Federal (United States)
United StatesFDA removed the black-box warning on systemic estrogen in November 2025.
After two decades, the FDA rescinded the boxed warning that had sat on systemic estrogen products since the WHI scare. It does not change how MHT is prescribed, but it changes the conversation, and it's part of why some patches have been on shortage. Bone density tests still aren't covered under Medicare until age 65, despite the fastest bone loss happening in the first five years post-menopause.
- Workplace
- Not yet
- Hormone coverage
- Partial
- Provider education
- Not yet
- Public awareness
- Partial
Stateline, May 2026
Rhode Island
United StatesWorkplace accommodations law passed.
Rhode Island became one of the first US states to put menopause-specific workplace protections on the books — covering reasonable accommodations like temperature control, breaks, and uniform flexibility. Closer to the UK Equality Act model than anything else in US law.
- Workplace
- Yes
- Hormone coverage
- Not yet
- Provider education
- Not yet
- Public awareness
- Partial
New Jersey
United StatesMost comprehensive package in the US.
New Jersey has moved on the widest bundle — insurance coverage requirements, provider education funding, workplace guidance, and awareness programmes — in a single legislative push. Bellwether for other Northeast states.
- Workplace
- Partial
- Hormone coverage
- Yes
- Provider education
- Partial
- Public awareness
- Yes
Pennsylvania
United StatesFour bills in play, including the off-label testosterone fight.
Pennsylvania has four active menopause bills, the most-watched of which would make it easier for clinicians to prescribe testosterone off-label for women — currently a postcode lottery and a major reason the libido conversation stalls at the appointment.
- Workplace
- Partial
- Hormone coverage
- Partial
- Provider education
- Partial
- Public awareness
- Partial
Other US states (26 and counting)
United StatesSomething has passed in 26 states since 2019; 60+ bills introduced in 2026 alone.
Most movement is in workplace accommodations and provider education. Coverage mandates are rarer and harder. Worth checking your specific state legislature page — this is the fastest-moving area of US health law in 2026.
- Workplace
- Partial
- Hormone coverage
- Partial
- Provider education
- Partial
- Public awareness
- Partial
British Columbia
CanadaMHT covered under PharmaCare since 2024; complex menopause clinic at BC Women's.
BC was the first Canadian province to publicly fund menopausal hormone therapy with no out-of-pocket cost for residents. BC Women's Hospital also runs a Complex Menopause Clinic (referral required) for severe or multi-system cases — virtual and in-person, with Menopause Society-certified clinicians.
- Workplace
- Not yet
- Hormone coverage
- Yes
- Provider education
- Partial
- Public awareness
- Partial
Manitoba
CanadaMHT added to provincial drug benefit in 2025.
Followed BC's model — prescription required, medication covered. Second province to do this.
- Workplace
- Not yet
- Hormone coverage
- Yes
- Provider education
- Not yet
- Public awareness
- Partial
Other Canadian provinces & territories
CanadaMostly private/out-of-pocket; senior and special-support programmes only.
Ontario, Quebec, Alberta, Saskatchewan, the Atlantic provinces and the territories cover MHT through age-restricted or means-tested programmes, not as a universal benefit. Detail and current pricing on our province-by-province page.
- Workplace
- Not yet
- Hormone coverage
- Partial
- Provider education
- Not yet
- Public awareness
- Partial
See: MHT coverage in Canada →
United Kingdom
United KingdomEquality Act 2010 covers menopause via age, sex and disability routes.
There is no menopause-specific UK statute. Menopause is protected indirectly under the Equality Act 2010 via age, sex and (where symptoms are long-term and substantial) disability. NHS prescription charges for HRT were reduced to an annual prepayment certificate in England (April 2023); HRT is free at point of access in Scotland, Wales and Northern Ireland. Employer guidance is voluntary; tribunal case law is the active edge.
- Workplace
- Partial
- Hormone coverage
- Yes
- Provider education
- Partial
- Public awareness
- Yes
If your first appointment didn't get you what you needed
There's a separate page for asking for a menopause-trained specialist.
Some symptoms are complex and benefit from a second opinion with someone trained specifically in menopause. Our when to ask for a specialist page walks you through what counts as a complex case, and what to say to make the referral happen.
