Health care utilization following the adoption of U.S. paid sick leave mandates: a cohort study using health insurance claims data.

ABSTRACT:

Background

The U.S. is one of the only developed countries in the world without a federal requirement that employers provide paid sick leave (PSL) to workers. We evaluated the association between state and local PSL mandates and health care utilization among U.S. workers.

Methods

We conducted a cohort analysis using administrative health insurance claims for 2.3 million private sector workers aged 40 to 64 from 2011 through 2019. Difference-in-differences models compared health care utilization before and after PSL mandate enactment between workers in areas with and without mandated PSL coverage. Outcomes included visits to primary care physicians (PCP), specialists, preventive care, diagnostic services, emergency department, urgent care visits, and hospitalizations.

Find

SUBMITTER: Callison K 

PROVIDER: S-EPMC12273583 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature