A significant movement is emerging across the United States to enhance menopause care, with over a dozen states considering new legislation aimed at improving treatment options and clinician training. This growing interest is evident in various media, including books, podcasts, and social media discussions, reflecting a broader recognition of menopause as a critical health issue.
According to data from Jennifer Weiss-Wolf, executive director of the Birnbaum Women’s Leadership Center at New York University, approximately two dozen bills have been introduced in 15 states this year. These proposals focus on enhancing insurance coverage for menopause care, increasing awareness, and mandating clinician education. Advocates assert that such legislative measures can improve access to care and ensure that menopause symptoms are taken seriously by healthcare providers.
The urgency for reform is underscored by the fact that most women experience symptoms related to menopause, a natural phase in aging defined by at least 12 consecutive months without a menstrual period. Symptoms can include hot flashes, insomnia, and mood changes, with potential long-term health implications. An estimated 1.3 million women enter menopause annually in the U.S., making it imperative to address their healthcare needs.
Dr. Mary Claire Haver, an obstetrician-gynecologist and author of “The New Menopause,” highlights the historical neglect of menopause in both clinical research and healthcare policy. She noted that women in midlife have often been overlooked due to their demographic, prompting a growing demand for better care.
As the 2025 legislative session approaches, some recently introduced bills may see action next year. Weiss-Wolf emphasizes that the conversation surrounding menopause has reached a critical point, where state legislators are beginning to engage with the issue.
Legislative Developments Across States
Several bills aimed at raising awareness about menopause have gained traction. In Illinois, a bill passed in May designates October 12-18 as Menopause Awareness Week, while a Nevada bill proposing October as Menopause Awareness Month was vetoed in June. Additionally, seven bills focusing on education have been introduced, with one in Maine recently signed into law.
California and New Jersey have both introduced legislation to enhance menopause training for clinicians. A proposed California bill mandates an assessment of physicians’ education regarding menopause treatment, while New Jersey’s measure allows healthcare providers to earn continuing education credits in this area. Furthermore, five bills addressing insurance coverage for menopause care have been introduced, with some making significant progress.
The momentum for this initiative is palpable, as noted by California Assemblymember Rebecca Bauer-Kahan, who introduced Assembly Bill 432 to mandate coverage for menopause evaluation and treatment. Bauer-Kahan’s personal experience with dismissive healthcare during her perimenopausal symptoms fueled her advocacy. She argues that comprehensive coverage for menopause care is essential to close existing gaps in women’s health.
A recent milestone was reached in Rhode Island, which became the first state to enact workplace protections for menopausal women. Similar legislation has been introduced in New York and New Jersey, aiming to prevent discrimination and expand workplace accommodations for those experiencing menopause symptoms.
Challenges and Opportunities Ahead
The current wave of interest in menopause policy follows over two decades of relative silence on the topic. Dr. Sharon Malone, chief medical adviser at Alloy Women’s Health, points to the impact of the early termination of the Women’s Health Initiative study in 2002, which linked hormone therapy to increased breast cancer risks. This led to a significant decline in the use and recommendation of hormone therapy among women, creating a gap in necessary research and training.
Next week, the U.S. Food and Drug Administration (FDA) will host a public discussion focused on menopause and hormone replacement therapy, featuring prominent figures such as FDA Commissioner Dr. Marty Makary. This event is expected to address comprehensive care approaches beyond merely managing symptoms.
Dr. Monica Christmas, an associate professor at the University of Chicago, emphasizes the need for equitable access to menopause care. She argues that while physician education is crucial, the responsibility cannot solely rest on healthcare providers, highlighting the importance of policy changes to ensure comprehensive care.
As state legislatures continue to explore menopause-related bills, the landscape of women’s health care is poised for significant transformation. The advocacy for better treatment options, workplace protections, and increased awareness signifies a pivotal moment in addressing the needs of millions of women navigating menopause.
