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In addition to actions at the federal level to enact the "Healthy Families Act," there have been numerous efforts at state and local levels to mandate paid sick leave.
In November 2006, voters in San Francisco approved a ballot measure that requires employers to provide paid sick leave to employees in the city. The measure requires employers to give one hour of paid sick leave to an employee for every 30 hours worked. Employees are allowed to accrue up to 40 hours of paid sick leave if they work for a small employer (fewer than 10 employees). Employees of larger employers can accrue up to 72 hours. The ordinance allows employees to take the paid sick leave for their own illness or to provide care for an ill child, parent, sibling, grandparent, grandchild, spouse, or domestic partner. The law became effective February 5, 2007.
Paid sick leave advocates were not as successful in the state legislatures during 2007.
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