Summary: The From Day One Act would offer a range of vital programs that directly and indirectly provide essential support for young children during their first five years of life.
The anti-abortion movement describes itself as “pro-life” but it doesn’t advocate for “life” once a child is born. The same politicians who oppose abortion (and often birth control and sex education) also oppose providing basic supports after birth.
Saying that “children are our future” is not just a slogan, it’s the truth. Anyone who cares about protecting human life today and for years in the future must step up and do more for young children now.
Twenty-two percent of all children in the United States live in poverty. Poverty can impede a child’s ability to learn and contributes to social, emotional and behavioral problems. Poverty also causes poor physical and mental health. In fact, poverty is the single greatest threat to children’s well being. And yet, those who advocate for “life” do nothing to help keep children out of poverty.
Pre-Kindergarten for all is essential for young children. Yet many children—particularly low-income children who stand to benefit the most—lack access to early education. Researchers, educators and economists have long noted an achievement gap for low-income and minority students compared to their more advantaged peers and that gap is often already evident when children first enter school.
Health coverage for all is essential, but this is especially true for young children. Unhealthy children tend to grow up to be unhealthy adults, and uninsured preschoolers struggle more when they reach grade school because of untreated medical conditions. Approximately seven percent of all children age five and younger are uninsured, many of them because they live in states without Medicaid expansion under the Affordable Care Act.
The ability for parents to use paid family leave is essential for young children. Nearly forty percent of private sector workers are without any paid sick time and many more cannot use leave time to care for their sick children. Low-income workers are also significantly less likely to have paid sick time than other members of the workforce. Nationally, only one in five of the lowest-income workers (21 percent) has access to paid sick time.
The From Day One Act would offer a range of vital programs for young children. It would directly and indirectly provide essential support for young children during the crucial time of their first years of life.
SECTION 1. SHORT TITLE
This Act shall be called the “From Day One Act.”
SECTION 2. FINDINGS AND PURPOSE
(A) FINDINGS—The legislature finds that:
1) State and local governments need to do more to support young children during their first five years of life.
2) Young children all-too-often live in poverty. Twenty-two percent of all children in the United States, and [insert] percent of children in [jurisdiction], live in families with incomes below the federal poverty level.
3) Pre-Kindergarten for all is essential for young children. All children need early education, but lower-income children require it the most. Researchers, educators and economists have long noted an achievement gap for low-income and minority students compared to their more advantaged peers that is often already evident when children first enter school.
4) Health coverage for all is essential, but this is especially true for young children. Unhealthy children tend to grow up to be unhealthy adults, and uninsured preschoolers struggle more when they reach grade school because of untreated medical conditions. Approximately seven percent of all children age five and younger are uninsured, many of them because they live in states without Medicaid expansion under the Affordable Care Act.
5) The ability for parents to use paid family leave is essential for young children. Only 13 percent of workers in the United States have access to employer-provided paid family leave, and fewer than 40 percent have access to personal medical leave through employer-provided temporary disability insurance to address a personal serious medical need that requires time away from work. Lower-wage workers are hit even harder: only five percent of workers in the bottom wage quartile have access to employer-provided paid family leave, and 17 percent have access to employer-provided short-term disability insurance. Research and the successful programs in California, New Jersey and Rhode Island demonstrate that paid leave promotes economic security and financial independence for working families; businesses experience benefits and cost-savings in the form of increased employee retention and morale; and health care outcomes are improved for mothers, children and elderly relatives.
6) All adults in [jurisdiction] have a responsibility to all young children in our state. It is the government’s job to help support them in this responsibility.
(B) PURPOSE—This law is enacted to protect the health, safety and welfare of young children during their first years of life.
SECTION 3. PREPARE ALL KIDS
After section XXX, the following new section XXX shall be inserted:
(A) DEFINITIONS—In this section:
1) “Department” means the Department of [Education].
2) “Early Childhood Education Program” means a public, private or collaborative public-private pre-kindergarten program providing early development and learning experiences to [three] and [four] year-old children.
