Overview
Starting June 1, 2026, Illinois employers with at least 16 employees must provide unpaid, job-protected leave when an employee's child is a patient in a Neonatal Intensive Care Unit (NICU). The amount of leave available varies based on employer size.
What's new: The Illinois Family Neonatal Intensive Care Leave Act (HB 2978) creates a new standalone leave entitlement. This leave is only available when FMLA is not available - it runs after FMLA (for FMLA-eligible employees) and for FMLA-non-eligible employees — it is not concurrent with FMLA.
For detailed legislative requirements, see our Legislative Guidance.
How to Use
Throughout this guidance, look for these labels to quickly identify what actions may be needed:
Automatic: System handles this automatically, no action needed
Manual Action or Tracking Required: User must complete this action or track elsewhere
Configuration Note: How the policy is set up in the platform.
Best Practice: AbsenceSoft recommendation for optimal management
How AbsenceSoft Manages Illinois NICU Leave
AbsenceSoft manages this law through a single policy:
|
Policy Name |
Policy Code |
Policy Type |
Purpose |
|---|---|---|---|
|
Illinois Family Neonatal Intensive Care Leave |
IL-NICU |
State FML |
Provides job-protected unpaid leave while a child is a NICU patient |
Configuration Note: This policy is configured for the following absence reasons: Adoption/Foster Care, Bonding, and Pregnancy/Maternity. All three absence reasons share the same per-case entitlement structure.
Configuration Note: This policy is configured to run Consecutive To: FMLA and/or FMLA-Flight Crew policies, meaning it is designed to run after FMLA leave is exhausted for FMLA-eligible employees. For employees who are not FMLA-eligible, the IL-NICU policy will run independently.
Employer Coverage Requirements
Employee Count Thresholds
Illinois NICU Leave coverage requirements are based on active employee count in the work state:
|
Employee Count (Work State) |
Coverage Required |
|---|---|
|
Fewer than 16 |
Not covered |
|
16 to 50 |
10 workdays of leave |
|
51 or more |
20 workdays of leave |
Configuration Note: AbsenceSoft's IL-NICU policy is configured with a minimum eligibility threshold of 16 active employees in Illinois work state. The entitlement adjusts automatically based on whether the employer has 16–50 or 51+ active employees in the work state.
Excluded Employers
Independent contractors are excluded from coverage under this law.
Manual Action Required: Manually override eligibility for employees of excluded employers.
Leave Entitlements and Duration
Entitlement Overview
|
Entitlement (16–50 employees) |
Entitlement (51+ employees) |
Period |
|---|---|---|
|
10 Workdays |
20 Workdays |
Per Case |
Manual Action Required: This policy must be manually added to qualifying cases.
Automatic: AbsenceSoft automatically generates a todo on Pregnancy, Bonding, and Adoption cases in Illinois to ask:
-
Was child in NICU during a period when FMLA was exhausted or not eligible?
-
if yes, the todo prompts you to manually add the Illinois Family Neonatal Intensive Care Leave policy to the case
-
This workflow only generates on case creation (not for case extensions). Therefore, it is recommended that if the child has not been admitted to the NICU as of case creation the question ToDo remains open/unanswered to re-evaluate in the event that the leave gets extended and circumstances change in the future.
Entitlement Rules
Per-Case Configuration and Multiple Cases
The IL-NICU policy is configured on a per-case basis.
Best Practice: Per-case configuration does not prevent an employee from opening multiple cases for the same NICU situation or child back to back. Employers should ensure the employee is taking leave for a different child or a new qualifying NICU admission for each new case to prevent overentitlement.
Leave Duration Cap
An employee is entitled to take this leave during the child’s NICU admission and should end when the child is discharged, within the allowed entitlement.
Best Practice: The maximum leave available is up to 10 or 20 workdays (based on employer size). If the child is discharged be from NICU care before the entitlement is exhausted, the leave should end at discharge. Employees are entitled only to the lesser of the maximum or the actual length of the child’s NICU stay. Document verification in case notes.
Manual Action Required: If the child is discharged from the NICU before the entitlement is fully used, end or deny the remaining leave accordingly. The platform will not automatically end leave based on NICU discharge.
How Leave Can Be Taken
Minimum Increment Requirement
Employers may (but are not required to) set a minimum intermittent leave increment of no less than 2 hours per instance.
Manual Action Required: If your organization chooses to enforce a 2-hour minimum increment for intermittent NICU leave, this restriction must be tracked manually. Review intermittent leave requests against this threshold manually and deny any instances that fall below the minimum.
Interaction with FMLA
This law is separate from and in addition to FMLA. For employees who are FMLA-eligible, IL-NICU leave runs after FMLA leave is exhausted — it is in addition to any FMLA entitlement.
For employees who are not FMLA-eligible, IL-NICU leave runs independently.
Automatic: The IL-NICU policy is configured to run Consecutive To: FMLA and FMLA-Flight Crew policies to enforce this sequencing for FMLA-eligible employees. This policy will only apply when FMLA is not eligible or exhausted.
Required Paperwork
Configuration Note: AbsenceSoft does not provide core paperwork specific to this law. No certification form or notice to employee is required by statute. Once the policy is added to the case the communications will show the policy status giving insights to employees on which law applies to them.
Platform Workflow & Required Actions
Identifying Qualifying Cases
Automatic: The platform automatically identifies qualifying IL-NICU cases starting June 1, 2026 based on:
Work State = IL
Qualifying absence reason (Adoption/Foster Care, Bonding, or Pregnancy/Maternity)
Employer has at least 16 active employees in work state
Employee eligibility criteria met
Adding the IL-NICU Policy
Manual Action Required: The IL-NICU policy must be manually added to new qualifying cases with an absence reason of Adoption/Foster Care, Bonding, or Pregnancy/Maternity as of June 1, 2026.
Automatic: AbsenceSoft automatically generates a todo on Pregnancy, Bonding, and Adoption cases in Illinois to ask:
-
Was child in NICU during a period when FMLA was exhausted or not eligible?
-
if yes, the todo prompts you to manually add the Illinois Family Neonatal Intensive Care Leave policy to the case
-
-
This workflow only generates on case creation (not for case extensions). Therefore, it is recommended that if the child has not been admitted to the NICU as of case creation the question ToDo remains open/unanswered to re-evaluate in the event that the leave gets extended and circumstances change in the future.
Managing In-Flight Cases
Cases Spanning June 1, 2026
Since the IL-NICU policy is a new law, no cases prior to June 1, 2026 would have had this policy applied. For any leave that began before June 1, 2026 and continues on or after that date, manual review is needed.
Manual Action Required: Review all active Illinois cases with the absence reasons below to identify cases that span June 1, 2026 and may now qualify for IL-NICU coverage:
Adoption/Foster Care
Bonding
Pregnancy/Maternity
For qualifying in-flight cases:
Confirm the employee's child is currently a NICU patient and that the leave is being taken for NICU-related reasons
Confirm employer coverage (16+ active employees in work state)
Manually add the Illinois Family Neonatal Intensive Care Leave (IL-NICU) policy to the existing case, effective June 1, 2026
Best Practice: Document in case notes:
"IL-NICU policy added for in-flight case effective 06/01/2026 per new law effective date."
Best Practice: Proactively communicate with employees whose cases span the effective date. Employees with a child still in the NICU on or after June 1, 2026 may be newly entitled to additional job-protected leave under this law.
Manual Tracking Required: Create a list of all potentially eligible in-flight cases before June 1, 2026 to ensure none are missed.
Need Help?
For questions about policy configuration or case management, contact your AbsenceSoft support team or consult the Legislative Guidance for compliance details.