NC S622

Requires all North Carolina employers to provide paid sick time that accrues at 1 hour for every 30 hours worked, with annual caps of 32 hours for small businesses (10 or fewer employees) and 56 hours for larger employers

Employees may use paid sick time for their own illness or medical appointments, to care for an immediate family member's health needs, or to address circumstances related to domestic violence, sexual assault, or stalking

Employers may only require medical certification for absences exceeding 3 consecutive workdays and cannot require employees to find replacement coverage as a condition of using sick time

Accrued sick time carries over year to year, and employees rehired within 90 days must have their unused balance reinstated

Effective January 1, 2026, with enforcement by the Commissioner of Labor; violations subject to unpaid sick time plus interest and potential liquidated damages