Pregnancy Discrimination Act (US)

A 1978 amendment to Title VII of the Civil Rights Act that prohibits employment discrimination on the basis of pregnancy, childbirth, or related medical conditions, requiring employers to treat pregnant employees the same as other employees with similar abilities or limitations.

What Is the Pregnancy Discrimination Act?

Key Takeaways

  • The PDA amended Title VII to explicitly define sex discrimination as including discrimination based on pregnancy, childbirth, and related medical conditions such as morning sickness, preeclampsia, and postpartum depression.
  • Employers must treat pregnant employees the same as other employees who are similar in their ability or inability to work. If light duty is available for workers with injuries, it must be available for pregnant workers too.
  • The law applies to employers with 15 or more employees, employment agencies, labor organizations, and the federal government.
  • The PDA covers all aspects of employment: hiring, firing, pay, promotions, training, job assignments, layoffs, health insurance, leave, and fringe benefits.
  • The Pregnant Workers Fairness Act (PWFA), effective June 2023, added an explicit requirement for employers to provide reasonable accommodations for pregnancy-related limitations, filling a gap the PDA didn't address.

Before 1978, employers could legally fire women for being pregnant, refuse to hire pregnant applicants, deny disability benefits for pregnancy-related conditions, and force pregnant workers to take leave at arbitrary points in their pregnancy. The Supreme Court's 1976 decision in General Electric v. Gilbert held that excluding pregnancy from disability benefits wasn't sex discrimination under Title VII. Congress disagreed and passed the PDA two years later. The PDA doesn't give pregnant workers special treatment. It requires equal treatment. The core principle is straightforward: if an employer accommodates workers who are similar in their ability or inability to work, it must extend the same accommodations to pregnant workers. A company that provides light duty for employees who injured their backs on the job must offer light duty to an employee with pregnancy-related lifting restrictions. The 2015 Supreme Court decision in Young v. UPS clarified this comparison framework and made it easier for pregnant workers to challenge employer refusals to accommodate. Then in 2023, the PWFA added a standalone right to reasonable accommodations, independent of how the employer treats other workers.

2,286Pregnancy discrimination charges filed with the EEOC in FY 2023 (EEOC Annual Report)
$16.4MMonetary benefits recovered through EEOC pregnancy discrimination resolutions in FY 2023 (EEOC)
15+Employee threshold for PDA coverage: applies to employers with 15 or more employees (same as Title VII)
1978Year the Pregnancy Discrimination Act was signed into law, amending Title VII

What the PDA Prohibits

The PDA's protections extend throughout the entire pregnancy timeline, from fertility treatment through postpartum recovery.

Hiring discrimination

Employers can't refuse to hire a woman because she's pregnant, might become pregnant, or has a pregnancy-related medical condition, as long as she can perform the major functions of the job. Interview questions about pregnancy plans, family planning, or childcare arrangements are risky. While not explicitly prohibited, they create evidence of pregnancy-related bias if the candidate is rejected. The EEOC treats such questions as indicators of discriminatory intent.

Forced leave and termination

Employers can't force a pregnant employee to take leave at any point during pregnancy if she's able to work. The decision to continue working belongs to the employee and her healthcare provider, not the employer. Employers can't terminate a pregnant employee because of the pregnancy, even if they frame it as a business decision. Suspicious timing (termination shortly after announcing pregnancy) creates a presumption of discrimination that the employer must rebut. Constructive discharge also applies: making working conditions so hostile that the pregnant employee feels forced to resign.

Benefits discrimination

Health insurance must cover pregnancy-related conditions on the same terms as other medical conditions. If the plan covers surgery, it must cover cesarean deliveries. If it covers hospital stays, it must cover maternity stays. Employers can't require different deductibles or copays for pregnancy-related care. Disability and sick leave policies must treat pregnancy-related disabilities the same as other temporary disabilities. If employees with broken legs receive 6 weeks of disability leave, employees with pregnancy complications receive the same.

Young v. UPS: The Landmark 2015 Supreme Court Case

This case reshaped how courts analyze PDA claims and significantly strengthened protections for pregnant workers.

