MEMORANDUM AND ORDER
In this case, an employee claims that her employment was wrongfully terminated because of her mental disability and her pursuit of long-term disability benefits, and that she is entitled to continuing receipt of long-term disability benefits under an ERISA-governed plan (the “Plan”) because the Plan’s two-year limitation on benefits for mental illness constitutes unlawful discrimination under state and fed *139 eral law. Intel Corporation (“Intel”), her employer, and Matrix Absence Management, Inc. (“Management”), the Plan administrator, have moved to dismiss, arguing that her complaint fails to state a claim on which relief can be granted.
I. FACTUAL BACKGROUND AND PROCEDURAL POSTURE
The plaintiff, Jeanne M. Iwata (“Iwata”) alleges the following facts:
Iwata, a 52-year-old white female, worked as an occupational health nurse for Intel’s predecessor in interest, Digital Equipment Corporation (“Digital”), in Hudson, Massachusetts, beginning in January 1997. Compl. [Doc. No. 1] ¶¶ 7-9. Intel acquired Digital the following year. Id. ¶ 10. Iwata’s duties included reviewing the medical condition of employees seeking to return to work after a medical leave of absence, and she met all performance expectations. Id. ¶¶ 11, 13.
In November 2000, she reported to her managers an “incident ... involving a comment made by one employee who had expressed hostility toward Intel’s managers on a number of earlier occasions.” Id. ¶ 14. Iwata previously had to clear the employee to return to work after he had a defibrillator implanted for a cardiac disorder. Id. ¶ 15. Upon returning to work, the employee demonstrated performance problems and “was scheduled to go on a performance warning.” Id. ¶ 16. The employee had alleged a workplace accident prior to going on performance warning. Id. ¶ 17. His personal physician kept him from working for a week, but the Intel physician made him return to work. Id. ¶¶ 18-19.
Upon his return to work, the employee again met with Iwata, and “told her that he had had it,” and that the last month at Intel had been difficult for him. Id. ¶¶ 20-21. He then said “I’m going to get a gun permit.” Id. ¶ 22. Iwata asked whether he was going to get a gun, to which he replied, “No. I’m just going to let them know that I have one. My crazy Brazilian son-in-law, who has a gun, says that we need to come in here and take care of things.” Id. ¶ 23-24.
When the employee left, Iwata informed the other nurse practitioner on duty, as well as the employee’s manager, urging that precautions be taken. Id. ¶ 25. Intel’s security manager dismissed Iwata’s concerns. Id. ¶ 26. The employee later resigned under pressure. Id. ¶ 27. The employee’s resignation and Intel’s lack of concern about the threat he posed triggered a severe emotional reaction in Iwata, who feared that the employee might return and “open fire in the plant.” Id.
The employee tried to get his job back, appealing his resignation and stating that he had resigned under duress. Id. ¶ 28. On February 5, 2001, Iwata discovered that the employee had sent her and the other nurse practitioner an email, which read:
Good morning folks....
[An] HR person ... told me ... that one of the nurses in Hudson told him or someone in Hudson, something about me getting a gun. The HR person wouldn’t tell me which nurse supposedly made the statement. The reason I am writing this note to the two of you is because the two of you are the only nurses I normally interact with. I find it hard to believe that one of you folks would make such a statement.... If one of you said it, please be brave enough to admit it so that I may regain my respect for the other.
Id. ¶¶ 30-31.
Upon reading this e-mail, Iwata “became fearful, ... experienced panic, and ... became profoundly depressed.” Id. ¶ 32. *140 Intel exacerbated these problems by taking a “cavalier” attitude toward the e-inaiL Id. ¶ 33. Iwata immediately sought counseling with Dr. Mark Sorenson, who determined on February 16, 2002, that Iwata was totally disabled and urged her to apply for short-term disability benefits. Id. ¶¶ 34-35. Dr. Sorenson recommended on numerous occasions thereafter that Iwata’s short-term disability leave of absence be extended. Id. ¶ 36. On July 20, 2001, at Intel and Matrix’s behest, an independent medical examiner saw Iwata and concluded that she “was suffering from Major Depression, Moderate as well as Post-Traumatic Stress Disorder, Chronic.... She appeared to have made little progress in terms of the resolution of her symptoms.” Id. ¶¶ 37-38.
Before February 2, 2002, the date on which her short-term disability leave expired, Iwata sought long-term disability benefits under the Plan. Id. ¶¶ 39-41. On March 20, 2002, Matrix denied her application for benefits, citing the Plan’s limitation of benefits for mentally ill participant's to cases where hospitalization is necessary. Id. ¶¶ 43. Iwata has inherently acknowledged that she did not utilize Matrix’s appeal procedure. See Pl.’s Mem. [Doc. No. 9] at 5-6.
The provision to which Matrix pointed in denying benefits read:
No participant shall be entitled to a disability benefit if his or her Disability arises out of, relates to, is caused or resulted from ... [mjental, emotional o[r] psychiatric illness or disorder of any type ... unless he or she is confined in a mental hospital for such illness at a the time a monthly disability benefit is otherwise due an[d] payable.
Compl. ¶ 43.
On February 22, 2002, Iwata’s employment was terminated due to her inability to return to work. Id. ¶ 42. Iwata alleges in her memorandum, but. not her complaint, that she was discharged for attempting to exercise her right to long-term disability benefits. Pl.’s Mem. at 6-7.
