Peggy Mastroianni Legal Counsel EEOC July

Pregnancy Issues and the Strategic Enforcement Plan One of the six national priorities identified in Strategic Enforcement Plan (SEP) is litigating “emerging or developing issues” One such “emerging or developing issue” is “accommodating pregnancy-related limitations under the Americans with Disabilities Act Amendments Act (ADAAA) and the Pregnancy Discrimination Act” (SEP, Part III.B.3) 2

EEOC History on Issues Relating to Pregnancy, Disability, and Caregiver Discrimination Guidelines on Discrimination Because of Sex (1979): vol4-part1604.xml Fact Sheet: The Family and Medical Leave Act, the Americans with Disabilities Act, and Title VII of the Civil Rights Act of 1964 (1995): Enforcement Guidance: Unlawful Disparate Treatment of Workers With Caregiving Responsibilities (2007): Regulations to implement the ADAAA (2011): 29 C.F.R. § 1630 Commission Meeting on Unlawful Discrimination Against Pregnant Workers and Workers With Caregiving Responsibilities (2012): 3

More Pregnant Women in the Workforce Today, women comprise half of the workforce and increasingly continue to work while pregnant, often through later stages of pregnancy : 44% of first-time mothers worked during pregnancy, and 13% of them stopped work during their first trimester. Compare to : 66% of first-time mothers worked during pregnancy, and only 6% of them stopped work during their first trimester : 35% of first-time mothers who worked during pregnancy worked into their final month. Compare to : 82% of first-time mothers who worked during pregnancy worked into their final month. 1970: Mean age at first birth was Compare to 2007: Mean age at first birth was 25. See National Women’s Law Center, Fact Sheet: The Pregnant Workers Fairness Act: Making Room for Pregnancy on the Job (June 2013), available at U.S. Census Bureau, Maternity Leave and Employment Patterns of First-Time Mothers , 4, 6 (Oct. 2011), available at 4

EEOC’s Pregnancy Discrimination Guidance Enforcement Guidance: Pregnancy Discrimination And Related Issues Questions and Answers about the EEOC's Enforcement Guidance on Pregnancy Discrimination and Related Issues Fact Sheet for Small Businesses: Pregnancy Discrimination 5

I. The Pregnancy Discrimination Act (PDA) First clause: “The terms ‘because of sex’ or ‘on the basis of sex’ include, but are not limited to, because of or on the basis of pregnancy, childbirth, or related medical conditions”; and 42 U.S.C. § 2000e (k) (emphasis added). 6

PDA: “Adverse Employment Actions” Examples: No hire Termination Demotion Failure to promote Failure to transfer Doe v. DOJ, U.S. Marshals Serv., EEOC Appeal No Harassment Harris v. Soc. Sec. Admin., EEOC Appeal No

PDA: Extent of Coverage - “Pregnancy, Childbirth, and Related Medical Conditions” “ The PDA gives a woman the right... to be financially and legally protected before, during, and after her pregnancy.” Leg. History of the PDA Current Pregnancy Past Pregnancy Enforcement Guidance: Unlawful Disparate Treatment of Workers with Caregiving Responsibilities Potential or Intended Pregnancy UAW v. Johnson Controls, 499 U.S. 187 (1991) 8

PDA: “Related Medical Conditions” Examples of “related medical conditions”: Complications requiring bed rest Gestational diabetes After-effects of C-section Lactation – EEOC v. Houston Funding, 2013 WL (5 th Cir. 2013) 9

The PDA’s Second Clause “[W]omen affected by pregnancy, childbirth, or related medical conditions shall be treated the same for all employment-related purposes, including receipt of benefits under fringe benefit programs, as other persons not so affected but similar in their ability or inability to work, and nothing in section 703(h) of this title shall be interpreted to permit otherwise....” Examples of such benefits: “light duty,” leave, health insurance 10

PDA: Light Duty Employer must provide light duty for a pregnant worker if it provides light duty for employees who are not pregnant, but who are similar in their ability or inability to work. Direct evidence of discriminatory denial of light duty to a pregnant worker: Example 9 – Supervisor denies pregnant worker’s request for light duty, telling her that having a pregnant worker is too much of a liability for the company. 11

PDA: Light Duty, cont’d Comparator Evidence: Example 10 - Employer Violates PDA by Not Providing Equal Access to Light Duty Employer provides light duty jobs (subject to availability) for any employee who cannot perform a job duty due to injury, illness, or ADA disability. However, employer denies light duty request from pregnant worker with a 20 lb lifting restriction on the ground that pregnancy does not constitute an injury, illness, or disability 12

