When choosing an aid or service, title II entities are required to give primary consideration to the choice of aid or service requested by the person who has a communication disability. The state or local government must honor the person’s choice, unless it can demonstrate that another equally effective means of communication is available, or that the use of the means chosen would result in a fundamental alteration or in an undue burden (see limitations below). If the choice expressed by the person with a disability would result in an undue burden or a fundamental alteration, the public entity still has an obligation to provide an alternative aid or service that provides effective communication if one is available.

Not to be outdone by their Southern neighbors, the Canadian government site is highly accessible. The home page is a simple page, beautiful in its perfect symmetry between English and French. The default language as specified on the element is English (lang="en", hey they had to pick one) but all French content is marked up with lang="fr". It's actually quite pleasing, and very Canadian, to listen to this page with JAWS as it alternates between the two languages.

As a user who, while I can use a mouse, also likes to use the keyboard, I have found your articles very interesting. I have been trying to update the design of my site http://www.jamesrmeyer.com to include accessibility as much as possible, without compromising usability for the majority of users. I would appreciate some feedback on the site design.

Web developers need to keep this in mind when creating websites. The best screen readers use naturalized voices and alter tone and inflection based on HTML tags, so choose layout elements carefully. It is also important to keep in mind that navigation is significantly slower when using a screen reader than it is for sighted people. Sighted people don't have to wait for the reader to get to the link we want- we spot links quickly and are able to navigate to our sought items, often without having to do any reading at all. Minimizing graphics also helps shorten reading times and speed navigation for disabled users.
Use the Outline button on the WAVE toolbar to see if the web page has a halfway decent, logical heading structure. I was pleased to see that each of the 130 sites used HTML headings, but several sites had heading creep. Screen reader users benefit tremendously from good heading structure, but if a web page has too many headings, this offsets the benefits, and some of these sites have several dozen headings. If everything is a heading, nothing is a heading.
The landscape of disabled access litigation related to online services has significantly changed and expanded over the past decade. Initially, the internet was an area of little concern as courts uniformly held that the ADA applied to "brick and mortar" facilities, not to cyberspace. This has changed and online accessibility is presently, and will continue to be, an area of significant investigation and litigation.
Use the plugin, follow its instruction, and resolve the compliance issues identified. You’ll find that using the plugin will save you an incredible amount of time as you maintain your site’s compliance on a month-to-month basis. The best part, it identifies the compliance issues and tells you exactly which code elements are out of compliance and why! Our average customer is reporting a 10x-20x time savings over manually identifying and fixing these problems. In extreme cases more than 30x time savings has been reported! Using the plugin alone does not guarantee compliance. Some parts of accessibility can’t be automatically scanned and must be manually audited but we also provide independent 3rd-party audits and certifications of compliance. The Accessibility Suite Pro Plugin for WordPress makes this process profoundly easier.
Thanks for writing. While I’m not a lawyer I believe if your physical practice is ADA exempt your web presence, as an extension of that physical business would maintain the same exemption status. If you’d like to be absolutely certain I’d confer with an ADA lawyer (email us, questions at yokoco dot com if you need a referral) but I don’t believe you have reason to worry.
Another important consideration is that the ADA does not allow businesses to simply provide an alternative such as a phone number. Lastly, include accessibility issues as part of your website and mobile strategy. When new technologies are implemented or pages added, part of the process should include the implications for persons with disabilities. 
The menu is fully keyboard accessible and contrast levels for text are kept well above the 4.5:1. This theme passes WCAG 2.0 AA standards out-of-box. On wordpress.org, Period is given the “accessibility-ready” tag. This is basically a reminder to users that while all design elements in Period pass accessibility standards, it’s up to the user to make sure their content is accessible too in order for their site to maintain its accessibility.
The pressure is mounting to implement technology that more directly connects with residents, but balancing the shift to enable all citizens – including the approximately 19 percent with disabilities – can seem insurmountable. Beyond ensuring your organization is doing right your community, being in compliance with the Americans with Disabilities Act (ADA) or Section 508 standards is daunting – especially with the threat of a fine or lawsuit for non-compliance.
Accessible Poetry comes with a toolbar with buttons to change font size, adjust contrast, disable animations, and more. Also, Skiplinks are available that let users navigate between main areas of the page using the keyboard, and if an image doesn’t have Alt text, you’ll be alerted (you can even add ALT text without leaving this screen). Beyond that, outline effects for objects in focus mode, link underlining, and custom CSS/JS code addition are supported. To access this resourceful toolbar, just click the floating button on the screen.
That carousel or image slider on your site looks beautiful. That stunning video on autoplay may have cost thousands to produce. Users with cognitive limitations, however, may not comprehend your information quickly enough before the view changes or your video ends. Other users may want to start over, or go back and review something they saw or heard.
The Federal Communications Commission (FCC) enforces regulations covering telecommunication services. Title IV of the ADA covers telephone and television access for people with hearing and speech disabilities. It requires telephone and Internet companies to provide a nationwide system of telecommunications relay services that allow people with hearing and speech disabilities to communicate over the telephone.