On April 29, 2002, the Social Security Administration determined that Iwata was completely disabled. Compl. ¶ 44. She subsequently filed an administrative complaint with the Massachusetts Commission Against Discrimination and received a right to sue letter from the EEOC on December 19, 2003. Id. ¶ 45.
Iwata filed this action on March 17, 2004. Intel and Matrix, filed their Motion To Dismiss [Doc. No. 6] on May 6, 2004. The Court held a hearing on that motion on July 15, 2004, and at the Court’s request, the parties have since submitted further briefing on the relevant statutes and legislative history.
II. DISCUSSION
A. Federal Jurisdiction
This Court has subject matter jurisdiction under the Rehabilitation Act, 29 U.S.C. § 791 et seq.; Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. §§ 1132, 1140; and Americans With Disabilities Act (“ADA”), 42 U.S.C. § 12111 et seq. The Court has jurisdiction over claims arising under the laws of the United States, see 28 U.S.C. § 1331, and the Massachusetts state constitutional claim falls under the Court’s supplemental jurisdiction, see 28 U.S.C. § 1367.
B. Legal Standard
In passing on a motion to dismiss under Rule 12(b)(6), the Court must accept as true all well-pleaded allegations in the nonmovant’s complaint, except in deciding certain jurisdictional -questions not relevant here, and must draw all inferences in favor of the nonmovant.
See, e.g., Cooperman v. Individual, Inc.,
Although Iwata did not attach it to her complaint, Matrix has submitted for the record the letter from Matrix to Iwata, denying her claim for long-term disability benefits. As the parties correctly agree, the Court may consider this letter without converting the motion to dismiss into one for summary judgment.
See Fudge v. Penthouse Int’l, Ltd.,
C. ERISA Claims
Intel and Matrix generally argue that Iwata has not stated a claim under ERISA. The first relevant provision is 29 U.S.C. § 1140 (section 510 of ERISA), which provides:
It shall be unlawful for any person to discharge, fine, suspend, expel, discipline, or discriminate against a participant or beneficiary for exercising any right to which he is entitled under the provisions of an employee benefit plan, this subchapter, section 1201 of this title, or the Welfare and Pension Plans Disclosure Act, or for the purpose of interfering with the attainment of any right to which such participant may become entitled under the plan, this subchapter, or the Welfare and Pension Plans Disclosure Act.
The second relevant provision is 29 U.S.C. § 1132(a)(1)(B) (ERISA section 502(a)(1)(B)), which permits a participant or beneficiary to sue “to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan.” The third is 29 U.S.C. § 1132(a)(3), which permits a participant or beneficiary to bring a civil action for “other appropriate equitable relief.”
Iwata claims that she is entitled to benefits under section 1132(a)(1)(B) because the term in the Plan that denies long-term disability benefits to people like her who, though mentally ill, do not require hospitalization, is void under the ADA or the Rehabilitation Act. See Pl.’s Mem. at 3, 6-8. She argues that the Plan discriminates between the mentally disabled and the physically disabled because it places a condition — hospitalization—on receipt of long-term benefits for participants with a mental disability, when no such condition applies for participants with physical disabilities. See id. at 7-8 & n. 4. She also raises two claims under section 1140:(1) that she “was discharged for attempting to exercise her right to long-term disability benefits;” and (2) “that the terms of the Plan are invidiously discriminatory.” Pl.’s Mem. at 7.
Intel and Matrix first argue that Iwata’s claims must fail because nothing in ERISA prohibits a plan from imposing different conditions for receipt of benefits for mental disabilities as opposed to physical ones. Defs.’ Reply at 3. Given that both parties concede that the Plan’s terms do not permit Iwata to recover benefits, and given that ERISA does not require the plan to include different terms, Intel and Matrix essentially argue (1) that Iwata has no right to recover benefits under Section 1132(a)(1)(B), (2) that the terms of the Plan cannot violate section 1140, and (3) that because Iwata has no relevant rights under the plan or ERISA, Intel could not have had a discriminatory motive in firing her. Intel and Matrix also argue that “as the Complaint and her Opposition make clear, [Iwata’s] termination was caused by her inability to return to work because of her continuing disability.” Defs.’ Reply at 4.
*142
That ERISA does not prohibit a plan from treating mental and physical disabilities differently is true as far as it goes.
See Shaw v. Delta Air Lines, Inc.,
As 29 U.S.C. § 1144(d) (ERISA § 514(d)) states, however: “Nothing in this subchapter shall be construed to alter, amend, modify, invalidate, impair, or supersede any law of the United States ... or any rule or regulation issued under any such law.” ERISA and federal civil rights laws such as the ADA and the Rehabilitation Act thus coexist peacefully in the United States Code. If Iwata establishes that the ADA or the Rehabilitation Act renders the allegedly discriminatory term in the Plan unenforceable, then she may be able to invoke the equitable remedy of striking the offending term in the Plan.
See
Rest. (2d) of Contracts § 178(1) (1981) (“A promise or other term of an agreement is unenforceable on grounds of public policy if legislation provides that it is unenforceable or the interest in its enforcement is clearly outweighed in the circumstances by a public policy against the enforcement of such terms”);
id.
§ 179 (listing legislation and “the need to protect some aspect of the public welfare” as bases of such a public policy);
id.
