This webpage covers California law. For other states, see our national guide here.
California families have many options to protect their job and wellbeing while caring for babies in a neonatal intensive care unit (NICU). This guide explains protections for California workers, including your rights to time off work and changes at work that make it possible to care for your baby and yourself.
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For a printable factsheet summarizing this information, click here.
You should know:
- You may have a right to changes at work or time off because of your own health needs — including for anxiety, post-traumatic stress, and depression.
- Both parents may have a right to take time off work with pay, and so may grandparents, siblings, and other family members who are helping care for you or your baby.
- You have a right to breaks and a private lactation space after you return to work. You may also have a right to other job changes for pumping and nursing.
- These rights apply no matter your immigration status.
- WorkLife Law’s free legal helpline can help you understand your rights and come up with a plan. Contact us at PregnantAtWork.org/GetHelp.
Time off work
Many parents are entitled to time off work when welcoming a new child, or when unable to work for their own health. How much time off you are entitled to depends on the reason you’re taking the time off. The sections below explain how to keep your job while you’re not working (or while you’re working less) and the pay you can get during that time.
Two separate protections for time off work
JOB-PROTECTED LEAVE
Your employer may be required to hold your job for you when you are off and let you come back to your same job (or a similar position that has the same pay and benefits). Your employer may be required to continue your health insurance benefits while you’re off, but they usually do not have to pay you. You request this leave from your employer.
PAID LEAVE
You may be eligible to receive pay while you are not working or are working less. This pay comes from two state programs: State Disability Insurance (SDI) and Paid Family Leave (PFL). You apply for these benefits with the California Employment Development Department (EDD).
It can be helpful to think about job-protected leave and paid leave as two separate rights. Even though they can be used at the same time, they have different eligibility requirements. Many workers qualify for both, but some workers will qualify for only one, and a few will not qualify for either. Read on and contact WorkLife Law’s free helpline for help understanding which rights apply to you.
Time off for your own health needs: If you gave birth
If you did not give birth, skip ahead to time off for bonding or time off for your own health.
Your own postpartum recovery and health can give you the longest stretch of job protection and pay. If your employer has 5 or more employees total, you can take time off before and after delivery for your own health, with continued health insurance benefits. This time off is protected under California’s Pregnancy Disability Leave law (PDL). Even though this leave is known as “pregnancy disability leave,” most people qualify when they need time off of work because of pregnancy-related symptoms and needs, including time off for medical appointments. It also includes time you need to recover from childbirth, as well as for postpartum mental health conditions. You may also be eligible for pay during your time off through California’s State Disability Insurance (SDI) program.
You may have a right to take up to 4 months off work with continued health insurance benefits and the right to return to the same job afterwards. You can take this leave all at once or in smaller pieces to meet your health needs. For example, if you need to work part time or a reduced schedule to protect your health during and after pregnancy, you can take a few days or hours off at a time under the Pregnancy Disability Leave law (PDL).
You may have a right to take off longer than 4 months under the national Pregnant Workers Fairness Act (PWFA) or the California Fair Employment and Housing Act (FEHA). Whether you qualify for more time depends on your health condition, employer size, and how difficult or expensive it would be for your employer to extend your leave. If you take more than 4 months of leave for your own health, your employer probably does not have to keep paying for your health insurance.
Tell your boss or someone in human resources that you need more time off for your own pregnancy/childbirth-related health condition. If you tell them in person, make sure to follow up in writing with a text or email. If your employer asks for a healthcare provider note, you should provide one that says how long you are expected to need time off — this date may be extended later if necessary. Learn more about what medical documentation employers may request under the Pregnant Workers Fairness Act (PWFA) in our Doctors Notes and Medical Paperwork FAQ.
As noted above, your employer must continue providing health insurance benefits during all time you take off under the California Pregnancy Disability Leave law (PDL), which covers 4 months of leave, but not during additional time you take off. Keep in mind that even when your employer is required to continue providing health insurance benefits, it is allowed to require you to pay the portion of the health insurance premium that would normally have been taken out of your paycheck. Different employers have different ways of collecting this payment — be sure to ask your employer about health insurance premiums and how they’re charged.
Most California employees receive pay during their pregnancy-related time off from the State Disability Insurance (SDI) program. Under this program, you may be paid 70% or 90% of your usual wages for up to 52 weeks.
You can get SDI if you paid into the program recently. Most employees see their payments automatically taken out of their paycheck. Check your paystub for “CASDI,” “SDI,” or a similarly named deduction to confirm. If you don’t see that on your paycheck and you had a different job in the last 18 months, look at your old paystub.
You will be paid either 70% or 90% of your wages, depending on how much you earn. You can use EDD’s calculator to find out how much you will be paid.
