PAID FAMILY AND MEDICAL LEAVE IN THE UNITED STATES: STATE POLICIES, COST ANALYSIS, AND PROGRAM IMPACTS

This book delivers a rigorous, evidence-based analysis of Paid Family and Medical Leave (PFML) policy in the United States, with a strong focus on state-level programs developed in the absence of a federal mandate. Drawing on extensive real-world data, empirical research, and detailed case studies — including a comprehensive cost and sustainability analysis of Maryland's PFML program — it seeks to inform policymaking and public discourse with robust, data-driven insights. The volume integrates interdisciplinary perspectives from economics, public policy, health sciences, and labor studies alongside comparative international examples.The book opens by situating PFML within the broader US policy landscape, tracing key legislative milestones such as the Family and Medical Leave Act (FMLA) and recent federal proposals. It provides a detailed mapping of existing state programs, covering eligibility criteria, wage replacement formulas, benefit durations, and funding mechanisms. Subsequent chapters rigorously analyze impacts on employers, employees, caregiving systems, and social outcomes, using empirical evidence to reveal trade-offs and program effectiveness.Key objectives include: Offering a critical, policy-relevant evaluation of PFML program design and implementation;;Highlighting inequities in access and outcomes through data-driven research;;Synthesizing economic, health, and organizational effects supported by case studies and quantitative analysis;;Proposing sustainable, scalable frameworks balancing fiscal responsibility, equity, and innovation — including emerging digital and AI tools.;This volume is an essential resource for policymakers, administrators, researchers, employers, advocates, and students in policy, labor economics, HRM, and social insurance seeking rigorous, actionable knowledge to guide the future of paid leave policy in the US.