3) “Resident” means a person who resides in the state as defined in [relevant statutory section].
(B) VOLUNTARY UNIVERSAL PRE-KINDERGARTEN ESTABLISHED
Beginning no later than school year [201X-201X], and continuing thereafter, all children who are residents of the State and [three or four] years of age on or before [September 15] of a school year shall be entitled, but not required, to attend an early childhood education program free of charge. The Department shall be responsible for implementing, administering and evaluating the early childhood education program and shall collaborate with [other state departments involved].
(C) PROGRAM REQUIREMENTS AND STANDARDS—The Department shall promulgate rules and standards for early childhood education programs. At minimum, the rules and standards shall include:
1) Curricula. Curricula and teaching strategies shall be research-based, developmentally appropriate, and designed to support child development and learning in each of the following areas:
a) cognitive development;
b) creative arts;
c) language development;
f) motor skills and physical development;
g) science; and
h) social and emotional development.
2) Operating Schedule. Programs shall operate during the school year and shall provide for coordination with extended and/or year-round services.
3) Minimum Hours of Operation. Programs shall provide no less than [30 hours] of instruction per week. For the purposes of this subsection, “instruction” includes direct one-on-on instruction, instruction in small and larger groups, and facilitated child initiated engagements.
4) Teacher Credentials, Training and Compensation.
a) Programs shall employ at least one lead teacher in every classroom.
b) Each lead teacher shall be required to hold a degree in early childhood education or in a related field with specialized training in early childhood education.
c) Each assistant teacher shall be required to hold at least a [Child Development Associate] credential or equivalent, based on coursework.
d) All teachers shall be required to have at least [15 hours] of annual in-service training or its equivalent.
5) Class Size and Staff-Child Ratio.
a) Class size shall not exceed [twenty] children.
b) There shall not be more than [ten] children per teacher in the classroom.
6) Meals. A program shall provide at least one full meal per day for every student enrolled in the program.
7) Health Services. A program shall provide screenings and referrals for vision, hearing, dental and general health services.
8) Family Involvement.
a) A program shall include regular events for meaningful family involvement which, at minimum, includes:
i) guidelines for communicating with parents or guardians;
ii) involving parents and guardians in decisions about the instructional needs of their children and;
iii) opportunities for effective and meaningful parental or guardian participation in the program.
b) Programs shall also include regular parent or guardian conferences, home or workplace visits, or other parental or guardian opportunities for participation and interaction with a child’s preschool program.
9) Community Collaboration. Programs shall collaborate with participating families, early care providers, and community partners to assure that all children are offered access to quality preschool education, and that there is coordination with child care and other services the state provides to young children and their families.
10) Each program shall employ at least one teacher with credentials or experience working with children with special needs and creating Individualized Education Plans.
(D) FUNDING—The Department shall develop a plan to finance the early childhood education program and submit the plan to the [legislature] no later than [6 months from enactment]. The plan shall include the following provisions:
1) Funding is not dependent on any tuition fee.
2) Allocation of funds shall be based upon [the enrollment of eligible students and incorporated into the state’s school funding formula, such that each early childhood education program receives funds sufficient to provide for high quality programs and cover the costs associated with each of the standards set forth in this section.] [Or whatever is appropriate under your state’s education funding system.]
3) The Department encourages maximum use of federal and other available funds for early childhood education programs, including funds provided under the Elementary and Secondary Education Act, 20 U.S.C. 6301, et seq.; federal funds provided under Head Start pursuant to 42 U.S.C. 9831, et seq; federal funds for temporary assistance to needy families pursuant to 42 U.S.C. 60, et seq; and any other public or private funds.
(E) PROGRAM EVALUATION The Department shall implement procedures to support and monitor the quality of the early childhood education program. Program evaluation shall not be used to retain students, deny access to educational programs, or be linked to program funding or teacher pay.
