In a pioneering move, Rhode Island has established itself as the first state in the United States to legally obligate employers to offer workplace accommodations for individuals undergoing menopause and associated medical conditions. This landmark legislation, enacted in June 2025, represents a significant step towards workplace equity, acknowledging the widespread and often challenging symptoms that affect a large portion of the female workforce. The new mandate ensures that employees experiencing menopausal symptoms can request and receive necessary adjustments to their work environment, fostering a more inclusive and supportive professional setting.
Governor Daniel McKee officially signed House Bill No. 6161 into law in June 2025, a legislative action that expands the scope of the Rhode Island Fair Employment Practices Act. Previously, this act mandated reasonable accommodations for conditions related to pregnancy and childbirth. With the new amendment, effective June 24, 2025, menopause and its related medical conditions are now explicitly included. This update means that employers are legally bound to provide such accommodations unless they can demonstrate that doing so would impose an undue hardship on their business operations.
A key aspect of this amended legislation is the clarification of “related conditions” to encompass “the need to manage the effects of vasomotor symptoms,” which are commonly known as hot flashes and night sweats. This specificity ensures that common and often disruptive symptoms of menopause are recognized under the new law, allowing affected individuals to seek appropriate support. Employers are now required to engage in a prompt, good-faith, and interactive process to identify and implement suitable adjustments for workers whose menopausal symptoms affect their job performance, even if these symptoms do not classify as a disability.
The range of “reasonable accommodations” that might be considered under this new law is diverse, aiming to address various needs stemming from menopausal symptoms. These can include, but are not limited to, options such as telecommuting, adjustments to work schedules, opportunities for more frequent or extended breaks, time off for medical appointments, temporary reassignment to less physically demanding roles, job restructuring, light duty assignments, or even providing closer access to restroom facilities. Such flexibility is designed to enable employees to manage their symptoms effectively while continuing to contribute meaningfully in their workplaces.
For many years, the need for menopause accommodations in the workplace has been largely overlooked, despite the fact that this natural biological transition affects approximately half of the global population. Research indicates that a substantial majority—around 85%—of individuals going through menopause experience a variety of symptoms, including mood fluctuations, migraines, hot flashes, sleep disturbances, anxiety, and night sweats. While these symptoms can be severe for some, Rhode Island's new law marks the first time a state has legally recognized and addressed these challenges within the professional sphere, highlighting a growing awareness of women's health in employment contexts.
The legislative initiative gained significant momentum through the advocacy of figures like Senator Lori Urso, who testified before the Rhode Island Senate Committee on Labor. Senator Urso underscored the importance of destigmatizing menopause and framing it as a critical workplace equity and health concern. She emphasized that businesses can no longer afford to lose valuable female employees, especially those who are at the peak of their professional expertise and institutional knowledge, due to unaddressed menopausal symptoms. This perspective resonated with emerging data that consistently supports the need for greater employer support in this area.
Further emphasizing the urgency and necessity of this legislation, a recent survey involving over a thousand women between the ages of 40 and 65 revealed that a significant 73% were not actively managing their menopause symptoms. This finding suggests that a large proportion of women were enduring the challenges of menopause in their workplaces without adequate support. When questioned about the level of support they received from their employers, a majority (52%) did not provide a definitive answer. Among those who did respond, a clear picture emerged: only a small percentage felt adequately supported, with 17% reporting no support, 10% feeling slightly supported, 9% feeling supported, 8% moderately supported, and just 4% feeling extremely supported. These statistics underscore the critical need for systemic changes like the one enacted in Rhode Island to bridge the existing support gap.
Prior to its successful passage, the American Civil Liberties Union (ACLU) of Rhode Island publicly championed the proposed legislation. Madalyn McGunagle, a policy associate at the Rhode Island ACLU, articulated the organization's stance, stating that menopause is a natural and common phase in the lives of millions, yet its symptoms can have profound and lasting effects on an individual's health and daily life. The ACLU of Rhode Island expressed strong support for the bill, which aims to explicitly mandate reasonable accommodations for employees experiencing menopause, mirroring the existing legal requirements for pregnancy-related conditions. By extending these protections, the law ensures that individuals experiencing menopause are granted the necessary adjustments to continue performing their job duties effectively, promoting fairness and inclusivity in the workplace.
This pioneering legislation by Rhode Island not only sets a precedent for other states but also highlights a crucial shift in acknowledging and addressing women's health needs within the professional environment. By legally requiring accommodations for menopause, the state is paving the way for a more equitable and understanding workplace culture, ensuring that employees can continue their careers with dignity and support, regardless of their stage of life.