Paid Sick Leave Laws by State: Complete Guide

Stay compliant with paid sick leave laws by state. Learn accrual rates, thresholds, and build a consistent sick leave policy for all employees with BuddiesHR.

Paid Sick Leave Laws by State: Complete Guide

If your workforce crosses state and city borders, you’re not just managing employees, you’re managing jurisdictions. This calls for a keen understanding of both paid sick time laws and unpaid sick leave regulations. 

In this complete guide, we provide a look at paid sick leave time across the fifty states, helping you to manage your paid sick leave policy.

Quick Takeaway

Paid sick leave laws by state is a comprehensive look at how each state offers paid sick leave. There is no federally paid sick time for most private employers across the 50 states. However, a number of state and local governments do require it.  Employers have an obligation to track accruals, usage reasons, and carryovers.

Table of Contents

Definition of sick leave

In the US, sick leave is time off for health-related matters. This includes mental or physical illness, a family member who is unwell, time off for victims of sexual assault or domestic violence, and time off for a serious medical diagnosis. The specifics of sick leave are governed by federal, state, and local laws. A company codifies the laws in a sick leave policy, including stipulations governing payment during sick leave. 

As of March 2023, 78% of American workers had access to paid sick leave. However, that still leaves 28 million workers without this benefit. Out of this demographic, it is low-wage workers (mostly women) and part-time workers who only have unpaid sick leave benefits. [1]

The Family and Medical Leave Act affords eligible employees up to 12 weeks of job-protected, unpaid sick leave for serious medical matters. 

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State

Paid sick leave

Paid sick leave hours/Accrual/Certification

Alabama

No


Alaska

Yes

1 hour per 30 hours worked. Up to 56 hours per year.

90 days after the first day of employment

Certification required for four or more consecutive days

Arizona

Yes

1 hour per 30 hours worked

Certification required for three or more consecutive days

Arkansas

No


California

Yes

1 hour per 30 hours worked

90 days after the first day of employment

Colorado

Yes

1 hour per 30 hours worked. Up to 48 hours per year.

16 or more employees

Certification required for four or more consecutive days

Connecticut

Yes

1 hour per 30 hours worked

85 days after the first day of employment

50 or more employees

Certification required for three or more consecutive days

Delaware

No


Florida

No


Georgia

No


Hawaii

No


Idaho

No


Illinois

Yes

1 hour per 40 hours worked

Indiana

No


Iowa

No


Kansas

No


Kentucky

No


Louisana

No


Maine

Yes

1 hour per 40 hours worked

Maryland

Yes

1 hour per 30 hours worked. Up to 64 hours per year

106 days after the first day of employment

15 or more employees

Certification required for two or more consecutive days

Massachusetts

Yes

1 hour per 30 hours worked

90 days after the first day of employment

11 or more employees

Certification required for four or more consecutive days

Michigan

Yes

1 hour per 30 hours worked

90 days after the first day of employment

50 or more employees

Minnesota

Yes

1 hour per 30 hours worked. Up to 48 hours per year.

Certification required for three or more consecutive days

Certification required for four or more consecutive days

Mississippi

No


Missouri

No

Repealed Aug 28, 2025

Montana

No


Nebraska

Yes

1 hour per 30 hours worked. Up to 56 hours per year.

Certification required for four or more consecutive days

Nevada

Yes

1 hour per 52 hours worked

New Hampshire

No


New Jersey

Yes

1 hour per 30 hours worked

120 days after the first day of employment

Certification required for three or more consecutive days

New Mexico

Yes

1 hour per 30 hours worked

Up to 64 hours per year

Certification required for two or more consecutive days

New York

Yes

1 hour per 30 hours worked. Up to 56 hours per year.