§ 184 (describing the conditions under which a court may enforce the remainder
of
an agreement
of
which only some of the terms are unenforceable);
see also Begelfer v. Najarian,
*143
Intel and Matrix are on firmer ground with regard to Iwata’s claims under section 1140, however. A change in the terms of a plan might trigger liability under section 1140 if the change were discriminatory, “intentionally benefitting, or injuring, certain identified employees or a certain group of employees,”
Aronson v. Servus Rubber, Div. of Chromalloy,
Iwata also cannot establish retaliatory discharge under section 1140, because her Complaint admits that she was unable to return to work. Compl. § 42. To establish that she was terminated in violation of section 1140, she would first need to make out a prima facie case that: “(1) [s]he had the opportunity to attain rights under an ERISA benefit plan; (2)[s]he was qualified for the position at issue; and (3)[s]he was subjected to adverse action under circumstances that give rise to an inference of discrimination.”
Lehman v. Prudential Ins. Co. of America,
Iwata nowhere alleges that she could have returned to work with treatment, medication, or a “reasonable accommodation,”
see
42 U.S.C. § 12112(b)(5)(A) (including within the ADA’s definition of “discrimination” “not making reasonable accommodations to the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or employee,” subject to an “undue hardship” exception), so her inability to work means that, by definition, she was no longer qualified for her position, unless she can explain the inconsistency.
Cf. Cleveland v. Policy Management Sys. Corp.,
*144
Intel and Matrix also argue that Iwata failed to exhaust administrative remedies under the Plan. As Iwata correctly argues, however, exhaustion is not required “when resort to the administrative route is futile or the remedy inadequate.”
Drinkwater v. Metro. Life Ins. Co.,
D. The ADA Claim
1. The ADA
Title I of the ADA 3 reads, in pertinent part:
No covered entity shall discriminate against a qualified individual with a disability because of the disability of such individual in regard to job application procedures, the hiring, advancement, or discharge of employees, employee compensation, job training, and other terms, conditions, and privileges of employment.
*145 42 U.S.C. § 12112(a). For purposes of that subsection, the term “discriminate” includes “limiting, segregating, or classifying a job applicant or employee in a way that adversely affects the opportunities or status of such applicant or employee because of the disability of such applicant or employee,” either directly or via a contractual relationship with, inter alia, “an organization providing fringe benefits to an employee of the covered entity.” Id. § 12112(b)(1)-(2). The definition also includes “utilizing standards, criteria, or methods of administration ... that have the effect of discrimination on the basis of disability.” Id. § 12112(b)(3).
Under regulations issued to effect the ADA’s provisions, “[i]t is unlawful for [an entity covered by the ADA] to discriminate on the basis of disability against a qualified individual with a disability in regard to ... [fjringe benefits available by virtue of employment, whether or not administered by the covered entity.” 29 C.F.R. § 1630.4(f). At the same time, the ADA contains a “safe harbor” provision:
(c) Insurance
Subchapters I through III of this chapter and title IV of this Act shall not be construed to prohibit or restrict—
(1) an insurer, hospital or medical service company, health maintenance organization, or any agent, or entity that administers benefit plans, or similar organizations from underwriting risks, classifying risks, or administering such risks that are based on or not inconsistent with State law; or
(2) a person or organization covered by this chapter from establishing, sponsoring, observing or administering the terms of a bona fide benefit plan that are based on underwriting risks, classifying risks, or administering such risks that are based on or not inconsistent with State law; or
(3)a person or organization covered by this chapter from establishing, sponsoring, observing or administering the terms of a bona fide benefit plan that is not subject to State laws that regulate insurance.
Paragraphs (1), (2), and (3) shall not be used as a subterfuge to evade the purposes of subchapter[s] I and III of this chapter.
42 U.S.C. § 12201(c) (footnote omitted). 4
2. Iwata is a “Qualified Individual with a Disability”
Intel and Matrix argue that Iwata cannot prevail under the ADA, because she is not a “qualified individual with a disability.” Under 42 U.S.C. § 12112, “qualified individual with a disability” is defined as “an individual with a disability who, with or without a reasonable accommodation, can perform the essential functions of the employment position that such individual holds or desires.” 42 U.S.C. § 12111(8). According to Intel and Matrix, because Iwata fails to allege that she could have performed the essential functions of the job, and because her entire action is premised on the assertion that, barring the hospitalization condition, she is eligible for long-term disability benefits, she cannot simultaneously argue that she falls within the terms of the ADA. Defs.’ Mem. at 10. Iwata disagrees. None of the parties cites any case law that is on point.
Intel and Matrix rely primarily on
Cleveland v. Policy Management Sys. Corp.,
The Supreme Court’s pronouncements here must be understood in context, however. In Cleveland, the claim was that the employer fired the plaintiff, even though she could “perform the essential functions” of her job with a reasonable accommodation. That is the most common form of claim under the ADA. Here, however, the claim is that a policy that provides benefits only once an employee can no longer work contains terms that discriminate under the ADA. Cleveland states the rule for run-of-the-mill cases where an aggrieved individual is either seeking to be hired, promoted, or reinstated; it simply does not address claims like Iwata’s.
Intel and Matrix’s reliance on
Sullivan v. Raytheon Co.,
The Court’s own research reveals that several circuits have taken Intel and Matrix’s approach, however, holding that in order to prevail on a claim under Title I of the ADA, even one involving fringe benefits, a plaintiff must be able to perform the essential functions of her job, with or without a reasonable accommodation.
See Weyer v. Twentieth Century Fox Film Corp.,
198
F.3d
1104,
1108
(9th Cir.2000)(noting the burden of proof rests with the ADA plaintiff);
Parker v. Metro. Life Ins. Co.,
As the Second and Third Circuits have held, however, because the ADA expressly extends to provision of fringe benefits, which typically would be received by people who are too disabled to continue working, the temporal scope of the term “qualified individual with a disability” must be broad.
