Fact Sheet
The Family And Medical Insurance Leave (FAMILY) Act

May 2023
Paid Leave


En Español

People across the country are working hard to make ends meet, yet the nation fails to provide the support they need to manage the demands of job and family, and that businesses and our economy need to thrive. Just 25 percent of the workforce has paid family leave through their employers, and just 41 percent has personal medical leave through an employer-provided short-term disability program. U.S. Bureau of Labor Statistics. (2022, September). National Compensation Survey: Employee Benefits in the United States, March 2022 (See Excel tables, Civilian workers, Short term disability and Leave). Retrieved 5 May 2023, from https://www.bls.gov/ncs/ebs/benefits/2022/home.htm

The Family And Medical Insurance Leave (FAMILY) Act would address America’s paid family and medical leave crisis and benefit working people, their families, businesses and our nation’s economy.

Legislative Overview

Sponsored by Rep. Rosa DeLauro (D-Conn.) and Sen. Kirsten Gillibrand (D-N.Y.), the Family And Medical Insurance Leave (FAMILY) Act would create a comprehensive national program that helps meet the needs of new parents and people with serious personal or family health issues through a shared fund that makes paid leave affordable for employers of all sizes and for workers and their families.

The FAMILY Act would:

  • Provide workers with up to 12 weeks of partial income when they take time for their own serious health conditions, including pregnancy and childbirth recovery; the serious health condition of a family member; the birth or adoption of a child; to address the effects of domestic violence, sexual assault or stalking and/or to make certain arrangements arising from the military deployment of a spouse, child or parent.
  • Enable the lowest-paid workers to earn up to 85 percent of their normal wages, with the typical full-time worker earning around two-thirds of their wages.
  • Cover workers in all companies, no matter their size. Younger, part-time, lower-wage, contingent and self-employed workers would be eligible for benefits.
  • Ensure that workers who have been at their job for more than 90 days have the right to be reinstated following their leave, and that all workers are protected from retaliation.
  • Allow states with existing paid leave programs to continue administering them.
  • Be funded responsibly by small employee and employer payroll contributions of two-tenths of 1 percent each (two cents per $10 in wages), or less than $2.20 per week for a typical worker. U.S. Census Bureau. (2022, September). Wage and Salary Workers–People 15 Years Old and Over by Total Wage and Salary Income in 2021, Work Experience in 2021, Race, Hispanic Origin, and Sex (Table PINC-10). Retrieved 5 May 2023, from https://www.census.gov/data/tables/time-series/demo/income-poverty/cps-pinc/pinc-10.html (Unpublished calculation based on median wage or salary for full-time, year-round workers in 2021.)
  • Be administered through a new Office of Paid Family and Medical Leave. Payroll contributions would cover both insurance benefits and administrative costs.

Benefits for Workers, Families, Businesses and Our Economy

Strengthens Families’ Economic Independence

Working families lose an estimated $22.6 billion in wages each year due to a lack of access to paid family and medical leave. Glynn, S. J. (2020, January 21). The Rising Cost of Inaction on Work-Family Policies. Retrieved 5 May 2023, from Center for American Progress website: https://www.americanprogress.org/article/rising-cost-inaction-work-family-policies/ The FAMILY Act would cut by 80 percent the share of families who fall into financial insecurity after taking the unpaid leave provided by the federal Family and Medical Leave Act. diversitydatakids.org. (2021). Working adults living in families under 200% FPL before and after wage loss due to paid or unpaid FML (percent) by parent status. diversitydatakids.org calculations of Current Population Survey, 2014-2017 March Annual Social and Economic Supplement, Public Use Microdata Files, IPUMS-CPS, University of Minnesota, www.ipums.org. Retrieved 5 May 2023, from https://data.diversitydatakids.org/dataset/pfml_pov_par_p-working-adults-living-in-families-under-200–fpl-before-and-after-wage-loss-due-to-pa

