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Do You Accrue PTO While on FMLA? Employer Guide

Do you accrue PTO while on FMLA leave, or while on PTO? The actual federal rule, the consistency test, worked examples, and policy language for employers.

Nick Anisimov

Nick Anisimov

FirstHR Founder

Benefits
17 min

Do You Accrue PTO While on FMLA?

The federal rule, the consistency test that decides it, and how to write a policy you can defend

An employee is about to go out on FMLA leave and they ask you, reasonably, whether they will keep earning PTO while they are gone. You look it up. Every page you find tells you it depends on your policy, which is technically correct and completely useless, because you are the one who wrote the policy and you are the one trying to find out what it should say.

The reason nobody gives you a straight answer is that the straight answer is a rule about your own consistency rather than a rule about accrual. Federal law deliberately declines to decide this. It cares about something else entirely: whether you treat FMLA leave the same way you treat every other comparable leave. Once you understand that, the question stops being a legal puzzle and becomes a policy design decision with a right answer for your business.

This guide covers what the regulation actually says, the consistency test that decides the outcome, why the same twelve-week leave can produce two different answers depending on the week, the closely related question of whether PTO accrues while an employee is on PTO, the 2025 Department of Labor guidance on state paid leave that changed the substitution analysis, and policy language you can adapt. Tracking accrual across paid and unpaid leave periods is exactly the kind of thing I built FirstHR to handle. This is general information rather than legal advice, and leave law varies considerably by state.

TL;DR
The FMLA neither requires nor prohibits PTO accrual during leave. Under 29 CFR 825.215(d)(2), an employee may, but is not entitled to, accrue additional benefits during unpaid FMLA leave. What the law does require is consistency: treat FMLA leave the same as other comparable leaves. In practice, accrual tied to hours worked or paid status generally stops during unpaid FMLA leave and continues while the employee is substituting paid PTO. Frontloaded and tenure-based accrual generally continues throughout. Whatever the employee accrued before leave began is protected and must be available on return. The same logic answers the related question of whether PTO accrues while on PTO: usually yes, unless accrual is strictly tied to hours actually worked.

The Short Answer

Whether PTO accrues during FMLA leave depends on your company policy, not on federal law. The FMLA neither requires nor prohibits accrual during leave. If your PTO accrues based on hours worked or paid status, it generally stops during unpaid FMLA leave. If accrual is frontloaded or tied to tenure, it generally continues. The one federal requirement is that you treat FMLA leave the same as other comparable leaves.

That is the whole answer in five sentences, and if you only read this section you will not get it wrong. The rest of this guide is about applying it to the specific way your company actually calculates PTO, which is where the ambiguity lives and where the mistakes happen.

825.215(d)(2)
The federal regulation that governs accrual during FMLA leave
Consistency
The single test that decides whether your answer is lawful
14 + DC
States with paid family and medical leave programs that change the analysis

What the FMLA Actually Says

The governing text is short and often paraphrased badly, so here is what it actually establishes. The relevant regulation states that an employee may, but is not entitled to, accrue any additional benefits or seniority during unpaid FMLA leave. Read that twice: it is a permission, not a mandate, and not a prohibition either.

Definition
PTO Accrual During FMLA Leave
PTO accrual during FMLA leave refers to whether an employee continues earning paid time off while on job-protected leave under the Family and Medical Leave Act. Federal law takes no position on the outcome. Under 29 CFR 825.215(d)(2), an employee may, but is not entitled to, accrue additional benefits or seniority during unpaid FMLA leave. The employer's own written policy governs, subject to the requirement that FMLA leave be treated no less favorably than other comparable forms of leave.

Notice the word unpaid doing quiet work in that sentence. The permission to suspend accrual is written about unpaid FMLA leave specifically. When an employee is substituting accrued PTO and the leave is therefore paid, that clause is not the one that applies, and the analysis shifts to whatever your policy does during ordinary paid time. That distinction is the source of most of the confusion in this area and the subject of its own section below.

