2025 NY Slip Op 00805
The Fair Housing Act Amendments (FHAA) do not prohibit state regulations limiting admissions to adult homes based on the proportion of residents with serious mental illness, as these regulations do not deny or make unavailable housing but reflect a professional judgment about appropriate care settings.
Summary
Oceanview Home for Adults challenged New York State Department of Health regulations restricting admissions to adult homes based on the percentage of residents with serious mental illness, claiming a violation of the FHAA. The Court of Appeals affirmed the Appellate Division’s decision, finding that the regulations, which aimed to improve care and integration for individuals with mental illness, did not constitute discrimination under the FHAA. The court reasoned that the regulations did not deny housing but rather governed the type of institutional setting, reflecting a professional clinical judgment. The court noted that the regulations were consistent with the goal of integrating individuals with disabilities and did not rest on stereotypes or prejudice.
Facts
New York State Department of Health (DOH) regulates adult homes, which provide long-term care to unrelated adults. DOH regulations limited admissions to facilities with 80+ beds where over 25% of residents had a serious mental illness. Oceanview Home for Adults, subject to these regulations, sued, arguing that the restrictions violated the FHAA. The DOH cited the home in 2016 for violating the regulations. The DOH argued that the regulations were based on a professional judgment that large adult homes were not therapeutically effective.
Procedural History
Oceanview Home for Adults initiated a combined declaratory judgment action and CPLR article 78 proceeding in Supreme Court. The Supreme Court held that the regulations violated the FHA. The Appellate Division reversed and dismissed the proceeding, upholding the regulations, finding they were narrowly tailored and implemented Olmstead‘s integration mandate. The Appellate Division granted leave to appeal to the Court of Appeals.
Issue(s)
- Whether the DOH regulations restricting admissions to adult homes based on the proportion of residents with serious mental illness “deny” or “make unavailable” housing on the basis of disability, thereby violating the FHAA.
Holding
- No, because the regulations do not deny or make housing unavailable, but reflect a professional judgment about clinically appropriate settings for individuals with serious mental illness.
Court’s Reasoning
The court found that the regulations concerned the type of institutional setting, not the denial of housing. The DOH’s regulations reflected a professional judgment that large adult homes were not clinically appropriate for individuals with serious mental illness. The regulations aimed to give these individuals greater autonomy and improve their interaction with others. The court cited the FHAA’s definition of discrimination, which includes a refusal to make reasonable accommodations, noting the regulations were a reasonable modification to service provision. The court emphasized that the regulations did not rest on stereotypes or prejudice. The court also referenced that other DOH regulations place limits on admissions to adult homes on multiple grounds.
Practical Implications
This case clarifies that the FHAA does not necessarily prohibit regulations that govern the nature of services provided to individuals with disabilities, especially when based on professional clinical judgments and aimed at improving care and promoting integration. It suggests that similar regulations, aimed at improving care and promoting integration for individuals with disabilities, may withstand challenges under the FHAA. Attorneys should analyze such cases, focusing on the purpose of the regulations and whether they are based on legitimate professional judgments, or reflect unlawful stereotypes. Also, future cases are likely to address the question of whether the regulation could be more narrowly tailored and still achieve the desired outcomes. It also highlights the importance of expert testimony in establishing the clinical rationale behind regulations that affect individuals with disabilities.