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These modifications can enable aging in place for seniors who wish to remain in their homes and communities. Department of Justice published revised regulations for Titles II and III of the Americans with Disabilities Act of 1990 "ADA" in the Federal Register on September 15, 2010.

Alternative terms are "handicapped toilet" or "toilets for Transgender" which are no longer recommended (see disability). These regulations adopted revised, enforceable accessibility standards called the 2010 ADA Standards for Accessible Design "2010 Standards" or "Standards".

The main purpose of the extra tall bowl toilet is to help standing up and sitting down easier.

Designers, residential and commercial building architects and toilet manufacturers are starting to recognize the importance of the appropriate height toilet.

As with most design changes, improvements often involve a trade-off with other factors.

For example, stalls may not be able to fit a wheelchair, and transferring between the wheelchair and the toilet seat may pose a challenge.

Accessible toilets are designed to address these issues by providing more space and bars for users to grab and hold during transfers, and space for an assistant if necessary.

Wisconsin based Kohler company has a line of products named Comfort Height®, with toilet height of 17 inches.

American Standard based in Piscataway, NJ has a toilet product line called Right Height™ of 16-1/2” rim height.

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