The U.S. is the world's only industrialized country without a national paid family and medical leave policy that guarantees workers compensation when they take time off to have children. President Joe Biden's efforts to change have fallen short, at least for now.

Biden promised in the 2020 campaign that he would create a national paid family and medical leave program allowing all employees to take up to 12 weeks of paid time off.

After originally being negotiated out of Biden's proposed Build Back Better spending bill framework, the provision made a comeback, though in a more limited form than Biden had envisioned. The version of the bill that passed the House in November 2021 included four weeks per year of family and medical leave.

But in the Senate, a few Democratic lawmakers whose support was crucial to the bill's passage objected to the measure's scope. So, the bill that passed the Senate on Aug. 7 was limited mostly to elements on climate change, health care, and corporate taxation. 

This version of the bill — which is expected to pass the House and be signed by Biden — did not address family and medical leave.

Since this is the last major legislation considered to have a chance of passing before the midterm elections, we rate this promise Stalled.

The U.S. is the only industrialized country in the world without a national paid family and medical leave policy that guarantees workers compensation when they take time off to have a child. 

President Joe Biden promised on the 2020 campaign trail that he would create a national paid family and medical leave program allowing all employees to take up to 12 weeks of paid time off. The promise was part of his campaign platform and is a goal shared by many congressional Democrats. It's also universally popular among the American public: 80% of voters support a national paid family and medical leave program for workers, including 74% of Republicans. 

After originally being negotiated out of Biden's proposed Build Back Better spending bill framework, which started out with a price tag of $3.5 trillion over five years and has shrunken to $1.75 trillion, the national paid family and medical leave provision appears to be making a comeback.  

On Nov. 3, House Speaker Nancy Pelosi, D-Calif., announced in a letter she was putting the program back into the bill. But it's possible Sen. Joe Manchin, D-W.Va., could still stop it.  

The West Virginia senator has been opposed to having national paid family and medical leave included in Biden's social spending package, and told reporters after Pelosi's announcement that his stance still hasn't changed on it. 

"That's a challenge and they know how I feel about it," Manchin told reporters on Nov. 3.

Previous legislative proposals have varied in how paid family and medical leave would be structured and funded, though all have had certain similarities. These include allowing a certain number of weeks of paid leave annually for a variety of different reasons, such as having a baby and taking care of yourself or a family member with a medical issue. Other reasons include issues related to a loved one's military deployment or bereavement due to the death of a close family member. 

The government pays some fraction of a worker's wages while they're on leave, with the amount reimbursed varying depending on the worker's income. If a company already provides paid family or medical leave for its employees, it could be reimbursed by the government up to a certain percentage for what employees would receive. 

Since details are still being hammered out, it's unclear what the final version of paid family and medical leave will look like in the reconciliation bill, or even if it will make it into the final package. News reports this week indicated the duration of the leave may be reduced to four weeks, which is shorter than Biden's original promise.  

Still, that's better than zero weeks, said Michelle McGrain, director of congressional relations at the National Partnership of Women and Families, a nonpartisan group that supports paid leave policies.

"Four weeks of paid leave will be life changing for the millions of people" who currently have none, McGrain wrote in an email. "It is estimated to add $43 billion to the economy annually and create 65,000 jobs."

"What it means is people won't have to choose between getting paid and being there when their child is in the hospital or they're getting chemo," McGrain added. 

But a lot could change before Democrats finalize their reconciliation bill and it lands on Biden's desk to be signed into law. Even if the program survives the ongoing negotiations over what initiatives are included, it seems unlikely the provision will include the 12 weeks that Biden originally promised. 

We rate this promise In the Works.