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Family and Medical Leave (FMLA)

The Family and Medical Leave Act (FMLA)1 is a federal labor law from 1993. FMLA allows eligible employees to take up to 12 weeks off per year (unpaid) for family or medical reasons. Your employer must protect your job and access to your health benefits while you are on leave. 

One qualifying reason to use this is for a serious health condition, such as sickle cell disease, that makes you unable to work. The time can be taken off for various reasons such as:  

  • Needing an overnight stay in a hospital 
  • Being unable to work for more than 3 days 
  • Experiencing periods of disability and treatment1 

 

FMLA can also apply if a parent or guardian needs to take time off to care for a child with a serious health condition. Read more here.2 

 

FMLA Eligibility 

You must work for a covered organization to take FMLA leave. FMLA covers:  

  • Private organizations with at least 50 employees 
  • All government agencies and public and private elementary and secondary schools 

 

At most organizations, you must be at that job for at least 90 days to be eligible for FMLA. Check with your employer about your eligibility.  

Some states have different eligibility rules for family leave programs. Find more information about your state’s program.3 

References: 

  1. Family and medical leave act. U.S. Department of Labor. https://www.dol.gov/agencies/whd/fmla. 
  2. Fact Sheet #28K: Using FMLA Leave to Care for an Adult Child with a Disability. U.S. Department of Labor. March 2025. https://www.dol.gov/agencies/whd/fact-sheets/28k-fmla-adult-children. 
  3. Ditzenberger H. Children and families: State policies on Paid Family leave. National Conference of State Legislatures. June 12, 2025. https://www.ncsl.org/human-services/children-and-families-state-policies-on-paid-family-leave. 

Indicators of an Emergency Situation

Patients and families should watch for the following conditions that need an urgent medical evaluation:
• Fever of 101° F or higher
• Chest pain
• Shortness of breath
• Increasing tiredness
• Abdominal swelling
• Unusual headache
• Any sudden weakness or loss of feeling
• Pain that will not go away with home treatment
• Priapism (painful erection that will not go down)
• Sudden vision change

Learn more about sickle cell disease