Navigating the Patchwork of State Paid Family and Medical Leave Programs
While millions of workers have gained access to PFML, the lack of uniformity in mandatory PFML programs created a growing patchwork of state laws, differing on nearly 30 policy components across four key areas: substantive benefits, financing, eligibility, and administrative requirements.

The report examines the fragmented landscape of paid family and medical leave (PFML) laws in the U.S., emphasizing the absence of a national policy and the resulting challenges for multistate employers.
It highlights the significant compliance and administrative burdens caused by varying state programs and proposes a voluntary national private PFML framework to streamline compliance, preserve state autonomy, and broaden worker access to paid leave.
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