See Ford v. Schering-Plough Corp.,
*147
The Supreme Court faced a similar issue in Robinson, a case that involved section 704(a) of Title VII of the Civil Rights Act of 1964, which makes it illegal “for an employer to discriminate against any of his employees or applicants for employment” who have invoked Title VII’s protections or have helped others to do so. 42 U.S.C. § 2000e-3(a). The Supreme Court held that the term “employee” includes former employees.
Id.
at 339,
A similar concern about vitiating the protection afforded by Title I of the ADA applies here, and this Court joins the Second and Third Circuits in holding that “qualified individual with a disability” must be interpreted to give effect to the rights that the ADA has created. It seems unlikely that Congress intended to create a bait-and-switch, where an individual is only covered by the statute until the moment when she actually needs its protection. The more reasonable interpretation of the statute is that a former employee who is denied access to fringe benefits due to disability-based discrimination can bring suit to challenge such discrimination.
3. The ADA Prohibits Discrimination Between the Mentally Disabled and the Physically Disabled
Intel and Matrix also argue that the ADA does not require welfare benefit plans to provide equal levels of benefits for mentally and physically disabled participants. A number of courts have held that plans that treat mentally ill and physically disabled plan participants or beneficiaries differently are permissible under either the Rehabilitation Act or the ADA.
See Weyer,
Intel and Matrix rely also on dicta from
Traynor v. Turnage,
The strongest argument any court has yet made to the contrary is in
Johnson v. K Mart Corp.,
Johnson
held that a long-term disability plan’s provision of lesser benefits for the mentally disabled than for the physically disabled constituted discrimination under the ADA. The court began by noting that remedial statutes should be given broad construction.
The
Johnson
court explained that a Supreme Court decision that postdated virtually all of those decisions had established a broader conception of discrimination under the ADA, one that extended to discrimination amongst classes of the disabled.
Johnson,
The
Johnson
court reasoned that, although
Olmstead
dealt with Title II of the ADA, its conception - of discrimination applied to claims under Title I as well.
Johnson,
The Johnson court then looked to the legislative history of the ADA, and found nothing that would contradict its interpretation. Id. at 1054-56. It also examined the role of the safe harbor provision, see id. at 1056-60, an issue that this Court need not address because Intel and Matrix have not raised it, and because discovery may be necessary to answer the relevant questions. •
This Court agrees with the Johnson court’s analysis of Olmstead. Title I of the ADA prohibits discrimination amongst classes of the disabled.
4. Welfare Benefit Plans Cannot Discriminate Amongst Classes of the Disabled
Although
Olmstead
stands for the proposition that Title I of the ADA, like Title II, forbids discrimination between mentally disabled and physically disabled people, the question remains whether the differentiation in the Plan constitutes such discrimination. As mentioned above, the Supreme Court has stated that “[tjhere is nothing in the Rehabilitation Act that requires that any benefit extended to one category of handicapped persons also be extended to all other categories of handicapped persons,”
Traynor,
The first thing to note about this statement is that it is dicta. In
Traynor,
the Veterans’ Administration had refused to grant two recovered alcoholics an extension of time to use their veterans’ educational benefits.
Second,
Traynor
was decided some time before
Olmstead.
If this Court’s interpretation of
Olmstead
is correct, then that decision has abrogated
Traynor.
Elsewhere in
Traynor,
the Supreme Court noted that “the central purpose of § 504” of the Rehabilitation Act “is to assure that handicapped individuals receive ‘evenhanded treatment’ in relation to nonhandi-capped individuals.”
Id.
at 548,
Intel and Matrix make a number of further arguments. First, they argue that the legislative history of the ADA demonstrates that Congress did not intend for the statute to forbid plan terms like the one in issue here. See Defs.’ Supp. Mem. at 4-6. They next argue that the Equal Employment Opportunity Commission’s interpretation of the ADA is consistent with this legislative history, id. at 6-7, as is legislative activity subsequent to passage of the ADA, id. at 7-15. Thus, they contend, Congress should address the issues surrounding parity for mental health benefits, not the courts. Id. at 15-18.
a. The ADA’s Legislative History
Looking first to the ADA’s legislative history, it is clear that Congress did not intend to prohibit differential coverage based on type of disability in health insurance plans, but Intel and Matrix have failed to cite — and the Court has been unable to find — evidence of such intent with respect to disability benefit plans. For example, the Senate Committee Report and the Two House Committee Reports on the ADA state that “it is permissible [under the ADA] for an employer to offer insurance policies that limit coverage for certain procedures or treatments.” S.Rep. No. 101-116, at 29; H.R.Rep. No. 101-485(III) (1990)U.S.Code Cong. & Admin.News 1990, pp. 445, 494; H.R.Rep. No. 101-485(II) (1990), 1990 U.S.Code Cong. & Admin.News 1990, pp. 303, 340. One such permissible limitation would be “only a specified amount per year for mental health coverage.” S.Rep. No. 101-116, at 29.
It is problematic to draw inferences regarding the ADA’s application to welfare benefit plans based on legislative history regarding the ADA’s application to health insurance plans, particularly in the absence of legislative consideration of the former. There are important differences between the two types of plans. With regard to employees who become disabled, the basic element of actuarial risk in a disability benefit plan is the likelihood that an employee will become disabled. There is virtually no volatility in the amount the plan will have to pay out to individual employees, because the amount of benefits will generally be fixed within a limited range. This is because benefits under such plans serve as a substitute for wage income. By contrast, the actuarial risk for health insurance plans relates not only to the likelihood of disability, but also to the cost of treating that disability. Although the volatility on the former element is no greater than it would be under a welfare benefits plan, the volatility of the latter element is likely substantial.
