November 24, 1993


Congressman Toby Roth
2234 Rayburn Building
Washington, D.C. 20515

Dear Congressman Roth:

This is regarding an aspect of the American Disabilities Act that,
was recently passed. I am the owner of a private practice
physical therapy clinic in Green Bay and Menasha.

We recently had a deaf individual referred to our clinic for
evaluation and treatment of low back pain. According to the
patient's lawyer and the American Disabilities Act, the patient,
had the authority to request an interpreter present for all his
visits. It was also noted to us that we must pay for the
interpreters time for travel and during the visit.

My concern with this is, interpreters are hired at a minimum of
two hours or a total cost of $25.00 per hour. Our treatments
normally last one half hour with our patients. Our charge for
patient treatment is approximately $45.00. Therefore, we would
be losing revenue while treating this patient.

We were informed by the patient's lawyer that we must provide
services for this patient, we must provide an interpreter for
this patient, and we cannot bill the patient or bill excess
charges to cover for the cost of the interpreter.

Please do not hesitate to give me a call if you do have any
questions regarding this issue, I felt it was necessary to bring
this matter to your attention.

Sincerely,



Steve Barnett, P.T.
President


SB/ch
01-03190