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Hills & Dales Child Development Center v. Iowa Department of Education and Keystone Area Education Agency and Dubuque Community School District, Intervenors

Citation: Not availableDocket: 21-0095

Court: Supreme Court of Iowa; December 29, 2021; Iowa; State Supreme Court

Original Court Document: View Document

Narrative Opinion Summary

The Supreme Court of Iowa addressed the issue of whether public school districts are required to excuse students from school for Applied Behavior Analysis (ABA) therapy based on a physician's recommendation. The case arose from a declaratory order issued by the Iowa Department of Education in response to questions from the Keystone Area Education Agency about the responsibilities of public agencies regarding student absences for private therapy. The Department determined that the authority to excuse absences resides with the school districts, not solely on medical advice, to ensure compliance with the Individuals with Disabilities Education Act (IDEA) and the provision of a Free Appropriate Public Education (FAPE). Hills Dales Child Development Center, a provider of ABA therapy, challenged this interpretation, arguing it undermined student rights and conflicted with Iowa Code chapter 299. The district court upheld the Department's order, and the Supreme Court affirmed this decision, emphasizing that while physician recommendations are significant, they do not replace the school district's discretion. The ruling clarified that ABA therapy is considered a related service under IDEA, supporting educational development, rather than a medical service necessitating physician administration. The outcome reinforced the Department's authority in educational oversight and the importance of a collaborative approach in developing Individualized Education Programs (IEPs) that balance therapy needs with educational requirements.

Legal Issues Addressed

Authority of School Districts in Excusing Absences

Application: The decision to excuse absences for Applied Behavior Analysis (ABA) therapy is primarily at the discretion of the school district, not mandated by physician recommendations.

Reasoning: The Department concluded that the decision to excuse absences for ABA therapy lies primarily with the school district and noted that excusing attendance could conflict with federal law if it results in students missing essential services detailed in their individual education plans (IEPs).

Classification of ABA Therapy under IDEA

Application: ABA therapy is classified as a 'related service' under IDEA, provided when necessary for a FAPE, rather than a 'medical service' requiring physician administration.

Reasoning: ABA therapy is deemed a related service under the Individuals with Disabilities Education Act (IDEA), requiring public agencies to provide it when deemed necessary by an Individualized Education Program (IEP) team for a free appropriate public education (FAPE).

Interpretation of Free Appropriate Public Education (FAPE) under IDEA

Application: Public agencies may violate FAPE under IDEA if excusing a student for therapy results in failing to provide required services in the student's IEP.

Reasoning: A public agency may violate a child's right to a Free Appropriate Public Education (FAPE) under IDEA if therapy leads to the failure to provide required services in the child's Individualized Education Plan (IEP).

Judicial Review of Administrative Decisions

Application: Adversely affected parties may seek judicial review under Iowa Code section 17A.19, challenging agency actions based on legal errors or overreach.

Reasoning: A party adversely affected by a final agency action is entitled to judicial review according to Iowa Code section 17A.19(1), with section 17A.19(10) outlining the review process for administrative decisions.

Role of Physician Recommendations in IEP Decisions

Application: Physician recommendations for therapy are considered but do not determine the final decision on school absences, which are evaluated through the IEP process.

Reasoning: The document asserts that decisions regarding Individualized Education Programs (IEPs) are made by the school and public agency, not solely based on a physician's assessment.