Oh baby: In-vitro fertilization treatments and the FMLA
One million babies were born in the U.S. between 1987 and 2015 through the use of in-vitro fertilization (IVF) or other assisted reproductive technologies, according to a 2017 report from the U.S. Society of Assisted Reproductive Technology.
Such fertility procedures are gaining spotlight exposure as employer benefits, which do not always cover them. As more employers provide coverage as a benefit, more employees are apt to obtain them. The treatments require time off from work; thus, employers might wonder if time off would fall under the federal Family and Medical Leave Act (FMLA).
Employees undergoing IVF treatments need time off for the actual procedure, as well as for various appointments, injections, and preparation leading up to the actual procedure.
IVF not specifically mentioned
Neither the FMLA statute nor its regulations specifically address IVF. The FMLA regulations do not include an all-encompassing list of conditions that would fit the definition of a serious health condition and, therefore, qualify for FMLA leave.
When it comes to IVF (as well as any other procedure or condition), employers need to apply the definition of a serious health condition against the information obtained in a certification (or other source).
Court insight: IVF not covered by the FMLA
Often, courts help provide insight, but only one court addressed IVF in relation to the FMLA, and it was back in 2009.
It indicated that an employee’s absences for IVF treatment were not protected by the FMLA because the employee was not incapacitated for more than three consecutive calendar days, as the condition fell under the “incapacity and treatment” part of the definition of a serious health condition.
The court did what employers are to do: It applied the definition and compared it to the information from a certification to determine if it met the FMLA leave criteria.
Once an employee is pregnant, however, the FMLA is involved, as pregnancy is a serious health condition.
Pregnancy Discrimination Act
Even though IVF treatments might not qualify as an FMLA serious health condition, currently, denying leave for such treatments could risk a gender/pregnancy discrimination claim under the federal Pregnancy Discrimination Act (PDA). State laws might come into play, as well.
Under the federal PDA, if a woman is temporarily unable to perform her job due to a medical condition related to pregnancy or childbirth, the employer must treat her in the same way as it treats any other temporarily disabled employee.
An employer might, for example, have to provide:
- Light duty work,
- Alternative assignments,
- Disability leave, or
- Unpaid leave.
Employees with pregnancy-related conditions, such as IVF, might qualify for these accommodations if an employer accommodates other temporarily disabled employees. An as always, accommodations must be considered on a case-by-case basis.
Key to remember: Time off for IVF treatments is not generally protected by the FMLA, because the employee (or spouse) does not otherwise have an FMLA serious health condition. Time off, however, could be protected under the PDA.