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Throughout the Mountain West, Colorado and Arizona already have paid sick leave and Nevada has a broader paid leave law.

The U.S. is in the midst of another COVID holiday season, and federal laws that offered COVID-related paid sick leave to workers have expired. Colorado, Los Angeles and Pittsburgh are among a small number of places that have put in place their own COVID protections, but many sick workers across the country must wrestle with difficult financial and ethical questions when deciding whether to stay home.

Sponsors of a sweeping Colorado paid family leave bill said Thursday they aren't giving up despite successful pushback from large business groups that…