← Inside SHRM26
SHRM26 Debrief · Legal & Compliant HR · #2955

It Pays to Get Sick in the U.S.: Navigating the Multi-State Paid Leave Maze

with Lauraine Bifulco
▶ Watch on the SHRM portal ~81 min, distilled
paid sick leave lawsmandatory PTOmulti-state compliance

"The courts are never forgiving of the employer."

What it was about

Paid sick leave and paid-time-off laws in the U.S. have become a sprawling, inconsistent patchwork across states, counties, and cities, and HR/payroll teams must default to whichever rule is most generous to the employee whenever a law is silent or ambiguous.

By the numbers

19 states
Number of states that currently mandate paid sick leave or paid time off
20 different states
Number of states a consulting client needed to comply across when building a blanket policy, which the speaker helped narrow down to three tiers
six locations
Locations that mandate time off for any reason, not just sickness

Key notes

The contrarian takeThe speaker argues that combining sick time and vacation into one all-purpose PTO plan, a trend many companies followed over the last decade to simplify administration, is often the wrong move. Blending everything into one bucket makes legal compliance harder, not easier, which is why many companies are now moving back toward a separate, dedicated paid sick leave plan.

Take this back Monday

Do this for your team

Audit your PTO plan's accrual start date against every state's sick-leave law before assuming it covers employees legally.

Say this in your next leadership meeting

When a paid sick leave law is ambiguous, we default to the most employee-generous interpretation, because courts side with employees, not employers.

Watch out for

Fun fact · Lauraine Bifulco

She sits on the California Small Business Administration board, co-chairing its Labor Issues committee, while running HR offices across three states.

Shareable quote card

If this landed, see these

↳ Go deeperNavigating the Wild Habitat of Workforce RegulationsZooms out from sick leave specifics to the entire 2026 patchwork of workforce regulation employers now navigate.⇄ The counterpointHR Transformation: Building Strategic Impact During ChangeArgues HR should treat compliance as an iterative business capability, not just default-to-caution rule-following.✦ The unexpected oneEmotional Intelligence Is a System Skill That Makes Work WorkThe default-to-generous interpretation here is itself a systemic design choice, the same fix-the-system logic applied elsewhere.