Earned Sick Time Act Officially Enacted

The Michigan Legislature held a late-night session Feb. 20 that ultimately led to amending the Earned Sick Time Act (ESTA) set to take effect at 12:01 a.m. on Feb. 21. Multiple amendments were made to House Bill 4002 before it passed the Senate with a bipartisan vote of 26-10 and received a concurrence approval vote from the House. The law is effective now, as it was granted immediate effect by the legislature, signed by Gov. Whitmer the morning of Feb. 21 and officially filed with the Office of the Great Seal.

While the new law may still present implementation challenges for hospitals, many positive changes were made, which include altering how much time must be provided by employers of various sizes and rewriting how employers must administer the law.

Important changes include:

  • Eliminating both the private right of action and the rebuttable presumption for terminated employees.
  • Explicitly allowing employers to provide all sick time hours frontloaded at the start of the year and exempting those employers from tracking accruals.
  • Allowing employers to designate paid time off as a combined paid time off/sick leave bank.
  • Requiring reporting for unforeseeable use of sick time by an employee as soon as practicable or in compliance with an employer’s policy on using sick time, if the employer notifies the employee of their policy in writing and the policy allows employees to provide notice after the employee is aware of the need to use sick time.
  • Refining the employee definition to exempt employees who are subject to policies that “allow the individual to schedule the individuals’ own working hours” and aren’t subject to a minimum number of hours per week.
  • Generally exempts salary and variable hour employees from the accrual methodology, but assumes full work weeks for those employees for the purposes of calculating earned sick time.
  • Clarifying that employers are not required to allow new employees to use their sick time within the first 120 days of employment.
  • Specifying that earned sick time is paid out at the “hourly wage or base wage” and excludes overtime, holiday pay, bonuses, commissions, etc. in the calculation.
  • Allowing employers to require reasonable documentation for earned sick time of more than three consecutive days, as well as requiring provision of the documentation within 15 days of the employer’s request.

All employers with 11 or more employees will now be required to provide 72 hours of paid time, with a 72-hour carryover cap from year to year. While media reports also include an exemption for nonprofits, the MHA is seeking clarity to understand how this may pertain to hospitals.

These positive changes were accomplished through the joint-efforts of a coalition of employers led by the Michigan Chamber of Commerce that included the MHA to support important changes to the ESTA prior to them going into effect on Feb. 21.

Unfortunately, the bill failed to address potential conflicts with federal employment laws, including the Family Medical Leave Act, the Americans with Disabilities Act and the Fair Labor Standards Act.

Members with questions about the legislation should contact Elizabeth Kutter at the MHA. Members with additional feedback about implementation may contact Nancy McKeague at the MHA.

Definitions

For the purposes of this update, important definitions from the bill include:

  • “Earned sick time” means time off from work that is provided by an employer to an employee, whether paid or unpaid, that can be used for the following purposes:
    • The employee’s mental or physical illness, injury or health condition, as well as diagnosis and treatment of such.
    • The employee’s family member’s mental or physical illness, injury or health condition, as well as diagnosis and treatment of such.
    • If the employee or employee’s family member is a victim of domestic violence or sexual assault and any care, services or legal proceedings for such circumstances.
    • Meetings at a child’s school or place of care related to the child’s health, disability or effects of domestic violence or sexual assault.
    • For the closure of an employee’s place of business due to a public health emergency.
  • “Employee” means an individual engaged in service to an employer in the business of the employer. Employee does not include any of the following:
    • An individual employed by the United States government.
    • An individual who works in accordance with the policy of an employer if both of the following conditions are met:
      • The policy allows the individual to schedule the individual’s own working hours.
      • The policy prohibits the employer from taking adverse personnel action against the individual if the individual does not scheduled a minimum number of working hours.
    • An unpaid trainee or unpaid intern.
    • An individual who is employed in accordance with the youth employment standards act.
  • “Employer” means any person, firm, business, educational institution, corporation, limited liability company, government entity or other entity that employs one or more individuals. Employer does not include the United States government.

Earned Sick Time Act & Interstate Medical Licensure Compact Advance in Senate

Two key pieces of legislation related to the Earned Sick Time Act (ESTA) and the Interstate Medical Licensure Compact advanced in the Michigan State during the week of Feb. 10.

