Health Care Security Ordinance

In November of 2006 the Health Care Security Ordinance became a requirement for businesses with twenty or more workers!

The ordinance has 2 central elements:

  • Provides comprehensive health services to uninsured San Francisco residents
  • Focus is prevention

Health San Francisco is open to uninsured San Francisco residents regardless of health, employment, or immigration status on a sliding scale based on income. Enrolled are assigned a medical home and a primary care physician through one of the city’s public or nonprofit clinics. Healthy San Francisco is a health access program, not insurance. Health services are not available through the program outside of the local network. The program is funded by the public, individuals, and employers.

The minimum health spending requirement originally mandated that businesses with twenty to ninety-nine workers spend a minimum of $1.65 an hour per employee on health services. Businesses with one hundred or more workers are required to spend a minimum of $2.48 an hour per employee on health services. Employers may meet the requirement through contributions of health benefits, health savings accounts, direct reimbursement of health care costs, or payment into the city program.

  • Reich, Michael. When Mandates Work: Raising Labor Standards at the Local Level. Print.

Find out more at Office of Labor Standards Enforcement

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