Congress apparently thought that if health insurance plans had to provide the same coverage for all illnesses, health insurance might become prohibitively expensive. There might be plenty of legitimate actuarial reasons to differentiate between mental disabilities and physical disabilities in a health insurance plan that have nothing to do with animus toward or stereotypes regarding individuals with mental illness. For example, it may be that mental illness is much more likely to require treatment with prescription drugs, and a health insurance plan might reasonably try to keep its costs down by limiting exposure to skyrocketing drug prices. The judgments in this arena likely involve complex calculations based on specialized knowledge of health care markets, likelihood of various illnesses and disabilities, and other factors. Congress might well have wanted sharply to limit the ability of courts to *151 second-guess such judgments, particularly because litigation of such matters would invariably prove costly, and would drive up the very costs Congress is trying to keep down.
In welfare benefit plans, however, it is much more difficult to find actuarial reasons to treat mentally and physically disabled participants differently. The costs of income replacement do not vary based on whether an individual’s inability to work results from mental or physical disability. It is considerably more likely that differential treatment in such a context results from beliefs that mental illness is less “real” or debilitating than physical injury, or that individuals who claim to have mental disabilities are more apt to be “faking it.”
It is also worth noting there is not necessarily a nexus between disability and the distinctions permitted in health insurance plans. Though the Court has no evidence before it regarding typical terms in health insurance plans, it seems likely that limitations on treatment or overall benefits are tied to health conditions, not to disability. A limitation on benefits for mental illness generally or for particular illnesses or treatments will sometimes impact individuals with mental illnesses, but it will often fall on people who, though mentally ill, are not disabled. The fit between the potentially discriminatory terms and the categories with which the ADA is concerned is thus not nearly as tight as is the distinction between mental and physical disability in welfare benefit plans like the one in this case. Indeed, the EEOC has stated in an Enforcement Guidance that:
health-related insurance distinctions that are based on a disability may violate the ADA. A term or provision is “disability-based” if it singles out a particular disability (e.g., deafness, AIDS, schizophrenia), a discrete group of disabilities (e.g., cancers, muscular dystro-phies, kidney diseases), or disability in general (e.g., non-coverage of all conditions that substantially limit a major life activity).
EEOC, Interim Enforcement Guidance on the Application of the Americans with Disabilities Act of 1990 to Disability-based Distinctions in Employer Provided Health Insurance (last modified June 8, 1993) (“Interim Enforcement Guidance ”), available at http://www.eeoc.gov/policy/docs/health.html. Thus, as the fit between a distinction and a category of disability becomes close, the likelihood that invidious discrimination is involved becomes greater, and is more apt to bring the distinction within the ADA’s ambit.
Thus, Congress’s failure to discuss the ADA’s application to welfare benefit plans may have resulted from a recognition that such plans are fundamentally different from health insurance plans, rather than substantially similar. At best, the legislative history and silence discussed points in neither direction.
b. The EEOC’s Interpretation of the ADA
With respect to the EEOC’s interpretation of the ADA, again Intel and Matrix have only pointed to materials dealing with health care plans. The Appendix to 29 C.F.R. pt. 1630, entitled “Interpretive Guidance on Title I of the Americans With Disabilities Act,” notés with respect to 29 C.F.R. § 1630.5 that “it would be permissible for an employer to offer an insurance policy that limits coverage for certain procedures or treatments,” so long as the limitations apply equally to all participants, irrespective of disability. Moreover, the EEOC has stated:
[A] feature of some employer provided health insurance plans is a distinction between the benefits provided for the *152 treatment of physical conditions on the one hand, and the benefits provided for the treatment of “mental/nervous” conditions on the other. Typically, a lower level of benefits is provided for the treatment of mental/nervous conditions than is provided for the treatment of physical conditions. Similarly, some health insurance plans provide fewer benefits for “eye care” than for other physical conditions. Such broad distinctions, which apply to the treatment of a multitude of dissimilar conditions and which constrain individuals both with and without disabilities, are not distinctions based on disability. Consequently, although such distinctions may have a greater impact on certain individuals with disabilities, they do not intentionally discriminate on the basis of disability and do not violate the ADA.
Interim Enforcement Guidance, supra (footnotes omitted).
Although Intel and Matrix have not briefed the issue, the Court assumes for the sake of argument that these regulatory materials have legal force and are entitled to deference under
Chevron U.S.A., Inc. v. Natural Resources Defense Council,
In fact, the very regulatory materials that Intel and Matrix cite support, if anything, Iwata’s view. The Court has already discussed the EEOC’s view that “health-related insurance distinctions that are based on disability may violate the ADA.” Interim Enforcement Guidance, supra. The Appendix to 29 C.F.R. pt. 1630 provides further guidance. 29 C.F.R. § 1680.16(f) basically restates the ADA’s safe harbor provision. The section of the Appendix that addresses section 16030.16(f) explains that “[t]he purpose of this provision is to permit the development and administration of benefit plans in accordance with accepted principles of risk assessment.” 29 C.F.R. pt. 1630, App. Importantly, “Part 1630 requires that decisions not based on risk classification be made in conformity with non-discrimination requirements.” Id. Thus, if anything, the EEOC’s interpretation supports Iwa-ta’s contention that the ADA only permits disability-based distinctions in welfare benefit plans if they are grounded in actuarial principles.