Promotes Parents’ Workforce Participation and Equity

Paid leave can help new parents keep their families on track to meet new expenses. In the year following a birth, new mothers who take paid leave are more likely than those who take no paid leave to stay in the workforce and 54 percent more likely to report wage increases.Houser, L., & Vartanian, T. P. (2012, January). Pay Matters: The Positive Economic Impacts of Paid Family Leave for Families, Businesses and the Public. Center for Women and Work at Rutgers, the State University of New Jersey Publication. Retrieved 5 May 2023, from https://nationalpartnership.org/wp-content/uploads/2023/02/pay-matters-2.pdf When fathers take paid leave, their involvement at home increases and is more equitable, making it easier for women to return to the workforce.Bartel, A., Rossin-Slater, M., Ruhm, C., Stearns, J., & Waldfogel, J. (2015, November). Paid Family Leave, Fathers’ Leave-Taking, and Leave-Sharing in Dual-Earner Households (Working Paper No. 21747). Retrieved 5 May 2023, from National Bureau of Economic Research website: http://www.nber.org/papers/w21747.pdf

The FAMILY Act would create a comprehensive national program that helps meet the needs of new mothers and fathers and people with serious personal or family health issues through a shared fund that makes paid leave affordable for employers all sizes and for workers and families.

Protects Older Workers’ Income and Retirement Security

Nearly half of employed caregivers who take time off to fulfill their responsibilities at home report losing income. Aumann, K., Galinsky, E., Sakai, K., Brown, M., Bond, J. T. (2010). The Elder Care Study: Everyday Realities and Wishes for Change. Retrieved 5 May 2023, from Families and Work Institute website: https://cdn.sanity.io/files/ow8usu72/production/55b5d7835f6cb2463118ca1076cbedaa77d6c304.pdf On average, workers 50 or older who leave the workforce to care for a parent lose more than $300,000 in wages and retirement – and, for women, losses are even greater. MetLife Mature Market Institute. (2011, June). The MetLife Study of Caregiving Costs to Working Caregivers: Double Jeopardy for Baby Boomers Caring for Their Parents. Retrieved 5 May 2023, from http://www.caregiving.org/wp-content/uploads/2011/06/mmi-caregiving-costs-working-caregivers.pdf Paid leave would help keep more family caregivers – and people with their own health conditions – employed and strengthen their financial positions over time.

Improves Health Outcomes for Children, Ill Adults and Seniors

Paid leave contributes to improved newborn and child health. New mothers are better able to initiate and continue breastfeeding, and new parents can more easily get babies to the doctor for check-ups and immunizations. Berger, L., Hill, J., & Waldfogel, J. (2005). Maternity Leave, Early Maternal Employment and Child Health and Development in the US. The Economic Journal, 115(501), F29-F47. doi: 10.1111/j.0013-0133.2005.00971.x Paid leave also allows ill or injured adults to get critical care and take needed recovery time, and it enables caregivers to help ill parents, spouses and children fulfill treatment plans and avoid complications and hospital readmissions. Institute of Medicine of the National Academies. (2008, April 11). Retooling for an Aging America: Building the Health Care Workforce (p. 254). Retrieved 5 May 2023, from https://www.nap.edu/read/12089/chapter/1; Arbaje, A. I., Wolff, J., L., Yu, Q., Powe, N. R., Anderson, G. F., & Boult, C (2008, August). Postdischarge Environmental and Socioeconomic Factors and the Likelihood of Early Hospital Readmission Among Community-Dwelling Medicare Beneficiaries. The Gerontologist 48(4), 495-504. DOI: 10.1093/geront/48.4.495

Improves Bottom Lines for Businesses

The FAMILY Act would spread the cost of leave, reducing the burden on individual employers and allowing many more workers to access paid leave. Paid leave contributes to reduced turnover and increased employee engagement and loyalty, leading to significant employer cost savings. Boushey, H., & Glynn, S. J. (2012, November 16). There Are Significant Business Costs to Replacing Employees. Retrieved 2 May 2023, from Center for American Progress website: https://www.americanprogress.org/article/there-are-significant-business-costs-to-replacing-employees/ In California, where a family leave insurance program has existed for nearly two decades, workers in low-wage, high-turnover industries are much more likely to return to their jobs after using the program, and nine out of 10 businesses report positive or neutral effects on profitability and productivity. Appelbaum, E., & Milkman, R. (2013). Unfinished Business: Paid Family Leave in California and the Future of U.S. Work-Family Policy. Ithaca, NY: Cornell University Press.