The Department of Labor's own plain-language material makes the same point from a different angle. Fact Sheet #28 describes FMLA as job-protected unpaid leave that employees may take at the same time as employer-provided paid leave, and confirms that an employer may require employees to use their paid leave during FMLA leave. Nothing in it obliges you to keep accrual running, and nothing in it lets you stop accrual selectively.

One threshold point before going further, since it determines whether any of this binds you at all. The federal FMLA generally applies to private employers with 50 or more employees, so a large share of small businesses fall outside it entirely. The broader eligibility and coverage rules are covered in the FMLA guide. What follows still matters below that threshold, because state leave laws frequently reach smaller employers and because the accrual question arises the first time anyone takes a long absence, covered or not.

The Consistency Rule

The rule that actually decides whether your policy is lawful is consistency: whatever you do for other comparable leaves, you must do for FMLA leave. This is the part that competing articles either skip or bury, and it is the part that creates real legal exposure.

Think about what the alternative would mean. If a company let employees keep accruing PTO during an unpaid personal leave but froze accrual during unpaid FMLA leave, it would be imposing a cost on the employee specifically for exercising an FMLA right. That is the shape of an interference claim, and it is why the regulation frames benefits during FMLA leave in terms of equivalence rather than in terms of a fixed outcome.

The Test Is Comparative, Not Absolute
Stopping accrual during unpaid FMLA leave is lawful. Stopping accrual during unpaid FMLA leave while continuing it during a comparable unpaid non-FMLA leave is the problem. The DOL puts this plainly in its guidance on employee protections: benefits that would be maintained during other forms of leave must be maintained during FMLA leave. Before you finalize any answer here, audit your other unpaid leaves and confirm they all behave the same way. Most small employers have never compared them side by side, and that comparison is where the inconsistency turns up.

There is a practical benefit to this framing. It means you do not have to guess at the right answer or hire someone to tell you what it is. You have to make one decision, apply it uniformly, and write it down. A policy that says accrual stops during all unpaid leave is defensible. A policy that says accrual continues during all unpaid leave is equally defensible and more generous. A policy that has never been written down is the one that causes trouble.

The distinction that decides the answer week to week is whether the FMLA leave is paid or unpaid at that moment, because a single twelve-week leave frequently switches between the two. This is the mechanic that surprises employers who expect one answer for the whole absence.

Here is how a typical leave actually plays out. An employee goes out for twelve weeks. They have four weeks of accrued PTO, which your policy requires them to substitute. For those four weeks, they are being paid, and your accrual rule sees paid status. For the remaining eight weeks, they are on genuinely unpaid leave, and the accrual rule sees no pay and, under most systems, no hours worked. Same leave, same employee, two different accrual outcomes.

Employers who do not anticipate this end up in an awkward conversation, because the employee sees their balance grow for a month and then stop, concludes something has gone wrong with payroll, and asks. There is nothing wrong. It is just the policy working exactly as written. But it is a much better conversation to have in advance, in the Designation Notice, than in arrears.

1
Is the FMLA leave paid or unpaid right now?Paid means the employee is substituting accrued PTO, so they are in paid status. Unpaid means no employer pay is flowing. The same twelve-week leave can switch between the two, and the answer changes with it.
2
What does your accrual rule attach to?Hours worked, paid status, or the calendar. This single design choice, made when you wrote the policy and probably not revisited since, decides the answer more than the FMLA does.
3
What do you do for your other unpaid leaves?Personal leave, unpaid medical leave, an unpaid sabbatical. Whatever you do there, you must do for FMLA. This is the consistency rule and it is the part employers actually get wrong.
4
Is state paid family leave involved?If the employee is drawing state PFML benefits, the analysis changes and you generally cannot require them to burn PTO on top. Fourteen states and the District of Columbia now have these programs.
Answer these four in order and you have your answer. Nobody can answer them for you, because the answer lives in your own policy.

How Your Accrual Mechanic Decides It

Your accrual mechanic, chosen when you first wrote the policy and probably not revisited since, determines the answer more decisively than anything in the FMLA does. There are three common mechanics and they behave differently.

Accrual tied to hours worked
Unpaid FMLAStops
Paid FMLADepends on whether you count paid leave hours as hours worked. Most payroll setups do not, so it usually stops here too.
On PTOUsually stops, for the same reason: no hours were worked.
Accrual tied to paid status or per pay period
Unpaid FMLAStops
Paid FMLAContinues. The employee is being paid, so the condition that triggers accrual is met.
On PTOContinues. PTO is paid status, so the accrual keeps running.
Frontloaded or tenure-based
Unpaid FMLAContinues
Paid FMLAContinues. Nothing about the leave affects a grant that was already made or a clock tied to length of service.
On PTOContinues, and the question never really arises.

Read that grid and something becomes clear: the employers with the least ambiguity are the ones using hours-worked accrual, because the rule answers itself. No hours, no accrual, in every scenario, with no judgment call. The employers with the most ambiguity are the ones on per-pay-period accrual, because the period is a calendar unit and somebody has to decide what a half-worked period earns.

If you are designing a policy from scratch and you want the version that generates the fewest arguments, hours-worked accrual for hourly staff is the cleanest instrument available. The broader mechanics of setting rates and choosing between methods are covered in the accrued PTO guide.

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Do You Accrue PTO While on PTO?

In most systems, yes. If accrual runs per pay period, is frontloaded, or is tied to paid status, it keeps running while an employee is using PTO, because the employee is still being paid. If accrual is strictly tied to hours actually worked, it generally does not, since no hours were worked. There is no federal law on this question whatsoever.

This question gets asked far more often than it gets answered clearly, and the pages that do answer it frequently contradict each other. Some state flatly that PTO never accrues on PTO because accrual requires hours worked. Others state just as flatly that it always does. Both are describing their own assumed accrual mechanic as if it were a universal rule, which is why the answers look irreconcilable.

Why Two Employers Give Opposite Answers and Both Are Right
The disagreement is not about the law, because there is no law here. It is about the denominator in the accrual formula. An employer accruing 4.62 hours per biweekly paycheck is paying against a calendar period, and a week of vacation does not remove a paycheck from the calendar, so accrual continues. An employer accruing 0.0577 hours per hour worked is paying against labor, and a vacation week supplies no labor, so accrual pauses. Neither is wrong. They are running different machines and getting the answers their machines produce.

The practical consequence for a small business is that this needs one sentence in your handbook and currently probably does not have it. Employees notice accrual behavior far more closely than employers expect, particularly around long vacations, and an unstated rule gets interpreted in whichever direction the employee expected. Write the sentence.

Running PTO and FMLA Together

Separate from accrual is the question of whether you can make an employee spend their PTO during FMLA leave, and the general answer is yes, subject to two conditions and one significant exception.

Under 29 CFR 825.207, an employer may require an employee to substitute accrued paid leave for unpaid FMLA leave. Substitution means the paid leave runs concurrently with the FMLA leave rather than extending it, so the employee gets paid and the twelve-week clock runs at the same time. Both parties usually want this, since it converts unpaid time into paid time for the employee and consumes the entitlement for the employer.

The two conditions are straightforward and frequently missed. Your written policy has to establish the requirement, because the employee's ability to substitute is governed by the terms of your normal leave policy. And the requirement has to be reflected in the FMLA Designation Notice you provide, which is where the employee learns that their PTO is being consumed. Requiring substitution that your handbook never mentions is a compliance problem regardless of how sensible the outcome is.

Substitution and Accrual Are Two Different Decisions
Employers routinely conflate these. Substitution is about whether the employee spends their existing balance during the leave. Accrual is about whether they keep earning during it. You can require substitution and suspend accrual. You can require substitution and continue accrual. You can allow but not require substitution and do either. They are independent settings, and a policy that addresses only one of them leaves the other to be argued about later.