c. Congressional Action After Passage of the ADA
Intel and Matrix next point to several post-ADA statutes that mandate particular terms and conditions in the provision of employee health insurance. The Newborns’ and Mothers’ Protection Act of 1996, codified at 26 U.S.C. § 9811, amended ERISA to prohibit group health plans from imposing certain coverage limitations on childbirth-related hospital stays. See 29 U.S.C. § 1185. Another 1996 statute, the Health Insurance Portability and Accountability Act, Pub.L. No. 104-191, 110 Stat. 1936 (1986), amended ERISA to impose limitations on certain exclusions for pre-existing conditions. See 29 U.S.C. § 1181. In 1998, Congress passed the Women’s Health and Cancer Rights Act, Pub.L. No. 105-277, 112 Stat. 2681 (1998), which again amended ERISA to require group health plans to provide certain medical and surgical benefits related to mastectomies. See 29 U.S.C. § 1185b.
The first thing to note is that none of these statutes appears to have a particu *153 larly close nexus with disability, much less with distinctions between mental and physical disabilities. Second, they all deal with health care plans, not with disability benefit plans. If anything, the absence of Congressional attention to disability benefit plans during a period when .it frequently legislated on health care plan issues is no less likely to result from a belief that the ADA already addresses any lack of parity between mental and physical disabilities in such plans than it is to result from a lack of congressional concern with such disparities.
Intel and Matrix also discuss the Mental Health Parity Act of 1996 (“MHPA”), see Pub.L. No. 104-204, 110 Stat. 2944 (1996), and the thus-far unsuccessful attempts of advocates to assemble majorities in both houses of Congress to require full parity between mental illness and physical illness in health care plans. MHPA amended ERISA to prohibit group health plans from having different annual or aggregate lifetime limits for treatments as between mental and physical diseases or injuries. See 29 U.S.C. § 1185a. As passed, MHPA was less ambitious than the “Parity for Mental Health Services” amendment that Senators Domenici and Wellstone had offered to what ultimately was enacted as HIPAA. See Domenici Amendment No. 3681 to S. 1028, 104th Cong. (1996), 142 Cong. Rec. S3670 (Apr. 18, 1996); 142 Cong. Rec. S9926-27 (Sept. 5, 1996) (statement of Sen. Domenici). That amendment would have required full parity between mental and physical illnesses in health coverage. See 142 Cong. Rec. S3589 (Apr. 18, 1996) (statement of Sen. Wellstone). Though the amendment, was adopted by the Senate, it was eliminated in the Senate and House conference. See H.R. Conf. Rep. No. 104-736 (1996).
Senator Domenici and the late Senator Wellstone continued their efforts to achieve parity for mental health coverage in health care plans by advancing a bill entitled the Mental Health Equitable Treatment Act of 2001 (S.543). The bill would have amended ERISA to add the following:
IN GENERAL — In the case of a group health plan (or health insurance coverage offered in connection with such a plan) that provides both medical and surgical benefits and mental health benefits, such plan or coverage shall not impose any treatment limitations or financial requirements with respect to the ■coverage of benefits for mental illness unless comparable treatment limitations or financial requirements are imposed on medical and surgical benefits.
S.Rep. No. 107-61, at 22 (2001). The bill has yet to be enacted into law, apparently due to concerns about the cost' to the private sector. See id. at 9-11, 19. A similar bill, entitled the Senator Paul Well-stone Mental Health Equitable Treatment Act of 2003, see S. 1832, 108th Cong. (2003), 149 Cong. Rec. S14176-03 (Nov. 6, 2003), is apparently currently “stuck” in committee because of concerns about driving up health coverage costs. 150 Cong. Rec. S5731 (May 19, 2004) (statement of Sen. Daschle).
Whatever weight the actions of future Congresses should have in interpreting a law passed by an earlier Congress, here again, the evidence cuts in two directions. Congress’s failure to introduce bills requiring increasing parity between mental and physical disabilities in disability benefit plans could suggest that such disparities do not concern Congress, or it could suggest that Congress believes that such disparities are already illegal under the ADA. It is perhaps telling, however, that with so much solicitude for the mentally ill in the Senate over the last decade, Intel and Matrix were unable to point to a single bill *154 regarding mental disability parity in welfare benefit plans.
d. Interaction of the Purposes of the ADA and ERISA
In the absence of definitive guidance from case law, from legislative history, from executive branch interpretations, or from congressional action, the Court is left with the language of the ADA and ERISA, which the Court must interpret in light of the purpose of the two statutes, and with regard to the problems they sought to address. In passing the ADA, Congress noted that “some 43,000,000 Americans have one or more physical or mental disabilities, and [that] this number is increasing as the population as a whole is growing older.” 42 U.S.C. § 12101(a)(1). Congress also recognized that “historically, society has tended to isolate and segregate individuals with disabilities, and [that] despite some improvements, such forms of discrimination against individuals with disabilities continued to be a serious and pervasive social problem.” Id. § 12101(a)(2). Moreover, “census data, national polls, and other studies have documented that people with disabilities, as a group, occupy an inferior status in our society, and are severely disadvantaged socially, vocationally, economically, and educationally.” Id. § 12101(a)(6). According to Congress, “the continuing existence of unfair and unnecessary discrimination and prejudice denies people with disabilities the opportunity to compete on an equal basis and to pursue those opportunities for which our free society is justifiably famous, and costs the United States billions of dollars in unnecessary expenses resulting from dependency and nonproductivity.” Id. § 12101(a)(9).