A Stronger National Economy

The United States would add $650 billion to its GDP per year if women participated in the labor force at rates similar to those in comparable countries with more robust work-family policies. Novello, A. (2021, July). The Cost of Inaction: How a Lack of Family Care Policies Burdens the U.S. Economy and Families. Retrieved 5 May 2023, from https://nationalpartnership.org/wp-content/uploads/2023/02/cost-of-inaction-lack-of-family-care-burdens-families.pdf A national paid leave insurance program would help keep new parents and family caregivers in the workforce and boost their incomes and savings over time, all of which would contribute to economic productivity and growth. In contrast, when people have to forgo pay or lose a job when a serious medical or caregiving need arises, they often jeopardize their ability to afford even the most basic necessities. This hurts workers, their families and the businesses that depend on revenue from these purchases, and it stifles economic growth.

Demonstrated Effectiveness

The FAMILY Act builds on successful state family and medical leave insurance programs. Nine states including the District of Columbia have paid family and medical leave insurance programs in effect (California, Colorado, Connecticut, the District of Columbia, Massachusetts, New Jersey, New York, Rhode Island, and Washington state) and paid family leave programs will take effect in Delaware and Maryland and Oregon in coming years. National Partnership for Women & Families. (2022, October). State Paid Family and Medical Leave Insurance Laws. Retrieved 5 May 2023, from https://nationalpartnership.org/wp-content/uploads/2023/02/state-paid-family-leave-laws.pdf Analyses of California’s program show that employers and employees have benefitted. Bartel, A., Baum, C., Rossin-Slater, M., Ruhm, C., & Waldfogel, J. (2014, June). California’s Paid Family Leave Law: Lessons from the First Decade. Retrieved 5 May 2023, from U.S. Department of Labor website: http://www.dol.gov/asp/evaluation/reports/PaidLeaveDeliverable.pdf In New Jersey, program costs are even lower than expected and public attitudes toward the program are favorable. Press of Atlantic City. (2010, November 15). Paid Family Leave / Working well. Retrieved 5 May 2023, from http://www.pressofatlanticcity.com/opinion/editorials/article_0d6ba980-3a1d-56f7-9101-258999b5d9d0.html; See also Houser, L., & White, K. (2012, October). Awareness of New Jersey’s Family Leave Insurance Program is Low, Even as Public Support Remains High and Need Persists. Rutgers University, The State University of New Jersey Center for Women and Work Publication. Retrieved 5 May 2023, from https://smlr.rutgers.edu/sites/default/files/Documents/Centers/CWW/Publications/FLI_Issue_Brief_Final_with_Appendix.pdf Research on Rhode Island’s program also shows favorable results for new parents and small- and medium-sized businesses. National Partnership for Women & Families. (2015, February). First Impressions: Comparing State Paid Family Leave Programs in Their First Years. Retrieved 5 May 2023, from https://nationalpartnership.org/wp-content/uploads/2023/02/first-impressions-comparing-state-paid-family-leave-programs-in-their-first-years.pdf ; Bartel, A., Rossin-Slater, M., Ruhm, C., & Waldfogel, J. (2016, January). Assessing Rhode Island’s Temporary Caregiver Insurance Act: Insights from a Survey of Employers. Retrieved 13 October 2022, from U.S. Department of Labor website: https://www.dol.gov/asp/evaluation/completed-studies/AssessingRhodeIslandTemporaryCaregiverInsuranceAct_InsightsFromSurveyOfEmployers.pdf

It is well past time for a national paid leave policy that meets the country’s needs and truly honors families. It’s time for the FAMILY Act.

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