To allow Americans to receive paid leave time to process and address their own health needs and the health needs of their partners during the period following a pregnancy loss, an unsuccessful round of intrauterine insemination or of an assisted reproductive technology procedure, a failed adoption arrangement, a failed surrogacy arrangement, or a diagnosis or event that impacts pregnancy or fertility, to support related research and education, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
This bill requires employers to provide employees with at least 56 hours (7 days) of paid leave per year that can be used for pregnancy loss, unsuccessful fertility treatments, failed adoption or surrogacy arrangements, or other pregnancy-related health events. It also directs the CDC to conduct public education about pregnancy loss and authorizes $45 million annually for NIH research on pregnancy loss causes and treatments.
Who Benefits and How
- Employees and working families benefit by receiving guaranteed paid time off to process and recover from pregnancy loss, failed fertility treatments, or failed adoption/surrogacy arrangements without losing income or job security
- Healthcare providers and researchers benefit from $45 million in annual NIH research funding for pregnancy loss studies
- Mental health professionals and pregnancy-loss doulas may see increased demand for services as awareness and treatment accessibility improve
Who Bears the Burden and How
- Employers must provide at least 56 hours of paid leave annually, maintain compliance records, and post required notices (subject to fines up to $100 for posting violations)
- Federal agencies (CDC, NIH) must implement new public education and research programs
Key Provisions
- Mandates 56 hours of paid leave per calendar year for pregnancy loss, unsuccessful IVF/IUI, failed adoption, or failed surrogacy
- Requires employers to post notices and maintain compliance records subject to Department of Labor enforcement
- Authorizes $45 million per year (FY 2023-2026) for NIH research on pregnancy loss causes and treatments
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Establishes paid leave requirements for employees experiencing pregnancy loss, unsuccessful fertility treatments, failed adoptions, or failed surrogacy arrangements, and supports related research and public education
Key Policy Areas
Labor & Employment, Healthcare, Women's Health, Family Policy
Primary Purpose
Establishes paid leave requirements for employees experiencing pregnancy loss, unsuccessful fertility treatments, failed adoptions, or failed surrogacy arrangements, and supports related research and public education
Policy Domains
Title I - Paid Leave for Pregnancy Loss and Related Events
Identified Gains
Contextual inference, no direct clause citation- Employees experiencing pregnancy loss
- Workers undergoing fertility treatments
- Prospective adoptive parents
- Intended parents in surrogacy arrangements
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Employers covered by FLSA
- State and local government employers
Contextual inference, no direct clause citation
Title II - Research and Education
Identified Gains
Contextual inference, no direct clause citation- Women experiencing pregnancy loss
- Healthcare researchers
- Mental health providers
- Pregnancy-loss doulas
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- CDC
- NIH
- Federal budget
Contextual inference, no direct clause citation
Sponsors
Legislative Progress
IntroducedMs. Duckworth (for herself, Ms. Baldwin, Mr. Blumenthal, Mr. Casey, …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Employees eligible for paid leave, Employees experiencing pregnancy loss, Employees experiencing pregnancy loss or fertility issues
Positive-direction: Employees eligible for paid leave, Employees experiencing pregnancy loss, Employees experiencing pregnancy loss or fertility issues, Employees in commerce or industries affecting commerce, Employees in states with stronger leave protections, Employers considering enhanced leave policies, Prospective adoptive parents, Unionized workers with collective bargaining agreements
Negative-direction: Employers covered by FLSA, Employers covered by FLSA or state employment laws
Centers for Disease Control and Prevention, Department of Labor, National Institutes of Health
Mental health providers specializing in pregnancy loss, Pregnancy-loss doulas
State and local governments with more generous leave laws
Biomedical researchers studying pregnancy loss
Pharmaceutical companies developing fertility treatments
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Labor
- "the_director"
- → Director of NIH
- "the_secretary"
- → Secretary of Health and Human Services
Note: 'The Secretary' refers to Secretary of Labor in Title I but Secretary of Health and Human Services in Title II
Key Definitions
Terms defined in this bill
Has the meaning given the term assisted reproductive technology in section 8 of the Fertility Clinic Success Rate and Certification Act of 1992 (42 U.S.C. 263a-7)
Person recognized as domestic partner under state law or an unmarried adult in a committed personal relationship designated by the employee to their employer
An individual who is an employee as defined in section 3(e) of the Fair Labor Standards Act of 1938, or a State employee or civil service employee
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology