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Maryland Sick and Safe Leave Act: Employer Requirements Maryland's Healthy Working Families Act establishes earned sick and safe leave requirements for covered employers and employees. The law, which took effect February 11, 2018, provides eligible employees with leave for certain health, family, and safety-related reasons. Employers operating in Maryland should understand the law's requirements for paid and unpaid leave, accrual, permitted uses, recordkeeping, and employee notification. Which M …