1) The Department shall evaluate:
a) Progress of children enrolled in early education programs using measures of progress such as advancement in cognitive development; creative arts; language development; literacy; mathematics; motor skills and physical development; science; and social and emotional development.
b) Longitudinal effects of attending an early childhood education program on a student’s school success in [kindergarten through elementary and secondary school] compared to students who did not attend an early childhood education program.
c) Program expenditures including:
i) The costs of each early childhood education program, in order to assure that the funds for the program are used expressly for purposes of educational programming. Programs must affirm that parents and guardians are not assessed any fees for children to participate in the program; and
ii) The annual expenditure of the statewide program specifying the funding source from which expenditures were made.
2) The Department shall work with educational experts to select, administer and analyze program evaluations.
SECTION 4. MEDICAID EXPANSION
After section XXX, the following new section XXX shall be inserted:
[Bill drafting note: In some states, Medicaid expansion can be achieved without enacting a new statute.]
“Department” means the Department of [Health].
(B) EXPAND ELIGIBILITY FOR MEDICAL ASSISTANCE UNDER PATIENT PROTECTION AND AFFORDABLE CARE ACT
1) Subject to the availability of federal financial participation pursuant to an approved state plan amendment, the following individuals or groups shall receive medical assistance through [state Medicaid program] pursuant to this section and [insert relevant state law pertaining to Medicaid eligibility]:
a) Parents and caretaker relatives of children who are eligible for the medical assistance program or the children’s basic health plan, whose family income does not exceed 133 percent of the federal poverty line, adjusted for family size.
b) Individuals without a dependent child in the home, as described in section 1902 (a) (10) (A) (i) (VIII) of the Social Security Act, 42 U.S.C. SEC 1396a, who have attained 19 years of age but have not attained 65 years of age, and whose family income does not exceed 133 percent of the federal poverty line, adjusted for family size.
c) In accordance with Section 1902(a)(10)(A)(i)(IX) of the federal Social Security Act (42 U.S.C. Sec. 1396a(a)(10)(A)(i)(IX)), individuals who are in foster care on his or her 18th birthday until his or her 26th birthday. In addition, the Department shall implement the federal option to provide [name of program] benefits to individuals who were in foster care and enrolled in Medicaid in any state.
2) A foster care adolescent who is in foster care in this state on his or her 18th birthday shall be enrolled to receive benefits under this section without any interruption in coverage and without requiring a new application.
3) The Department shall develop procedures to identify and enroll individuals who meet the criteria for eligibility in this section, including, but not limited to, former foster care adolescents who were in foster care on their 18th birthday and who lost coverage as a result of attaining 21 years of age. The Department shall work with counties to identify and conduct outreach to former foster care adolescents who lost coverage as a result of attaining 21 years of age, to ensure they are aware of the ability to reenroll under the coverage provided pursuant to this section.
4) The Department shall develop and implement a simplified redetermination form for this program. A beneficiary qualifying for the benefits extended pursuant to this section shall fill out and return this form only if information known to the Department is no longer accurate or is materially incomplete.
5) The Department shall seek federal approval to institute a renewal process that allows a beneficiary receiving benefits under this section to remain on [Medicaid] after a redetermination form is returned as undeliverable and the county is otherwise unable to establish contact. If federal approval is granted, the recipient shall remain eligible for services under the [Medicaid] fee-for-service program until the time contact is reestablished or ineligibility is established, and to the extent federal financial participation is available.
6) The Department shall terminate eligibility only after it determines that the recipient is no longer eligible and all due process requirements are met in accordance with state and federal law.
SECTION 5. PAID FAMILY AND MEDICAL LEAVE
[Note: Drafting a new paid family and medical leave bill requires state-specific research, analysis of underlying state and/or local law and consideration of complex policy issues. The National Partnership for Women & Families and A Better Balance are available to do any necessary legal research and drafting, and to work with you to customize this model.]
After section XXX, the following new section XXX shall be inserted:
1) “Application year” means the 12-month period beginning on the first day of the calendar week in which an individual files an application for family and medical leave insurance benefits.