The purposes of the ADA are:
(1)to provide a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities;
(2) to provide clear, strong, consistent, enforceable standards addressing discrimination against individuals with disabilities;
(3) to ensure that the Federal Government plays a central role in enforcing the standards established in this chapter on behalf of individuals with disabilities; and
(4) to invoke the sweep of congressional authority ... in order to address the major areas of discrimination faced day-to-day by people with disabilities.
Id. § 12101(b).
In declaring findings and statutory purpose with respect to ERISA, Congress stated “that it is therefore desirable in the interests of employees and their beneficiaries, for the protection of the revenue of the United States, and to provide for the free flow of commerce, that minimum standards be provided assuring the equitable character of [employee benefit] plans and their financial soundness.” 29 U.S.C. § 1001(a). Congress has made a choice primarily to rely on the private sector to ensure that disability does not lead to poverty, and ERISA is the means by which it regulates this private welfare system.
The purposes of the two statutes interact in important ways. With the ADA, Congress took decisive action to address, among other things, the “dependency” and “inferior” economic status to which “the continuing existence of unfair and unnecessary discrimination and prejudice” relegated individuals with disabilities in our society. See 42 U.S.C. § 12101(a)-(b). Congress thus sought to integrate disabled people into the economic and social mainstream. When an individual becomes totally disabled on the job, the means by which he typically avoids poverty and dependency is through an ERISA-governed *155 benefits plan. If anything, then, the ADA’s prohibition against discrimination most obviously applies in cases where differential treatment of a class of disabled people would lead to precisely the kind of economic marginalization that Congress sought to combat with the ADA. Congress obviously gave private actors considerable leeway in designing welfare benefits plans, but it is important to remember the public purpose that those plans serve.
Plans like the one in this case arguably do not discriminate between the mentally disabled and the physically disabled, because they apply equally to all employees — they just provide more protection against some kinds of risks than others. At the same time, Intel and Matrix have failed to show that the ADA permits a disability benefits plan to make disability-based distinctions, at least without any actuarial justification. Moreover, there appears to be a widespread practice of limiting disability benefits for mental illness, possibly based on assumptions that mental illness is “less real” than physical disability, or that recovery therefrom is more a matter of will than in the case of physical disability. Assuming, then, as the Court must at the motion to dismiss stage, that the Plan’s distinction between mental and physical disabilities is motivated by stereotypes about mental disability, rather than by actuarial considerations, Iwata has stated a claim under the ADA.
5. The Safe Harbor Provision
Intel and Matrix have not provided any argument or briefing on the significance of the ADA’s safe harbor provision. Iwata has addressed this provision, see Pl.’s Supp. Mem. at 6-8, but the burden was on Intel and Matrix to argue for dismissal, so for that reason the Court need not address it at this point. Proper interpretation of this provision is a potentially difficult question that would benefit from briefing on both sides.
6. Intel and Matrix’s Relative Liability Under the ADA and ERISA
Iwata has also provided argument as to both Intel and Matrix’s liability under the ADA and ERISA. See Pl.’s Supp. Mem. at 10-13. Neither defendant has argued that the ADA or ERISA applies to one but not the other of them, so the Court need not address this matter at present.
E. The Rehabilitation Act Claim
Under section 504(a) of the Rehabilitation Act, 29 U.S.C. § 794(a):
No otherwise qualified individual with a disability in the United States, as defined in section 705(20) of this title, shall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits'of, or be subjected to discrimination under any program or activity receiving Federal financial assistance ....
ADA case law and Rehabilitation Act case law draw heavily on one another,
see, e.g., Calero-Cerezo,
Although the substantive obligations under the ADA and the Rehabilitation Act are similar, liability under the latter requires that the defendant be a “recipient” of “federal financial assistance.” Iwata alleges no such assistance in her Complaint, but notes in her memorandum that the Plan is entitled, to reduce benefits paid out to a plan participant dollar-for-dollar by any amounts the participant receives from Social Security. Pl.’s Mem. at 10. She argues that “[t]he plan is thus directly subsidized by the Soeiál Se *156 curity system, squarely meeting the requirement of federal funding.” Id. Intel and Matrix urge that Iwata has cited no case law to support this argument, but they likewise cite no case law to refute it. See Defs.’ Reply at 5.
The relevant regulation reads, in pertinent part:
(e) Federal financial assistance means any grant, loan, or contract (other than a procurement contract or a contract of insurance or guaranty), or any other arrangement by which the agency provides or otherwise makes available assistance in the form of:
(1) Funds;
(2) Services of Federal personnel; or
(3) Real and personal property or any interest in or use of such property, including;
(i) Transfers or leases of such property for less than fair market value or for reduced consideration; and
(ii) Proceeds from a subsequent transfer or lease of such property if the Federal share of its fair market value is not returned to the Federal government.
28 C.F.R. § 41.3(e). Neither party has challenged the regulation’s validity.
Although the Rehabilitation Act applies to those who “receive” federal financial assistance, it does not apply to those who merely “benefit” economically from disbursement of federal funds.
