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In California and Other States, Dads Are Now Even With Moms in Paid Leave Claims

Karlo Campana is usually outnumbered these days. He has three young kids under age 4. On a recent Saturday, he played a mini game of basketball with his two older kids in their Southern California home, shooting a ball into a hoop on the door, while his baby boy watched from his bouncy chair.

Campana took paid time off in May after the birth of his son — just as he did for his daughters.

“You need that adjustment period,” he said. Campana, who works at an ad agency, said having the time off not to think about work — or worry about losing income during that time — was crucial for him and his family during a sleep-deprived period.

“My wife isn’t doing it on her own,” he said. “She doesn’t feel like she’s alone on this journey. She feels like she has support.” He jokes that by kid No. 3 he thought he had nailed diaper changes without getting peed on — but he was wrong.

“The benefits are I get to spend time with each of them when they were in the infant stage, the baby stage, and I get to hold them and, you know, change the poopy diapers,” he said. “ It’s like the funny moments of, like, being a parent, like, ‘This is it right here, you’re in the thick of it.’”

Campana is among a growing number of fathers who take leave to bond with a new child in states that offer paid family leave programs — and are part of a larger cultural shift that has seen dads handling more caregiving duties. In California — as in several other states — men make up about half of bonding claim applications. Last year, men even surpassed women — as in Colorado and Washington — for the first time in the state’s history. This trend comes at a time when the federal government has said it wants Americans to have more babies, and families report affordability is an obstacle to raising them.

No federal law guarantees paid parental leave, but California is one of 14 states, plus Washington, D.C., that have passed legislation to enact paid family leave programs — and in many of those places, more dads are opting in.

“We’re in a very different place in terms of our understanding of gender roles, of paternity leave, of dads’ roles than we were 20-plus years ago,” said Molly Weston Williamson, policy director at Paid Leave for All, an organization that advocates for paid family leave policies.

California’s program offers, within a year, up to eight weeks of paid bonding leave for parents after a birth or adoption. That’s on top of six to eight weeks of paid disability leave that moms get to recover after birth.

Research has shown that paternity leave confers benefits beyond allowing a father extra time to bond with a new child: It has positive effects on the whole family, including better health outcomes for both parents. Paid parental leave has also been linked to lower odds of postpartum depression and a decrease in infant mortality rates.

In California, men accounted for 51% of bonding claims filed in 2025. It’s a massive shift from when the state program started in 2004, and men made up about 18% of claim applications.

States fund paid family and medical leave with different combinations of employer and employee contributions; California is among six states where family leave is entirely funded by employee payroll deductions.

In addition to changing gender norms, Weston Williamson said, other factors likely contribute to the increase in claims by men in the state: greater awareness about the program and recent changes to the benefit.

In 2025, the state boosted the amount of income a worker can recoup while on family leave. Now, in California and other states, the leave benefit can be as high as 90% of their regular salary.

“That makes it a realistic option for a lot more families, and I think we’re seeing dads and moms responding to that change,” Weston Williamson said. Still, she said, there’s a lot the new data about dads isn’t telling us.

“We’re getting one particular vantage point into this data, which is useful and valuable, but it’s only telling us sort of part of the story, and we’d need other kinds of information to better understand the full picture,” Weston Williamson said. “Is it that more dads are working and therefore are potentially eligible for these benefits? Is it that women are deciding not to take leave?” 

While private employers can offer their own paid leave as a benefit, this data reflects only people who took leave through the state. 

A spokesperson for the California Employment Development Department, which administers the state family leave program, said the department couldn’t provide definitive reasons for the increase in bonding claims by men.

One thing is clear: The growth in these states comes as more parents are feeling strained economically. President Donald Trump has said, “We want more babies,” and has promoted policy initiatives like expanding access to in vitro fertilization and offering investment accounts for newborns.

“People really are very worried about the affordability of kids,” said Jeremy Pope, a professor of political science at Brigham Young University.

In 2025, 7 in 10 Americans said raising children had become unaffordable, according to the American Family Survey out of Brigham Young University. It was the biggest single-year jump since the survey started more than a decade ago.

“I don’t think they want government involved in the decision to have kids,” Pope said. “But they worry a lot about how much it costs and they would like to see ways of making those costs smaller or getting help with those costs.”