2) “Covered active duty” means as defined in Section 101(14) of the Family and Medical Leave Act, 29 U.S.C. 2611(14).
3) “Covered individual” means:
a) Any person who: [Note: select one or more of the first three options below, and include the fourth option if allowing self-employed individuals to opt in.]
i. Contributed [X dollars] to the paid leave system during the 12-month period prior to submitting an application; or
ii. Worked for [X amount of time] for any employer during the 12-month period prior to submitting an application; or
iii. Earned [X dollars] from work during the 12-month period prior to submitting an application; or
iv. Is self-employed, elects coverage and meets the requirements of section 5(M);
b) Meets the administrative requirements outlined in this section and in regulations; and
c) Submits an application.
4) “Covered servicemember” means as defined in Section 101(15) of the Family and Medical Leave Act, 29 U.S.C. 2611(15).
5) “Department” means the [X].
6) “Director” means the Director of the Department.
7) “Employee” means as defined in [state wage and hour law].
8) “Employer” means as defined in [state law with the broadest possible definition of employer, or if no state law is usable, can use Fair Labor Standards Act, 29 U.S.C. 203(d).]
9) “Family and medical leave insurance benefits” means the benefits provided under the terms of this Section.
10) “Family member” means
a) A biological, adopted or foster child, stepchild or legal ward, a child of a domestic partner, or a child to whom the covered individual stands in loco parentis;
b) A biological, adoptive or foster parent, stepparent or legal guardian of a covered individual or a covered individual’s spouse or domestic partner or a person who stood in loco parentis when the covered individual or the covered individual’s spouse or domestic partner was a minor child;
c) A person to whom the covered individual is legally married under the laws of any state, or a domestic partner of a covered individual [as defined under X state law or] as registered under the laws of any state or political subdivision;
d) A grandparent, grandchild or sibling (whether a biological, foster, adoptive or step relationship) of the covered individual or the covered individual’s spouse or domestic partner; or
e) A designated person, which shall mean one additional person designated by a covered individual for whom the covered individual will provide care under this Section 5 if the designated person has a serious health condition.
11) “Health care provider” means any person licensed under Federal or [State] law to provide medical or emergency services, including but not limited to doctors, nurses and emergency room personnel, or certified nurse-midwives.
12) “Next of kin” means as defined in Section 101(17) of the Family and Medical Leave Act, 29 U.S.C. 2611(17).
13) “Qualifying exigency leave” means leave for the family member of a military member for the purposes specified in subsections (i) through (iv) of 29 C.F.R. 825.126(b)(3) and subsections (i) through (iv) of 29 C.F.R. 825.126(b)(8), as well as the following reasons:
a) To address any issue that arises from the fact that the military member is notified of an impending call or order to covered active duty seven or less calendar days prior to the date of deployment. Leave taken for this purpose can be used for a period of seven calendar days beginning on the date the military member is notified of an impending call or order to covered active duty;
b) To attend any official ceremony, program or event sponsored by the military that is related to the covered active duty or call to covered active duty status of the military member;
c) To attend family support or assistance programs and informational briefings sponsored or promoted by the military, military service organizations, or the American Red Cross that are related to the covered active duty or call to covered active duty status of the military member;
d) To make or update financial or legal arrangements to address the military member’s absence while on covered active duty or call to covered active duty status, such as preparing and executing financial and healthcare powers of attorney, transferring bank account signature authority, enrolling in the Defense Enrollment Eligibility Reporting System (DEERS), obtaining military identification cards, or preparing or updating a will or living trust;
e) To act as the military member’s representative before a federal, state, or local agency for purposes of obtaining, arranging or appealing military service benefits while the military member is on covered active duty or call to covered active duty status, and for a period of 90 days following the termination of the military member’s covered active duty status;
f) To attend counseling provided by someone other than a healthcare provider, for oneself, for the military member, or for the biological, adopted or foster child, stepchild or legal ward of the military member, a child of the military member’s domestic partner, or a child to whom the military member stands in loco parentis, provided that the need for counseling arises from the covered active duty or call to covered active duty status of the military member;
g) To spend time with the military member who is on short-term, temporary, Rest and Recuperation leave during the period of deployment. Leave taken for this purpose can be used for a period of 15 calendar days beginning on the date the military member commences each instance of Rest and Recuperation leave;
h) To attend arrival ceremonies, reintegration briefings and events and any other official ceremony or program sponsored by the military for a period of 90 days following the termination of the military member’s covered active duty status;
i) To address issues that arise from the death of the military member while on covered active duty status, such as meeting and recovering the body of the military member, making funeral arrangements and attending funeral services; or
j) To address other events which arise out of the military member’s covered active duty or call to covered active duty status provided that the employer and employee agree that such leave shall qualify as an exigency, and agree to both the timing and duration of such leave.
