Pregnancy Discrimination Act

Pregnancy Discrimination Act of 1978

Pregnancy Discrimination Act: Workplace Law

The Pregnancy Discrimination Act of 1978 amended Title VII of the Civil Rights Act of 1964.

Discrimination on the basis of pregnancy, childbirth, or related medical conditions constitutes unlawful sex discrimination under Title VII, which covers employers with 15 or more employees, including state and local governments. Title VII also applies to employment agencies and to labor organizations, as well as to the federal government.

Women who are pregnant or affected by pregnancy-related conditions must be treated in the same manner as other applicants or employees with similar abilities or limitations.  Below you will find that Title VII's pregnancy-related protections address:

  • Pregnancy Discrimination and Hiring
  • Pregnancy Discrimination and Health Insurance
  • Pregnancy Discrimination and Fringe Benefits

Pregnancy Discrimination Act and Hiring

The Pregnancy Discrimination Act of 1978 states that an employer cannot refuse to hire a pregnant woman because of her pregnancy, because of a pregnancy-related condition, or because of the prejudices of co-workers, clients, or customers.

An employer may not single out pregnancy-related conditions for special procedures to determine an employee's ability to work. However, if an employer requires its employees to submit a doctor's statement concerning their inability to work before granting leave or paying sick benefits, the employer may require employees affected by pregnancy-related conditions to submit such statements.

If an employee is temporarily unable to perform her job because of her pregnancy, the employer must treat her the same as any other temporarily disabled employee. For example, if the employer allows temporarily disabled employees to modify tasks, perform alternative assignments, or take disability leave or leave without pay, the employer also must allow an employee who is temporarily disabled because of pregnancy to do the same.

Pregnant employees must be permitted to work as long as they are able to perform their jobs. If an employee has been absent from work as a result of a
pregnancy-related condition and recovers, her employer may not require her to remain on leave until the baby's birth. An employer also may not have a rule that prohibits an employee from returning to work for a predetermined length of time after childbirth.


Employers must hold open a job for a pregnancy-related absence the same length of time jobs are held open for employees on sick or disability leave.

Pregnancy Discrimination Act and Health Insurance

The Pregnancy Discrimination Act of 1978 requires that any health insurance provided by an employer must cover expenses for pregnancy-related conditions on the same basis as costs for other medical conditions. An employer need not provide health insurance for expenses arising from abortion, except where the life of the mother is endangered.

Pregnancy-related expenses should be reimbursed exactly as those incurred for other medical conditions, whether payment is on a fixed basis or a percentage of reasonable-and-customary-charge basis.

The amounts payable by the insurance provider can be limited only to the same extent as amounts payable for other conditions. No additional, increased, or larger deductible can be imposed on any maternity health insurance coverage.

Employers must provide the same level of health benefits for spouses of male employees as they do for spouses of female employees.

Health Insurance During LeaveHealth Insurance During LeaveDuring your maternity leave a variety of insurance issues may arise.  You may need to make a claim for maternity income benefits.  Or your employer may make changes to your group health insurance plan that can greatly impact your costs.  Finally, you must be sure to add your child onto your health insurance plan within 30 days of birth.

Pregnancy Discrimination Act and Fringe Benefits

The Pregnancy Discrimination Actof 1978  requires that pregnancy-related benefits cannot be limited to married employees. In an all-female workforce or job classification, benefits must be provided for pregnancy-related conditions if benefits are provided for other medical conditions.

If an employer provides any benefits to workers on leave, the employer must provide the same benefits for those on leave for pregnancy-related conditions.

Employees on leave because of pregnancy-related conditions must be treated the same as other temporarily disabled employees for accrual and crediting of seniority, vacation calculation, pay increases, and
temporary disability benefits.

It is also unlawful to retaliate against an individual for opposing employment practices that discriminate based on pregnancy or for filing a discrimination charge, testifying, or participating in any way in an investigation, proceeding, or litigation under Title VII.

Source: The U.S. Equal Employment Opportunity Commission

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