The facts

Peggy Young was a UPS driver who became pregnant and received a medical restriction against lifting more than 20 pounds. UPS offered light duty to three categories of workers: those with on-the-job injuries, those with ADA-qualifying disabilities, and those who lost their DOT driving certifications. Pregnant workers didn't qualify for any of these categories, so UPS told Young to take unpaid leave. She sued under the PDA.

The ruling

The Supreme Court held (6-3) that a pregnant worker can establish a prima facie PDA case by showing she was in the protected class, sought accommodation, the employer didn't accommodate her, and the employer did accommodate others who were similar in their ability or inability to work. The burden then shifts to the employer to provide a legitimate, nondiscriminatory reason for the different treatment. The employee can still prevail by showing that the reason is pretextual, including evidence that the employer's policy imposes a significant burden on pregnant workers and the employer's reason isn't strong enough to justify it.

Impact on employers

After Young v. UPS, employers can no longer categorically deny accommodations to pregnant workers while providing them to other employees with similar physical limitations. Many employers responded by expanding their light-duty and accommodation policies to explicitly include pregnancy-related conditions. UPS itself changed its policy to offer pregnant workers the same accommodations as workers with on-the-job injuries.

The Pregnant Workers Fairness Act (PWFA) of 2023

The PWFA filled the PDA's biggest gap by creating a standalone right to reasonable accommodations for pregnancy-related limitations.

What the PWFA requires

Effective June 27, 2023, the PWFA requires employers with 15+ employees to provide reasonable accommodations for known limitations related to pregnancy, childbirth, or related medical conditions, unless the accommodation would impose an undue hardship. This is modeled on the ADA framework but covers conditions that don't meet the ADA's definition of disability. Common accommodations include additional restroom breaks, modified schedules, permission to sit or stand as needed, temporary reassignment to less strenuous duties, time off for prenatal appointments, temporary suspension of certain job duties, and remote work when feasible.

How PWFA differs from the PDA

The PDA required employers to treat pregnant workers the same as other similarly limited workers, which meant that if the employer provided no accommodations to anyone, it didn't have to accommodate pregnant workers either. The PWFA changed this by creating an independent obligation. Even if the employer has no light-duty program and accommodates no other workers, it must still provide reasonable accommodations for pregnancy-related limitations. The employer must engage in an interactive process (similar to the ADA) to determine effective accommodations. The employer can't require a pregnant worker to take leave if another accommodation exists.

State Pregnancy Discrimination Laws

Many states have enacted laws that go beyond the PDA and PWFA, and some were ahead of federal law on accommodation requirements.

StateNotable ProvisionCoverage Threshold
CaliforniaFEHA requires reasonable accommodation for pregnancy; up to 4 months of pregnancy disability leave5+ employees
New YorkRequires reasonable accommodation for pregnancy-related conditions; includes breastfeeding protections4+ employees
New JerseyLaw Against Discrimination covers pregnancy accommodation; 12 weeks of family leave1+ employees (discrimination), 30+ (leave)
IllinoisPregnancy accommodation required since 2015; covers lactation accommodations1+ employees
MassachusettsPregnant Workers Fairness Act requires accommodation and interactive process6+ employees
ConnecticutPregnancy-related accommodation required; 16 weeks of family leave3+ employees (discrimination), 1+ (leave)

PDA and PWFA Compliance for HR Teams

Practical steps to reduce pregnancy discrimination risk and ensure compliance with both federal and state requirements.

  • Update your employee handbook to reflect PWFA requirements. Include a clear statement that the company provides reasonable accommodations for pregnancy-related limitations and explain how employees can request them.
  • Train managers on what they can and can't say or ask when an employee announces a pregnancy. Managers should express support, discuss any immediate accommodation needs, and direct the employee to HR for leave planning.
  • Develop a pregnancy accommodation request process that mirrors your ADA interactive process. Document every accommodation request, the interactive discussion, and the outcome. Keep these records separate from the employee's personnel file.
  • Review job postings and interview guides for pregnancy-related red flags. Remove questions about family plans, childcare, or marital status. Train interviewers to focus exclusively on job-related qualifications.
  • Audit your light-duty and accommodation policies to ensure pregnant workers receive at least the same accommodations as other temporarily limited workers. If you offer light duty for on-the-job injuries, extend it to pregnancy-related restrictions.
  • Track pregnancy-related complaints, accommodation requests, and outcomes. Analyze data annually for patterns that might indicate systemic bias in specific departments or under specific managers.

