diff --git a/React/Fabric/Mounting/ComponentViews/Picker/RCTPickerComponentView.mm b/React/Fabric/Mounting/ComponentViews/Picker/RCTPickerComponentView.mm
index 3001c423ea2..2cc534f9cbf 100644
--- a/React/Fabric/Mounting/ComponentViews/Picker/RCTPickerComponentView.mm
+++ b/React/Fabric/Mounting/ComponentViews/Picker/RCTPickerComponentView.mm
@@ -10,6 +10,7 @@
 #import <React/RCTConvert.h>
 #import <UIKit/UIKit.h>
 #import <react/renderer/components/iospicker/PickerComponentDescriptor.h>
+#import <react/renderer/components/iospicker/PickerEventEmitter.h>
 #import <react/renderer/components/iospicker/PickerProps.h>
 
 #import "FBRCTFabricComponentsPlugins.h"
@@ -35,8 +36,6 @@ using namespace facebook::react;
 {
   if (self = [super initWithFrame:frame]) {
     _pickerView = [[UIPickerView alloc] initWithFrame:self.bounds];
-    // TODO (T75217510) - Handle and test onChange, something like:
-    // [_pickerView addTarget:self action:@selector(onChange:) forControlEvents:UIControlEventValueChanged];
     self.contentView = _pickerView;
     [self setPropsToDefault];
   }
@@ -98,11 +97,6 @@ using namespace facebook::react;
   [super updateProps:props oldProps:oldProps];
 }
 
-- (void)onChange:(UISwitch *)sender
-{
-  // TODO (T75217510) - Handle and test onChange
-}
-
 // TODO (T75217510) - Handle Native Commands
 #pragma mark - Native Commands
 
@@ -125,7 +119,6 @@ using namespace facebook::react;
             forComponent:(__unused NSInteger)component
 {
   return [NSString stringWithUTF8String:_items[row].label.c_str()];
-  ;
 }
 
 - (CGFloat)pickerView:(__unused UIPickerView *)pickerView rowHeightForComponent:(NSInteger)__unused component
@@ -157,7 +150,10 @@ using namespace facebook::react;
        inComponent:(__unused NSInteger)component
 {
   _selectedIndex = row;
-  // TODO (T75217510) - Handle and test onChange
+  PickerEventEmitter::PickerIOSChangeEvent event = {.newValue = _items[row].value, .newIndex = (int)row};
+  if (_eventEmitter) {
+    std::static_pointer_cast<PickerEventEmitter const>(_eventEmitter)->onChange(event);
+  }
 }
 
 #pragma mark - UIPickerViewAccessibilityDelegate protocol
diff --git a/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.cpp b/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.cpp
new file mode 100644
index 00000000000..9e608966063
--- /dev/null
+++ b/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.cpp
@@ -0,0 +1,23 @@
+/*
+ * Copyright (c) Facebook, Inc. and its affiliates.
+ *
+ * This source code is licensed under the MIT license found in the
+ * LICENSE file in the root directory of this source tree.
+ */
+
+#include "PickerEventEmitter.h"
+
+namespace facebook {
+namespace react {
+
+void PickerEventEmitter::onChange(PickerIOSChangeEvent event) const {
+  dispatchEvent("change", [event = std::move(event)](jsi::Runtime &runtime) {
+    auto payload = jsi::Object(runtime);
+    payload.setProperty(runtime, "newValue", event.newValue);
+    payload.setProperty(runtime, "newIndex", event.newIndex);
+    return payload;
+  });
+}
+
+} // namespace react
+} // namespace facebook
diff --git a/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.h b/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.h
index df523632ced..fea36adf3f6 100644
--- a/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.h
+++ b/ReactCommon/react/renderer/components/picker/iospicker/PickerEventEmitter.h
@@ -15,6 +15,13 @@ namespace react {
 class PickerEventEmitter : public ViewEventEmitter {
  public:
   using ViewEventEmitter::ViewEventEmitter;
+
+  struct PickerIOSChangeEvent {
+    std::string newValue;
+    int newIndex;
+  };
+
+  void onChange(PickerIOSChangeEvent event) const;
 };
 
 } // namespace react