

The Tennessee Human Rights Act (T.C.A. § 4-21-401) applies to employers with eight or more employees, below the federal ADA’s 15. The separate Tennessee Disability Act (T.C.A. § 8-50-103) addresses disability discrimination specifically but, unlike the ADA, contains no express accommodation duty.
Since October 1, 2020, the Tennessee Pregnant Workers Fairness Act (2020 SB 2520, T.C.A. § 50-10-101 et seq.) has required employers with 15 or more employees to accommodate medical needs arising from pregnancy, childbirth or related conditions.
Under the ADA, and for disability discrimination purposes under state law, Tennessee employers must provide reasonable accommodations to qualified employees with disabilities unless doing so would pose an undue hardship. Typical adjustments include accessible facilities, job restructuring, modified schedules, leave, and modified equipment.
For pregnancy, the state Act lists accommodations including:
An employer may not require an employee to take leave if another reasonable accommodation can be provided, may not deny employment opportunities because of the need for one, and may not require an employee to accept an unnecessary accommodation.
Tennessee’s documentation rules are among the most specific in the country. An employer may require medical certification for a pregnancy accommodation only if it requires the same of other employees, and only for four types of accommodation:
Critically, the employer must begin the interactive process while the certification is pending — it may not wait for the note before engaging.
The statute expressly requires a timely, good-faith interactive process. For disability accommodations, documentation should be limited to confirming the condition and the need, and kept confidential.
Complaints are filed with the Tennessee Human Rights Commission within 180 days, or with the federal Equal Employment Opportunity Commission. Because the THRA attaches at eight employees, claims can proceed under state law against employers the ADA does not reach. Remedies include back pay, reinstatement, and compensatory damages capped by employer size; the pregnancy Act also provides for attorney fees and a private civil action.
Managing accommodation requests under the Tennessee Human Rights Act and Pregnant Workers Fairness Act 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.