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II
116TH CONGRESS
1ST SESSION
S. 463
To provide paid family and medical leave benefits to certain individuals,
and for other purposes.
IN THE SENATE OF THE UNITED STATES
FEBRUARY 12, 2019
Mrs. GILLIBRAND (for herself, Mr. CARDIN, Mr. BLUMENTHAL, Mr. SANDERS,
Mr. REED, Mr. BOOKER, Mr. BROWN, Mr. BENNET, Mr. MURPHY, Mr.
WHITEHOUSE, Mr. SCHUMER, Mr. MARKEY, Ms. KLOBUCHAR, Mr. KING,
Mr. LEAHY, Mrs. FEINSTEIN, Mr. MENENDEZ, Mr. MERKLEY, Ms. HAR-
RIS, Mr. VAN HOLLEN, Mr. HEINRICH, Mr. SCHATZ, Ms. HASSAN, Ms.
BALDWIN, Ms. DUCKWORTH, Mrs. SHAHEEN, Ms. WARREN, Mrs. MUR-
RAY, Mr. DURBIN, Mr. CARPER, Mr. CASEY, Mr. UDALL, Ms. ROSEN,
Ms. HIRONO, and Ms. SMITH) introduced the following bill; which was
read twice and referred to the Committee on Finance
A BILL
To provide paid family and medical leave benefits to certain
individuals, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Family and Medical
4
Insurance Leave Act’’ or the ‘‘FAMILY Act’’.
5
SEC. 2. FINDINGS AND PURPOSE.
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(a) FINDINGS.—Congress finds the following:
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(1) In more than two-thirds of families with
1
children,
all
adults
in
the
household
work.
2
43,500,000 people provide unpaid care to family
3
members, and six of every ten family caregivers re-
4
port working at jobs unrelated to their care respon-
5
sibilities. More than half report working full time.
6
An estimated 36,000,000 working age adults live
7
with a family member who has a disability. Without
8
paid family and medical leave, many workers are un-
9
able to take time away from work to care for new-
10
born children, parents and relatives with serious
11
health conditions, or themselves.
12
(2) Both women and men need to be able to
13
take time off work to participate in the care of their
14
children, in the care of seriously ill family members,
15
and to address their own serious health conditions.
16
Yet, a mere 17 percent of civilian workers in the
17
United States have access to paid family leave
18
through their employers, and fewer than 40 percent
19
have access to short-term disability insurance pro-
20
vided by their employer to use for their own ill-
21
nesses.
22
(3) Many workers cannot afford to take unpaid
23
time off work to provide care. According to the De-
24
partment of Labor, nearly half of workers who quali-
25
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fied for leave under the Family and Medical Leave
1
Act of 1993 (FMLA) in 2011 were unable to take
2
the leave because they could not afford to take time
3
off without pay. Six in ten workers who took par-
4
tially paid or unpaid leave reported difficulty making
5
ends meet; half of these workers were forced to cut
6
their leaves short due to financial constraints.
7
(4) Only 17 percent of all workers had access
8
to paid family leave in 2017 and it was available to
9
only 5 percent of people working in the lowest pay-
10
ing jobs. Workers who lack paid family and medical
11
leave face lost wages or even job loss when they miss
12
work because of their own illness or to care for an
13
ill child or parent. In this way, access to paid family
14
and medical leave plays a critical role in families’ ef-
15
forts to maintain employment and economic security.
16
(5) Caregiving has a high value but also comes
17
at a high cost for family caregivers. Working fami-
18
lies in the United States lose an estimated
19
$20,600,000,000 in wages each year due to lack of
20
access to paid family and medical leave.
21
(6) The estimated value of unpaid family care
22
provided in 2013 was $470,000,000,000. Family
23
caregivers face financial, physical and emotional
24
hardships, and in many cases their careers, incomes,
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and retirement security suffer because of their fam-
1
ily responsibilities.
