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Accommodations at work

Know Your Rights: When the Law Requires Your Employer To Accommodate Your Disability, Faith, Pregnancy or Caregiving Duties

Your manager pulls you aside on a Tuesday morning. You have just told her about your epilepsy diagnosis, your need to fast during Ramadan, your high-risk pregnancy or your son’s chemotherapy schedule. You expected support. Instead, you get a shrug. “There is nothing we can do.” “That is not how things work here.” “We need people who can be here every day.”

Those phrases are not law. They are excuses. And in most cases, they are illegal.

Federal and Pennsylvania law protect employees who need adjustments at work because of disability, religion, pregnancy or family caregiving responsibilities. The protections are not identical, but they share a common spine: an employer who refuses even to discuss reasonable changes - who hides behind rigid policies, “essential functions” boilerplate or vague claims of hardship - is breaking the law. This post explains what the four protections require, where they overlap and what an employee should do when the answer is no.

I. The ADA Treats Refusal To Accommodate as Discrimination, Full Stop

Start with disability. The Americans with Disabilities Act prohibits discrimination “on the basis of disability,” and it expressly defines discrimination to include “not making reasonable accommodations to the known physical or mental limitations of an otherwise qualified individual with a disability.” 42 U.S.C. § 12112(b)(5)(A). Pennsylvania’s Human Relations Act tracks the same framework. 43 P.S. § 955(a).

A reasonable accommodation is any modification to the work environment, the schedule or the way the job is performed that lets a qualified employee perform the essential functions. It can be a stool, a ramp, a screen reader, leave for surgery, a remote-work day, a transfer to a vacant position or a reassignment of marginal duties. US Airways, Inc. v. Barnett, 535 U.S. 391 (2002). The list is not closed. The accommodation must be reasonable on its face.

The ADA also requires what courts call the “interactive process.” Once an employee asks for help (and the request need not use legal language), the employer has to sit down with the employee in good faith and figure out what will work. Taylor v. Phoenixville Sch. Dist., 184 F.3d 296, 317 (3d Cir. 1999). An employer who skips that conversation, or who treats it as a one-question ambush, has likely already broken the law.

Employers love to invoke “undue hardship” - the statutory defense for accommodations that would impose “significant difficulty or expense.” 42 U.S.C. § 12111(10). The phrase is dramatic. The defense is narrow. Courts in this Circuit demand actual evidence of cost, disruption or operational harm - not boilerplate, not speculation and not “we have never done it that way before.”

II. Title VII, Post-Groff, Is No Longer a Shield for Lazy Employers Refusing To Accommodate Faith

Religious accommodation works similarly, with one critical wrinkle that changed in 2023.

Title VII forbids religious discrimination and defines “religion” to include “all aspects of religious observance and practice, as well as belief, unless an employer demonstrates that he is unable to reasonably accommodate to an employee’s . . . religious observance or practice without undue hardship.” 42 U.S.C. § 2000e(j). The covered observances are broad: Sabbath rest, prayer breaks, religious dress and grooming, dietary practice, holy days and scriptural objections to specific tasks. Sincerity, not orthodoxy, is the test.

For decades, employers ducked religious accommodation by invoking a single line from the 1977 Supreme Court decision in Trans World Airlines, Inc. v. Hardison, 432 U.S. 63 (1977). Lower courts read that line as blessing almost any refusal - including refusals based on co-worker grumbling or trivial scheduling friction.

In 2023, the Supreme Court ended the era of casual refusal. Groff v. DeJoy, 600 U.S. 447 (2023) held that Title VII’s undue hardship defense requires the employer to show “substantial increased costs in relation to the conduct of its particular business.” Id. at 470. Co-worker irritation does not count. Hypothetical morale problems do not count. Bias-driven complaints from other employees do not count. An employer that brushes off a Sabbath request with “the team would not like it” is now squarely on the wrong side of the statute.

III. The Pregnant Workers Fairness Act Closed the Loophole That Once Let Employers Send Pregnant Women Home

For decades, pregnancy lived in an awkward gap between the Pregnancy Discrimination Act and the ADA. The PDA, 42 U.S.C. § 2000e(k), forbade discrimination because of pregnancy but did not require accommodations. The ADA required accommodations but covered pregnancy-related conditions only when they reached the level of disability. Pregnant workers asking for a stool, a water bottle, light duty or an extra bathroom break were routinely told the answer was “take unpaid leave or quit.”

