Clara, as I mentioned in week 6, there are only 7 states that provide separate disability-related leave for childbirth by state law.
Can licensed providers (OBGYNs and potentially NPs or Midwives) make a case for disability leave in other states? Yes, but it’s not a right. Providers can document the need, but it doesn’t guarantee paid leave, and the length will still depend on state laws, employer policy, eligibility for a public leave program, or private insurance if applicable1. This also means that leave is subject to biases—personal, systemic, and financial—including for-profit insurance practices and inequities built into local policy or employer culture. (There’s a whole other conversation—maybe a future post—about leave after miscarriage or stillbirth.)
California, New York, and New Jersey also provide paid family leave for bonding separately from pregnancy-related disability leave2.
Aside from these, 14 states plus the District of Columbia have implemented (or are phasing in) mandatory paid family and medical leave programs3:
CA, NJ, NY, RI, DC, MA, CT, OR, CO, DE, ME, MD, MN, WA.
Some other states offer state disability insurance (SDI) (e.g., Hawaii, New Mexico, New York, New Jersey)4, which can help cover pregnancy-related disability, but do not offer paid family bonding leave. States/territories like HI, NM, PR, AK offer only temporary disability insurance (TDI) or limited paid sick leave5.
Our country may be pro-baby, but it’s often not pro-parent. And to be truly pro-baby, you must be pro-mother and pro-parent. Importantly, family leave needs to cover non-birth parents, adoptions, and surrogacy. Most state paid family leave programs do include those categories6.
Summary Table: U.S. State Leave Landscape
Leave Type | Number of States/Territories | Examples |
---|---|---|
Paid Family & Medical Leave (PFML) | 14 + DC | CA, NY, NJ, MA, WA, CO, CT, etc. |
State Disability Only | ~3–4 states/territories | HI, NM, PR |
Unpaid Leave Only (FMLA & state) | Most others | TX, FL, GA, etc. |
Most states rely on unpaid job-protected leave under the federal FMLA, which offers up to 12 weeks unpaid leave with job protection—but only if you qualify7.
Key States: Paid Leave Policy Overview (2025)
State | Leave Type | Typical Pregnancy/Disability Leave | Weeks Paid Family Leave | Total Typical Weeks (Birthing Parent) | Other Parent Weeks | Max Weekly Cap (2025) | Notes |
---|---|---|---|---|---|---|---|
CA | Separate | 4 weeks prenatal + 6–8 weeks postpartum8 | Up to 8 weeks | 18–20 weeks | Up to 8 | $1,681/week9 | Tiered benefit (70–90%); can extend disability to 52 weeks with medical certification |
CO | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | TBD | Additional 4 weeks for complications possible10 |
CT | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | $981/week | Benefit = 95% up to 40× min wage + 60% of rest11 |
DE | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | TBD | Effective in 202612 |
DC | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | Not stated | Includes prenatal leave13 |
ME | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | TBD | Effective 202614 |
MD | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | TBD | Begins 202615 |
MA | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | $1,170.64/week | Benefit = up to 80%, flat cap16 |
MN | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | TBD | Effective 202617 |
NJ | Separate | 6–8 weeks postpartum18 | Up to 12 weeks | 18–20 weeks | Up to 12 | $1,081/week19 | SDI = 70% AWW; separate TDI & PFL |
NY | Separate | 4 weeks prenatal + 6–8 weeks postpartum20 | Up to 12 weeks | 16–20 weeks | Up to 12 | ~$1,100/week21 | Separate disability + family; prenatal leave often personal |
OR | Combined | – | Up to 12 weeks | Up to 12 weeks | Up to 12 | Not stated | Extra 2 weeks if recently pregnant22 |
RI | Combined | ~4 weeks childbirth-related23 | Up to 12 weeks | Up to 12 weeks | Up to 12 | Not stated | Combines family & medical into 12 |
WA | Combined | – | Up to 12 weeks | 16 weeks standard24 (18 with complications) | Up to 12 | $1,542/week25 | Combined max = 16–18; ~90% replacement |
Analysis Highlights
- Highest cap: California offers the highest maximum weekly cap at $1,681/week, but only for high earners. Most workers get significantly less9.
- Best predictability: Massachusetts offers a flat cap and up to 80% wage replacement, which can be more generous for lower-income workers16.
- Longest duration: California, New Jersey, and New York all allow longer leave for birthing parents, especially when prenatal disability is included.
- First in the nation: California’s State Disability Insurance program started in 1946, with Paid Family Leave added in 2004—making it the oldest such program in the U.S.8
If you’re lucky, your employer might also provide paid parental leave. Large firms—like my former employer, Accenture Federal—offer 8 weeks disability + 8 weeks bonding = 16 weeks paid. That’s more than most states. Small employers often can’t afford to do this without state or federal support.
Other countries? They blow us out of the water.
By the time you read this, I hope our country improves. Paid leave shouldn’t be a privilege—it should be a given.
Footnotes
- U.S. Department of Labor. “Fact Sheet #28: The Family and Medical Leave Act.” https://www.dol.gov/agencies/whd/fact-sheets/28-fmla
- California EDD. “Disability Insurance and Paid Family Leave.” https://edd.ca.gov
- National Partnership for Women & Families. “State Paid Family and Medical Leave Insurance Laws.” https://www.nationalpartnership.org/our-work/resources/economic-justice/paid-leave/state-paid-family-leave-laws.pdf
- New York State Paid Family Leave. https://paidfamilyleave.ny.gov
- U.S. Department of Labor. “Temporary Disability Insurance Program.” https://oui.doleta.gov/unemploy/pdf/uilawcompar/2020/disability.pdf
- U.S. Department of Labor. “Paid Family and Medical Leave Factsheet.” https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/PaidLeave.pdf
- U.S. Department of Labor. “FMLA General Guidance.” https://www.dol.gov/agencies/whd/fmla
- California EDD. “Disability Insurance – Pregnancy.” https://edd.ca.gov/disability/di-pregnancy.htm
- California EDD. “State Disability Insurance Weekly Benefit Amounts.” https://edd.ca.gov/disability/di-benefit-amounts.htm
- Colorado FAMLI Division. https://famli.colorado.gov
- Connecticut Paid Leave Authority. https://ctpaidleave.org/s/
- Delaware Department of Labor. https://labor.delaware.gov/divisions/pfl/
- DC Paid Family Leave. https://does.dc.gov/page/dc-paid-family-leave
- Maine Paid Family and Medical Leave. https://www.maine.gov/labor/pfml/
- Maryland Department of Labor. https://www.dllr.state.md.us/paidleave/
- Massachusetts Paid Family and Medical Leave. https://www.mass.gov/info-details/paid-family-and-medical-leave-pfml-benefits-guide
- Minnesota Frontline Worker Resources. https://mn.gov/deed/programs-services/paid-family-medical-leave/
- NJ Temporary Disability Benefits. https://www.myleavebenefits.nj.gov
- NJ Paid Family Leave. https://myleavebenefits.nj.gov/labor/myleavebenefits/worker/tdi/
- NY State Disability Benefits Law. https://paidfamilyleave.ny.gov/disability-benefits
- NY PFL Benefits. https://paidfamilyleave.ny.gov/benefits
- Oregon Paid Leave. https://paidleave.oregon.gov
- Rhode Island TDI/TCI Program. https://dlt.ri.gov/tdi
- Washington Paid Family and Medical Leave. https://paidleave.wa.gov
- WA Paid Leave Premiums and Benefits. https://paidleave.wa.gov/employer-costs/
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