The Senate Regulatory Affairs Committee narrowly voted Feb. 12 to move Senate Bill (SB) 15 (S-1), introduced by Sen. Sam Singh (D-East Lansing), to the Senate floor. This bill seeks to address the voter initiative petition on earned sick time that is scheduled to go into effect Feb. 21, 2025.

The ESTA, as enacted Public Act 338 of 2018, applies to all employers and requires that an employee be provided one (1) hour of earned sick time for every 30 hours worked. That sick time may carry over year-to-year and allows increased usage of paid earned sick time for an employee of up to 72 hours per year.

SB 15 (S-1) is an alternative proposal to House Bill (HB) 4002, sponsored by Rep. Jay DeBoyer (R-Clay). The MHA supports HB 4002 because it provides vital clarifications regarding time accruals, employee notice provisions, sick time pay rates and exempts independent contractors and part time employees. The MHA continues to work with the Senate on necessary refinements to SB 15 and with legislators in both the House and Senate as they negotiate to ensure important changes to the ESTA are made before it is slated to go into effect.

Furthermore, SB 60 passed the Senate on Feb. 13. This bill removes the sunset on the Interstate Medical Licensure Compact, which streamlines the licensing process and allows physicians licensed in one state to practice in multiple, participating states. With the compact set to expire March 28, the MHA is working quickly with legislators to pass this important legislation to maintain the agreement.

Members with questions may contact Adam Carlson at the MHA.

MHA CEO Report — The Realities of the Earned Sick Time Act

MHA Rounds image of Brian Peters

MHA Rounds image of Brian Peters“Train people well enough so they can leave. Treat them well enough so they don’t have to.” – Sir Richard Branson

Healthcare continues to be the leading private-sector employer in Michigan. Our latest Economic Impact of Healthcare in Michigan report shows healthcare provided nearly 572,000 direct jobs in Michigan in 2022, with roughly 217,000 of those jobs in hospitals. Whether in our largest urban cities or our smallest rural towns, hospitals are often one of – if not the – largest employers in their communities.

In a sense, hospitals operate as their own small towns, open 24/7/365, requiring a multitude of different professions to not only make sure patients receive the right care, but that they’re fed appropriately, receive the correct medications, have clean rooms, gowns and a litany of other tasks. Thus, the environment that hospitals operate in as employers is extremely critical. Hospitals go to great lengths to not only identify and hire the right people, but to offer strong compensation and benefit packages, training and career development, and flexibility that will retain them. With this heavy reliance on labor, it is no wonder that hospital human resources departments have been paying particular attention to a new state law set to go into effect Feb. 21 known as the Earned Sick Time Act.

The soon-to-be-implemented laws were established after the Michigan Supreme Court upheld voter initiative petitions last July on paid sick leave and minimum wage following a legal challenge to the Michigan Legislature “adopting-and amending” these petitions in 2018. Unfortunately, the Earned Sick Time Act presents many challenges to employers that need to be addressed in advance of the Feb. 21 deadline. With hospitals responsible for implementing and complying with required sick time allocations for their employees, they need state laws and policies that contemplate how hospitals operate.

To advocate on our hospitals’ behalf, the MHA joined a coalition of employers led by the Michigan Chamber of Commerce calling for action by the legislature to address the practical challenges and conflicts created by the revised law. Hospitals are firmly committed to ensuring employees have the benefits and flexibility needed to care for themselves and their families. Our participation is simply to establish an environment that allows hospitals to continue to operate and provide benefits to the more than 200,000 hospital workers in the state.

The changes that need to occur include refining the definition of an eligible employee; recognizing annually allocated sick time, as opposed to accrued sick time, as well as other paid leave offered by an employer; addressing conflicts with existing federal employment law; and limiting the incentive for increased legal action.

The current law is overly broad in the definition of an eligible employee, creating situations where variable time employees and exempt employees, including employed physicians, would be due earned sick time and adding liabilities for hospitals. The law as written also prevents employers from providing the full allotment of sick time at the beginning of the year, instead requiring sick time to be accrued. This reduces employee flexibility and increases record-keeping requirements for the employer. In addition, employers vary in how they offer paid leave, whether it is through one Paid Time Off bank, or through a combination of vacation, sick and personal and/or paid leave. Once again, this harms the types of benefits offered to healthcare workers and the flexibility a hospital has in creating a benefits package that best matches their employees.

