{ "dataset_name": "Menopause Laws by State — 50-State Statute Dataset", "publisher": "The HRT Index Research", "version": "2026-07-31", "cutoff": "2026-07-31", "canonical_url": "https://thehrtindex.com/research/menopause-laws-by-state/", "definition": "Enacted statewide statutes whose operative text expressly names menopause or a related stage and creates a binding requirement.", "result": { "qualifying_state_count": 10, "state_denominator": 50, "share_of_states": 0.2, "insurance_component_state_count": 7, "workplace_accommodation_state_count": 1, "policy_package_count": 15, "chaptered_instrument_count": 17, "qualifying_states": [ "California", "Connecticut", "Illinois", "Louisiana", "Maine", "Maryland", "New Jersey", "Oregon", "Rhode Island", "Virginia" ] }, "states": [ { "State": "Alabama", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Alaska", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Arizona", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Arkansas", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "California", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "AB 2270, Ch. 636 (2024); SB 164, Ch. 27 (2026)", "Policy domain(s)": "Clinician education; private-plan coverage; utilization review; information; separate Medi-Cal benefits", "Effective / implementation": "AB 2270: 2025-01-01. SB 164: immediate; specified information and utilization-review duties begin in 2027.", "What the law does": "The private-plan sections cover medically necessary FDA-approved treatments in specified products and exclude Medi-Cal managed-care contracts; a separate section creates Medi-Cal covered benefits, subject to medical necessity and federal conditions.", "Other action at cutoff": "AB 1940 remained pending in the Senate process at the cutoff.", "Official source URL(s)": "https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2270 | https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB164", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Colorado", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "HB 26-1122 was postponed indefinitely and was not law.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Connecticut", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "HB 5514 / PA 26-13", "Policy domain(s)": "Public-health toolkit", "Effective / implementation": "Section effective 2026-10-01; toolkit distribution due 2028-06-01.", "What the law does": "UConn Health's Health Disparities Institute must develop and distribute a perimenopause, menopause, and postmenopause toolkit.", "Other action at cutoff": "", "Official source URL(s)": "https://www.cga.ct.gov/2026/act/pa/pdf/2026PA-00013-R00HB-05514-PA.pdf", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Delaware", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "SS 1 for SB 319 passed both chambers and remained Ready for Governor.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Florida", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Georgia", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Hawaii", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Idaho", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Illinois", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "PA 102-0804; HB 5295 / PA 103-0703; SB 773 / PA 103-0751", "Policy domain(s)": "Therapy coverage; annual menopause health visit; limited Medicaid provision", "Effective / implementation": "Current private-plan therapy and annual-visit duties apply from 2026-01-01.", "What the law does": "HB 5295 broadened specified private-plan coverage to medically necessary hormonal and nonhormonal therapy. SB 773 creates an annual menopause visit for covered people age 45+ under policies covering more than 25 employees.", "Other action at cutoff": "HB 5284, SB 3325, and SB 3688 had passed both chambers and were awaiting gubernatorial action.", "Official source URL(s)": "https://www.ilga.gov/Legislation/PublicActs/PrinterFriendly/102-0804 | https://www.ilga.gov/Legislation/publicacts/view/103-0703 | https://www.ilga.gov/Legislation/publicacts/view/103-0751", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Indiana", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Iowa", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Kansas", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Kentucky", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Louisiana", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "HB 392 / Act 784 (2024); HB 944 / Act 855 (2026)", "Policy domain(s)": "Insurance and Medicaid; utilization controls; Women's Health Consortium", "Effective / implementation": "Act 784: 2024-08-01. Act 855: 2026-06-09.", "What the law does": "Act 784 requires specified coverage and bars prior authorization and step/fail-first protocols for prescribed HRT used for menopause or perimenopause symptoms. Act 855 creates an advisory consortium.", "Other action at cutoff": "", "Official source URL(s)": "https://legis.la.gov/legis/BillInfo.aspx?i=246077 | https://www.legis.la.gov/legis/BillInfo.aspx?i=250918", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Maine", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "LD 1079 / P.L. 2025, Ch. 472", "Policy domain(s)": "Public-health education", "Effective / implementation": "2025-09-24", "What the law does": "DHHS must partner with providers, community programs, and hospitals to create and disseminate perimenopause and menopause information.", "Other action at cutoff": "", "Official source URL(s)": "https://lldc.mainelegislature.org/Open/Laws/2025/2025_PL_c472.pdf", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Maryland", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "SB 892 / HB 1365, Chs. 605–606 (2026)", "Policy domain(s)": "Clinician education; coverage; policy evaluation; community health", "Effective / implementation": "Staged: 2026-07-01, 2026-10-01, and 2027-01-01.", "What the law does": "The package creates training, reporting, and community-health duties and requires specified carriers to cover evaluation and management of menopause and associated symptoms beginning in 2027.", "Other action at cutoff": "", "Official source URL(s)": "https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1365?ys=2026RS | https://mgaleg.maryland.gov/2026RS/fnotes/bil_0005/hb1365.pdf", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Massachusetts", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "H.5303 remained pending in House Ways and Means.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Michigan", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "HB 4790 and HB 4791 passed the House and remained in Senate Health Policy.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Minnesota", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Mississippi", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Missouri", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Montana", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Nebraska", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Nevada", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "New Hampshire", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "New Jersey", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "A 5309 / P.L.2025, c.175; A 5278 / P.L.2025, c.200", "Policy domain(s)": "Clinician education; broad treatment coverage", "Effective / implementation": "A 5309: 180 days after 2025-12-19. A 5278: generally 2026-04-09; specified policies 2027-01-01.", "What the law does": "A 5309 allows specified menopause continuing-education credit. A 5278 requires medically necessary treatment coverage across named categories in specified plans and programs.", "Other action at cutoff": "", "Official source URL(s)": "https://pub.njleg.gov/Bills/2024/AL25/175_.HTM | https://pub.njleg.state.nj.us/Bills/2024/PL25/200_.PDF", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "New Mexico", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "New York", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "S 7495A passed the Senate and remained pending in the Assembly.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "North Carolina", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "North Dakota", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Ohio", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Oklahoma", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Oregon", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "HB 3064 / Ch. 500 (2025)", "Policy domain(s)": "FDA-approved drug-category coverage; PEBB and OEBB", "Effective / implementation": "Coverage applies from 2026-01-01.", "What the law does": "Specified health benefit plans, PEBB, and OEBB must cover enumerated FDA-approved drug categories used to treat perimenopause, menopause, and postmenopause. The public-board provisions expressly include self-insured plans.", "Other action at cutoff": "", "Official source URL(s)": "https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3064/Enrolled", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Pennsylvania", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "Philadelphia Bill 250849 was a local ordinance, not a statewide statute.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Rhode Island", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "Yes", "Qualifying measure(s)": "S 0361 / H 6161, P.L. 2025, Chs. 225–226", "Policy domain(s)": "Workplace reasonable accommodation", "Effective / implementation": "2025-06-24", "What the law does": "Adds menopause and related medical conditions to Rhode Island's separate reasonable-accommodation law, subject to request, employer coverage, notice, and undue-hardship rules.", "Other action at cutoff": "", "Official source URL(s)": "https://webserver.rilegislature.gov/PublicLaws/law25/law25226.htm", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "South Carolina", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "South Dakota", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Tennessee", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Texas", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Utah", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "HCR 10 was an adopted concurrent resolution.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Vermont", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Virginia", "Qualifying statewide statute?": "Yes", "Insurance or health-plan component?": "Yes", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "SB 790 / Ch. 955 (2026)", "Policy domain(s)": "Insurance coverage", "Effective / implementation": "Act effective 2026-07-01; coverage applies from 2027-01-01.", "What the law does": "Requires specified Virginia-regulated policies and HMOs to cover evaluation and management of perimenopause and menopause, including medically necessary hormonal and nonhormonal therapy.", "Other action at cutoff": "SB 258, a workplace measure, was vetoed.", "Official source URL(s)": "https://lis.virginia.gov/bill-details/20261/SB790", "Last verified": "2026-07-31", "Classification note": "Enacted statewide statute expressly naming menopause or a related stage and creating a binding requirement." }, { "State": "Washington", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "Executive Order 26-01 was executive action; HB 1971 was an adjacent hormone-therapy statute that did not expressly name menopause.", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "West Virginia", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Wisconsin", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." }, { "State": "Wyoming", "Qualifying statewide statute?": "No", "Insurance or health-plan component?": "No", "Workplace-accommodation component?": "No", "Qualifying measure(s)": "", "Policy domain(s)": "", "Effective / implementation": "", "What the law does": "", "Other action at cutoff": "", "Official source URL(s)": "", "Last verified": "2026-07-31", "Classification note": "No qualifying statewide statute located through the cutoff. This does not mean no generally applicable law, pending bill, regulation, resolution, executive action, or local ordinance may be relevant." } ], "qualifying_measures": [ { "State": "California", "Package ID": "CA-2024-AB2270", "Instrument": "AB 2270", "Citation": "Ch. 636 (2024)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Clinician education", "Approved": "2024-09-27", "Effective / application": "2025-01-01", "Requirement": "Healing-arts licensing boards must consider including menopausal mental or physical health in continuing education.", "Explicit terms": "menopausal", "Official URL": "https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2270" }, { "State": "California", "Package ID": "CA-2026-SB164", "Instrument": "SB 164", "Citation": "Ch. 27 (2026)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Private-plan coverage; utilization review; information; Medi-Cal", "Approved": "2026-06-29", "Effective / application": "Immediate; specified information and utilization-review duties begin in 2027", "Requirement": "Creates specified private-plan treatment coverage, separate Medi-Cal benefits, a patient-information program, and utilization-review rules.", "Explicit terms": "perimenopause; menopause; postmenopause; menopausal symptoms", "Official URL": "https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB164" }, { "State": "Connecticut", "Package ID": "CT-2026-HB5514", "Instrument": "HB 5514", "Citation": "PA 26-13", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Enacted; relevant section not yet effective", "Domain": "Public-health toolkit", "Approved": "2026-05-14", "Effective / application": "Section effective 2026-10-01; distribution due 2028-06-01", "Requirement": "UConn Health's Health Disparities Institute must develop and distribute a perimenopause, menopause, and postmenopause toolkit.", "Explicit terms": "perimenopause; menopause; postmenopause", "Official URL": "https://www.cga.ct.gov/2026/act/pa/pdf/2026PA-00013-R00HB-05514-PA.pdf" }, { "State": "Illinois", "Package ID": "IL-2022-HB5254", "Instrument": "HB 5254", "Citation": "PA 102-0804", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Historical predecessor; private-plan provision later broadened", "Domain": "Insurance coverage", "Approved": "2022-05-13", "Effective / application": "2023-01-01; later amended", "Requirement": "Required specified coverage for medically necessary hormone therapy to treat menopause induced by hysterectomy.", "Explicit terms": "menopause", "Official URL": "https://www.ilga.gov/Legislation/PublicActs/PrinterFriendly/102-0804" }, { "State": "Illinois", "Package ID": "IL-2024-HB5295", "Instrument": "HB 5295", "Citation": "PA 103-0703", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Insurance coverage; Medicaid", "Approved": "2024-07-19", "Effective / application": "2026-01-01", "Requirement": "Requires specified plans to cover medically necessary hormonal and nonhormonal therapy for menopausal symptoms; Medicaid provision remains limited to hysterectomy-induced menopause.", "Explicit terms": "menopause; menopausal symptoms", "Official