In April 2020, Ilima-Lei, her sister Mahina, and one other female who chose to remain anonymous to the public filed a lawsuit against Punahou School for failing to take action over years of alleged sexual abuse from the school's assistant basketball coach, Dwayne Yuen. In the lawsuit, all three allege Yuen of years of sexual abuse, harassment, lewd gestures, and showing young girls several pornographic photos.
On February 10, 2020, it was announced that Macfarlane had signed a ten-fight, five-year extension contract with Bellator.
Macfarlane is expected to make her next defense against undefeated challenger Juliana Velasquez on December 10, 2020 at Bellator 254.