An Overview of Paid Family and Medical Leave in the United States

Posted by BAS - 19 October, 2023

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Paid Family and Medical Leave (PFML) has gained prominence in the workplace as a crucial benefit that supports employees during significant life events. It encompasses partially or fully compensated time off from work to address specific family caregiving needs and serious medical issues. While the federal Family and Medical Leave Act of 1993 (FMLA) provides eligible workers with unpaid leave for certain family and medical needs, it does not mandate paid leave, leaving this decision to private sector employers.

Currently, employees can access paid family or medical leave if their employer offers such benefits or if they have access to leave insurance programs like temporary disability insurance. Certain states have taken a proactive approach by implementing state-level family and medical leave insurance programs, which offer financial support during periods of leave.

As of September 2023, 14 states, including the District of Columbia, have enacted legislation to establish state-paid family and medical leave insurance programs. These programs provide cash benefits to eligible workers facing caregiving responsibilities or serious medical conditions affecting their ability to work. Nine states have already implemented these programs, offering benefit durations ranging from 8 to 52 weeks in a benefit year. In some states, family leave insurance benefits are limited to 5 to 12 weeks.

Five additional states have passed legislation to create similar programs, although they are not yet operational. New Hampshire has introduced a unique approach, allowing employers or certain employees to voluntarily purchase a paid family and medical leave insurance plan.

The availability of PFML varies from state to state, with each program tailored to address the specific needs of its residents. These programs aim to alleviate the financial burden on employees during critical life events while promoting a healthier work-life balance.

The landscape of PFML continues to evolve, with ongoing legislative efforts at both the state and federal levels. Employers should stay informed about the PFML offerings in their state and consider how these programs can benefit their workforce. As the conversation around PFML continues, it remains an essential component of employee benefits and workplace policies, supporting workers when they need it most.

For a comprehensive analysis of Paid Family and Medical Leave programs across the United States, review the Congressional Research Service report which may be accessed by clicking here.


Benefit Allocation Systems (BAS) provides best-in-class, online solutions for: Employee Benefits Enrollment; COBRA; Flexible Spending Accounts (FSAs); Health Reimbursement Accounts (HRAs); Leave of Absence Premium Billing (LOA); Affordable Care Act Record Keeping, Compliance & IRS Reporting (ACA); Group Insurance Premium Billing; Property & Casualty Premium Billing; and Payroll Integration.

MyEnroll360 can Integrate with any insurance carrier for enrollment eligibility management (e.g., Blue Cross, Blue Shield, Aetna, United Health Care, Kaiser, CIGNA and many others), and integrate with any payroll system for enrollment deduction management (e.g., Workday, ADP, Paylocity, PayCor, UKG, and many others).

Topics: HR & Benefits Compliance, HR & Benefit Plans, Leave Premium Billing, HR & Benefits News


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