Local mandate improves equity of paid sick leave coverage: Seattle's experience

Background: Paid sick leave allows workers to take time off work for personal or family health needs, improving health and potentially limiting infectious diseases. The U. S. has no national sick leave mandate, and many American workers-particularly those at lower income levels-have no right to paid time off for their own or family members' health needs. This article reports on outcomes of a local mandate, the City of Seattle Paid Sick and Safe Time Ordinance, which requires certain employers to provide paid sick leave to eligible workers. Methods: Survey collectors contacted a stratified random sample of Seattle employers before the Ordinance went into effect and one year later. Pre-and post-analysis draws on responses to survey items by 345 employers who were subject to the paid sick leave mandate. Results: Awareness of the policy and provision of paid leave grew significantly over the year after the Ordinance was enacted. More employers offered leave to full-time workers (80.8 to 93.9%, p <.001) and part-time workers (47.1 to 66.7%, p <.001) with particularly large increases in the hospitality sector, which includes food workers (coverage of any hospitality employee: 27.5 to 85.0%, p <.001). Conclusions: Absent a federal policy, local paid sick time mandates can increase paid sick leave coverage, an important social determinant of health.