14) “Retaliatory personnel action” means denial of any right guaranteed under this Section including but not limited to any threat, discharge, suspension, demotion, reduction of hours, any other adverse action against an employee for the exercise of any right guaranteed herein, or reporting or threatening to report an employee’s suspected citizenship or immigration status or the suspected citizenship or immigration status of a family member of the employee to a federal, state or local agency. Retaliatory personnel actions shall also include interference with or punishment for in any manner participating in or assisting an investigation, proceeding or hearing under this Section.
15) “Serious health condition” means an illness, injury, impairment, pregnancy, recovery from childbirth, or physical or mental condition that involves inpatient care in a hospital, hospice or residential medical care facility, or continuing treatment by a health care provider [OR “Serious health condition” is as defined at Section 101(11) of the Family and Medical Leave Act, 29 U.S.C. 2611(11) or the [state FMLA].]
(B) ELIGIBILITY FOR BENEFITS
Beginning [X days] following establishment of the Family and Medical Leave Insurance Program [Bill drafting note: X here must match the second X in Section 5(N)(1)], family and medical leave insurance benefits are payable to an individual who:
1) Meets the definition of “covered individual” under Section 5(A)(3); and
2) Meets one of the following requirements:
a) Because of birth, adoption or placement through foster care, is caring for a new child during the first year after the birth, adoption or placement of that child;
b) Is caring for a family member with a serious health condition;
c) Has a serious health condition (including pregnancy) that makes the covered individual unable to perform the functions of the position of such employee;
d) Is caring for a covered servicemember who is the covered individual’s next of kin;
e) Because of any “qualifying exigency leave” arising out of the fact that the family member of the covered individual is on covered active duty (or has been notified of an impending call or order to covered active duty) in the Armed Forces; or
f) Any reason set forth in [the state FMLA].
(C) DURATION OF BENEFITS
1) The maximum number of weeks during which family and medical leave insurance benefits are payable under Section 5(B)(2)(c) in an application year is [X weeks]. The maximum number of weeks during which family and medical leave insurance benefits are payable under Section 5(B)(2)(a), (b), (d), or (e) in an application year is [X weeks]. A covered individual is eligible for [X weeks] of leave under (a) of this subsection and also [X weeks] of leave under (b) of this subsection in an application year.
2) Family and medical leave insurance benefits are not payable for the first five calendar days in an application year that a covered individual meets the eligibility requirements of Section 5(B)(1) and (2). This shall be known as the “waiting period” referred to in subsection (3) of this Section.
3) If the covered individual uses ten (10) or more days of family and medical leave insurance benefits in an application year, the covered individual shall be paid for the waiting period. The waiting period need only be served once every application year.
4) The first payment of benefits must be made to an individual within [X] weeks after the claim is filed and subsequent payments must be made [semimonthly] thereafter.
(D) AMOUNT OF BENEFITS
1) The amount of family and medical leave insurance benefits shall be determined as follows: [Choose one of the first three options below:]
2) Family and medical leave insurance benefits are not payable for less than eight hours of family and medical leave taken in one work week.
1) Payroll contributions shall be authorized in order to finance the payment of benefits under the family and medical leave insurance program.