The State Paid Leave Wrinkle

The significant exception to the substitution rule is that where an employee is receiving payments from a disability plan, workers compensation, or a state or local paid family leave program, the leave is not unpaid, and you generally cannot require them to burn PTO on top of it.

The disability and workers compensation part of this is long-settled. The state paid family leave part is more recent. In a January 2025 opinion letter, the Department of Labor concluded that state and local paid family and medical leave benefits should be treated the same way, meaning the FMLA substitution provision does not apply to the compensated portion of the leave and neither party can unilaterally require accrued paid leave to run concurrently with it. The parties may still mutually agree that the employee uses PTO to top off the gap between the state benefit and full pay, where state law permits.

Why This Reaches Far More Small Employers Than It Used To
As of April 2026, fourteen states plus the District of Columbia have enacted mandatory paid family and medical leave programs, per the Bipartisan Policy Center: California, Colorado, Connecticut, Delaware, D.C., Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Oregon, Rhode Island, Washington, and Virginia. Several of these programs apply to employers far below the FMLA's 50-employee threshold, which means a business that is not covered by the federal FMLA at all can still be squarely inside this analysis.

One caveat worth stating plainly. An opinion letter is the agency's interpretation rather than a statute, and interpretations can be withdrawn by a later administration. Even if that happened, several states impose the same restriction under their own laws, so the practical guidance for an employer with staff in a paid-leave state does not change much either way. Confirm the current position for your states before you write the rule into a handbook.

Note also that the substitution answer and the accrual answer remain separate here. Concluding that you cannot require PTO substitution during a state-paid period tells you nothing about whether accrual continues. That still turns on your own policy and on whether the period counts as paid status under it.

Four Worked Examples

Abstractions get slippery here, so these are the four scenarios that come up most often at a company with five to fifty people, worked through to the outcome.

Hours-worked accrual, fully unpaid leaveSetup: Twelve-person agency. PTO accrues at 0.0577 hours per hour worked. An employee takes eight weeks of unpaid FMLA leave and has no PTO balance to substitute.Result: Accrual stops for eight weeks. The employee loses roughly 18 hours of accrual they would have earned. This is lawful, because the same rule applies to the unpaid personal leave the company grants, and nothing already earned is touched.
Per-pay-period accrual, substituted PTOSetup: Same company, but accrual is 4.62 hours per biweekly paycheck and the employee has 60 hours of PTO that the employer requires them to substitute.Result: For the roughly three pay periods covered by substituted PTO, the employee is in paid status and continues accruing. Once the PTO runs out and the leave goes unpaid, accrual stops. The same leave produces two different answers depending on the week.
Intermittent leave, hours-worked accrualSetup: An employee reduces from five days a week to three for ten weeks for intermittent FMLA leave. Accrual is per hour worked.Result: They keep accruing, just proportionally less, because they are still working. No policy decision needed. This is the case where hours-worked accrual quietly does the right thing without anyone having to think about it.
State paid family leave in the pictureSetup: The employee works in a state with a paid family and medical leave program and is drawing state benefits during their FMLA leave.Result: You generally cannot require them to burn PTO on top of the state benefit. You can agree together to top off the wage gap. Whether accrual continues still turns on your own policy and whether that period counts as paid status under it.

The second example is the one worth studying, because it is the case that surprises people. Nothing unusual happened, no rule was misapplied, and the employee still saw their accrual behave two different ways during a single continuous absence. That is the system working correctly, and the only real failure available is failing to explain it in advance.

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What You Cannot Touch

Whatever you decide about future accrual, the balance the employee had when leave began is protected and must be available to them when they return.

The regulation is explicit on this point: benefits accrued at the time leave began, including paid vacation, sick, or personal leave to the extent not substituted for FMLA leave, must be available to the employee upon return from leave. So an employee who went out with 60 hours banked and substituted 40 of them comes back with 20 hours available, not zero, and not a balance that quietly reset over the twelve weeks they were gone.