See United States Dep’t of Trans. v. Paralyzed Veterans of America,
There are two relevant disbursements in this context: payments by the Social Security Administration to individuals who qualify for social security benefits, and Congress’s conscious decision to permit integration of ERISA plans with benefits available under the Social Security Act,
see Alessi v. Raybestos-Manhattan, Inc.,
Here, although the exact contractual relationship among the various parties is unclear, the individuals or entities who agreed to the language in the Plan were in a position to decide whether the benefit of being able to offset social security benefits was worth the burden of complying with the Rehabilitation Act. Although the federal government transfers social security benefits to the individual covered under the Plan, and not to the Plan itself, the net result of that action and the integration provisions is a transfer to the Plan. ERISA plans with integration provisions were certainly the intended “recipients” of social security funds under this regime, much as colleges are the intended “recipi
*157
ents” of federal student aid.
See Grove City College v. Bell,
Thus, Iwata has stated a claim under the Rehabilitation Act.
F. State Law Claim
Iwata’s state law claim, whether characterized as a discrimination claim under Article 114 of the Massachusetts Constitution or Mass-. Gen. Laws eh. 151B, is preempted by ERISA. There can be little doubt that chapter 151B falls within the ambit of ERISA preemption.
See
29 U.S.C. § 1144;
McMahon v. Digital Equip. Corp.,
Iwata might argue that, because the statute is preempted, it does not “provide adequate relief,” so she should be permitted to bring a claim under article 114. She suggests that it is not necessarily true that federal statutes can “automatically” preempt state constitutions, Pl.’s Mem. at 16, but she cites no authority for the proposition, nor does she provide any argument for it. It is difficult to imagine why the Supremacy Clause, U.S. const, art. VI, would apply to state statutes but not to state constitutions. “The relative importance to the State of its own law is not material when there is a conflict with a valid federal law, for the Framers of our Constitution provided that the federal law must prevail.”
Free v. Bland,
As Iwata correctly argues, however, Massachusetts state law is only preempted to the extent that it is not congruent with federal civil rights law.
See Shaw,
Intel and Matrix have argued in their supplemental memorandum that Iwata’s chapter 151B would fail under state law, see Defs.’ Supp. Mem. at 18-19 (citing Currie v. Hartford Life Ins. Co., No. 00-1831-H, 2002 Mass.Super. LEXIS 306 (Jan. 24, 2002) (Quinlan, J.)), but that argument is untimely. The Court only sought further briefing on the legislative history behind the federal statutes.
The Court expresses no opinion on the role of Mass. Gen. Laws ch. 151B in applying the ADA’s safe harbor provision, under which Title I of the ADA “shall not be construed to prohibit or restrict ... a person or organization covered by this chapter from establishing, sponsoring, observing or administering the terms of a bona fide benefit plan that are based on underwriting risks, classifying risks, or administering such risks that are based on or not inconsistent with State law.” 42 U.S.C. § 12201(c)(2) (emphasis added). None of the parties has briefed the issue.
G. Closing Thoughts
This case raises a number of complex issues, many of which have yet to be addressed by the parties. The Court requests that, as the case progresses, the parties work out their legal theories with some rigor. The Court would also consider entertaining amicus briefs on both sides regarding such issues as the interaction of the federal statutes at issue, the role that state law plays in those statutory schemes, the common law concepts (particularly equitable remedies and defenses) at play in ERISA, the significance of those concepts with regard to the right to a jury trial, and the relevant public policies, as expressed in statutes, regulations, and other federal legal sources. Similarly, the nature of the Plan — whether it is funded or unfunded, whether it gives a fiduciary discretionary authority, what the contractual and agency relationships are among the parties — may play an important role in deciding the outcome of the case.
III. CONCLUSION
Accordingly, Intel and Matrix’s Motion To Dismiss [Docket No. 6] is ALLOWED as to Iwata’s claims under 29 U.S.C. § 1140, but is otherwise DENIED, except insofar as Count IV of Iwata’s complaint is limited to the extent that Mass. Gen. Laws ch. 151B is incongruent with the ADA and the Rehabilitation Act.
SO ORDERED.
Notes
. The federal courts have the power to fashion “a federal common law of rights and obligations under ERISA-regulated plans.”
Black & Decker Disability Plan v. Nord,
. In
Desert Palace,
the Supreme Court effectively held that in the wake of the Civil Rights Act of 1991, discrimination cases under 42 U.S.C. § 2000e-2 have all become mixed motive cases; in other words, once a plaintiff has shown that unlawful discrimination was "a motivating factor” in an adverse employment action, the burden of proof (not merely pro
*144
duction) falls on the defendant to show that it would have reached the same decision in the absence of discrimination.
See
. Iwata has not argued that the Plan terms violate Title III of the ADA, which reads, in pertinent part:
No individual shall be discriminated against on the basis of disability in the full and equal enjoyment of the goods, services, facilities, privileges, advantages, or accommodations of any place of public accommodation by any person who owns, leases (or leases to), or operates a place of public accommodation.
42 U.S.C. § 12182(a). The First Circuit has acknowledged the possibility that the public accommodations provisions of Title III might apply to health benefit plans, at least in some circumstances.
Carparts Distrib. Ctr., Inc. v. Automotive Wholesaler’s Assoc. of New England, Inc.,
. The footnote in the last paragraph of this provision notes that the original statute makes "subchapter'’ singular, even though it was likely meant to be plural. See 42 U.S.C. § 12201(c) n. 1.
.
See also Ford,
. The rehearing is on hold indefinitely because one of the parties is in bankruptcy.
See Johnson v. K Mart Corp.,
. Some elements of the
Grove City
decision that are not relevant here have been overruled by statute.
See
Civil Rights Restoration Act of 1987, Pub.L. No. 100-259, 102 Stat. 28 (1988);
Leake v. Long Island Jewish Med. Ctr.,
