Metropolitan Health District
Sick And Safe Leave


COVID-19 Hotline
Call 311, option 8
Mon. - Fri., 8:00 AM - 5:00 PM
Sat. & Sun., 8:00 AM - 12:00 PM

See a complete listing of our Clinics & Locations.

Administrative Office (No services offered at this location)
111 Soledad, Suite 1000
San Antonio, TX 78205


Email Metro Health Visit Metro Health on facebook Follow Metro Health on Twitter Follow Metro Health on Instagram

Based on the Court’s decision on 11/22/19, San Antonio’s Sick and Safe Leave (SSL) law will not go into effect on December 1, 2019. Litigation is currently ongoing. You can find updates on the status of San Antonio’s SSL law on this page.

Please note that Metro Health will not be responding to SSL queries at this time. 

City of San Antonio Statement Regarding Sick and Safe Leave Ruling

Sick & Safe Leave - City of San Antonio Metropolitan Health District

What is Sick and Safe Leave?

Sick and Safe Leave is a law in San Antonio that requires employees in San Antonio be given earned paid time off for use if an employee needs to be absent from work due to illness or injury, medical treatment or preventative care, domestic or sexual assault, and care of a family member. In general, it is compensated at normal rates of pay and affects employers that do not already provide comparable or more generous time off.   

Sick and Safe Leave Ordinance:

Employer Resources

Research on Sick and Safe Leave

Paid Sick Leave Commission

  • Danielle Hargrove, Chair
  • Christine Arredondo
  • Alex Birnel
  • Sasha Begum
  • Rev C.J. Littlefield
  • Lisa Fullerton
  • Kausi Subramaniam
  • Linda Chavez-Thompson
  • Joleen Garcia
  • Diane Sanchez
  • Al Arreola Jr.
  • Bob Livar, Jr.
  • Adelita Cantu
Commission Meetings

Ad Hoc Committee on Paid Sick Leave

In November 2018 Mayor Ron Nirenberg created the Ad Hoc Committee on Paid Sick Leave composed of Councilmembers:

  • Manny Pelaez, Chair
  • Melissa Cabello Havrda
  • Ana Sandoval
  • Roberto Trevino
  • Rebecca Viagran

The ad hoc committee is charged with creating a Paid Sick Leave Commission and establishing a process that incorporates the input of all stakeholders to arrive at final recommendations for Council. The process should explicitly target business input, and seek data and analysis regarding the impact of the ordinance.

The ad hoc committee will appoint the Paid Sick Leave Commission in March 2019. The Commission is expected to make recommendations regarding changes and modifications to the paid sick leave ordinance. City Council will review the Commission’s recommendations and will vote on whether to adopt those recommendations. The ordinance will currently go into effect on August 1, 2019 for employers with six (6) or more employees, and on August 1, 2021 for employers with five (5) or fewer employees.

Ad Hoc Committee Meetings
Memos from the Mayor


What we Heard from You

Community input and survey data was compiled in the report below. The SASpeakUp: Let's Talk About Paid Sick Leave campaign was conducted by the City's Government and Public Affairs Department, Metro Health, and the City Attorney's Office. A survey was made available to residents in both English and Spanish from September 16-30th 2019 and was completed by 2,652 respondents. The survey allowed respondents to respond to different sets of questions, based on whether they identified as an employee or employer. The City also hosted two public meetings at the TriPoint Events Center and El Progreso Hall.


  • For information or consultation, please email us.
  • You may also call 311 for more information.