The Pew Research Center found in a recent survey that among full-time working parents who are not self-employed, 84% said paid parental, family, or medical leave would be “extremely or very helpful” to them, but only half said it was available to them.

Dad-of-three Campana said he initially wasn’t sure if he should take paternity leave because of lingering gender stereotypes.

“ I felt guilty, for sure,” Campana said. “ I think dads maybe feel they need to be the provider. They need to be the ones that are only helping their family by bringing money or working.”

Campana said that when he was growing up, his father worked three jobs. “It was hard for him to be present, and I think that’s the one thing now — it’s like, ‘No, be present. Be there for your kids.’”

This article is from a partnership that includes LAist, NPR, and KFF Health News.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

This article first appeared on KFF Health News and is republished here under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



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Indira IVF in talks to acquire Sabine in nearly Rs 1,300 crore deal

The proposed transaction is likely to value CX Partners-owned Sabine at ₹1,200-1,300 crore, said the people. CX Partners had acquired about 54% stake in Sabine in 2024 at a valuation of $100 million (about ₹835 crore).

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Centrally sponsored insurance must be periodically revised: Fortis MD

This comes a year after the Union health ministry revised rates for nearly 2,000 procedures under the Central Government Health Scheme in October 2025, the first major revamp since 2014.

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Remember This Acronym Next Time You’re Facing a Big Medical Decision: B.R.A.I.N.

(Maria Fabrizio for WPLN and KFF Health News)

Gina Conley, an Army veteran in Aberdeen, North Carolina, knew she wanted a low-intervention birth for her first child. But her plan started to go off the rails as soon as she got to the hospital.

“Everything that I did not want to happen had happened,” she said. “And I just remember that feeling of being just so utterly defeated.”

Her cervix wasn’t dilating quickly, and Conley said her midwife insisted that she take Pitocin to speed up the labor. Later, when she was nearly fully dilated, the midwife asked to break Conley’s amniotic fluid sac, another intervention used to move labor along.

Conley agreed to that step, reluctantly. But looking back, she said she didn’t feel comfortable with many of the decisions that day. And Conley doesn’t feel that her providers were fully hearing her.

Conley went on to become a birth doula, in part to help other women have better experiences than she had. Her work is not about helping people avoid medical interventions, she said, but helping them engage in shared decision-making, a collaborative approach in which medical providers and patients talk through options and make a choice together. Studies show that patients who are involved in their medical decisions report higher satisfaction with their care and, in some settings, better outcomes. “How were you treated?” she said. “And how many decisions did you feel like you got to truly make?”

The QTip:

Even in a fast-paced medical setting, it’s OK to ask: “What happens if I do nothing right now?”

The Acronym To Remember: B.R.A.I.N.

Birth doulas, including Conley, often advise clients to use the acronym B.R.A.I.N. to ask questions of their medical providers:

  • What are the benefits of this intervention?
  • What are the risks?
  • What are the alternative options?
  • What does my intuition tell me?
  • What happens if I do nothing right now?

“ It’s essentially a framework for talking to your healthcare provider when you’re coming to a decision or a pivot point,” said Margaret Buxton, a certified nurse midwife and vice president of clinical operations at Diana Health, a network of women’s healthcare practices in the South.

Listening to your intuition is particularly valuable, Buxton said: “You do experience emotions in your body, not just in your head.” Checking in with your intuition or gut can help you decide and ultimately feel more comfortable with a choice in front of you.

“We know that people who feel seen and heard in their healthcare visits, their anxiety goes down, their stress level goes down,” she said. “And their ability to process information, think and listen, all of that improves.”

When All Else Fails, Remember ‘N,’ for ‘Nothing’

If you don’t have time or energy to go through all five questions, you can ask the N in B.R.A.I.N.: “What happens if I do nothing right now?”

Doing nothing provides an opportunity to pause, talk through options with people you trust, and feel more active in the decision-making process, Buxton said.

Of course, there are moments when a medical emergency takes precedence. “ It’s pretty clear when it’s not a good time to talk, because people are ripping cords out the wall and they’re running you down to the OR,” Conley said. But generally, “there’s time for you to get to a point where you feel pretty comfortable and confident that this is a good decision.”

B.R.A.I.N. Won’t Replace a Compassionate Provider

Some patients feel uncomfortable questioning a doctor’s authority, because of the power dynamics in the room. “ Medicine was really set up to be top-down,” Buxton said. “There’s an expert, and there’s a recipient.”

