PolicyBrief
H.R. 8158
119th CongressMar 30th 2026
Reproductive Healthcare Leave Act
IN COMMITTEE

The Reproductive Healthcare Leave Act establishes a national requirement for employers to provide employees with paid leave for medical care, procedures, and recovery related to reproductive health.

Yassamin Ansari
D

Yassamin Ansari

Representative

AZ-3

LEGISLATION

New Reproductive Healthcare Leave Act Mandates 96 Hours of Paid Time Off for Fertility, Menopause, and Recovery

Imagine needing a few days off for a procedure like a vasectomy, IVF treatment, or even just managing a brutal endometriosis flare-up, but you're out of sick days. A new proposal called the Reproductive Healthcare Leave Act aims to fix that by requiring employers with five or more workers to provide 96 hours—that’s 12 full workdays for most—of dedicated paid leave every year specifically for reproductive health. This isn't just for major surgeries; the bill explicitly covers everything from obtaining contraception and prenatal care to managing symptoms of menopause or recovering from a miscarriage. If you’ve been on the job for at least 30 days, you’re eligible to use this time for yourself or to care for a spouse or dependent going through the same.

Beyond the Standard Sick Day

What makes this bill different from your typical PTO policy is its laser focus on reproductive needs that often fall through the cracks of HR handbooks. Under Section 3, the 96-hour bucket is refreshed every calendar year and can be used for "medical or surgical procedures" or even the "physical or mental symptoms" tied to conditions like PCOS or adenomyosis. For a retail manager or a construction worker, this means you don't have to choose between a paycheck and a necessary doctor’s visit. The bill also prevents the 'replacement worker' headache: Section 3(a) specifically states that your boss cannot make you find a coworker to cover your shift as a condition for taking the leave.

Job Security and the Fine Print

One of the strongest pillars of this legislation is its anti-retaliation framework. Section 5 makes it illegal for an employer to use this leave as a "negative factor" in promotions or disciplinary actions. It also bans "no-fault" attendance policies from counting these absences against you. If a company tries to interfere, the Secretary of Labor has the green light to investigate, and employees can sue for lost wages plus "liquidated damages" (essentially double the amount owed). For small business owners, the threshold is set at five employees, meaning very small 'mom and pop' shops are exempt, but most established local businesses will need to integrate this into their payroll and update their employee handbooks with a mandatory notice explaining these new rights.

Implementation and Overlap

If you already work somewhere with a gold-standard benefits package, don't worry—this law acts as a floor, not a ceiling. Section 9 ensures that if your current contract or union agreement offers more than 96 hours of reproductive leave, those better benefits stay in place. However, if your current policy is stingier, the law overrides it. The rollout is designed to be deliberate: once the Secretary of Labor writes the official rules (due within 180 days of the bill becoming law), the requirements kick in six months later. For those under collective bargaining agreements, there’s a bit more lead time—up to 18 months—to allow unions and management to align their contracts with the new federal standards.