football on field

The NCAA May Pay a Healthy Sum to Student Athletes

By Bobby Stroup

Right now in a Los Angeles courtroom, the fate of the NCAA hangs in the balance. Perhaps as a way to preempt the outcome, on December 6, NCAA President Charlie Baker sent a letter proposing some schools should be allowed to compensate student athletes for using their name, image and likeness (NIL). President Baker is right to try and get ahead of the student-athlete compensation issue, but NIL payments are not the only issue at play. Health care will also be a critical part of future student-athlete compensation conversations.

The NCAA describes the compensation lawsuits as beginning in 2009, yet exploring this topic reveals the debate is not so novel. The NIL terminology is newer, but limiting this to an NIL problem is overly narrow. The challenge of student-athlete compensation is a broader issue that started at the founding of the organization. This issue is rooted in more than a century of health policy, and understanding that history is essential to understanding future NCAA negotiations.

Read More

Close up of surgery team operating.

Access to Uterus Transplantation and the Workplace

By Natasha Hammond-Browning

Uterus transplantation first hit the headlines in 2014, with the birth of the first baby born following a uterus transplant. This first birth in Sweden has led to trials worldwide. Most recently, in August 2023, the United Kingdom saw its first uterus transplant. In the United States, the University of Alabama (UAB) Medicine uterus transplant program is the first program to offer uterus transplantation outside of a clinical trial, and the first birth in that program was in May 2023.

While recent estimates of future uterus transplants are relatively small — for instance, Womb Transplant UK estimates that between 20-30 uterus transplants could be performed annually — the increasing number of uterus transplant recipients should not be ignored. In particular, questions of access and the workplace rights of those undergoing this surgery are important to consider. This post will briefly lay out some of the issues that may arise for potential recipients and their partners in the workplace.

Read More

Scales with the center depicted as an egg being fertilized through ivf.

Surrogacy and Employment Rights in the UK    

By Zaina Mahmoud and Kirsty Horsey

At the end of March 2023, the Law Commission of England and Wales and the Scottish Law Commission published their joint Report, Building Families Through Surrogacy: A New Law, outlining recommendations for a new regulatory regime governing surrogacy in the UK, including a new route to (legal) parenthood for intended parents (IPs), referred to as “the new pathway” (para 1.10). Chapter 15 of the Report provides an overview of the consequential impact of surrogacy on other areas of law — most relevantly here, employment law.

Read More

Large and diverse group of people seen from above gathered together in the shape of two intersecting circles.

An Intersectional Analysis of Proposed Fertility Leave in England and Wales

By Elizabeth Chloe Romanis and Sabrina Germain

For people in England and Wales needing access to fertility treatment, economic barriers can be a huge hurdle. There are the direct costs of the treatment (some, but not all, of which are covered by the National Health Service). But there are also the less visible indirect costs associated with accessing these treatments. These include needing time off work to attend appointments, funding travel to and from fertility clinics, and having access to spaces at work to store and administer medication and take private phone calls. Indirect costs limit access to fertility treatment for structurally disadvantaged individuals in England and Wales. It is for this reason that a Private Member’s Bill currently being debated in the House of Commons, the Fertility Treatment (Employment Rights) Bill, which seeks to introduce fertility leave in the UK, should be welcomed (see earlier posts in this symposium by Dafni Lima and Manna Mostaghim).

Introducing a formal entitlement to “allow employees to take time off from work for appointments for fertility treatment; and for connected purposes” is a step in the right direction. We offer an intersectional reading of the Fertility Treatment (Employment Rights) Bill and consider how the benefits offered are likely to be stratified along class, race, sexuality, and gender lines. The Bill is well-meaning and highlights the critical issue of indirect barriers to fertility treatment in the workplace, but it is inattentive to structural issues affecting marginalized people experiencing infertility.

Read More

Out of office - memo on office desk with glasses, pen, clock, paperclip.

Fertility Leave: Seeking Assisted Reproductive Technology as an Employee in the UK

By Manna Mostaghim

Fertility leave — employer-sanctioned time off for fertility treatment appointments — is becoming a feature of modern employment relationships in the UK. Some public and private sector employers in the UK have fertility leave policies within their organizations; however, currently there is no “statutory right to time off for fertility appointments” in UK law. As of March 20th, 2023, a private members’ bill (the Fertility Treatment (Employment Rights) Bill) has had its second reading in the House of Commons to codify the right for employers to be required to “allow employees to take time off from work for appointments for fertility treatment.” But, as it stands, employees in the UK still require the beneficent support of their employers to receive support and fertility leave in their workplaces.

Read More

A Liquid Nitrogen Bank Containing Sperm and Eggs Samples - ivf - in vitro fertilization, egg freezing.