Recent Pregnancy Discrimination Enforcement Actions

EEOC enforcement actions illustrate how the PDA applies in real workplace situations.

CaseYearIssueOutcome
EEOC v. Walmart2020Store refused light duty to pregnant workers while providing it to others$14 million settlement covering 4,000+ affected workers
EEOC v. 704 HTL Operating (Piggly Wiggly)2023Fired employee after learning of pregnancy$20,000 settlement plus policy changes and training
EEOC v. Polaris Industries2020Forced pregnant workers into unpaid leave instead of providing accommodations$500,000 settlement with injunctive relief
EEOC v. AutoZone2018Refused to accommodate a pregnant employee's lifting restrictions while accommodating non-pregnant employees$75,000 settlement plus policy changes

Pregnancy Discrimination Statistics [2026]

Data on the prevalence and cost of pregnancy discrimination in the US workplace.

2,286
Pregnancy discrimination charges filed with the EEOC in FY 2023EEOC, 2024
$16.4M
Monetary benefits from EEOC pregnancy discrimination resolutions in FY 2023EEOC, 2024
54%
Of mothers who report experiencing pregnancy discrimination at workBipartisan Policy Center, 2023
30+
States with pregnancy accommodation laws beyond the PDANational Women's Law Center, 2024

Frequently Asked Questions

Does the PDA protect employees undergoing IVF or fertility treatment?

Yes. The PDA covers "related medical conditions," which the EEOC interprets to include fertility treatment, IVF, and other reproductive procedures. An employer can't fire, refuse to hire, or deny accommodations to an employee because she's undergoing fertility treatment. If the treatment requires time off, it should be handled the same way as time off for other medical procedures.

Can I be fired while on maternity leave?

You can't be fired because of pregnancy or maternity leave. However, you can be fired during maternity leave for legitimate, non-discriminatory reasons (like a company-wide layoff) that would have resulted in termination regardless of the pregnancy. The key question is whether the same action would have been taken if the employee weren't pregnant. If your position is eliminated during your leave but a similarly situated non-pregnant employee's position was preserved, that raises a discrimination claim.

Does the PDA require employers to provide maternity leave?

No. The PDA doesn't create a right to maternity leave. It requires employers to treat pregnancy-related absences the same as absences for other medical conditions. If the employer provides disability leave for surgery recovery, it must provide the same leave for pregnancy-related disability. Separate leave rights come from the FMLA (up to 12 weeks unpaid), state family leave laws, and the employer's own policies. The PWFA requires reasonable accommodations, which may include time off, but it's not a leave entitlement.

Are men protected under the PDA?

Not directly under the PDA itself, which addresses pregnancy-based sex discrimination. However, Title VII prohibits sex discrimination broadly, including discrimination against men for caregiving responsibilities. A man who is denied parental leave that's available to female employees can file a Title VII sex discrimination claim. The EEOC has pursued caregiver discrimination cases involving men denied benefits provided to women.

What if my employer is too small for the PDA (fewer than 15 employees)?

The federal PDA won't apply, but many state laws cover smaller employers. New Jersey and Illinois cover employers with just 1 employee. California, New York, and Colorado cover employers with as few as 1 to 5 employees depending on the specific provision. Check your state's anti-discrimination and pregnancy accommodation laws. Additionally, the PWFA matches the PDA's 15-employee threshold, so very small employers may only be covered by state law.

How does the PDA interact with the FMLA?

They're separate laws with different protections. The PDA prohibits discrimination, while the FMLA provides up to 12 weeks of unpaid, job-protected leave for pregnancy and bonding. An employee can have rights under both simultaneously. For example, a pregnant employee with pregnancy complications might receive 6 weeks of employer-provided disability leave (PDA comparability requirement) plus 12 weeks of FMLA leave, depending on how the employer's policies are structured. The FMLA also covers fathers for bonding leave, which the PDA doesn't address.
Adithyan RKWritten by Adithyan RK
Surya N
Fact-checked by Surya N
Published on: 25 Mar 2026Last updated:
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