Others fear being dismissed or not taken seriously. Research has shown that medical professionals are less likely to prescribe pain medication to women than men for the same symptoms and that Black women are three times as likely to die in childbirth than white women.

That’s why it’s important to find a provider you trust before a planned medical event, like childbirth, Conley said. Pay attention to how they respond to questions in appointments and whether they actively listen. And if they don’t, find a different person to oversee your care.

“We need to choose a provider that we can truly trust to share their expertise with us in a way that is not going to push us away from our personal preferences,” she said. “It’s definitely harder to have those conversations with an abrasive provider who is not interested.”

People and Policy

Medical professionals are both legally and ethically required to obtain “informed consent” from patients before most procedures. This means they have to give you accurate and complete information about the recommended treatment, typically in writing.

And nearly two decades ago, the American College of Obstetricians & Gynecologists’ ethics committee recommended that doctors go a step further and engage in shared decision-making, which involves discussing “the benefits and risks of available treatment options in the context of a patient’s values and priorities.” The Centers for Medicare & Medicaid Services has also started requiring shared decision-making as a condition for paying for a limited number of treatments.


Katherine Ruppelt at Nashville Public Radio contributed to this report.


HealthQ is a health series from reporters Cara Anthony and Blake Farmer, approachable guides to an unapproachable healthcare system. It’s a collaboration between Nashville Public Radio and KFF Health News.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

This article first appeared on KFF Health News and is republished here under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



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Keralam unanimously passes landmark bill on senior citizens' welfare, first in country

The Keralam Senior Citizens (Care and Protection of Rights) Bill, 2026, was passed unanimously by the state Assembly after the government accepted several amendments moved by members of both the ruling and opposition benches.

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Nadda calls for coordinated, whole-of-government approach to tackle substance abuse

He was speaking at the launch of a capacity-building training programme for medical and allied healthcare professionals engaged in drug de-addiction services, according to an official statement.

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Many Medicare Patients Could Lose Access to Remote Monitoring Devices

Dianne Williams said she lost weight and lowered her blood pressure thanks to quarterly doctor appointments, monthly phone calls with a nurse, and a blood pressure cuff she uses at home that transmits data to her care team.

“It’s good to have somebody talk to you and tell you what your progress is like. And she’s a very nice person,” Williams said of her nurse.

Williams, who lives in rural Georgia, said these services — referred to as remote patient monitoring — encourage her to take her medication and inspired her to revamp her diet and exercise.

But many Medicare patients, especially those in rural areas like Williams, soon may no longer be able to use devices and receive coaching from the comfort of their homes.

That’s because a proposed federal rule would halt Medicare reimbursements for providers who use health technology companies to administer remote monitoring for their patients. Medicare would pay clinicians only when the service is provided by someone at the facility where they work.

The Centers for Medicare & Medicaid Services’ proposed rule is a response to reports on remote monitoring from the Department of Health and Human Services’ Office of Inspector General, an independent federal oversight agency. The 2024 and 2025 reports raised concerns about fraud, a lack of data collection, and patients’ not receiving treatment from the clinician who prescribed the device.

But Caroline Pearson, executive director of the nonprofit Peterson Center on Healthcare, said “the rule would virtually eliminate the use of remote monitoring services, or dramatically reduce the use,” for many Medicare patients.

“I think the rural communities will be some of the hardest hit,” said Pearson, whose organization focuses on healthcare affordability.

She said remote monitoring programs can be especially helpful in rural areas, where it can be difficult for patients to travel to in-person appointments. Most rural healthcare facilities that offer these programs use third-party vendors since they don’t have the capacity to launch and oversee their own, she said.

CMS spokesperson Timothy Foster said the agency “recognizes the important role that technology-enabled care can play in improving access to care, including in rural communities.” But more safeguards are needed, he said.

The proposed rule says outside vendors may “have little to no established relationship” with patients and their clinicians, which it says can “fragment care.” It also says the clinicians may not be involved enough to warrant being paid by Medicare. Pearson, other health policy experts, and vendors agree with the Trump administration that these programs need further regulation. But public comments show widespread strong disagreement with CMS’ approach.

The proposal “took us by such surprise,” said Andrew Van Ostrand, senior vice president at the Alliance for Connected Care, a group that advocates for wider adoption of health tech, including remote monitoring, on behalf of healthcare organizations and tech companies.