The revived law also creates several conflicts with several prominent federal laws, including the Family and Medical Leave Act, the Fair Labor Standards Act and the Americans with Disability Act. Hospitals need clarity and laws that are congruent with each other. We as a state can not implement laws that put all employers at odds with federal requirements. The demand for workforce talent is too high for Michigan to afford to implement barriers that make our state less attractive to employers.

Lastly, the revived act creates a private right of action, allowing an employee to sue an employer for violating the act. The MHA is supportive of state enforcement and a complaint and investigation process overseen by the state that dictates enforcement far before parties need to engage with the legal process. Failing to address the private right of action will lead to increased administrative and legal costs for all employers.

Thankfully, amending the Earned Sick Time Act is a priority for both chambers of the Michigan Legislature. This issue was the second bill introduced by new state House leadership in the form of House Bill 4002, which has already passed the chamber. The Senate introduced their own version, establishing a framework necessary for legislative negotiations between the two separate chambers and their opposing partisan leaders.

The MHA and the other members of the coalition will continue to advocate on behalf of our members and their employees to make sure changes are made in the best interests of both employees and employers. Hospitals have always prided themselves on the benefits they offer to their healthcare workers, and we should not risk lowering the quality of those benefits to accommodate the Earned Sick Time Act as written. The time exists to get something done and we will use every lever at our disposal to make sure our concerns are heard by all in Lansing.

As always, I welcome your thoughts.

House Committee Advances Earned Sick Time Act Changes

The House Select Committee on Protecting Michigan Employees and Small Businesses voted unanimously to report House Bill (HB) 4002 during the week of Jan.13. The bill, introduced by Rep. Jay DeBoyer (R-Clay), makes important clarifications to the voter initiative petition on earned sick time that is scheduled to go into effect Feb. 21, 2025.

The Earned Sick Time Act, as enacted Public Act 338 of 2018, applies to all employers and requires that an employee be provided one (1) hour of earned sick time for every 30 hours worked. That sick time may carry over year-to-year and allows increased usage of paid earned sick time for an employee of up to 72 hours per year.

The MHA joined in a coalition of other business, employer and healthcare groups to call for legislative clarifications to the Earned Sick Time Act. HB 4002 provides vital clarifications regarding time accruals, employee notice provisions, sick time pay rates and exempts independent contractors and part time employees. The MHA supported bill now moves to the House floor and the MHA will advocate for a quick vote by the full chamber.

Members with questions may contact Adam Carlson at the MHA.

103rd Legislature Begins With Introduction of Earned Sick Time Bills

The Michigan Legislature officially commenced their 103rd session on Wednesday, Jan. 8, including the introduction of legislation to amend Michigan’s Earned Sick Time Act . The session brings a new partisan divide with the Senate remaining under Democratic control, while the House Majority now shifts to Republican control.

Both chambers introduced legislation amending Michigan’s Earned Sick Time Act. House Bill 4002, introduced by Rep. Jay DeBoyer (R-Clay), and Senate Bill (SB) 6, introduced by Sen. Kevin Hertel (D-Saint Clair Shores), make separate clarifications to the voter initiative petition on earned sick time that is scheduled to go into effect Feb. 21, 2025.

The Earned Sick Time Act, as enacted PA 338 of 2018, applies to all employers and requires that an employee be provided one (1) hour of earned sick time for every 30 hours worked. That sick time may carry over year-to-year and allows increased usage of paid earned sick time for an employee of up to 72 hours per year. The MHA joined in a coalition of other business, employer and healthcare groups to call for legislative clarifications to the Earned Sick Time Act. The MHA will advocate for swift action to clarify the earned sick time policy through this legislation.

Legislation was also reintroduced in the Senate to establish a Prescription Drug Affordability Board in Michigan. SBs 3-5, led by Sen. Darrin Camilleri (D-Brownstown Township), would create the Prescription Drug Advisory Board (PDAB) and stakeholder council. The PDAB is charged with and intended to review drug costs, assess cost impacts on consumers and ultimately create opportunities for reducing consumer expenditures on drugs through the creation of upper payment limits (UPLs).

