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Is a 504 Plan Right for your Child?

Ages 5 - 18 Years

Does your child have a disability that makes it hard for them to engage or participate at school? Do they have the ability to learn the regular curriculum, but have trouble accessing it? A 504 Plan may be able to help your child with services, accommodations, and modifications that meet their needs. 504 Plans are an important tool for many students with congenital heart defects (CHDs).

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What is a 504 Plan?

A 504 Plan is a document that describes how a school will remove barriers to learning for a student with a disability. Students with disabilities have a right to 504 Plans through Section 504 of the Rehabilitation Act.

504 Plans are based on the concept of equal access, and their purpose to to guarantee that students with any kind of disability have equal access to public education.

Who is eligible for a 504 Plan?

Students are eligible for a 504 Plan if they:

  • are enrolled in grades K-12

  • have any kind of disability (not limited to the 13 disability categories required for Special Education)

  • the disability limits the student's ability to perform a major life activity, which can include but are not limited to:

    • working

    • concentrating

    • self-care

    • communicating

    • standing

    • lifting and bending

    • reading

    • breathing

    • learning

    • using hands

    • walking

    • speaking

    • eating

    • toileting

    • body functions (this can include almost any physical disorder)

  • the disability makes it harder for the student to learn in a general education classroom

In almost all cases, students who are eligible for Special Education and an IEP are also eligible for a 504 Plan. However, many students are eligible for 504 Plans who are NOT eligible for Special Education and an IEP.

Since IEPs usually include more robust services and protections, students should generally only pursue a 504 Plan if they are NOT eligible for an IEP.

What can a 504 Plan offer?

When students qualify for a 504 Plan, their team writes a document that describes the services, accommodations, and modifications the student will receive.

504 Plans are written to serve the unique needs of each student, and the team should always think creatively and flexibly about what would allow an individual student to learn.

For example, a 504 Plan could include:

  • Services such as nursing, small group reading support with a reading specialist, supervised meals, a lunch group with a counselor, or a behavior plan

  • Accommodations such as movement breaks, special seating, extended time, large-print text, a ramp, or audio versions of texts

  • Modifications such as shorter assignments, less homework, or a different way of responding to assignments

Many people falsely believe that 504 Plans can ONLY provide accommodations. In fact, 504 Plans can also provide services and modifications if they are required to remove barriers to the curriculum.

How to get a 504 Plan

In order to receive a 504 Plan, families should start by formally requesting a school evaluation. They should write an email or letter to the school and say something like: "I would like to request a 504 Plan eligibility evaluation for my child, who has a congenital heart disease (CHD)."

In the note, parents should indicate any disabilities the child has, plus any suspected areas of disability, and briefly describe how these disabilities affect their ability to access the curriculum. Parents should send the school documents that prove their child has a disability, such as forms from a doctor.

After the written request, schools must follow this process:

  • The school sends the parents a written form that they must sign in order to give the school consent to evaluate.

  • Parents sign and return the consent to evaluate form.

  • Schools perform an evaluation.

  • The school schedules a meeting with the family and with the student (if the student is old enough).

  • At the meeting, the school tells the family whether or not the student qualifies for a 504 Plan and why. If they qualify, they draft a plan. The family is part of the team and should fully participate in this process.

  • The school gives the family the written 504 Plan. If the family agrees with the plan, they sign and return it.

  • The school starts the services/ accommodations/ modifications described on the Plan.

  • At least once a year, the full team meets to review progress, and to update the 504 Plan as needed. The timing of these meetings varies by state, but is usually once a year.

Free from discrimination

504 Plans are designed to ensure that students with disabilities are free from discrimination. They have a right to fully access public education, just like their peers without disabilities.

For many students with heart defects, a strong 504 Plan allows them to feel good in school, and to learn as well as they can.

This content was reviewed by an educator at Boston Children's Hospital.

Developmental care is best when it is local. Families local to Boston can receive care from the Cardiac Neurodevelopmental Program (CNP). Families from other regions can use the link below to find their local care team.

Brady, K. P. (2004). Section 504 student eligibility for students with reading disabilities: A primer for advocates. Reading & Writing Quarterly, 20(3), 305-329.https://www.tandfonline.com/doi/abs/10.1080/10573560490446349
Brinkman, S. M. (2023). The Impact of Section 504 Plans on Academic Achievement (Doctoral dissertation, Concordia University Texas).https://www.proquest.com/openview/220fc58f93bd52791020d462849aea40/1?cbl=18750&diss=y&pq-origsite=gscholar
Section 504 of the Rehabilitation Acthttps://www.eeoc.gov/rehabilitation-act-1973-original-text
Smith, T. E. (2001). Section 504, the ADA, and public schools: What educators need to know. Remedial and Special Education, 22(6), 335-343.https://journals.sagepub.com/doi/abs/10.1177/074193250102200603
Smith, T. E. (2002). Section 504: What teachers need to know. Intervention in School and Clinic, 37(5), 259-266.https://journals.sagepub.com/doi/abs/10.1177/105345120203700501
Smith, T. E., & Patton, J. R. (1998). Section 504 and Public Schools: A Practical Guide for Determining Eligibility, Developing Accommodation Plans, and Documenting Compliance. PRO-ED, Inc., 8700 Shoal Creek Blvd., Austin, TX 48757-6897.https://eric.ed.gov/?id=ED455661
Zirkel, P. A. (2009). What does the law say? New Section 504 student eligibility standards. Teaching Exceptional Children, 41(4), 68-71.https://journals.sagepub.com/doi/abs/10.1177/004005990904100407
Zirkel, P. A. (2023). How Good Must a 504 Plan Be to Pass Legal Muster?. Journal of Special Education Leadership, 36(1).https://web.p.ebscohost.com/abstract?site=ehost&scope=site&jrnl=15251810&AN=162736842&h=2QjwntW%2bb9BkYwLUrc5wX%2fRc2f%2f0UHGWZEU0buGpGQcsKSIyTWOI12gvZ9bzbcyffhFYkKX3VxvBWmVFvjEi4Q%3d%3d&crl=c&resultLocal=ErrCrlNoResults&resultNs=Ehost&crlhashurl=login.aspx%3fdirect%3dtrue%26profile%3dehost%26scope%3dsite%26authtype%3dcrawler%26jrnl%3d15251810%26AN%3d162736842

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