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Italy Finalizes Disability-Work Overhaul for Jan. 1 With More Paid Care Time and a New 24-Month Leave

Implementation details, including whether the long leave is paid, will hinge on upcoming INPS guidance.

Overview

  • From January 1, 2026, Law 106/2025 updates the long-standing Law 104, expanding workplace protections for people with disabilities and caregivers.
  • Eligible employees gain 10 additional paid hours per year for medical visits, diagnostic exams and therapies, also covering parents of minor children with at least 74% disability.
  • The reform creates an extraordinary leave of up to 24 months with job protection, but reports conflict on whether it includes pay and contributions, and INPS is expected to clarify.
  • Access to new permits and leave will require electronic medical certification submitted through the Sistema Tessera Sanitaria to streamline procedures.
  • Workers returning from the leave receive preferential access to smart working where duties allow, and some self-employed will be able to suspend activity for up to 300 days while keeping their social security position active.