Advancing the rights of working families.

The Need for Paid Family Leave Insurance


The United States stands alone among industrialized countries in failing to guarantee workers paid family leave. When a loved one has a health crisis, or when a new child is born or adopted, far too many American workers are forced to take unpaid leave or exit the workforce altogether. Low-income workers and their families are especially vulnerable as they often lack the financial resources necessary to take advantage of unpaid time off.


The Family and Medical Leave Act

The federal Family and Medical Leave Act of 1993 (FMLA) requires employers to provide unpaid leave for up to 12 weeks for employees to care for a new child or seriously ill family member, to recover from one’s own serious health condition, or to deal with certain obligations (including childcare and related activities) arising from a spouse, parent or child being on, or called to, active duty in the military. The FMLA also provides up to 26 weeks of unpaid leave per year for workers whose spouse, child, parent or next of kin is a seriously ill or injured member of the armed services.

The FMLA has helped many working Americans balance the demands of work and family, by protecting their jobs while they take time off to recover from illness or care for loved ones. Yet the FMLA's reach is far too limited. Due to significant coverage gaps, more than 40% of workers are ineligible for FMLA leave. Furthermore, many workers who are covered by the FMLA cannot afford to take unpaid leave or do not know about their rights under the statute.

Click here to read more about the FMLA and your rights under the law.


In 2013, Senator Kirsten Gillibrand of New York and Representative Rosa DeLauro of Connecticut introduced legislation into Congress that, when passed, would finally establish a program of paid family leave in the U.S. The proposed bill, called the Family and Medical Insurance Leave Act (FAMILY Act), would pick up where the FMLA left off by creating an insurance program—funded by joint contributions from workers and employers—to provide up to 12 weeks of paid leave to care for a new child or seriously ill family member. The program would be administered through the Social Security Administration, and would cover all workers who are eligible for Social Security disability benefits. The FAMILY Act would provide crucial support to families struggling to care for a new baby or a sick relative. Read more about the FAMILY Act, and urge your representatives in Washington to pass this long-overdue bill.

Paid Family Leave in the States

Several states have passed family leave insurance laws that provide partial pay to workers who need time off to bond with a new child or care for a seriously ill loved one. In 2002, California became the first state to guarantee paid family leave, followed by New Jersey in 2008, and Rhode Island in 2013. In each of the three states, the paid family leave program has been integrated into the state’s existing temporary disability insurance system, and workers finance the paid family leave program through small employee payroll deductions. Although neither the California nor New Jersey law provides job protection for workers who take advantage of the program, the Rhode Island law does protect workers who take time off under the law from job loss or retaliation. In California and New Jersey, some -- but not all -- workers who take advantage of family leave insurance may be protected by the FMLA or another state law that provides job protection

Washington State has also passed a law providing workers with paid family leave after the birth or adoption of a child, but implementation has been delayed until at least the fall of 2015.

To learn more about the case for family leave insurance in the United States, see our September 2013 report,  Investing in Our Families: The Case for Family Leave Insurance in New York and the Nation.


States with Paid Family Leave in Effect


Research has demonstrated the success of California’s paid family leave program and its positive impact on families and business.  For an overview, see Leaves That Pay: Employer and Worker Experiences with Paid Family Leave in California, by Eileen Appelbaum and Ruth Milkman (Center for Economic and Policy Research, January 2011).

Click here to learn more about paid family leave in California.


New Jersey

Following in California's footsteps, the State of New Jersey enacted a law to provide workers with paid family leave in 2008.  A Better Balance has developed a comprehensive guide to family leave insurance in New Jersey.  Click here to access the guide and to get additional details regarding New Jersey's Paid Family Leave Insurance law.

Rhode Island

On July 23, 2013, Rhode Island became the third state to adopt an insurance program to provide workers with income support when they have a new child or need to care for a seriously ill family member. Rhode Island’s Temporary Caregiver Insurance Program went effect on January 1, 2014. 

Click here to read Rhode Island’s law, and click here to learn more about the law and July 2013 bill signing.


Ongoing Efforts in Other States

New York

On March 3, 2014, the New York State Assembly voted 89-44 in favor of the Paid Family Leave Insurance Act (A1793-B), bringing New York one step closer to paid family leave.  This critical legislation, which has also been introduced in the New York State Senate (S4742-B) would provide workers with up to 12 weeks of paid leave—financed through small employee payroll contributions—to care for a new child or seriously ill family member.  Leave may also be used to address certain needs related to a family member’s military service or deployment. Prior family leave insurance bills passed the New York State Assembly in 2005 and 2007.

A Better Balance and a diverse coalition of community organizations, unions, businesses, early childhood advocates, women's, senior and LGBT groups are committed to making New York State the fourth state in the country with a family leave insurance program.  Stay tuned for updates as we work toward passing the Family Leave Insurance Act in 2015!


A Better Balance Fact Sheets & Materials on the New York State Paid Family Leave Insurance Act
pdficon The New York Assembly Passes Paid Family Leave Insurance! March 2014
pdficon New York Needs The Paid Family Leave Insurance Act (4-Page Pamphlet) Apr. 2014
One-Page Overview of the New York State Paid Family Leave Insurance Act Apr. 2014
pdficon Family Leave Insurance: Benefiting New York Businesses and Supporting Employees' Needs
Apr. 2014
pdficon Investing in Our Families: The Case for Family Leave Insurance in New York and the Nation Sept. 2013
pdficon Family Leave Insurance: Supporting Working Families When They Need It Most (Stories by working New Yorkers about the need for family leave insurance.) June 2012
pdficon Family Leave Insurance: A Priority for Working Families in New York May 2012
pdficon Supporting LGBT Families: The Need for Family Leave Insurance in New York Nov. 2011
pdficon A Working Balance: Supporting New York City's Families Through Paid Leave (Report with Manhattan Borough President) Jan. 2008


Washington passed a law in 2006 that will guarantee workers up to five weeks a year of paid leave to care for a newborn or newly adopted child. Without a clear funding route, implementation of the program has been delayed until at least the fall of 2015. However, advocates in Washington are proposing a bill that would expand and fund the current program; in addition to providing leave to care for a new child, an expanded program would provide leave for a worker’s own serious health condition or to care for a seriously ill loved one. We created a  fact sheet to explain why this bill is so important to Washington's LGBT and HIV/AIDS communities.

Click here to read Washington's paid family leave law, and click here for more information on paid family leave in Washington.



In 2013, elected officials in Connecticut passed a law to establish a Family and Medical Leave Insurance Task Force. The task force, which will be chaired and convened by Connecticut’s Permanent Commission on the Status of Women, will study the feasibility of establishing a family and medical leave insurance program.  The task force must report its findings to the Connecticut Legislature by October 1, 2014.

Click here to learn more about the task force and to read the law that established it.


New Hampshire

In 2013, elected officials in New Hampshire passed a law establishing a commission to study the establishment of a paid family leave insurance program. 

Click here to learn more about the commission, its background, and the law that established it.


Additional State Paid Family Leave Campaigns and Coalitions

Check out these websites to learn about additional state paid family and medical leave insurance campaigns and activities: 

Interested in Passing Paid Family Leave in Your State?

A Better Balance and the National Partnership for Women and Families have developed a model state paid family leave law. Please contact us for more information.

Learn More

ABB Video

Family Leave Resources

Login Form