# Italian INPS sick leave, Law 104, and disability reforms > Live situation record from CLSTR: https://clstr.news/situations/italian-inps-sick-leave-and-pension-regulations > Updated: 2026-10-25T10:11:26.000Z. Sources: 40. Developments: 7. In September 2026, the Italian social security institute (INPS), in coordination with the Ministry of Labour, implemented reforms regarding sick leave certification. Under circular no. 92, medical certificates can now be requested retroactively for the single day immediately preceding an outpatient visit at a general practitioner’s office. To be valid, physicians must include a specific electronic declaration stating, ‘Dichiara di essere ammalato dal…’ followed by the correct date. This reform addresses previous practices where INPS often invalidated certificates that indicated illness began the day before a medical visit, a situation that frequently caused economic penalties for workers and employers during the initial three-day deficiency period. However, retroactivity is strictly limited to one day and cannot be applied to weekends or holidays. Additionally, INPS has clarified regulations regarding Law 104, which governs leave for assisting family members with severe disabilities. While multiple workers can now be authorized to assist the same individual, the total available days must be organized according to established legal limits. New clarifications specify that exceeding the collective monthly threshold for a single person can result in salary deductions. Furthermore, workers assisting two different people with severe disabilities may be eligible to accumulate up to six days of leave per month. By October 2026, INPS introduced new digital procedures for disability applications. Through the integration of the Docsan system and the Intermediary Platform, citizens can use a single digital mandate to allow patronati to submit health documentation, removing the need for paper delegations. Furthermore, the Corte di Cassazione clarified that recognition of severe disability under Law 104/1992 does not automatically grant the ‘indennità di accompagnamento’ (attendance allowance), which requires specific medical criteria and an explicit request. In mid-October 2026, the implementation of reforms regarding Legislative Decree 62 began, adopting a ‘biopsychosocial approach.’ ## Claims - INPS is implementing a reform of Legislative Decree 62 regarding disability. (corroborated by 4 sources) - The disability reform is being tested in 60 provinces before a nationwide rollout on January 1. (corroborated by 4 sources) - The reform shifts from measuring invalidity to a biopsychosocial approach considering the person's environment. (corroborated by 4 sources) - Fondazione G. B. Baroni has launched a 400,000 euro fund for projects supporting people with motor and neuromotor disabilities. (single source) - Individual project grants from the Baroni Foundation can reach up to 40,000 euros. (single source) - Applications for the Baroni Foundation 2026 call must be submitted by November 30, 2026. (single source) ## Timeline ### 2026-10-25: Italy approves disability funding and competition reforms Italy's Unified Conference approved disability reform funding, including 23.7 million euros for life projects and university scholarships, alongside new competition and gas distribution regulations. 5 sources. https://clstr.news/cluster/italy-approves-disability-funding-and-competition-reforms ### 2026-10-14: Italy implements disability reform via biopsychosocial approach Italy is piloting a disability reform in 60 provinces, shifting to a biopsychosocial approach before a nationwide rollout on January 1. 11 sources. https://clstr.news/cluster/italy-implements-disability-reform-and-launches-400000-euro-inclusion-fund ### 2026-10-05: Italy updates disability regulations and INPS procedures Italy is updating disability regulations, including new INPS digital application procedures, clarifications on attendance allowances from the Supreme Court, and new guidelines for workplace inclusion. 4 sources. https://clstr.news/cluster/italy-implements-new-disability-assessment-and-workplace-inclusion-reforms ### 2026-09-24: Italy implements disability employment incentives and legal reforms Italy is introducing disability employment incentives for the Third Sector and a major reform of Law 104 protections effective January 2027, focusing on social inclusion and simplified assessments. 2 sources. https://clstr.news/cluster/italy-implements-disability-employment-incentives-and-legal-reforms ### 2026-09-21: INPS updates sick leave and disability assistance rules in Italy INPS updates Italian regulations, allowing sick leave coverage for the day before a medical visit and clarifying shared disability leave limits under Law 104. 10 sources. https://clstr.news/cluster/inps-updates-rules-for-sick-leave-and-disability-assistance ### 2026-09-17: INPS updates rules on sick leave and pension recovery in Italy New Italian regulations and court rulings clarify rules for retroactive sick leave certificates and the obligation of workers to report employment changes to INPS to avoid pension overpayments. 2 sources. https://clstr.news/cluster/inps-updates-rules-on-sick-leave-and-pension-recovery-in-italy ### 2026-09-10: Inps reforms Italian sick leave rules to allow retroactive certification Inps has reformed Italian sick leave rules, allowing medical certificates to be applied retroactively to the previous day for both outpatient and home visits, subject to specific conditions. 8 sources. https://clstr.news/cluster/inps-reforms-italian-sick-leave-rules-to-allow-retroactive-certification --- Cite as: Italian INPS sick leave, Law 104, and disability reforms. CLSTR, https://clstr.news/situations/italian-inps-sick-leave-and-pension-regulations