PDA: Light Duty, cont’d Comparator Evidence: Example 11 – Employer Provides Equal Access to Light Duty Pregnant nursing assistant at long term care facility denied light duty and discharged because she couldn’t perform all of her job duties. No PDA violation because employer has only 5 light duty (administrative) jobs which are available to any employee unable to perform a job function. All 5 of these jobs were filled when she made her request. The PDA requires equal access, but not preferential treatment. 13

PDA: Light Duty, cont’d Proof of Discrimination Through McDonnell Douglas Burden-Shifting Framework: Prima Facie Case – pregnant worker shows that a similarly situated non-pregnant worker (e.g., a worker with an on-the- job injury or a worker with a disability) has been given light duty. Legitimate Nondiscriminatory Reason – There are a limited number of light duty jobs and they are all filled. Pretext – The cap on light duty jobs has been waived in the past for non-pregnant workers. 14

PDA: Leave Pregnancy-Related Medical Leave No forced leave No increased restrictions on pregnancy-related medical leave Parental Leave Must be provided to mothers and fathers on the same terms. 15

PDA: Health Insurance Employers who provide health insurance must include coverage of pregnancy, childbirth, and related medical conditions Health insurance that excludes coverage of prescription contraceptives may violate the PDA contraception.html contraception.html 16

II. Pregnancy and the Rehabilitation Act EEOC regulations still make a distinction between “normal” pregnancies and those with complications. See EEOC’s Questions and Answers on the Final Rule Implementing the Amended ADA, at Question 23, available at Generally, under the ADAAA/Rehab Act expanded rules of construction and definitions, many more pregnancy-related conditions now may qualify as “physical impairments” supporting “actual disability” and “record of such disability” claims. For example, someone with an impairment resulting in a 20-pound lifting restriction that lasts or is expected to last for several months is substantially limited in the major life activity of lifting. 17

Pregnancy and the Rehab Act: New Rules of Construction Major life activities also include bodily functions, including but not limited to, functions of the cardiovascular, respiratory, circulatory, endocrine, and reproductive and musculoskeletal functions. “Substantially limits” significantly expanded C.F.R. §1630.2(j)(1) (2011) (“An impairment need not prevent, or significantly or severely restrict, the individual from performing a major life activity in order to be considered substantially limiting.”) Exception for transitory conditions no longer applies for “actual disability” – 42 U.S.C. §12102 (2013) 18

Rehab Act: Pregnancy-Related Impairments that May Be Substantially Limiting Examples: Pelvic inflammation – may substantially limit walking Pregnancy-related carpal tunnel – may substantially limit lifting Disorders of uterus or cervix – may substantially limit reproductive function Pregnancy-related sciatica – may substantially limit musculoskeletal function Gestational diabetes – may substantially limit endocrine function Preeclampsia – may substantially limit cardiovascular or circulatory functions 19

20 Pregnancy-Related Impairments That Are Substantially Limiting Mayorga v. Alorica, Inc., 2012 WL (S.D. Fla. July 25, 2012) Plaintiff had a high-risk pregnancy where baby was in breech position throughout, resulting in, inter alia, premature contractions; increased heart rate; severe morning sickness, back pain, and lower abdominal pain; and three emergency room visits. Held: While healthy pregnancies are not covered under ADA, pregnancy-related complications may be disabilities if they are severe or long enough in duration. Motion to dismiss denied and plaintiff directed to file amended complaint alleging specific major life activities which were substantially limited.

Common Accommodations for Pregnancy-Related Limitations Modification of job duties, such as provision of “light duty” or redistribution of marginal functions Modification of work hours Relocation to a different work area More frequent breaks Modification of policies – permission to use a stool while on duty or to drink from a water bottle Additional leave 21

Other Avenues to Accommodation Some state laws require some degree of accommodation of pregnancy, including: - Alaska- Illinois- Maryland - California- Minnesota- New Jersey - Connecticut- Texas- West Virginia - Hawaii- Louisiana Pregnant Workers Fairness Act, S. 942, 113th Cong. (2013), available at 22

Best Practices Protect applicants and employees against retaliation. Make hiring, promotion, and other employment decisions without regard to stereotypes about pregnant workers. Review light duty policies for compliance with the PDA. Ensure that anyone designated to handle reasonable accommodation requests is aware of new rules of construction under the Rehab Act. 23