2) Payroll contributions shall be paid by employers and employees in the ratio of [XX] in an amount to be determined by the [state investment board or other state entity/official responsible for making investment or other financial decisions in the state] [OR specify contributions of X% of wages or X dollars for the program’s first year]. In no case shall payroll contributions from an employee exceed [X dollars] total [or X% of wages, up to X dollars total] in any 12-month period. The [state investment board or other state entity/official above] shall be responsible for evaluating and determining on an annual basis the amount of payroll contributions and maximum employee contribution necessary to finance the family and medical leave insurance benefits program.
(F) REDUCED LEAVE SCHEDULE
1) A covered individual shall be entitled, at the option of the covered individual, to take paid family and medical leave on an intermittent or reduced leave schedule in which all of the leave authorized under this Section is not taken sequentially. Family and medical leave insurance benefits for intermittent or reduced leave schedules shall be prorated.
2) The covered individual shall make a reasonable effort to schedule paid family and medical leave under this section so as not to unduly disrupt the operations of the employer. The covered individual shall provide the employer with prior notice of the schedule on which the covered individual will be taking the leave, to the extent practicable. Paid family and medical leave taken under this section shall not result in a reduction of the total amount of leave to which an employee is entitled beyond the amount of leave actually taken.
3) Nothing in this section shall be construed to entitle a covered individual to more leave than required under Section 5(C).
(G) LEAVE AND EMPLOYMENT PROTECTION
1) Any covered individual who exercises his or her right to family and medical leave insurance benefits or earns waiting period credits under Section 5(C)(2) shall, upon the expiration of that leave, be entitled to be restored by the employer to the position held by the covered individual when the leave commenced, or to a position with equivalent seniority, status, employment benefits, pay and other terms and conditions of employment including fringe benefits and service credits that the covered individual had been entitled to at the commencement of leave.
2) During any leave taken pursuant to Section 5(B), the employer shall maintain any health care benefits the covered individual had prior to taking such leave for the duration of the leave as if the covered individual had continued in employment continuously from the date he or she commenced the leave until the date the family and medical leave insurance benefits terminate; provided, however, that the covered individual shall continue to pay the covered individual’s share of the cost of health benefits as required prior to the commencement of the leave.
3) This section shall be enforced as provided in [X – Could be state FMLA, state civil rights law, or state unemployment law—or new enforcement language if necessary].
(H) RETALIATORY PERSONNEL ACTIONS PROHIBITED
1) It shall be unlawful for an employer or any other person to interfere with, restrain, or deny the exercise of, or the attempt to exercise, any right protected under this Section.
2) An employer, temporary help company, employment agency, employee organization or other person shall not take retaliatory personnel action or otherwise discriminate against a person because he or she exercised rights protected under this Section. Such rights include but are not limited to the right to request, file for, apply for or use benefits provided for under this Section; communicate to the employer or any other person or entity an intent to file a claim, a complaint with the Department or courts, or an appeal, or has testified or is about to testify or has assisted in any investigation, hearing or proceeding under this Section, at any time, including during the waiting period and the period in which the person receives family and medical leave insurance benefits under this Section; inform any person about any employer’s alleged violation of this Section; and the right to inform any person of his or her rights under thisSection.
3) It shall be unlawful for an employer’s absence control policy to count paid family and medical leave taken under this Section as an absence that may lead to or result in discipline, discharge, demotion, suspension, or any other adverse action.
4) Protections of this section shall apply to any person who mistakenly, but in good faith, alleges violations of this Section.
5) This section shall be enforced as provided in [X – Could be state FMLA, state civil rights law, or state unemployment law—or new enforcement language if necessary].
(I) COORDINATION OF BENEFITS
1) Leave taken with wage replacement under this Act that also qualifies as leave under the federal [or state] FMLA shall run concurrently with leave taken under the federal [or state] FMLA.
2) An employer may require that payment made pursuant to this section be made concurrently or otherwise coordinated with payment made or leave allowed under the terms of disability or family care leave under a collective bargaining agreement or employer policy. The employer must give employees written notice of this requirement.