Egg Freezing in Israel: Legal Framework and Women’s Viewpoints

By Yael Hashiloni-Dolev and Nitzan Rimon-Zarfaty

In 2009, Israel was one of the first countries to authorize social egg freezing, before it was declared non-experimental.

Israel is a highly pronatalist familistic society with relatively high marriage rates, low divorce rates, and the highest birth rate among OECD countries. Israeli pronatalism frames the favorable Israeli approach to fertility medicine and preservation. Currently, egg freezing is used for both medical and social reasons, and for transgender men.

Israeli policy views social egg freezing as primarily enabling, based on liberal ideology, “individual autonomy.”

Indeed, on one hand, social egg freezing has been praised as a revolutionary solution for women’s age-related fertility decline, thus providing women with liberating opportunities. On the other hand, it has been criticized for as oriented toward women’s bodies rather than toward taking away social obstacles to their full participation in the labor market and society in general. Giant corporations such as Apple and Facebook have offered funding for social egg freezing to their female employees while provoking ongoing bioethical and public debates regarding their implications, including; medicalization, (dis)empowerment, “appropriate” motherhood, medical risks, and success rates. This post considers these debates with a focus on the Israeli context.

Read More

Newborn infant incubator boxes in a hospital corridor.

Neonatal Care (Leave and Pay) Act 2023: Some Questions Raised by Artificial Amniotic and Placenta Technology

By Anna Nelson

Traditionally, maternity and other parental leave protections have been predicated on expectations of linear and uncomplicated experience of birth. This has created challenges when babies are required to spend time in Neonatal Intensive Care Units (NICU), especially where these stays are prolonged. In response to these concerns the UK recently passed the Neonatal Care (Leave and Pay) Act 2023.

The passing of the Neonatal Care (Leave and Pay) Act 2023 was a significant step forward in labor law rights for those whose infants require a hospital stay upon delivery (though the provisions within it are not expected to come into effect until April 2025). This Act created statutory entitlement to up to 12 weeks of neonatal care leave, and pay for qualifying parents, as well as providing protection from redundancy during this time. While the right to neonatal care leave is a “day one right,” the statutory right to Neonatal Care pay will be contingent upon meeting minimum service (26 weeks) and pay criteria. This means that not all parents will be protected from the financial worries associated with taking leave during their child’s stay in hospital.

In this blog, I will look at whether the protections within this Act would be sufficient if Artificial Amniotic and Placenta Technology (AAPT) were to become available for use in humans. AAPT, sometimes called “artificial womb technology,” is a developing technological innovation which would “closely reproduce[s] the environment of the womb” so as to support neonatal maturation, and reduce the mortality and morbidity rates associated with extremely premature birth. This is an expansive topic, and the purpose of this blog is to identify some key considerations and questions rather than to provide comprehensive answers!

Read More

Imbalanced scales icon on pink background.

Conceiving a New Interpretation of Equality Law for Those Undergoing Fertility Treatments

By Michelle Weldon-Johns

An increasing number of people in the UK undergo assisted reproductive technology (ART) treatments annually to conceive or to preserve fertility. HFEA data show that in the UK in 2019, nearly 53,000 persons received 68,975 cycles of IVF, 5,694 cycles of donor insemination treatment, 2,396 egg freeze cycles and 8,174 embryos were stored. This has significant implications for working persons, with the requirements to attend often time-sensitive appointments and undergo, at times, invasive fertility treatments that have an impact on availability for work, not to mention physical and mental effects. Nevertheless, those engaged in ART treatment find themselves outside the traditional boundaries of equality law protection. This is concerning given the potential for treatment to interfere with work and/or workplace performance, and their resulting vulnerability to discrimination and/or dismissal.

The UK Equality Act 2010 extends protection only to those who satisfy one of nine specific protected characteristics, with sex, pregnancy and maternity, and disability most relevant here. However, none of these characteristics alone offers sufficient protection for all those engaged in ART treatments. Nevertheless, equality law offers some possibilities for the future if developed appropriately.

Read More

Wide Angle View Of Busy Design Office With Workers At Desks.

The Problems with Employer-Funded Elective Egg Freezing

By Kathleen (Katie) Hammond

We have seen a growing trend in recent years of companies covering some, or all, of the cost of elective (i.e., non-medical) egg freezing as an employee benefit. For instance, Meta, Google, Netflix, Uber, and Apple are among the list of companies that offer some coverage for elective egg freezing.

In this piece, I explore four concerns with employer-funded elective egg freezing. While there are many upsides, employers should be mindful of how funding egg freezing may impact workplace culture. They should be careful about how information about the procedure is disseminated, and they need to be careful not to discriminate in regards to who can access it. Additionally, employer-funded elective egg freezing is not a replacement for other institutional benefits that foster workplace equality and parenthood-work balance such as paid parental leave, flexible work schedules, and funding for childcare.

Read More