Van Ostrand said many vendors have already made changes inspired by the “very well-reasoned recommendations” from HHS’ Office of Inspector General and were surprised that the proposed Medicare rule didn’t mandate all its suggestions.

The proposed rule would apply only to patients enrolled in traditional Medicare, not those with privately run Medicare Advantage plans, which cover more than half of Medicare participants. But Van Ostrand and Pearson said Medicare Advantage plans, Medicaid programs, and private insurers could end up adopting the same change, further limiting access.

Van Ostrand said the vendor rule and other proposed changes — including a “draconian” cut in reimbursement rates — are in “deep misalignment” with one of President Donald Trump’s signature initiatives: the five-year, $50 billion Rural Health Transformation Program, which encourages states to adopt tech solutions to improve rural healthcare.

States have earmarked at least $240 million from their first-year rural health funding for remote monitoring, according to a report by the Alliance for Connected Care, which also wrote to CMS to oppose the rule change.

More than 230 health tech vendors, healthcare systems, and patient and medical advocacy groups had signed the opposition letter as of Sept. 14.

A few organizations largely support the proposed rule, including major health industry players Humana, Blue Cross Blue Shield Association, and Sutter Health, a large health system that offers its own remote monitoring program.

Remote Patient Monitoring 101

Remote monitoring can be used for patients who are in physical therapy, recovering from surgery or hospitalization, or living with a chronic condition such as diabetes or heart disease.

The idea is to help patients manage their health and prevent dangerous complications or pricey emergency room visits. Remote monitoring can also make it easier to obtain care for patients who struggle to travel to in-person appointments — such as those with disabilities, without cars, or from rural areas far from hospitals.

A blood pressure monitor screen is seen in front of a woman who is seated at a table
Dianne Williams takes her blood pressure at home in rural Georgia. (Matt Odom for KFF Health News)

To track her blood pressure, Williams straps a cuff to her arm and presses a button. The device automatically sends her data to CoachCare, a private company whose staff monitor patients.

“I don’t have to wait until I go to the doctor’s office when I can do it every day,” Williams said.

Other patients are given devices such as scales, blood glucose monitors, and fitness bands that transmit data that’s monitored by nurses or other staffers, and, increasingly, with the help of artificial intelligence.

Some large academic health systems create their own devices or use their own employees to review data and check in with patients. But most health facilities contract with health tech companies.

If staff notice — or are alerted by AI to — patient data trending in the wrong direction, they can call patients to offer advice or schedule a follow-up appointment with their doctor. If vitals indicate life-threatening problems, staff urge patients to call 911.

Williams said she was frustrated when her medication wasn’t lowering her blood pressure. She said that’s when her CoachCare nurse suggested she start exercising and eating healthier.

“That made me feel better, because they gave me encouragement,” she said. “They just didn’t just take my blood pressure and that was it.”

Williams said she now walks at a local track each day and made diet changes, such as switching from fried to baked fish.

Edward Vance is the chief medical officer of Albany Area Primary Health Care, which includes Williams’ clinic. He said the health system, which serves many rural and low-income patients, couldn’t offer remote monitoring without an outside vendor.

“We already run at a borderline understaffed situation,” and many community health centers operate with “shoestring budgets,” Vance said.

A woman wearing glasses and a black sweatshirt cuts vegetables at a kitchen counter
Williams prepares a salad at home. Williams says she started eating more produce and less fried food after receiving nutrition trips from a nurse. Her monthly phone calls with the nurse are part of a patient monitoring program. (Matt Odom for KFF Health News)

Growing Pains

The federal government created Medicare billing codes for remote patient monitoring during Trump’s first presidency. That allowed providers to be reimbursed for initiating and overseeing such services. Health facilities often use part of that revenue to pay vendors for their devices and monitoring.

Only 1% of patients on traditional Medicare use remote physiologic monitoring, the more common type of remote monitoring, and the cost is a small fraction of overall spending. But both measures are rapidly growing.

The number of traditional Medicare patients enrolled in such programs grew tenfold from 2019 to 2023, while program spending on them increased from just under $7 million to more than $194 million, according to an April 2025 report from the Peterson Center on Healthcare.

Pearson said evidence shows remote monitoring is most helpful when providers use the data to inform how they treat patients — such as adjusting medications — and only until the patient is stabilized.