North Carolina

No


North Dakota

No


Oregon

Yes

1 hour per 30 hours worked

91 days after the first day of employment

Certification required for four or more consecutive days

Pennsylvania

No


Rhode Island

Yes

1 hour per 35 hours worked

90 days after the first day of employment

Certification required for four or more consecutive days

South Carolina

No


South Dakota

No


Tennessee

No


Texas

No


Utah

No


Vermont

Yes

1 hour per 52 hours worked

365 days after the first day of employment 

Virginia

Yes

1 hour per 30 hours worked

Washington

Yes

Varies based on employer size

90 days after the first day of employment

Certification required for four or more consecutive days

West Virginia

No


Wisconsin

No


Wyoming

No


Important Notes:

  1. Many US cities and counties provide paid sick leave that is more generous than the state laws. Policies should be written to accommodate local benefits.
  2. Employer thresholds and accrual limits exist for some states.
  3. Illinois/Maine/Nevada - sick leave is drafted as ‘paid time off’, allowing any reason for usage.
  4. Changes to legislation can happen quickly - refer to local ordinances before policy finalisation
  5. Unless otherwise stipulated, laws apply to employers with one or more employees.
  6. New York paid sick leave and New Jersey paid sick leave differ in accrual rates.

🔍 Zoom in for clarification: California Leave Laws & Holidays: 2025 Update

Texas PTO laws: Your complete guide

How and why sick leave laws can differ across states

If you’ve ever been given the task of drawing up a sick leave policy for your company, you’ve soon discovered that not all states (or cities)  have the same stipulations. From a practical HR perspective, this requires an understanding of how much control local governments have over paid leave, who they are trying to protect, and when these laws apply.

Let’s unpack it with you. 

1. Different states have different priorities

States attempt to regulate paid sick leave according to socio-economic realities and public health priorities. For instance, states like Washington, California, and New York use accrued paid sick leave for work protections, ensuring workers can stay at home when sick, protecting public health in densely populated states. Other states use generous paid leave laws to attract top talent to growing economic hubs. 

2. Exercise of local authority

In some states, cities may not pass additional earned paid sick leave laws, but in other states,  local cities exercise their authority to protect workers. Some city stipulations are very specific and drill down to employers with one or more employees and temporary workers.

3.  Reasons for leave differ across states

Every state and city complies with the basic definition of sick leave and provides days off for mental and physical illness. However, some expand qualified reasons to include:

  • Caring for a family member during confinement, or a child’s school closure due to a public health emergency.
  • Recovery from domestic or sexual violence.
  • Attending preventative care or medical diagnosis appointments.

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Final Thoughts

There are nineteen states in the US that have mandatory paid sick leave laws in some form.  These laws vary across states based on the number of employees, accruals, and maximum limits for sick leave. When drafting sick leave policies, HRs and business owners are required to provide the minimum mandated paid sick leave and be mindful of expanded sick leave definitions in certain states.

🥽 Deep dive into other leave topics:

Frequently Asked Questions

1. Do you get full pay on sick leave?

Paid sick leave laws govern the payment of wages during the period you are off. Each state and locality has its own bylaws that mandate this for public and private employers. For remote workers, you should check the laws of the state or country they reside in to determine payment of sick leave. 

2. Should unused sick leave be paid out at separation?

Most states do not mandate the payment of unused paid sick leave. There are a few exceptions and nuances to this standard rule, and it’s best to check your local labor laws.

3. Can employees use sick leave to care for family members?

There are instances where sick leave can be used to care for an immediate family member or registered domestic partner. The annual allocation for this kind of leave should be checked in the employee handbook or paid time off policy.

4. Do remote employees' sick leave defer to their residence state?

Generally, yes. If an employee is permanently based in a different state or city, then those laws apply to the employee. Remote worker policies should be carefully constructed to accommodate these differences across states. 

5. Are employers required to give all employees paid sick leave?

Federal law in the US does not mandate employers to give employees paid sick leave. However, state and local laws might. Full-time, part-time, and contract workers may have different allocations of sick leave based on hours worked and the employer's policy. Employers are required to provide unpaid sick leave to all employees.

References:

1. https://www.dol.gov/sites/dolgov/files/WB/StatePaidSickLeaveLaws.pdf