An analysis by the Institute for Women’s Policy Research (IWPR) estimates that 39 percent of private sector employees working in North Carolina lack even a single paid sick day. This lack of access is even more pronounced among healthcare support workers who provide direct care: 49 percent currently lack access to paid sick days. Paid sick days can promote healthy work environments by reducing the spread of illness, increasing productivity by allowing workers to avoid coming to work sick, reducing workplace injuries, and supporting work and family balance. This briefing paper presents estimates of access to paid sick days in North Carolina by sex, race and ethnicity, occupation, hours worked, and earnings through analysis of government data sources, including the 2011–2012 National Health Interview Survey (NHIS) and the 2012 American Community Survey (ACS).