If the PDAB were to institute a UPL on a drug based on a review of the drug’s increased cost and impact on consumer access, a purchaser or payer would be prohibited from purchasing, billing or reimbursing above the set UPL. The MHA is reviewing and monitoring the legislation.

Members with questions may contact Elizabeth Kutter at the MHA.

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MHA Webinar to Review Upcoming Earned Sick Time Act

The MHA will host the webinar Earned Sick Time Act – What to Know and How to Prepare from 3 to 4:30 p.m. ET on Dec. 9 to provide an overview of the upcoming Earned Sick Time Act (ESTA) effective Feb. 21, 2025, and to help employers prepare for compliance. …


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“Last week, the American Medical Association (AMA) held its 2024 Interim House of Delegates (HOD) meeting in Lake Beuna Vista, Florida. The Bi-Annual confab drew 700 delegates representing 200 medical societies and physician professional organizations who considered 712 resolutions in the four-day agenda. …

Against this backdrop, there is consensus in the health system and Congress that the physician workforce is unhealthy and recognition of shortages in rural areas and certain specialties.  There’s consensus among consumers (patients) that physicians are trusted and well-paid but their accessibility increasingly limited. And there’s consensus among physicians that the profession is in crisis-mode. …

Physicians will always play a prominent role in U.S. healthcare. The profession’s preparedness to lead its inevitable transformation is the big unknown. And its attractiveness to future generations of physicians the big risk if not addressed.”

Paul Keckley, Nov. 18, 2024


News to Know

  • The MHA offices will be closed and no formal meetings will be scheduled Nov. 28 and 29 in honor of Thanksgiving.
  • Due to the holiday, Monday Report will not be published Dec. 2 and will resume its normal schedule Dec. 9.
  • MHA Endorsed Business Partner AMN Language Services will host the webinar Section 1557 Readiness Workshop – Guidance and Resources for the 2024 Deadlines Dec. 10 from noon – 1 p.m. ET.
  • The MHA is offering its popular Healthcare Leadership Academy program Feb. 19 – 21 and April 10 – 11, 2025.

MHA CEO Brian Peters

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MHA Webinar to Review Upcoming Earned Sick Time Act

The MHA will host the webinar Earned Sick Time Act – What to Know and How to Prepare from 3 to 4:30 p.m. ET on Dec. 9 to provide an overview of the upcoming Earned Sick Time Act (ESTA) effective Feb. 21, 2025, and to help employers prepare for compliance.

The webinar will cover key elements of the act, including the requirement for employees to earn one hour of sick time for every 30 hours worked, the ability to carry over unused sick time year-to-year and the increased usage cap of up to 72 hours per year. Presenters will also discuss the need for employers to update informational posters and address remaining questions about the act.

Attendees will gain practical insights into preparing for these changes and have the opportunity to ask questions. Members are encouraged to submit questions about ESTA to Erica Leyko at the MHA by Dec. 5.

The webinar is free of charge for MHA members and registration is open through Dec. 6. Members with registration questions may contact Brenda Carr at the MHA.

Michigan Supreme Court Issues Ruling on Paid Sick Leave & Minimum Wage

The Michigan Supreme Court issued a ruling July 31 in Mothering Justice v. Attorney General that upholds voter initiative petitions on paid sick leave and minimum wage. Those laws, as originally enacted, will go into effect Feb. 21, 2025.

As a practical result, hospital employers should be aware of forthcoming changes to sick leave and minimum hourly wages starting in February 2025. The Improved Workforce Opportunity Wage Act, as enacted Public Act (PA) 337 of 2018, increases the state minimum hourly wage annually until 2030 and applies to all employers, regardless of size. Current estimates place the minimum hourly wage at $12.25 per hour, starting in February 2025, and reaching $15 by 2030.

The Earned Sick Time Act, as enacted PA 338 of 2018, applies to all employers and requires that an employee be provided one (1) hour of earned sick time for every 30 hours worked. That sick time may carry over year to year and allows increased usage of paid earned sick time for an employee of up to 72 hours per year. In addition, employers will be required to update their displayed informational posters on earned sick time.

Members with questions should contact Nancy McKeague at the MHA. Members with questions about Michigan’s existing laws should contact Elizabeth Kutter at the MHA.