State Paid Sick Leave Mandates Associated with Increased Mental Health Disorder Prescriptions among Medicaid Enrollees

Johanna Catherine Maclean, Ezra Golberstein, Bradley Stein
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Abstract

The United States does not have a federal paid sick leave policy. As a result, many workers, in particular lower wage workers, cannot take time off work to attend to health and family responsibilities. Fifteen states have adopted or announced paid sick leave mandates which offer employees approximately seven days of financially protected work-time each year. This time can facilitate health care use, including treatment related to mental health disorders, conditions for which treatment is time-consuming. We study the effect of state paid sick leave mandates on prescription medications dispensed for mental health disorders using the Medicaid State Drug Utilization Database 2011-2022. We find that medications dispensed for mental health disorders increased 6% per year following adoption of a state paid sick leave mandate.
州带薪病假规定与医疗补助计划参保者精神疾病处方增加有关
美国没有联邦带薪病假政策。因此,许多工人,尤其是工资较低的工人,无法请假照顾健康和家庭。有 15 个州已经通过或宣布了带薪病假的规定,每年为雇员提供大约 7 天的经济保障工作时间。这段时间可以促进医疗保健的使用,包括与精神疾病有关的治疗,而精神疾病的治疗是非常耗时的。我们利用 2011-2022 年医疗补助州药物使用数据库研究了州带薪病假规定对精神疾病处方药的影响。我们发现,在州政府通过带薪病假规定后,用于治疗精神疾病的药物每年增加 6%。
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