In 2012, DRA, The California Coun­cil of the Blind (CCB), and Goldstein Borgen Dardarian & Ho (GBDH), entered structured negotia­tions with Kaiser Permanente to address health care access barriers. These bar­riers to services, programs, and facilities compromise the health care of people with vision impairments.

Kaiser patients with vision impairments have reported the following problems:

• A lack of medical tests, prescription drugs, and other health care materials in alternative formats, such as Braille, Large Print, Audio, or electronic formats

• Kaiser’s Pharmacies lack communications systems that can be used by patients with vision impairments

• Architectural barriers at its facilities

• A lack of training of medical staff in assist­ing patients with vision impairments