

The Missouri Human Rights Act (MHRA), Mo. Rev. Stat. Ch. 213, applies to employers with six or more employees, a lower threshold than the federal ADA’s 15. The MHRA defines disability as a physical or mental impairment that substantially limits one or more major life activities, a record of such an impairment, or being regarded as having one, where the condition can be reasonably accommodated without undue hardship.
In Missouri, accommodation obligations arise under both the MHRA and the ADA. Employers must provide adjustments or modifications for qualified employees with disabilities unless it would cause undue hardship. Examples of accommodations include modified work schedules, physical accessibility changes, assistive technology, and job restructuring. Because the MHRA applies at six employees rather than 15, Missouri employers with six to 14 staff carry a state-law accommodation duty even where the ADA does not reach them.
Once an accommodation request is made, employers must engage promptly in an interactive process to discuss possible solutions. Employees may be asked for documentation verifying the need for accommodation. While there is no strict statutory deadline for response, best practice—and federal guidance—suggest prompt action, typically within a couple of weeks. Delays or failure to communicate can lead to compliance risks.
Pregnancy: the federal overlay. Missouri has no state statute requiring accommodation of pregnancy, childbirth or related conditions, so the federal Pregnant Workers Fairness Act (in effect since June 27, 2023) governs for employers with 15 or more employees.
It requires reasonable accommodation of known limitations related to pregnancy, childbirth or related medical conditions unless undue hardship, and a condition need not rise to the level of a disability. The EEOC’s rule treats four accommodations as almost never an undue hardship and bars any documentation demand for them:
Documentation may be sought only when reasonable under the circumstances, may not be required in a specific form or from a specific provider, and may not be used to delay the accommodation. An employer may not require leave where another accommodation is available. The PUMP Act separately requires break time and a private non-bathroom space for expressing milk at virtually every employer. See the federal guide for full detail.
Employees can file complaints with the Missouri Commission on Human Rights (labor.mo.gov/mohumanrights) within 180 days, or directly with the Equal Employment Opportunity Commission (EEOC) for ADA-related matters. If found in violation, employers may be subject to fines, mandated policy changes, back pay, and compensatory or punitive damages.
Managing accommodation requests under the Missouri Human Rights Act (Mo. Rev. Stat. Ch. 213) can be tedious—multiple forms, interactive‑process deadlines, and cross‑department coordination all add complexity.
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This guide is provided for general informational purposes only and does not constitute legal advice. Employment laws change frequently and vary by jurisdiction. Consult qualified employment counsel before acting on any information here. Last reviewed: September 2026.