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flag Thirteen states and D.C. now offer paid family and medical leave, with Tennessee adding end-of-life care and others expanding coverage.

flag As of December 2025, 13 states and Washington, D.C. offer paid family and medical leave, covering about 25% of private-sector workers and 33% of state and local government employees. flag Tennessee became the first Southern state to include end-of-life caregiving in its six-week paid leave, while Mississippi and Alabama expanded benefits to state workers and educators. flag Advocates highlight these policies improve financial stability and workplace retention, especially for low-wage workers, and continue pushing for nationwide access.

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