URL": "https://www.ilga.gov/Legislation/publicacts/view/103-0703" }, { "State": "Illinois", "Package ID": "IL-2024-SB773", "Instrument": "SB 773", "Citation": "PA 103-0751", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Annual menopause health visit", "Approved": "2024-08-02", "Effective / application": "Benefit applies from 2026-01-01", "Requirement": "Requires an annual menopause health visit without cost sharing for covered people age 45+ under specified policies covering more than 25 employees.", "Explicit terms": "menopause health visit", "Official URL": "https://www.ilga.gov/Legislation/publicacts/view/103-0751" }, { "State": "Louisiana", "Package ID": "LA-2024-HB392", "Instrument": "HB 392", "Citation": "Act 784 (2024)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Insurance; Medicaid; utilization controls", "Approved": "2024", "Effective / application": "2024-08-01", "Requirement": "Requires specified coverage and bars prior authorization and step/fail-first protocols for prescribed HRT used for menopause or perimenopause symptoms.", "Explicit terms": "perimenopause; menopause", "Official URL": "https://legis.la.gov/legis/BillInfo.aspx?i=246077" }, { "State": "Louisiana", "Package ID": "LA-2026-HB944", "Instrument": "HB 944", "Citation": "Act 855 (2026)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Women's Health Consortium", "Approved": "2026-06-09", "Effective / application": "2026-06-09", "Requirement": "Creates the Women's Health Consortium and places perimenopause, menopause, and postmenopause within its advisory remit.", "Explicit terms": "perimenopause; menopause; postmenopause", "Official URL": "https://www.legis.la.gov/legis/BillInfo.aspx?i=250918" }, { "State": "Maine", "Package ID": "ME-2025-LD1079", "Instrument": "LD 1079", "Citation": "P.L. 2025, Ch. 472", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Public-health education", "Approved": "2025-07-01", "Effective / application": "2025-09-24", "Requirement": "DHHS must work with providers, community programs, and hospitals to create and disseminate perimenopause and menopause information.", "Explicit terms": "perimenopause; menopause", "Official URL": "https://lldc.mainelegislature.org/Open/Laws/2025/2025_PL_c472.pdf" }, { "State": "Maryland", "Package ID": "MD-2026-MENOPAUSE", "Instrument": "SB 892", "Citation": "Ch. 605 (2026)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted companion law", "Domain": "Education; coverage; evaluation; community health", "Approved": "2026-05-26", "Effective / application": "Staged 2026-07-01 to 2027-01-01", "Requirement": "Companion enactment in Maryland's multi-part menopause package.", "Explicit terms": "perimenopause; menopause; postmenopause", "Official URL": "https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1365?ys=2026RS" }, { "State": "Maryland", "Package ID": "MD-2026-MENOPAUSE", "Instrument": "HB 1365", "Citation": "Ch. 606 (2026)", "Package count flag": "No", "Instrument count": 1, "Status at cutoff": "Current enacted companion law", "Domain": "Education; coverage; evaluation; community health", "Approved": "2026-05-26", "Effective / application": "Staged 2026-07-01 to 2027-01-01", "Requirement": "Creates training, coverage, reporting, and community-health duties.", "Explicit terms": "perimenopause; menopause; postmenopause", "Official URL": "https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1365?ys=2026RS" }, { "State": "New Jersey", "Package ID": "NJ-2025-A5309", "Instrument": "A 5309", "Citation": "P.L.2025, c.175", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Clinician education", "Approved": "2025-12-19", "Effective / application": "180 days after enactment", "Requirement": "Allows up to three menopause continuing-education credits toward specified physician and nursing license-renewal requirements.", "Explicit terms": "menopause", "Official URL": "https://pub.njleg.gov/Bills/2024/AL25/175_.HTM" }, { "State": "New Jersey", "Package ID": "NJ-2026-A5278", "Instrument": "A 5278", "Citation": "P.L.2025, c.200", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Insurance and public-program coverage", "Approved": "2026-01-09", "Effective / application": "Generally 2026-04-09; specified P.L.1992, c.161 policies 2027-01-01", "Requirement": "Requires specified plans and programs to cover medically necessary treatment for perimenopause, menopause, and associated symptoms across named categories.", "Explicit terms": "perimenopause; menopause; menopausal symptoms", "Official URL": "https://pub.njleg.state.nj.us/Bills/2024/PL25/200_.PDF" }, { "State": "Oregon", "Package ID": "OR-2025-HB3064", "Instrument": "HB 3064", "Citation": "Ch. 500 (2025)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Drug-category coverage; PEBB and OEBB", "Approved": "2025-08-07", "Effective / application": "Coverage applies from 2026-01-01", "Requirement": "Requires specified coverage for enumerated FDA-approved drug categories, including in PEBB and OEBB self-insured public plans.", "Explicit terms": "perimenopause; menopause; postmenopause", "Official