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1 Patient Protection and Affordable Care Act, Pub. L. 111-148, 124 Stat. 570 (2010).

2 The ADA National Network, Boston Center for Independent Living, Brewer Company, Conference of Radiation Control Program Directors, Inc., Duke University and Medical Center, Equal Rights Center, Evan Terry Associates, P.C., GE Healthcare, Harris Family Center for Disability and Health Policy at Western University of Health Sciences, Hausmann Industries, Inc., Hill-Rom Company, Inc., Hologic, Inc., Medical Positioning, Inc., Medical Technology Industries, Inc., Midmark Corporation, National Council on Independent Living, Paralyzed Veterans of America, Phillips Healthcare, Scale-Tronix, Inc., Siemens Medical Solutions USA, Inc., Stryker Medical, Sutter Health, United Spinal Association, and University of the Sciences in Philadelphia, Department of Occupational Therapy. 77 FR 39656.

3 This survey was conducted in 2004 to collect information on the types of medical equipment that is most difficult for individuals with disabilities to access and use. The results of the focus group sessions are reported in Molly Follette Story, Erin Schwier, and June Issacson Kailes, “Perspectives of Patients with Disabilities on the Accessibility of Medical Equipment: Examination Tables, Imaging Equipment, Medical Chairs, and Weight Scales,” Disability and Health Journal 2 (2009), 169-179.

4 Clinician presenters included Barbara Ridley, RN, FNP, Cathy Ellis, PT, Medical Diagnostic Equipment; Michael Yochelson, MD, Medical Diagnostic Equipment; Lauren Snowden, PT, DPT, Practitioner Perspective on Transfers to Examination Services; Nuket Curran, PT, Diagnostic Equipment & Patient Accessibility: Closing the “Gap”; Douglas Coldwell, MD, Medical Imaging; Theresa Branham, RT, ARRT, Technologist Perspective to Patient Access. MDE Advisory Committee Report, 141-142, available at https://www.access-board.gov/guidelines-and-standards/health-care/about-this-rulemaking/advisory-committee-final-report. Manufacturer presenters included Willa Crolius, Institute of Human Centered Design, No Formal Presentation, presented videos showing transfer; Michelle Lustrino, Mechanical Engineer, Hologic, Inc., Mammography Industry: Accessibility Standards; Glen Nygard, Senior Principal Engineer, Hologic, Inc., Dual-Energy X-ray Absorptiometry (DXA) for Osteoporosis Assessment; Elisabeth George, Vice President of Global Regulations & Standards Chair of Technical and Regulatory Affairs Committee, Phillips Healthcare, Medical Imaging; John Jaeckle, Chief Regulatory Affairs Strategist Chair of CT-Xray Committee, GE Healthcare, MITA, & John Metellus, Product Marketing Manager, Siemens Healthcare, Equipment with Bores and X-ray Devices Accessibility; Bob Menke & John Wells, Midmark Corporation, Examination Table Accessibility Standards; Jeff Baker, Brad Baker, & Darren Walters, Medical Technology Industries, Inc., Performance and Efficacy Considerations for Examination Chairs. Id.

5 The Access Board and the National Institute on Disability and Rehabilitation Research sponsored the Wheeled Mobility Anthropometry Project to collect measurements of approximately 500 people using a variety of mobility devices, including manual wheelchairs, power wheelchairs, and scooters. The Wheeled Mobility Anthropometry Project was conducted by the Center for Inclusive Design and Environmental Access. The final report on the Wheeled Mobility Anthropometry Project was issued in 2010 and is available at http://www.udeworld.com/anthropometrics.html.

6 The Committee Members who submitted minority reports includes: Boston Center for Independent Living; The ADA National Network; Brewer Company; Duke University and Medical Center; Equal Rights Center; Harris Family Center for Disability and Health Policy at Western University of Health Sciences; Hausmann Industries, Inc.; Hologic, Inc.; Medical Technology Industries, Inc.; Midmark Corporation; National Council on Independent Living; Paralyzed Veterans of America; Phillips Healthcare; Siemens Medical Solutions USA, Inc.; United Spinal Association; University of the Sciences in Philadelphia. The Minority Reports are available at https://www.access-board.gov/guidelines-and-standards/health-care/about-this-rulemaking/advisory-committee-final-report/appendix-a-minority-reports.

7 Endorsed by Harris Family Center for Disability and Health Policy at Western University of Health Sciences, The ADA National Network, Equal Rights Center, National Council on Independent Living, Paralyzed Veterans of America, United Spinal Association, Duke University and Health System, and University of the Sciences in Philadelphia, Department of Occupational Therapy.

8 Joint Report prepared by medical diagnostic imaging equipment industry members of the MDE Advisory committee, including GE Healthcare, Phillips Healthcare, Siemens Healthcare, and Hologic, Inc.

9 Submitted by The Brewer Company, Hausmann Industries, Medical Technology Industries, Inc., and Midmark Corporation.

10 The Wheeled Mobility Anthropometry Project recommended a toe clearance that is 5 inches deep maximum at 14 inches above the floor and a knee clearance that is 12 inches deep minimum at 28 inches above the floor.