You can get State Disability Insurance (SDI) for the entire time you are not working (or working less) because you are unable to do your normal job due to pregnancy and childbirth, for up to 52 weeks. A doctor or psychologist will need to certify your need for time off. Keep in mind that there is a 1-week “waiting period” before benefits start. This means you will not be paid for the first week you are off work — consider using vacation or sick days if you have them. If you stop taking this leave within one year of your baby’s birth, you can receive Paid Family Leave (PFL) afterwards, see “Time Off to Care for and Bond with Your Baby” below.
Scroll down or click here for more information on applying for paid leave.
Time off to care for and bond with your baby
Time off to care for and bond with your infant is protected under the California Family Rights Act (CFRA), a state law that gives stronger protections than the federal Family and Medical Leave Act (FMLA).
This section is for all parents, including fathers and non-birth parents.
You can take this job protected leave if:
- Your employer has 5 or more employees;
- You have worked for your employer for at least 12 months, which do not have to be in a row; and,
- You worked about 24 hours or more per week during the 12 months before you need to start your leave (1,250 hours total). (If you are already off work because you gave birth, you can look back at the 12 months right before you started your pregnancy/childbirth leave.)
If you’re eligible, you can take up to 12 weeks off to care for your child’s serious health condition or to bond with your baby in the first year after birth. During this time off, your employer must keep providing health insurance benefits. After this time off, your employer must return you to your job (or to a position that is nearly identical).
You do not have to take California Family Rights Act (CFRA) leave all at once. If your child’s health requires you to take time off work, you can take that time in whole weeks, single days, or even an hour or two at a time, depending on what is necessary to care for your child’s health. If your child goes home and no longer has a serious health condition, you may use any remaining CFRA leave to bond with your baby, but your employer may be able to prevent you from taking shorter than 2 weeks off at a time. You can contact our free legal helpline for help figuring out exactly what time off you are entitled to receive.
California’s Paid Family Leave (PFL) program may pay you 70% or 90% of your usual wages for up to 8 weeks. You can use it to care for your baby at any point during the first year after birth. Each parent has their own 8 weeks of paid leave available — you don’t have to share this time. You apply by submitting an application with the California Employment Development Department (EDD). You can receive PFL for whole weeks or for reduced hours, so it can be used to get additional income if you are working part time to care for or bond with your baby.
If you have your own health condition that requires time off (like PTSD, depression, or anxiety that has been made worse by your experience), see Time Off for Your Own Health Needs: If You Did NOT Give Birth below. If your baby has a disability (like lung disease, a feeding tube, or congenital heart conditions), you may be able to get time off beyond what is described here. Contact our helpline and we can help you figure out what is available to you.
Time off for your own health needs: If you did NOT give birth
Up to half of parents experience mental health challenges, such as PTSD, depression, or anxiety while their newborn is in a NICU. If you have been diagnosed with a health condition of your own and need time off work to take care of your own health needs, you may have options. The California Family Rights Act (CFRA) provides time off for your own health, but it gives you only 12 weeks total, and that includes time off you take to care for your baby (see above). If you need longer than 12 weeks off, or if you are not eligible for CFRA, then disability laws may help you get time off. In addition to job protection, you may also be eligible to be paid through California’s State Disability Insurance (SDI) program.
Under the California Fair Employment and Housing Act (FEHA), employers with 5 or more employees must make “reasonable accommodations” for qualified employees who have a disability. Mental health disabilities may include depression, PTSD, anxiety, and panic or stress disorders. Reasonable accommodations are workplace changes that allow you to meet your disability-related health needs so you can successfully perform your job. A temporary leave of absence is a form of reasonable accommodation when taken to receive treatment, to recover from a mental health episode, or to otherwise address mental health needs.
This depends on how difficult or expensive it would be for your employer to provide the time off. Your employer is not required to provide time off for so long that it would be very costly or disruptive. Your employer is not required to provide indefinite leave – meaning, it is not required to provide leave for an unknown length of time. It is important to provide an expected end date for your requested leave. You may be able to change this date if needed.
Keep in mind that a part-time work schedule (working fewer hours) is another form of reasonable accommodation that may be available, so long as it is not very disruptive or expensive for your employer.
Tell your boss or someone in human resources that you need time off, or need to work fewer hours, for your own disability. If you tell them in person, make sure to follow up in writing with a text or email. If your employer asks for medical documentation, you should make sure your healthcare provider says how long you are expected to need time off — this date may be changed later if necessary. Your employer must accept medical paperwork from a psychologist, marriage and family therapist, acupuncturist, clinical social worker, doctor, or other healthcare provider. Your employer is not allowed to request your medical records, a specific diagnosis, or information about what caused your disability.