Pros
Suspending further accrual during unpaid FMLA leave, if you suspend it during other unpaid leaves too
Requiring substitution of accrued PTO for unpaid FMLA leave, if your policy says so and the Designation Notice reflects it
Applying an accrual cap during leave the same way you apply it during active work
Prorating per-pay-period accrual for partial periods, if the policy states the method
Cons
Forfeiting or reducing a balance the employee earned before leave began
Freezing accrual during FMLA leave while continuing it during comparable non-FMLA unpaid leave
Requiring substitution while the employee is drawing state paid family leave, disability, or workers compensation benefits
Counting FMLA absences against a no-fault attendance policy

The last item in that second column is worth flagging because it is adjacent to accrual and catches employers with point-based attendance systems. FMLA leave cannot be counted as a negative factor in employment actions, and attendance points are a negative factor. If your attendance policy and your leave policy have never been read side by side, that is a productive hour.

Separately, if the employee does not return and instead separates at the end of leave, the protected balance becomes a payout question rather than an accrual question, and payout obligations vary sharply by jurisdiction. The state-by-state detail sits in the PTO laws by state guide.

Policy Language That Works

What resolves all of this is four sentences in your handbook that most handbooks do not contain. Here is language you can adapt, covering accrual during unpaid leave, accrual during paid time off, substitution, and the protected balance.

Handbook language you can adapt
Accrual during unpaid leave
Paid time off accrues based on hours worked. Employees do not accrue paid time off during any period of unpaid leave, including unpaid leave taken under the Family and Medical Leave Act, unpaid personal leave, or any other unpaid leave of absence. This rule applies identically to all unpaid leaves.
Accrual while using paid time off
Paid time off continues to accrue while an employee is in paid status, including while the employee is using accrued paid time off. Accrual is suspended only during unpaid periods.
Substitution during FMLA leave
The Company requires employees to substitute accrued paid time off for otherwise unpaid FMLA leave. Substitution will be identified on the FMLA Designation Notice. Substitution is not required for any portion of FMLA leave during which the employee is receiving payments under a disability plan, workers compensation, or a state or local paid family or medical leave program.
Balance on return
Any paid time off an employee accrued before FMLA leave began, and did not use during the leave, remains available to the employee upon return from leave.
Adapt the first two clauses to match the accrual mechanic you actually run. These are illustrative starting points, not legal advice, and state law may require changes.

Two notes on adapting this. First, the accrual clauses have to match the mechanic you actually run in payroll, not the one you wish you ran. A handbook that promises accrual during paid status while your system quietly accrues only on hours worked creates a gap between the written promise and the actual behavior, and in a dispute the written promise is what gets enforced.

Second, check the clauses against your other unpaid leaves before you publish. The consistency rule means these sentences are only defensible if the personal leave, unpaid medical leave, and any other unpaid absence in your handbook behave the same way. If your leave of absence policy says something different, one of them has to change.

What worked for me
The version of this I got wrong was subtler than freezing accrual illegally. Our handbook said accrual was per pay period and said nothing at all about unpaid leave, which meant that on a plain reading someone on twelve weeks of unpaid leave kept accruing the whole time. Our payroll system, meanwhile, was configured to stop accrual whenever no hours were logged. Nobody noticed until someone came back from leave and their balance was about 27 hours lower than the handbook implied it should be. The handbook was the promise, so we paid it, which was the right call and an annoying one. What I do now is check the handbook language against the actual payroll configuration whenever either one changes. It takes ten minutes and it is the cheapest compliance work available.

Where Employers Get This Wrong

The failures in this area follow a short and predictable list, and every one of them is avoidable with a written policy and one afternoon of review.

