CCA’s Medical-Legal Partnership Project began in 2000 as Connecticut’s first medical-legal collaboration, and the second of its kind in the United States. The MLPP is a national leader, providing interdisciplinary legal intervention and working with partners to address healthcare disparities for children at risk.

We provide critical legal interventions for children suffering from family trauma and health-harming environmental stressors that disproportionately impact children of color.

We partner with pediatric providers in low-income communities to improve access to care and reduce social and environmental factors such as substandard housing, inadequate income, disability rights, access to education, health care and mental health care, that adversely affect children’s health.

Our community-based locations allow families to easily access medical-legal services. We are on site at Connecticut Children’s Medical Center, Yale-New Haven Hospital, Yale Child Study Center, Burgdorf/Bank of America Health Center, and Charter Oak Health Center. 

 

Six Basic Questions to Help Medical Providers Assess Family Situation

  1. Do you have enough food?
  2. Are your housing conditions safe?
  3. Is there enough money to pay for basic necessities?
  4. Do you have problems getting your health insurance to pay for services and medications?
  5. Is your child receiving an appropriate education?
  6. Do you have a disabled child who needs support at home, in school, or in the community?

     

Who is Eligible?

MLPP attorneys provide legal advocacy for low-income families. There is no charge for services. Referrals are received from pediatric and family medicine providers and at MLPP clinics at walk-in community healthcare clinics. We represent clients in matters including:


Working with Medical Providers Changes the Culture of Care

The MLPP trains, supports, and collaborates with healthcare and mental health providers to address the complexities of poverty-related health issues:


Sasha wanted to play with her friends

In 2014, a family from northwest Connecticut contacted FAVOR, a family support organization for children who have medical, mental, or behavioral health challenges. The family was hoping to persuade the school system to make playground accommodations for their daughter, who is disabled.  FAVOR called the Center for Children’s Advocacy for help.

Sasha has multiple disabilities, and, like other special needs children, has a right under the American Disabilities Act (ADA) to access the school’s playground. Sasha’s mother raised her concern with the town and the school, but was unable to get their attention. CCA attorney Bonnie Roswig understood that this was not only about Sasha being able to play with her friends, but a larger issue for all children with disabilities. She filed an ADA complaint with the federal government and won.  

This landmark decision affects schools’ ADA compliance nationwide. Meet Sasha and her mom 

 

Changing the System

Healthcare partners collaborate with our MLPP attorneys to identify systemic issues that will lead to improved healthcare outcomes for the most vulnerable children. Priority areas include:

Legislative Reform

HIV Prevention for Minors (PrEP)

CCA Deputy Director Jay Sicklick and MLP attorney Alice Rosenthal worked with Dr. Krystn Wagner of the the Fair Haven Community Health Center on legislation, effective July 1, 2019, that increases access to preventative interventions for minors at risk of exposure to HIV. Read more.

 

Settlement Agreements

US Department of Justice and Tender Care Learning Centers

June, 2020 – Under Title III of the Americans with Disabilities Act, the US Department of Justice directed Bradford Child Care Services (DBA Tender Care Learning Centers) to accommodate children with epilepsy at all of its US facilities (over 20 throughout Connecticut and Pennsylvania). Tender Care must comply with the ADA and not discriminate on the basis of disability, must submit written policies and procedures to the US Department of Justice for approval, train staff to administer emergency treatment as needed, communicate the policy change to parents, publish and disseminate their Disability Nondiscrimination Policy, and report compliance annually. The Complaint was brought by CCA attorney Bonnie Roswig, on behalf of a Cheshire parent whose son was discriminated against by Tender Care. Read the Agreement here.

 

CCA Prevails for School Children with Diabetes
Settlement Agreements: US Dept of Justice Directs ADA Compliance for Districts of Glastonbury, East Lyme, Wethersfield, and Stamford

June 2020 – U.S. Attorney John Durham and Assistant U.S. Attorney Jessica Soufer entered into agreements with Wethersfield, Glastonbury, East Lyme and Stamford school districts to require compliance with the Americans with Disabilities Act on behalf of school children with diabetes. The Glastonbury and East Lyme settlement agreements were finalized on June 5, 2020; Wethersfield on June 12, 2020; and Stamford on June 18, 2020. These districts specifically had refused to provide oversight for students … read story

 

KinderCare Settlement: Daycare Access for Children with Diabetes

September 2017 – KinderCare Education of Portland, Oregon, entered into a settlement agreement to resolve allegations that KinderCare’s child care programs and other services were not accessible to children with Type 1 diabetes who are dependent on insulin injections, in violation of the Americans with Disabilities Act of 1990 (ADA). KinderCare operates approximately 1,800 facilities in the U.S., and the settlement agreement applies to all KinderCare facilities.

The complaint was filed with the U.S. Attorney’s Office for the District of Connecticut by the Center for Children’s Advocacy alleging violations of Title III of the ADA, which prohibits discrimination on the basis of disability in the full and equal enjoyment of the goods, services, facilities, privileges, advantages or accommodations of any place of public accommodation. Under the agreement, KinderCare is obligated to revise policies, procedures, and training, and perform ongoing assessments of the need for reasonable accommodations. For more information, email broswig@cca-ct.org.   Hartford Courant 9-27-18

 

HUD Complaint Settlement: Transportation Access for Special Ed Students

Center for Children’s Advocacy filed a Complaint with the U.S Department of Housing and Urban Development Office of Civil Rights in 2016 based on the refusal of a Wethersfield condo association to allow a special education school bus on to their property to transport a child with autism and diabetes. The HUD settlement agreement ensured that, among other remedies, the child’s school bus be allowed on the property, condo staff be trained as to their obligations under the Fair Housing Act, all tenants be informed in writing of the condo association’s obligations, signs be posted on the condo grounds. For more information, contact broswig@cca-ct.org.

 

MLPP Publications, Presentations and Articles »

 

Project Director 
Jay E. Sicklick
860-570-5327    Fax: 860-570-5256

Director, Disability Rights Project
Bonnie Roswig
860-545-8581    Fax: 860-545-9234
CCA MLPP at Connecticut Children’s Medical Center

Senior Staff Attorney
Alice Rosenthal
203-688-0113
CCA MLPP at Yale New Haven Hospital

Senior Staff Attorney
Kathryn Meyer
CCA MLPP at Yale Child Study Center

Paralegal
Quiana Patton

Medical Director
Ada Fenick, MD

 

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