If you are unable to work because of your mental health disability, you may be able to get paid through the California State Disability Insurance (SDI) program. Under this program, you will be paid 70-90% of your usual wages for up to 52 weeks
You can get SDI if you paid into the program recently. Most employees see their payments automatically taken out of their paycheck. Check your paystub for “CASDI,” “SDI,” or a similarly named deduction to confirm. If you don’t see that on your paycheck and you had a different job in the last 18 months, look at your old paystub.
You will be paid either 70% or 90% of your wages, depending on how much you earn. You can use EDD’s calculator to find out how much you will be paid.
You can get State Disability Insurance (SDI) for the entire time you are not working (or working less) because you are unable to do your normal job due to a mental health disability, for up to 52 weeks. A doctor, psychiatrist, or psychologist will need to certify your need for time off. Keep in mind that there is a 1-week “waiting period” before benefits start. This means you will not be paid for the first week you are off work — consider using vacation or sick days if you have them. If you stop taking this leave within one year of your baby’s birth, you can then receive Paid Family Leave (PFL), see “Time Off to Care for and Bond with Your Baby” above.
Scroll down or click here for more information on applying for paid leave.
Other family members may be able to take time off too.
Grandparents, siblings, and other family members may be able to take California Family Rights Act (CFRA) leave and get Paid Family Leave (PFL) to help care for your baby, or to care for the baby’s parent with a serious medical condition. A doctor will need to provide a simple certification for them to be eligible for this time off.
How to apply for paid time off using California’s state paid leave programs
Create an EDD account at myedd.edd.ca.gov.
Note: If you don’t have your own Social Security Number, you should apply using a paper form instead. Ask your doctor’s office for the application, go in person to your local EDD Field Office, or order one online. Learn more here.
- Submit your SDI application through your EDD account.
- You will need to have a healthcare provider certify your need for time off. When you apply, you will receive a Form Receipt Number — be sure to save it, as you will need it for the health care provider’s certification.
- You must apply within 49 days of when you start your leave, or you may lose some or all of your SDI benefits. Note that there is a 7-day waiting period — meaning you won’t get paid through this program for the first 7 days you weren’t working. Use sick or vacation days if you have them.
- If you are applying for SDI for a pregnancy related condition:
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- If you are already receiving SDI and want to take leave for longer than originally planned, your healthcare provider will need to fill out the Physician/Practitioner’s Supplementary Certificate (DE 2525XX) to extend your SDI benefits. When you get close to your end date, you should automatically receive a Paid Family Leave application for 8 more weeks of pay. If you haven’t received it by your end date, apply online using the steps below.
- It usually takes at least 2 weeks for the EDD to process your application and for you to get paid. You choose whether you want to get paid by direct deposit, debit card, or mailed check. If you choose to get paid by check, it will take longer.
- Submit your application on the EDD portal here.
- You will need to provide a document to prove your relationship with your baby (if you are not already receiving SDI for childbirth). For a full list of documentation you’ll need, see here.
- For tips on taking leave in small periods of time instead of all at once, and tips on how to apply, visit our guide to intermittent leave.
- It usually takes at least 2 weeks for the EDD to process your application and for you to get paid. You choose whether you want to get paid by direct deposit, debit card, or mailed check. If you choose to get paid by check, it will take longer.
- Submit your application on the EDD portal here.
- The person you are providing care for (“care recipient”) will need to sign the application form. If they are a child or unable to sign themselves, an authorized person will be able to sign for them.
- Your family member’s healthcare provider will need to fill out a form saying that your family member needs care. When you apply, you will receive a Form Receipt Number — be sure to save it, as you will need it for the healthcare provider’s certification.
- For tips on taking leave in small periods of time instead of all at once, and tips on how to apply, visit our guide to intermittent leave.
- It usually takes at least 2 weeks for the EDD to process your application and for you to get paid. You choose whether you want to get paid by direct deposit, debit card, or mailed check. If you choose to get paid by check, it will take longer.
Changes at work
Changes to when, where, or how you do your job — called “reasonable accommodations” — can make it possible to be at the hospital, manage appointments, and keep working. The information below explains how to ask for reasonable accommodations, based on the reason why you need them.
If you need the change because of…
Who this can apply to: Birthing parents
What you can ask for: Schedule changes, remote work, extra breaks, time off, pumping breaks and space, time to nurse your baby, and more.
What to say:
Because of the Pregnant Workers Fairness Act and a similar state law, parents who gave birth have strong rights and the simplest path to getting the changes they need. To access those rights, your employer needs to know the need is related to your pregnancy or childbirth recovery. For example, you could say:
“I am requesting a reasonable accommodation under the Pregnant Workers Fairness Act for a condition related to my [pregnancy, childbirth, or lactation].“
Tips when asking for a reasonable accommodation:
- Think about what you need to make work manageable while meeting your or your child’s health needs.