2
(7) The average worker age 50 and older who
3
leaves the workforce to care for an elderly parent
4
loses more than $300,000 in earnings and retire-
5
ment income. Working caregivers should not have to
6
risk their family’s economic security to fulfill their
7
caregiving obligations.
8
(8) By 2030, one in five United States resi-
9
dents will have reached retirement age, and individ-
10
uals 65 and older are projected to outnumber those
11
under the age of 18 for the first time in the history
12
of the United States. The number of potential family
13
caregivers for each person age 80 and older will fall
14
from 7:1 in 2010 to fewer than 3:1 by 2050. Addi-
15
tionally, the number of people with chronic condi-
16
tions is expected to reach nearly 160,000,000 by
17
2020. Many of these individuals will at some point
18
require family care, and for older workers still in the
19
workforce, many will need time off at some point to
20
address serious health conditions.
21
(9) Ensuring working family caregivers have
22
paid family leave to care for seriously ill or injured
23
older adult relatives could drive down Medicare costs
24
by decreasing recurrences of ailments and re-admit-
25
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tance into hospitals. The implementation of Califor-
1
nia’s paid family leave insurance program, which has
2
been in effect since 2004, accounted for an 11 per-
3
cent relative decline in elder nursing home usage.
4
(10) Only half of cancer patients and survivors
5
report having access to paid leave, and only four in
6
ten caregivers of those patients are able to take paid
7
leave to help with completing treatment, managing
8
symptoms and side effects, and caring for their own
9
health.
10
(11) Many workers are forced to quickly return
11
to work after the birth or arrival of a child because
12
they have no access to paid family and medical
13
leave. Only half of new mothers take paid leave of
14
any duration after the birth of their first child, and
15
among women with less than a high school education
16
the figure is less than 20 percent—a rate that has
17
not changed in more than half a century. Access to
18
paid leave is even rarer for men, as just 9 percent
19
of private sector workers are employed at worksites
20
that offer paid paternity leave to all male employees.
21
Three out of every four fathers in white-collar jobs
22
took one week or less of leave after their most recent
23
child was born, and nearly 60 percent of low-income
24
fathers reported taking zero weeks of paid time
25
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away from work after the birth or adoption of a
1
child.
2
(12) When new mothers have no choice but to
3
return to work without taking leave, children can ex-
4
perience a variety of negative outcomes including
5
higher rates of infant mortality, lower rates of
6
breastfeeding, and lower rates of immunization. Cali-
7
fornia’s paid leave program improved child health
8
outcomes, particularly for economically vulnerable
9
children, and improved breastfeeding and vaccina-
10
tion rates.
11
(13) New mothers without sufficient leave expe-
12
rience a higher incidence of physical and mental
13
health concerns, and new mothers with fewer than
14
12 weeks of leave experience elevated risks of
15
postpartum depression. California’s paid family leave
16
insurance program increased the number of weeks of
17
leave that women take after childbirth, with larger
18
effects among women in jobs that do not provide
19
paid leave. New Jersey’s paid leave program, which
20
has been in effect since 2009, was strongly associ-
21
ated with improvements in new mothers’ physical
22
health.
23
(14) A gender-inclusive nationwide paid family
24
and medical leave program would address persistent
25
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sex discrimination in the utilization of leave benefits
1
and reduce the disparity between women and men
2
regarding who takes time off from work to fulfill
3
caregiving duties.
4
(15) Many men would like to be more involved
5
in caregiving and report greater work-family conflict
6
than ever before. When fathers in two-parent, oppo-
7
site-sex households take paid leave, their involvement
8
in caregiving and domestic chores increases, sup-
9
porting equal co-parenting and making it easier for
10
women to return to the workforce. In California,
11
men’s use of the State’s paid family leave insurance
12
program to care for a new child has more than dou-
13
bled since the program’s implementation. In Rhode
14
Island, which implemented its program in 2014, men
15
took leave at higher rates in the program’s first year
16
than other State programs’ first year.
