This proposed legislation seeks to establish federal protections for workers experiencing symptoms related to menopause and the menopause transition, ensuring they have access to reasonable accommodations in the workplace. The bill aims to reduce stigma, promote awareness, and align workplace protections with updated understandings of women's health, supporting their continued participation in the workforce. The Act identifies that current federal law does not explicitly protect against menopause-related discrimination, despite existing protections under other statutes like the Americans with Disabilities Act. It notes that stigma often prevents employees from disclosing symptoms or requesting necessary accommodations, leading to a lack of comprehensive workplace policies. A core provision makes it an unlawful employment practice for covered entities to deny reasonable accommodations for known limitations related to menopause, unless doing so would cause an undue hardship. These known limitations are broadly defined to include a wide range of physical and mental effects, such as hot flashes , mood changes , sleep disruptions , anxiety , and fatigue . The bill also introduces the concept of "Predictable Assessments" for certain common accommodations, which are designed to be simple and straightforward without requiring extensive documentation. These include allowing employees to carry and drink water, take additional restroom breaks, adjust between sitting and standing, and take breaks to eat and drink as needed. Furthermore, the legislation prohibits employers from requiring employees to accept alternative accommodations, take leave if another reasonable accommodation is available, or face adverse action for requesting accommodations. It mandates that all medical information related to an employee's condition be kept confidential. The bill outlines comprehensive enforcement mechanisms, mirroring those found in the Civil Rights Act of 1964, and directs the Equal Employment Opportunity Commission (EEOC) to issue detailed regulations within one year. These regulations will provide examples of known limitations, reasonable accommodations, and guidance on when supporting documentation may be reasonably sought. An appropriation of $4,500,000 is included to carry out the Act, and it explicitly waives State immunity under the 11th Amendment for violations.