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As the US population continues to age, parental caregiving will become more prevalent, falling primarily on female family members to provide such care. In this paper, I explore how elder parental health shocks impact adult children’s parental caregiving and labor market outcomes by gender. Using parental health information from the Health and Retirement Study (HRS), I develop a novel summary measure of parent health that compiles many possible shocks and demonstrate its application to other datasets, such as the Panel Study of Income Dynamics (PSID). After a shock, daughters provide twice as much parental care as sons. A gender gap in earnings emerges after a substantial shock and is larger after more severe shocks. This earnings effect is driven by adjustments among employed adult children, as employment is only modestly affected by a shock. In particular, employed children do not meaningfully change their occupation, industry, or hours worked after a shock. Further, more generous public spending on caregiving for older adults decreases caregiving among daughters but does not impact sons' caregiving.