It covers all forms of discrimination, including denial of reasonable accommodation; The Committee shall report biennially to the General Assembly and the Economic and Social Council on its activities and may make proposals and general recommendations on the basis of the examination of reports and information received from States Parties. These general proposals and recommendations, as well as any comments made by States parties, are included in the report of the Committee. Based on the four core outcomes of full participation, equal opportunity, independent living, and economic self-sufficiency, the ADA prohibits discrimination based on disability in many contexts of American life: public housing, employment, transportation, and community life. However, Americans with disabilities still face barriers when it comes to fully participating in many aspects of their lives. States Parties recognize that persons with disabilities have the right to the highest attainable standard of health without discrimination on the basis of disability. States Parties shall take all appropriate measures to ensure access to gender-sensitive health services, including health-related rehabilitation, for persons with disabilities.