The Family and Medical Leave Act (FMLA) is a federal labor law enacted in 1993 that gives eligible employees the right to take unpaid, job-protected leave for specific family or medical reasons—without the fear of losing their job or health insurance.
FMLA was signed into law by President Bill Clinton on February 5, 1993, after years of advocacy by labor groups and family rights organizations. It was the first major bill Clinton signed as president, and it marked a pivotal shift toward supporting work-life balance and caregiving responsibilities in the U.S. workplace.
Once approved, FMLA provides eligible employees with up to 12 workweeks of unpaid, job-protected leave within a 12-month period. For certain military caregiver situations, the leave can extend up to 26 weeks.
If you know in advance that you'll need leave (for example, a planned surgery or childbirth), you are required to give your employer at least 30 days' notice.
If the need for leave is unexpected (such as an emergency hospitalization), notify your employer as soon as possible—ideally within a day or two of learning about the need.
After you request FMLA, your employer may require you to submit a medical certification or official documentation within 15 calendar days. This form must include:
For military-related leave, specific certifications are also required.
Once the documentation is received:
Employers may also require periodic updates or recertification, especially for long or intermittent leaves.
Depending on your needs and medical situation, FMLA can be taken in different formats:
Not all employers are required to allow intermittent leave unless it's medically necessary, especially for bonding time with a new child.
FMLA only applies to specific personal or family health and life events. These are considered "qualifying reasons."
Not every employee qualifies. You must meet all of the following requirements:
FMLA applies to private-sector employers with 50+ employees, as well as public agencies and schools, regardless of size.
The Family and Medical Leave Act (FMLA) provides valuable job protection, but it does not guarantee paid leave. However, that doesn’t mean you have to go unpaid. Many employees are able to receive income during their FMLA leave through a combination of employer benefits, insurance, or state-run programs.
Below are the most common ways to get paid while on FMLA:
Most employers allow (or even require) you to use any accrued paid time off (PTO) during your FMLA leave. This includes:
This can help maintain your income during your unpaid leave period. It's a good idea to plan ahead and save PTO if you anticipate needing FMLA.
Note: Employers may require that paid leave be used concurrently with FMLA.
If you're taking FMLA for your own medical condition (e.g., surgery recovery, childbirth, or serious illness), you may qualify for short-term disability (STD) insurance, which typically pays a percentage of your salary (usually 50%–70%).
STD benefits are not automatic—they must be applied for and often require documentation from a healthcare provider.
This is commonly used for maternity leave, recovery from surgery, or extended illness.
Check if your employer offers this benefit or if you’ve enrolled in a private plan.
Some states have laws that guarantee paid family leave, separate from FMLA but often used alongside it.
As of now, the following states offer paid family and medical leave:
Each state program differs in:
Visit your state’s Department of Labor or paid leave program website for details.
Some employers offer their own paid parental leave or medical leave policies, separate from or in addition to FMLA.
These may include:
These benefits are voluntary, so check your employee handbook or speak with HR to learn what's available at your workplace.
Important Notes:
You cannot be forced to take paid leave unless your employer has a policy that mandates it.
You can’t double dip—in other words, if you’re receiving state benefits, you usually can’t also receive employer-paid leave for the same time period unless the benefits are coordinated.
FMLA leave and paid leave can often run concurrently, meaning they happen at the same time, but it depends on your employer’s policy and state law.
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