Missouri’s Paid Sick Leave Law Is Here—And It’s a Compliance Headache

We’re Making It Simple

Please note that you were already supposed to have distributed the first notice on or before April 15th, 2025.

If you own or manage a dental, medical, or wellness practice in Missouri, you’ve probably heard the rumblings around the state’s new paid sick leave law, Proposition A. What started as a local initiative quickly turned into a legal rollercoaster, with employers caught in the middle.

The law is set to take effect May 1st, and unless there’s a last-minute ruling or legislative miracle (neither of which seems likely), you’ll be responsible for complying. That means that if you’re going to self-address all these new changes, you’ll first need to educate yourself, then figure out how each of the requirements impacts your existing time off policy, and then how it impacts other language in other policies, in your employee handbook. It’s a multifaceted problem—more than just rewriting a time-off policy.

Even if you’re already offering paid time off, Missouri’s new law requires more than just providing the benefit. You must now rethink how PTO is offered, tracked, and approved to remain compliant. Simply put—giving the time isn’t enough anymore. The law mandates updates to several HR policies and the distribution of new employee notices.

That’s where we come in.

CEDR offers an affordable, all-in-one HR compliance and problem-solving solution tailored for single and multi-location healthcare practices. We already support dozens of practices across Missouri, and we’d love to include your office in that circle of care.

Let’s start with your employee handbook—a key compliance document—and explore additional tools and services that can save you time, reduce risk, and boost your team’s confidence in handling HR.

Not working with CEDR yet?

Now’s the time. This law is a wake-up call, and we’re ready to help you respond. With CEDR, you’ll quickly get a customized, compliant handbook and immediate access to powerful, easy-to-use HR software designed for busy practices like yours.

Keep reading for a breakdown of what this new law means and how to stay ahead.

Why This Law Is So Tricky

The Proposition A requirements aren’t just about giving sick leave. They come with rules on accrual vs. frontloading, tracking, rollover, annual caps, documentation, and which employees are covered, here’s a hint, they all are. The law also mandates that you notify employees—by a specific deadline—about their rights and benefits under this new policy.

What happens if you miss a step? You could open your business up to complaints, penalties, or even legal claims. And unlike federal laws that only apply to employers with 15+ employees, Proposition A applies to almost everyone in Missouri.

Trying to patch this together using a generic policy template or outdated advice? That’s a fast track to stress and mistakes.

CEDR Members Have Nothing to Worry About, and We Can Help You Too!

At CEDR, we’re already taking care of the compliance details for our Missouri members. We’re drafting custom sick leave policies, tailoring them to each practice’s current setup, and ensuring they meet every requirement under Proposition A. Our Members are spending ZERO of their valuable time on this time-keeping process.

Even better—we’re making it easy to notify employees, distribute updated policies, and provide the correct poster notices through our BackstageHR software. All included with membership.

With just a few clicks, our members can:

• Send out universal updates with the Bulletin Board feature
• Let employees view required sick leave notices and posters directly in their HR Portal
• Automatically track sick time, PTO, and accruals in a way that complies with the new rule
• With your updated handbook already taken care of, you can simply distribute the new policies and collect digital acknowledgments from your team—stress-free.

Not a Member Yet? You Don’t Have to Navigate This Alone

We get it—HR compliance isn’t why you got into healthcare. But it’s part of running a successful practice. If you’re trying to handle this law without a team of experts behind you, now is the time to make a change.

CEDR is here to help you become compliant, stay compliant, and make the process as easy as possible.

Want help with Proposition A and to bring your employee handbook and raise your HR support a couple of notches? Schedule a Call or Get a Quote today.

We’ll walk you through what needs to happen next—and how we’ll handle it all for you.