- Tell your supervisor or human resources that you are requesting a reasonable accommodation; use the language above. It is a good idea to request the changes in writing, if possible.
- Keep in mind that your employer will probably ask for a note from a healthcare provider. There are limits to what your employer can ask for (learn more here). Contact WorkLife Law’s free helpline if you need help understanding what kind of medical documentation you are required to provide.
People with pregnancy-related conditions should use the section above, as your rights are different.
Who this can apply to: Any parent or family member
What you can ask for: Schedule changes, remote work, breaks for therapy appointments, time off, and more.
What to say: “I am requesting a reasonable accommodation for my [post-traumatic stress disorder/anxiety/depression/etc.]”
Tips when asking for a reasonable accommodation:
- Think about what you need to make work manageable while meeting your health needs.
- Tell your supervisor or human resources that you are requesting a reasonable accommodation; use the language above. It is a good idea to request the changes in writing, if possible.
- Keep in mind that your employer will probably ask for a note from a healthcare provider. There are limits to what your employer can ask for. Contact WorkLife Law’s free helpline if you need help understanding what kind of medical documentation you are required to provide.
Because rights for your own health are stronger, this is a backup option if you the situations above do not apply to you.
Who this can apply to: Any parent or family member
What you can ask for: Schedule changes, remote work, or other changes that make it possible to care for your baby.
What to say: “I am requesting a reasonable accommodation to care for my child with a disability, under the California Fair Employment and Housing Act.” (If another employee gets the same workplace change or freedom that you are asking for, you can say that you want to be treated the same as that employee.)
Tips when asking for a reasonable accommodation:
- Think about what you need to make work manageable while meeting your health needs.
- Tell your supervisor or human resources that you are requesting a reasonable accommodation; use the language above. It is a good idea to request the changes in writing, if possible.
- Keep in mind that your employer will probably ask for a note from a healthcare provider or your baby’s healthcare provider. There are limits to what your employer can ask for.
- Many employers don’t understand the complex law on accommodations for a loved one’s disability. Contact WorkLife Law’s free helpline if you need help.
Accommodations for breastfeeding and pumping
You have a right to lactation breaks and space and may also be entitled to other changes at work if you need them to protect your milk supply and your breastfeeding relationship.
You have the right to break time to pump as often as needed and a private space that is not a bathroom, close to where you work. The space must be clean and safe, with a place to sit, a flat surface for your pump, and access to electricity. Your employer must also give you access to a sink with clean running water and a refrigerator or cooler to store your milk. You can take as much time as you need, and you do not have to give your employer a doctor’s note to get pumping breaks.
Nursing your baby directly is part of building and keeping a breastfeeding/nursing relationship and can support your ability to produce milk. When your baby is in the NICU, that has to happen at the hospital, often on the hospital’s schedule. You can ask for changes (“reasonable accommodations”) that make it possible, such as:
- A shifted start or end time that lines up with your baby’s feeding times;
- Working remotely, from home or from the hospital, so that it is easier to get to the hospital to feed your baby;
- A longer break, or a break at a different time, so you can get to the NICU and back; or
- Other changes that support your milk supply, such as extra water, extra breaks, or a different uniform.
You’re entitled to changes to support your lactation so long as your employer has at least 5 employees and making these changes would not cause significant difficulty or expense. Depending on what change you need, you may be asked to provide a note from a healthcare provider. Learn more here.
Discrimination and harassment are illegal
If your employer has 5 or more employees, California law makes it illegal to treat you worse because of pregnancy, lactation, sex, your own mental health condition, or your relationship with a person with a disability — including your baby.
For example, your employer cannot cut your hours, give you worse shifts or assignments, make harassing comments, penalize you, or fire you because you are caring for your baby in the NICU. It is also illegal for your employer to punish you for asking about or requesting leave or accommodations. If you think this is happening, get help immediately. You can contact WorkLife Law’s free helpline.
These rights apply regardless of immigration status
All of the workplace rights described on this webpage apply no matter your immigration status. Like all Californians, you can apply for and receive State Disability Insurance (SDI) and Paid Family Leave (PFL) if you paid into the system. Look for a deduction called “CASDI,” “DI,” or “SDI” on your paystub. Receiving pay under California’s PFL and SDI programs does not fall under federal “public charge” rules.
Undocumented workers should apply by mail rather than online. See here for more information, and contact WorkLife Law’s free helpline for assistance.
Questions? We can help.
Every family’s situation is different, and these laws overlap in complicated ways. WorkLife Law attorneys are here to help. Our legal helpline is free and confidential.
Get started online: PregnantAtWork.org/GetHelp
Or you can leave a message at 415-703-8276 or email [email protected].
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