In vitro fertilization treatments and the FMLA

April 27, 2026

For an employee to take time off from work under the federal Family and Medical Leave Act (FMLA), the reason for the absence must be a qualifying one. One qualifying reason is the employee’s own serious health condition. For this, the employee must have an illness, injury, impairment, or physical or mental condition that leaves them unable to work, attend school, or perform other regular daily activities due to the serious health condition, treatment thereof, or recovery therefrom. It must also require inpatient care or continuing treatment by a health care provider. For this, the FMLA defines a serious health condition.

Whether in vitro fertilization treatments fit these definitions will depend on all the facts involved, but usually, they don’t. The FMLA and its regulations make no mention of in vitro fertilization; they don’t include a comprehensive list of conditions that would meet the definition of a serious health condition and, therefore, qualify for FMLA leave.

When it comes to in vitro fertilization (as well as other conditions), employers need to apply the definition of an FMLA serious health condition against the information obtained in a certification (or other source).

Often, courts help provide insight, and a court addressed in vitro fertilization back in 2009. It indicated that an employee’s absences for IVF treatment were not protected by the FMLA because she was not incapacitated for more than three consecutive calendar days, as the condition fell under the “incapacity and treatment” part of the definition. The court did what employers are to do: It applied the serious health condition definition and compared it to the information from a certification.

PWFA

Even though in vitro fertilization treatments might not qualify for FMLA protection, currently, denial of leave for such treatments could risk a violation of the federal Pregnant Workers Fairness Act (PWFA).

Under the PWFA, an employee who requests leave for in vitro fertilization treatment for the employee to get pregnant has a limitation, either related to potential or intended pregnancy or a medical condition related to pregnancy (difficulty in becoming pregnant or infertility), and is seeking health care related to, affected by, or arising out of it. Therefore, she would be entitled to the reasonable accommodation of time off for the treatment.

Employers don’t have to provide an accommodation that would pose an undue hardship, but proving that limited time off for treatment is a hardship might be a challenge. Employees might need time off for the actual procedure, as well as for various appointments, shots, and preparation leading up to the procedure.

Key to remember: Time off for in vitro fertilization treatments doesn’t generally qualify as FMLA leave, but it would be a reasonable accommodation under the PWFA.


Publish Date

April 27, 2026

Author

Darlene Clabault

Type

Industry News

Industries

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Related Topics

Discrimination

Family and Medical Leave Act (FMLA)

Governing Bodies

Wage and Hour Division (WHD), DOL","Equal Employment Opportunity Commission (EEOC)

Citations

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