3) This section does not diminish an employer’s obligation to comply with any of the following that provide more generous leave: a collective bargaining agreement; an employer policy; or any law.
4) An individual’s right to leave under this section may not be diminished by a collective bargaining agreement entered into or renewed, or an employer policy adopted or retained, after the effective date of this Section. Any agreement by an individual to waive his or her rights under this section is void as against public policy.
1) Each employer shall provide written notice to each employee upon hiring and annually thereafter. An employer shall also provide written notice to an employee when the employee requests leave under this Section, or when the employer acquires knowledge that an employee’s leave may be for a qualifying reason under Section 5(B)(2). Such notice shall include:
a) the employee’s right to family and medical leave insurance benefits under this Section and the terms under which it may be used;
b) the amount of family and medical leave insurance benefits;
c) the procedure for filing a claim for benefits;
d) the procedure for selecting a designated person as defined in this Section;
e) the right to job protection and benefits continuation under Section 5(G);
f) that discrimination and retaliatory personnel actions against a person for requesting, applying for or using family and medical leave insurance benefits is prohibited under Section 5(H); and
g) that the employee has a right to file a complaint for violations of this Section.
2) An employer shall also display and maintain a poster in a conspicuous place accessible to employees at the employer’s place of business that contains the information required by this section in English, [X, X,] and any language that is the first language spoken by at least X% of the employer’s workforce, provided that such notice has been provided by the Department. The Director may adopt regulations to establish additional requirements concerning the means by which employers shall provide such notice.
3) An employer may establish a uniform process for employees to select a “designated person” as defined in this Act within thirty days of the individual’s date of hire. Thereafter, the employer must permit the employee to make or change such a designation, as applicable, on an annual basis. If an employer establishes a uniform process, the covered employee must make such a designation using the employer’s process. If an employer does not establish such a uniform process, the employee may make such a designation when filing a claim for benefits.
4) Employees shall provide notice to their employers as soon as practicable of their intention to take leave under this Act.
1) The Director shall establish a system for appeals in the case of a denial of family and medical leave insurance benefits. In establishing such system, the Director may utilize any and all procedures and appeals mechanisms established under the [state unemployment compensation law].
2) Judicial review of any decision with respect to family and medical leave insurance benefits shall be permitted in a court of competent jurisdiction after a party aggrieved thereby has exhausted all administrative remedies established by the Director.
3) The Director shall implement procedures to ensure confidentiality of all information related to any claims filed or appeals taken to the maximum extent permitted by applicable laws.
(L) ERRONEOUS PAYMENTS AND DISQUALIFICATION FOR BENEFITS
1) A covered individual is disqualified from family and medical leave insurance benefits for one year if the individual is determined by the Director to have willfully made a false statement or misrepresentation regarding a material fact, or willfully failed to report a material fact, to obtain benefits under this Section.
2) If family and medical leave insurance benefits are paid erroneously or as a result of willful misrepresentation, or if a claim for family and medical leave insurance benefits is rejected after benefits are paid, the Department may seek repayment of benefits from the recipient. The Director shall exercise his or her discretion to waive, in whole or in part, the amount of any such payments where the recovery would be against equity and good conscience.
(M) ELECTIVE COVERAGE
1) A self-employed person, including a sole proprietor, partner or joint venturer, may elect coverage for an initial period of not less than three years. The self-employed person must file a notice of election in writing with the Director, as required by the Department. The election becomes effective on the date of filing the notice. As a condition of election, the self-employed person must agree to supply any information concerning income that the Department deems necessary.
2) A self-employed person who has elected coverage may withdraw from coverage within 30 days after the end of the three-year period of coverage, or at such other times as the Director may prescribe by rule, by filing written notice with the Director, such withdrawal to take effect not sooner than 30 days after filing the notice.
(N) FAMILY AND MEDICAL LEAVE INSURANCE PROGRAM
1) Within [X days] of the effective date of this Section, the Department shall establish and administer a family and medical leave insurance program and within [X months] following establishment of the program pay family and medical leave insurance benefits as specified in this Section.
