State Paid Sick Leave Mandates and Receipt of Pediatric Preventive Dental Care

State Paid Sick Leave Mandates and Receipt of Pediatric Preventive Dental Care

RAND Blog/Analysis
RAND Blog/AnalysisMay 13, 2026

Why It Matters

The findings demonstrate that labor‑policy tools can directly boost child health services, offering legislators evidence that paid sick leave expands access to essential preventive care.

Key Takeaways

  • Paid sick leave mandates raise pediatric dental visits by 3.2% relative
  • Study used 2016‑2023 NSCH data across 50 states
  • Benefits observed after controlling for demographics and other policies
  • Pre‑mandate children already had higher insurance and education levels
  • Flexible leave helps parents schedule preventive dental appointments

Pulse Analysis

Preventive dental care is a cornerstone of children’s oral health, yet many families skip biannual check‑ups because parents lack the time to attend appointments during work hours. Traditional barriers such as inflexible schedules and fear of lost wages have been documented as major contributors to low utilization rates, especially among lower‑income households. By granting workers paid sick leave, states create a safety net that can be used for non‑illness appointments, directly addressing the time‑related obstacle that hampers routine dental visits.

The recent analysis leveraged eight years of National Survey of Children’s Health data, applying a difference‑in‑differences framework to isolate the impact of state‑mandated paid sick leave. After controlling for shifting demographics, insurance coverage, and concurrent policy changes, the study identified a modest but statistically significant 3.2% relative rise in preventive dental visits among children in mandate states. Notably, the pre‑mandate sample already exhibited higher private insurance rates and parental education, suggesting that the policy’s effect is additive rather than merely reflecting pre‑existing advantages.

For policymakers, the research adds to a growing body of evidence that paid‑leave legislation yields health dividends beyond reducing contagious illness spread. Enhanced access to pediatric dental care can lower long‑term treatment costs, improve school attendance, and narrow health disparities. As more states contemplate expanding paid‑leave provisions, the dental‑care link offers a concrete metric to evaluate broader societal benefits, encouraging further investigation into how flexible work policies influence other preventive services such as vaccinations and vision screenings.

State Paid Sick Leave Mandates and Receipt of Pediatric Preventive Dental Care

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