URL": "https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3064/Enrolled" }, { "State": "Rhode Island", "Package ID": "RI-2025-WORKPLACE", "Instrument": "S 0361", "Citation": "P.L. 2025, Ch. 226", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted companion law", "Domain": "Workplace accommodation", "Approved": "2025-06-24", "Effective / application": "2025-06-24", "Requirement": "Adds menopause and related medical conditions to Rhode Island's separate workplace reasonable-accommodation law.", "Explicit terms": "menopause; related medical conditions", "Official URL": "https://webserver.rilegislature.gov/PublicLaws/law25/law25226.htm" }, { "State": "Rhode Island", "Package ID": "RI-2025-WORKPLACE", "Instrument": "H 6161", "Citation": "P.L. 2025, Ch. 225", "Package count flag": "No", "Instrument count": 1, "Status at cutoff": "Current enacted companion law", "Domain": "Workplace accommodation", "Approved": "2025-06-24", "Effective / application": "2025-06-24", "Requirement": "House companion to S 0361.", "Explicit terms": "menopause; related medical conditions", "Official URL": "https://webserver.rilegislature.gov/PublicLaws/law25/law25226.htm" }, { "State": "Virginia", "Package ID": "VA-2026-SB790", "Instrument": "SB 790", "Citation": "Ch. 955 (2026)", "Package count flag": "Yes", "Instrument count": 1, "Status at cutoff": "Current enacted law", "Domain": "Insurance coverage", "Approved": "2026-04-13", "Effective / application": "Act effective 2026-07-01; coverage applies 2027-01-01", "Requirement": "Requires specified state-regulated policies and HMOs to cover evaluation and management of perimenopause and menopause, including medically necessary hormonal and nonhormonal therapy.", "Explicit terms": "perimenopause; menopause", "Official URL": "https://lis.virginia.gov/bill-details/20261/SB790" } ], "pending_and_other_actions": [ { "Jurisdiction": "Delaware", "Measure": "SS 1 for SB 319", "Instrument type": "Bill passed both chambers", "Status at cutoff": "Passed 2026-06-25; Ready for Governor", "Why outside headline count": "No gubernatorial approval or automatic enactment was shown by the cutoff.", "Official URL": "https://legis.delaware.gov/BillDetail?LegislationId=143518" }, { "Jurisdiction": "Illinois", "Measure": "HB 5284", "Instrument type": "Bill passed both chambers", "Status at cutoff": "Sent to Governor 2026-06-26", "Why outside headline count": "No public-act number at the cutoff.", "Official URL": "https://www.ilga.gov/legislation/BillStatus?DocNum=5284&DocTypeID=HB&GAID=18&SessionID=114" }, { "Jurisdiction": "Illinois", "Measure": "SB 3325", "Instrument type": "Bill passed both chambers", "Status at cutoff": "Sent to Governor 2026-06-18", "Why outside headline count": "No public-act number at the cutoff.", "Official URL": "https://www.ilga.gov/legislation/BillStatus?DocNum=3325&DocTypeID=SB&GAID=18&SessionID=114" }, { "Jurisdiction": "Illinois", "Measure": "SB 3688", "Instrument type": "Bill passed both chambers", "Status at cutoff": "Sent to Governor 2026-06-18", "Why outside headline count": "No public-act number at the cutoff.", "Official URL": "https://www.ilga.gov/legislation/BillStatus?DocNum=3688&DocTypeID=SB&GAID=18&SessionID=114" }, { "Jurisdiction": "Illinois", "Measure": "HB 5492 / PA 104-0537", "Instrument type": "Adjacent enacted statute", "Status at cutoff": "Enacted; effective 2027-01-01", "Why outside headline count": "Creates broader prescription hormone-therapy coverage but does not expressly name menopause or a related stage.", "Official URL": "https://www.ilga.gov/Legislation/publicacts/view/104-0537" }, { "Jurisdiction": "California", "Measure": "AB 1940", "Instrument type": "Pending bill", "Status at cutoff": "Assembly-passed; pending Senate process", "Why outside headline count": "Not enacted.", "Official URL": "https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB1940" }, { "Jurisdiction": "Massachusetts", "Measure": "H.5303", "Instrument type": "Pending bill", "Status at cutoff": "House Ways and Means", "Why outside headline count": "Not enacted.", "Official URL": "https://malegislature.gov/Bills/194/H5303" }, { "Jurisdiction": "Michigan", "Measure": "HB 4790 / HB 4791", "Instrument type": "Pending bills", "Status at cutoff": "House-passed; Senate Health Policy", "Why outside headline count": "Neither measure became a public act.", "Official URL": "https://www.legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4790 | https://www.legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4791" }, { "Jurisdiction": "New York", "Measure": "S 7495A", "Instrument type": "Pending bill", "Status at cutoff": "Passed Senate; Assembly committee", "Why outside headline count": "Not enacted.", "Official URL": "https://www.nysenate.gov/legislation/bills/2025/S7495/amendment/A" }, { "Jurisdiction": "Virginia", "Measure": "SB 258", "Instrument type": "Vetoed bill", "Status at cutoff": "Vetoed", "Why outside headline count": "A vetoed bill is not law.", "Official URL": "https://lis.virginia.gov/bill-details/20261/SB258" }, { "Jurisdiction": "Washington", "Measure": "Executive