Actually “Romneycare” is what we call masshealth and it’s the ACA before the ACA was national. Essentially mandated but state subsidized health insurance on a sliding scale. The Paid Family Medical Leave with inclusion if bonding time is a different program and only came into effect in the past year or two with an additional payroll tax paid by every employee and employer in MA (it’s a pretty tiny surcharge though, and to be transparent you only get 60% of your wages up to a certain amount, I think 1100/wk, while your taking the time). Here’s to hoping the federal govt will someday follow.