2) The Department shall establish reasonable procedures and forms for filing claims for benefits under this Section and shall specify what supporting documentation is necessary to support a claim for benefits, including any documentation required from a health care provider for proof of a serious health condition.
3) The Department shall notify the employer within five business days of a claim being filed pursuant to this Section.
4) The Department shall use information sharing and integration technology to facilitate the disclosure of relevant information or records so long as an individual consents to the disclosure as required under state law.
5) Information contained in the files and records pertaining to an individual under this Section are confidential and not open to public inspection, other than to public employees in the performance of their official duties. However, the individual or an authorized representative of an individual may review the records or receive specific information from the records upon the presentation of the individual’s signed authorization.
6) The Director shall adopt rules as necessary to implement this Section.
(O) FEDERAL INCOME TAX
1) If the Internal Revenue Service determines that family and medical leave insurance benefits under this Section are subject to federal income tax, the Department must advise an individual filing a new claim for family and medical leave insurance benefits, at the time of filing such claim, that:
a) The Internal Revenue Service has determined that benefits are subject to federal income tax;
b) Requirements exist pertaining to estimated tax payments;
c) The individual may elect to have federal income tax deducted and withheld from the individual’s payment of benefits in the amount specified in the federal internal revenue code; and
d) The individual is permitted to change a previously elected withholding status.
2) If the individual elects to have federal tax payments withheld, the Department shall deduct and withhold the amount specified in the Internal Revenue Code in a manner consistent with [laws of the state], and amounts deducted and withheld from benefits must remain in the Family and Medical Leave Insurance Fund established in Section 5(P) until transferred to the federal taxing authority as a payment of income tax.
3) The Director shall follow all procedures specified by the Internal Revenue Service pertaining to the deducting and withholding of income tax.
(P) FAMILY AND MEDICAL LEAVE INSURANCE ACCOUNT FUND – ESTABLISHMENT AND INVESTMENT
1) The Family and Medical Leave Insurance Fund is created in the custody of the [X, such as the state financial officer]. Expenditures from the Fund may be used only for the purposes of the family and medical leave insurance benefits program. Only the Director of the Department or the Director’s designee may authorize expenditures from the Fund.
2) Whenever, in the judgment of the [X, such as the state financial officer], there shall be in the Family and Medical Leave Insurance Fund an amount of funds in excess of that amount deemed by [X, such as the state financial officer] to be sufficient to meet the current expenditures properly payable there from, [X, such as the state financial officer] shall have full power to invest, reinvest, manage, contract, sell or exchange investments acquired with such excess funds in the manner prescribed by [state law].
Beginning [X date], the Department shall report to the legislature by [September 1st] of each year on projected and actual program participation by Section 5(B)(2) purpose, gender of beneficiary, premium rates, fund balances, outreach efforts, and, for leaves taken under Section 5(B)(2)(b), family members for whom leave was taken to provide care.
(R) PUBLIC EDUCATION
The Department shall conduct a public education campaign to inform workers and employers regarding the availability of family and medical leave insurance benefits. The Department may use [X%] of the funds collected for the family and medical leave insurance benefits program in a given year to pay for the public education program. Outreach information shall be available in English, [X, X,] and other languages spoken by more than [X%] of the state’s population.
(S) SHARING TECHNOLOGY
The Department is encouraged to use state data collection and technology to the extent possible and to integrate the program with existing state policies.
SECTION 6. REPEAL
The following are repealed: [If there are provisions in existing law that are inconsistent with this Act, this section should repeal them.]
SECTION 7. SEVERABILITY
The provisions of this Act shall be severable, and if any phrase, clause, sentence or provision, or application thereof to any person or circumstance, is declared to be invalid or is preempted by federal law or regulation, the validity of the remainder of this Act shall not be affected.
SECTION 8. EFFECTIVE DATE
This Act shall take effect on XXXX 1, 2016