Order 26-01", "Instrument type": "Executive order", "Status at cutoff": "In effect", "Why outside headline count": "Executive action, not a statute enacted by the legislature.", "Official URL": "https://governor.wa.gov/news/2026/governor-ferguson-signs-executive-order-support-women-workplace-experiencing-perimenopause-and" }, { "Jurisdiction": "Washington", "Measure": "HB 1971 / Ch. 171 (2025)", "Instrument type": "Adjacent enacted statute", "Status at cutoff": "Enacted; effective 2025-07-27", "Why outside headline count": "Addresses prescription hormone therapy but does not expressly name menopause or a related stage.", "Official URL": "https://app.leg.wa.gov/billsummary/?BillNumber=1971&Initiative=false&Year=2025" }, { "Jurisdiction": "Utah", "Measure": "HCR 10", "Instrument type": "Concurrent resolution", "Status at cutoff": "Adopted", "Why outside headline count": "A concurrent resolution is not a binding statewide statute.", "Official URL": "https://le.utah.gov/~2026/bills/static/HCR010.html" }, { "Jurisdiction": "Philadelphia, Pennsylvania", "Measure": "Bill 250849", "Instrument type": "Local ordinance", "Status at cutoff": "Enacted; effective 2027-01-01", "Why outside headline count": "Local ordinance outside the 50-state statewide-statute denominator.", "Official URL": "https://phila.legistar.com/LegislationDetail.aspx?GUID=1B217755-E1FD-4D20-A0CD-890A45485DFE&ID=7697606" }, { "Jurisdiction": "Colorado", "Measure": "HB 26-1122", "Instrument type": "Failed bill", "Status at cutoff": "Postponed indefinitely 2026-02-24", "Why outside headline count": "Not enacted.", "Official URL": "https://leg.colorado.gov/bills/hb26-1122" } ], "claim_ledger": [ { "Claim": "Ten of 50 states qualified as of 2026-07-31.", "Type": "Original aggregation; current verification required", "Source / evidence": "50-state tracker plus official enacted-law source for every positive row", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable" }, { "Claim": "Ten of 50 states equals 20%.", "Type": "Derived calculation", "Source / evidence": "10 / 50", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable" }, { "Claim": "Seven qualifying states have an insurance or health-plan component.", "Type": "Original classification", "Source / evidence": "California, Illinois, Louisiana, Maryland, New Jersey, Oregon, and Virginia enacted texts", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable" }, { "Claim": "Rhode Island is the only qualifying state in this audit centered on explicit workplace accommodation.", "Type": "Original comparative finding", "Source / evidence": "Rhode Island law plus strict 50-state classification", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable with 'in this audit' qualifier" }, { "Claim": "The audit contains 15 enacted policy packages and 17 chaptered bill instruments.", "Type": "Derived dataset count", "Source / evidence": "Unique Package ID and instrument rows in measure-level data", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable" }, { "Claim": "Seven qualifying states first entered the strict count in 2025 or 2026.", "Type": "Derived timeline classification", "Source / evidence": "Connecticut, Maine, Maryland, New Jersey, Oregon, Rhode Island, and Virginia", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable" }, { "Claim": "KFF reported 67% of covered workers nationally in self-funded plans in 2025.", "Type": "Original survey producer", "Source / evidence": "https://www.kff.org/health-costs/2025-employer-health-benefits-survey/", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable with national/covered-worker qualifiers" }, { "Claim": "Maryland's fiscal note reported 34.5% of commercially insured residents under 65 in fully insured state-regulated plans, equal to 17.4% of the nonelderly population.", "Type": "Official fiscal-note fact", "Source / evidence": "https://mgaleg.maryland.gov/2026RS/fnotes/bil_0005/hb1365.pdf", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable" }, { "Claim": "State mandated-benefit laws generally do not bind private-sector self-funded plans, while a state may expressly direct its public self-insured plans.", "Type": "Federal-law/statutory-scope synthesis", "Source / evidence": "https://www.kff.org/health-costs/2025-employer-health-benefits-survey/ | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3064/Enrolled", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable with qualifiers" }, { "Claim": "Menopause is not automatically an ADA disability; FMLA leave depends on eligibility and serious-health-condition rules.", "Type": "Federal legal synthesis", "Source / evidence": "https://www.eeoc.gov/disability-discrimination-and-reasonable-accommodation-medical-inquiries-leave-and-telework | https://www.dol.gov/agencies/whd/fact-sheets/28f-fmla-qualifying-reasons | https://www.dol.gov/sites/dolgov/files/OPA/MenstruationAndMenopauseAtWork.pdf", "Verification date": "2026-07-31", "Confidence": "High", "Publish status": "Publishable with individualized/fact-specific qualifiers" } ] }