Congress closed that gap. The Pregnant Workers Fairness Act took effect on June 27, 2023, and the EEOC’s implementing regulations took effect on June 18, 2024. The PWFA requires covered employers to provide reasonable accommodations for “known limitations” related to pregnancy, childbirth or related medical conditions, unless doing so imposes undue hardship. 

The statute and regulations are sweeping. Covered limitations include morning sickness, lactation, postpartum depression, miscarriage, recovery from childbirth and the routine physical demands of pregnancy itself. Accommodations include schedule adjustments, time off for prenatal appointments, light duty, exemption from heavy lifting, additional bathroom and water breaks and temporary suspension of essential functions. 29 C.F.R. § 1636.3. An employer may not force a pregnant worker onto unpaid leave when another reasonable accommodation exists. 

The PWFA pairs with the PUMP Act, which guarantees lactation breaks and a private space (not a bathroom) for nearly every employee. Together, the two statutes have done what the PDA never quite managed: they treat pregnancy as a normal life event the workplace must accommodate, not a problem the worker must solve alone.

IV. Caregiver Discrimination Is Sex Discrimination, and the EEOC Has Said So for Two Decades

Caregiving is the protection most workers miss. No federal statute uses the word “caregiver” the way the ADA uses “disability” or Title VII uses “religion.” The protection comes from a different direction: sex stereotyping.

The Supreme Court held more than fifty years ago that an employer who applies one rule to mothers and another to fathers violates Title VII. Phillips v. Martin Marietta Corp., 400 U.S. 542 (1971). The EEOC has built on that foundation in formal enforcement guidance, explaining that adverse action against an employee because of caregiving responsibilities is unlawful when it rests on sex-based assumptions - for example, that mothers are less committed, that fathers do not need leave or that women with young children should not be promoted. EEOC, Enforcement Guidance: Unlawful Disparate Treatment of Workers with Caregiving Responsibilities (2007).

Caregiver claims also reach the ADA’s “association” provision, which forbids discrimination against a worker because of a relationship with a person with a disability. 42 U.S.C. § 12112(b)(4). An employee fired because her husband’s cancer treatment “made her unreliable in the manager’s eyes” has a federal claim even though she is not herself disabled.

Family and medical leave fills out the picture. The Family and Medical Leave Act guarantees up to twelve weeks of job-protected leave for the employee’s own serious health condition, the birth or adoption of a child or the care of a spouse, child or parent with a serious health condition. 29 U.S.C. § 2612. Pennsylvania employees may also have rights under municipal sick leave ordinances and under the federal anti-retaliation provisions that protect every protected activity discussed above.

V. The Four Protections at a Glance

Protected Status Primary Source What the Law Requires
Disability ADA, 42 U.S.C. § 12112; PHRA, 43 P.S. § 955 Reasonable accommodation through good faith interactive process; undue hardship requires significant difficulty or expense
Religion Title VII, 42 U.S.C. § 2000e(j) Reasonable accommodation of sincerely held belief or practice; undue hardship now requires substantial increased costs 
Pregnancy PWFA, 42 U.S.C. § 2000gg; PDA, § 2000e(k); PUMP Act, 29 U.S.C. § 218d Reasonable accommodation for any known pregnancy-related limitation; cannot force unpaid leave when another option exists
Caregiving Title VII (sex stereotyping); ADA association provision; FMLA, 29 U.S.C. § 2612 No disparate treatment based on caregiver status; no discrimination based on association with a disabled family member; protected leave for family medical needs

VI. If Your Employer Said No, You Need a Lawyer

The four protections share a common pattern. Each one demands a real conversation, a real reason and a real cost analysis before an employer can refuse. Each one prohibits retaliation against the employee who asks. Each one is enforceable in federal court, in state court or before an administrative agency.

If your employer told you no without a meeting, without an explanation or without an honest look at alternatives, the law is on your side. Lamberton Law Firm has represented Pittsburgh-area employees in accommodation cases for more than twenty-five years. 

Call us. The first conversation is free, and the clock on your rights is already running.