The mistakeWhy it happensWhat to do instead
Freezing accrual during FMLA but not other unpaid leavesThe FMLA leave is the one that felt legally significant, so it got a special ruleAudit every unpaid leave in your handbook and make them behave identically
Touching the pre-leave balanceThe balance looked stale after twelve weeks of no activityLeave it alone. It is protected and must be available on return
Requiring PTO substitution with nothing in the handbookIt seemed obviously reasonable, so nobody checked whether it was written downPut the requirement in the policy and reflect it on the Designation Notice
Requiring substitution during state paid family leaveThe employer treated all FMLA leave as unpaid leaveCheck whether the employee is drawing state benefits before requiring anything
Handbook and payroll configuration disagreeingTwo different people set them up at two different timesRead the policy language against the actual system settings
No written rule on accrual during paid time offNobody asked until someone took three weeks offOne sentence. Whichever answer you pick, state it

The first row is the only one with real legal risk attached, and it is also the most common. It happens because FMLA feels like the special case that deserves careful handling, so it gets a carefully considered rule while the ordinary unpaid personal leave sitting three pages later in the same handbook never got one. The result is an inconsistency created by paying more attention to FMLA rather than less.

What Employees Should Know

If you are on the other side of this and checking whether your accrual should have stopped, the short version is that your employer is generally allowed to suspend accrual during unpaid FMLA leave, provided they do the same during other unpaid leaves.

Three things are worth checking. Whether the pause matches what your handbook says, because the handbook is the promise your employer made. Whether your employer continues accrual during other unpaid absences, since treating FMLA leave worse than a comparable leave is the actual problem. And whether the balance you had before leave began is still intact, because that part is protected regardless of what happens to future accrual.

If the answer to any of those looks wrong, the productive first move is asking HR or the owner to walk you through the calculation, since the most common cause by a wide margin is a system configured differently from the written policy rather than anything deliberate.

Key Takeaways
The FMLA neither requires nor prohibits PTO accrual during leave. Under 29 CFR 825.215(d)(2), an employee may, but is not entitled to, accrue additional benefits during unpaid FMLA leave.
The operative rule is consistency: treat FMLA leave the same as other comparable leaves. Freezing accrual during FMLA while continuing it during unpaid personal leave is the real exposure.
Accrual tied to hours worked or paid status generally stops during unpaid FMLA leave. Frontloaded and tenure-based accrual generally continues.
One twelve-week leave can produce two answers, because accrual behaves differently during substituted paid PTO than during genuinely unpaid weeks.
Do you accrue PTO while on PTO? Usually yes, under per-pay-period or frontloaded accrual. Usually no, under strict hours-worked accrual. No federal law governs it.
Employers may generally require substitution of accrued PTO for unpaid FMLA leave under 29 CFR 825.207, but only if the policy says so and the Designation Notice reflects it.
Where an employee is receiving state paid family leave, disability, or workers compensation payments, you generally cannot require PTO substitution on top. Mutual top-off agreements are permitted.
Fourteen states plus the District of Columbia now have paid family and medical leave programs, many covering employers below the FMLA 50-employee threshold.
Whatever the employee accrued before leave began is protected and must be available when they return, to the extent it was not substituted.
Substitution and accrual are independent decisions. A policy that addresses only one of them leaves the other to be argued about later.

Frequently Asked Questions

Do you accrue PTO while on FMLA?

It depends on your company policy, and federal law is deliberately silent on the question. Under 29 CFR 825.215(d)(2), an employee may, but is not entitled to, accrue additional benefits or seniority during unpaid FMLA leave. That means the FMLA neither requires nor prohibits accrual. What the law does require is consistency: whatever your policy does for other comparable leaves, it must do the same for FMLA leave. In practice, if your PTO accrues based on hours worked or paid status, it generally stops during unpaid FMLA leave. If accrual is frontloaded or tied to length of service, it generally continues.

Does PTO accrue during FMLA if the employee is using paid leave?

Usually yes, if your accrual rule is tied to paid status or runs per pay period. When an employee substitutes accrued PTO for otherwise unpaid FMLA leave, they are in paid status, so the condition that normally triggers accrual is being met and accrual should continue. If your accrual is strictly tied to hours actually worked, it may still stop, because no hours were worked. The important part is that the same twelve-week leave can produce different answers week to week as the employee moves between paid and unpaid periods.