“We shouldn’t be paying for doctors to be reviewing huge numbers of readings, for years on end, for patients that have controlled blood pressure,” Pearson said.

“That doesn’t feel like a clinically driven decision. That feels like a revenue decision,” she said, adding that some vendors explicitly pitch their services as an opportunity for health facilities to generate income.

But traditional Medicare patients are enrolling in remote physiologic monitoring programs for longer periods of time. From 2019 to 2023, average duration increased from 1.7 months to 5.2 months, the Peterson report found.

Pearson said Medicare should limit how long patients can be prescribed remote monitoring unless there’s proof treatment is still needed. The agency also should require clinicians to report more data, including outcomes, she said.

She said Medicare should eventually transition to a reimbursement system that pays based on whether programs improve patients’ health. Pearson said CMS has already begun to do so through its new ACCESS program, which pays not only clinicians but also vendors.

But Pearson said the program, which launched in July, reimburses less than traditional models.

Williams said the government should keep remote monitoring accessible.

“It looks like they’re cutting off everybody, and that’s not right,” she said.

A woman wearing glasses and a black sweatshirt walks along a trail next to a field
Williams started walking regularly after a nurse suggested she exercise to help lower her blood pressure. Williams’ monthly phone calls with the nurse are part of a patient monitoring program. (Matt Odom for KFF Health News)
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

This article first appeared on KFF Health News and is republished here under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



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‘VIP culture’ in hospitals can compromise patient safety, equitable care: AIIMS doctors

In an opinion paper published in Oncology Reviews, surgical oncologists Prof. M D Ray and his MCh student Dr Hema Siri Kottu describe how pressure from influential patients, their families and hospital management can lead to unnecessary investigations, surgery before adequate preparation and prolonged intensive care stays.

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Digging Into the Money Behind the US Healthcare System

The United States spends a lot of money on healthcare. To better understand how much, who spends it, and what it’s spent on, we dug into the federal government’s data. 

In 2024, the most recent year for which data was available, the U.S. spent $5.3 trillion on healthcare. That means an average of more than $14.4 billion was spent each day, and more than $10 million each minute.


Health spending per person increased to an average of $15,474 in 2024, not necessarily because we’re sicker, but because of increased prices. According to the Peterson-KFF Health System Tracker, the U.S. has half as many in-person doctor consultations per person as peer countries. In other words, we pay more for less care.


For more than two decades, hospital care has been the largest category of healthcare spending. It’s expected to remain the largest share over the next decade, though the federal government projects that retail prescription drug spending will rise 5.7% a year on average — slightly faster than hospital care.


Patients in the U.S. are shouldering higher insurance premium payments and other out-of-pocket costs. People have told KFF Health News that they are forgoing health insurance coverage, rationing their medications, cutting back on doctor visits, and putting off health procedures.

Federal data delineates the main sources of healthcare spending as private health insurance, Medicare, Medicaid, out-of-pocket costs, and other programs. Households, governments, businesses, and other private entities are responsible for financing those sources.

Many current federal healthcare proposals focus on shifting costs from one funder to another rather than lowering them. For example, the One Big Beautiful Bill Act, enacted in 2025, shifted more government spending onto households, increasing the burden on low-income patients. If Congress were to restore covid-era subsidies for Affordable Care Act plans, costs would shift back toward government, which is funded disproportionately by wealthier taxpayers.

Meanwhile, healthcare costs are eating up a growing share of our economy. The $5.3 trillion spent on healthcare in 2024 accounted for 18% of the nation’s gross domestic product that year.

And those costs are expected to continue growing faster than the overall economy, hitting 20% of the nation’s gross domestic product by 2032.

“We’re not going to be able to finance our way out of healthcare spending that’s growing faster than GDP,” said Michael Chernew, a professor of healthcare policy at Harvard Medical School. “We’ll all end up with healthcare and no clothes or houses or cars.” 


Sam Whitehead contributed to this report.

Are you struggling to afford your health insurance? Have you decided to forgo coverage? Click here to contact KFF Health News and share your story.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

This article first appeared on KFF Health News and is republished here under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



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One in four tribal adults in Odisha has impaired kidney function: ICMR study

Published in the Oct 2026 issue of the Indian Journal of Medical Research, the study analysed health data of 19,703 adults from 53 tribal communities across 14 tribal-dominated districts of Odisha.

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