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Mandated Sick Pay: Coverage, Utilization, and Crowding-in

Author

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  • Johanna Catherine Maclean
  • Stefan Pichler
  • Nicolas R Ziebarth

Abstract

Using the National Compensation Survey from 2009 to 2022 and difference-in-differences methods, we find that state-level sick pay mandates are effective in broadening access to paid sick leave for U.S. workers. Increases in sick pay coverage reach 30 percentage points from a 63% baseline 5 years post-mandate. Mandates have more bite in jobs with low pre-mandate coverage. Further, mandates reduce inequality in access to paid sick leave substantially, both across and within firms. COVID-19 reinforced existing upward trends in coverage and take-up. Five years post mandate, sick leave use has linearly increased to 2.4 days per year for marginal jobs. Finally, we find crowding-in of non-mandated benefits, which we label “job upscaling” by firms to differentiate jobs and attract labor.

Suggested Citation

  • Johanna Catherine Maclean & Stefan Pichler & Nicolas R Ziebarth, 2025. "Mandated Sick Pay: Coverage, Utilization, and Crowding-in," Journal of the European Economic Association, European Economic Association, vol. 23(5), pages 1868-1907.
    • Handle: RePEc:oup:jeurec:v:23:y:2025:i:5:p:1868-1907.
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    File URL: http://hdl.handle.net/10.1093/jeea/jvaf008
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    Citations

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    Cited by:

    1. Melanie Arntz & Sebastian Findeisen & Stephan Maurer & Oliver Schlenker, 2024. "Are we yet sick of new technologies? The unequal health effects of digitalization," CEP Discussion Papers dp1984, Centre for Economic Performance, LSE.
    2. Loncan, Tiago, 2025. "Can employee welfare policies insure workers against fluctuations in employment?," Journal of Corporate Finance, Elsevier, vol. 94(C).
    3. Martin Andersen & Johanna Catherine Maclean & Michael F. Pesko & Kosali Simon, 2023. "Does paid sick leave encourage staying at home? Evidence from the United States during a pandemic," Health Economics, John Wiley & Sons, Ltd., vol. 32(6), pages 1256-1283, June.
    4. Boeri, Tito & Di Porto, Edoardo & Naticchioni, Paolo & Scrutinio, Vincenzo, 2021. "Friday Morning Fever. Evidence from a Randomized Experiment on Sick Leave Monitoring in the Public Sector," CEPR Discussion Papers 16104, C.E.P.R. Discussion Papers.
    5. Michelle M. Miller, 2022. "The impact of paid sick leave laws on consumer and business bankruptcies," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 19(4), pages 844-896, December.
    6. Martin Andersen & Johanna Catherine Maclean & Michael F. Pesko & Kosali I. Simon, 2020. "Paid sick-leave and physical mobility: Evidence from the United States during a pandemic," NBER Working Papers 27138, National Bureau of Economic Research, Inc.
    7. Stefan Pichler & Katherine Wen & Nicolas R. Ziebarth, 2021. "Positive Health Externalities of Mandating Paid Sick Leave," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 715-743, June.
    8. Abouk, Rahi & Earle, John S. & Maclean, Johanna Catherine & Park, Sungbin, 2025. "Promoting public health with blunt instruments: Evidence from vaccine mandates," Labour Economics, Elsevier, vol. 96(C).
    9. Johanna Catherine Maclean & Alberto Ortega & Ioana Popovici & Christopher J. Ruhm, 2023. "Does Paid Sick Leave Facilitate Reproductive Choice?," NBER Working Papers 31801, National Bureau of Economic Research, Inc.

    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J28 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Safety; Job Satisfaction; Related Public Policy
    • J32 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Nonwage Labor Costs and Benefits; Retirement Plans; Private Pensions

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