Todd,
You are right... students with ADD may be hindered by too much time. That might also be true of a student who was OCD (obsessive compulsive disorder). But I think the broader question here is whether the typical -- nondisabled -- student would do better if he/she had extra time (and, thus, wouldn't it be fairer to give everyone the same time). And the answer to THAT question is "no." Evidence suggests that if the test is constructed so that the typical student can finish within a given time period, extended time won't help. If you don't know the answer, you don't know the answer. For the student with a disability, the extended time doesn't help them get the right answer, it only helps them have time to get the right answer down on paper!
Dr. Jane Jarrow