Do you accrue PTO while on PTO?

In most systems, yes. If your PTO accrues per pay period, or is frontloaded, or is tied to paid status, it keeps accruing while an employee is using PTO, because the employee is still being paid. If accrual is strictly tied to hours actually worked, it generally does not, since no hours were worked during the time off. There is no federal law on this point at all. It comes down entirely to how you wrote the accrual rule, which is why two employers can give opposite answers and both be correct.

Can an employer require an employee to use PTO during FMLA leave?

Generally yes. Under 29 CFR 825.207, an employer may require an employee to substitute accrued paid leave for unpaid FMLA leave, meaning the PTO runs concurrently with the FMLA leave rather than extending it. Two conditions apply. Your policy has to say so, and the requirement must be reflected on the FMLA Designation Notice you give the employee. There is an important exception: where the employee is receiving payments from a disability plan, workers compensation, or a state or local paid family leave program, the leave is not unpaid and you generally cannot require substitution.

Does FMLA leave affect an employee's existing PTO balance?

No. The balance an employee accrued before FMLA leave began is protected. Under 29 CFR 825.215(d)(2), benefits accrued at the time leave began must be available to the employee when they return, to the extent they were not substituted during the leave. So while you may lawfully suspend further accrual during unpaid FMLA leave, you cannot forfeit, reduce, or reset what the employee had already earned. Doing so is one of the clearest ways to turn an ordinary leave into an FMLA interference claim.

Does PTO accrue during intermittent FMLA leave?

Under an hours-worked accrual system, yes, proportionally. An employee working three days a week instead of five keeps accruing on the hours they actually work, just at a lower rate, with no policy decision required. Under a per-pay-period system, the answer is a policy choice you should state explicitly: does a partial week earn the full per-period amount or a prorated one? Intermittent leave is where vague policies cause the most disputes, because the employee sees a smaller number on their pay stub and asks why.

What is the consistency rule for FMLA and PTO accrual?

The consistency rule is the operative principle in this whole area. Because the FMLA neither requires nor prohibits accrual during leave, what matters is that you treat FMLA leave the same as other comparable leaves. If your employees continue accruing PTO during unpaid personal leave, they must continue accruing during unpaid FMLA leave. If accrual stops during other unpaid leaves, it may stop during FMLA leave too. Treating FMLA leave worse than a comparable non-FMLA leave is what creates legal exposure, not the decision to suspend accrual itself.

What happens to PTO accrual when an employee receives state paid family leave benefits?

Two separate questions arise. First, on substitution: per a January 2025 Department of Labor opinion letter, where an employee is receiving state or local paid family or medical leave benefits, the FMLA substitution provision does not apply to the compensated portion, so neither party can unilaterally require accrued PTO to run concurrently. You can mutually agree to top off the wage gap. Second, on accrual: that still turns on your own policy and on whether that period counts as paid status under it. Fourteen states plus the District of Columbia now have these programs.

Do you have to pay out unused PTO after FMLA leave ends?

Only under the same rules that would apply to any other separation, which depend on your state and your written policy. FMLA does not create a payout obligation of its own. If the employee returns to work, their accrued balance simply remains available. If they separate at the end of leave, payout follows normal state law and your handbook, and a number of states treat accrued vacation as earned wages that must be paid at separation. The FMLA context does not change that analysis in either direction.

Can a small business with fewer than 50 employees ignore this entirely?

Not entirely. The federal FMLA generally applies to private employers with 50 or more employees, so many small businesses are not covered by it. But state family and medical leave laws frequently have lower thresholds, and state paid family and medical leave programs often apply to far smaller employers. Even where no leave law applies at all, the accrual-during-leave question still arises the first time someone takes an extended absence, and having a written answer before that happens is considerably easier than inventing one under pressure.

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