17
(16) Paid family and medical leave promotes
18
families’ financial security and independence, in-
19
creases worker retention, and promotes savings for
20
taxpayers. Women who take paid leave after a
21
child’s birth are more likely to be in the labor force
22
in the 9 to 12 months after a child’s birth and to
23
earn higher wages in the year following their child’s
24
birth. Both men and women who take paid leave
25
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after a child’s birth are less likely to receive SNAP
1
benefits and other public assistance in the year fol-
2
lowing a child’s birth.
3
(17) Without paid medical leave, workers who
4
are ill or injured may return to work before being
5
fully recovered, thus making them susceptible to a
6
relapse or recurrence, and potentially placing addi-
7
tional burdens on the health care system. When a
8
job requires physical stamina or ability, individuals
9
who return to work too early may put themselves or
10
others in jeopardy.
11
(18) A social insurance model of providing paid
12
family leave pioneered and implemented by the
13
States of California, New Jersey, Rhode Island, and
14
New York, and recently passed in the District of Co-
15
lumbia, Washington, and Massachusetts, has worked
16
well for workers, their families, and employers. The
17
overwhelming majority of California employers re-
18
port that the State’s program had a positive or neu-
19
tral effect on their business, and businesses surveyed
20
in New Jersey and Rhode Island reported having lit-
21
tle trouble adjusting to the State’s law.
22
(19) When workers can care for themselves and
23
their loved ones, employers experience positive im-
24
pacts. In California, where a family leave insurance
25
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program has existed for more than a decade, work-
1
ers in low-wage, high-turnover industries are much
2
more likely to return to their jobs after using the
3
program, and 9 out of 10 businesses report positive
4
or neutral effects on profitability and productivity.
5
(20) High-profile employers are increasingly
6
recognizing the value of providing paid leave in re-
7
duced turnover and improved employee morale and
8
productivity, yet access to paid leave remains low
9
across most industries, particularly for low- and
10
middle-income workers. Some of the fastest-growing
11
occupations, such as home health care and service
12
jobs, typically pay low wages and are particularly
13
unlikely to offer paid leave benefits. As of 2018,
14
more than 75 businesses and business leaders have
15
endorsed the need for a strong, inclusive national
16
paid leave policy.
17
(21) Californians have filed nearly 2,810,000
18
paid family leave claims between the implementation
19
of the State’s paid family leave program in 2004
20
and November 2017. In New Jersey, more than
21
255,000 claims have been filed over the more than
22
7 years of the program’s existence, and in Rhode Is-
23
land, nearly 34,000 claims were filed in the pro-
24
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gram’s first 3 years. These claims represent valuable
1
care for new children and seriously ill loved ones.
2
(22) Social Security is the Nation’s primary so-
3
cial insurance system, with the most complete record
4
of workers’ earnings history. It provides retirement
5
assistance and disability benefits currently and,
6
since its creation in 1934, the programs the Social
7
Security Administration administers have been up-
8
dated multiple times to reflect the changing needs of
9
the population, families and the workforce. The sys-
10
tem needs to be changed again now—with appro-
11
priate investments to meet the agency’s needs—to
12
reflect today’s realities.
13
(23) Researchers at Brandeis University esti-
14
mate that, following enactment of this Act, the share
15
of families falling into financial hardship (earnings
16
below 200 percent of the Federal poverty line) as a
17
result of taking 12 weeks of unpaid leave would be
18
reduced by more than 81 percent.
19
(24) Without a national paid leave policy, the
20
United States is missing out on substantial economic
21
activity, which has been estimated at approximately
22
$500,000,000,000 by the Department of Labor, as
23
women in particular are held back from partici-
24
pating in the workforce in equal shares.
25
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(25) A national paid family and medical leave
1
program has the support of more than eight in ten
2
voters across demographic and party lines.
3
(b) PURPOSE.—It is the purpose of this Act—
4
(1) to help working people, including single
5
working parents and workers in dual-earner families,
6
afford to take time away from work to provide care
7
for a family member;
8
(2) to provide workers with a reasonable level
9
of wage replacement during time away from work
10
for a serious health condition, for the birth or adop-
11
tion o
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