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ITUP Draft Recommendations for the San Francisco Universal Health Council

Below are ITUP’s suggestions to the San Francisco Universal Health Council on revising the San Francisco Health Care Security ordinance’s employer health spending obligations in light of the passage of the Affordable Care Act.

Download the complete document here: San Francisco Ordinance Recommendations San Francisco Ordinance Recommendations.pdf

 

ITUP’s recommendations are summarized as follows:

For those employers with over 50 FTE employees:

1.     For full time (over 30 hours) employees where the employer offers coverage, there should be a “safe harbor” if the offer complies with the ACA.

2.     For full time employees where the employer does not offer coverage, the San Francisco ordinance should apply and the employer can offset any “ACA” penalties that it paid.

3.     For part time employees where the employer offers them coverage, there should be a safe harbor if the offer complies with the ACA.

4.     For part time employees where their employer does not offer them coverage, the San Francisco ordinance should apply.

 

For those employers with under 50 employees:

5.     Where the small employer offers coverage for full time employees, that is ACA compliant, there should be a safe harbor.

6.     Where the small employer does not offer coverage for full time employees, the San Francisco ordinance should apply.

7.     Where the small employer offers coverage for part time employees, that is ACA compliant, there should be a safe harbor.

8.     Where the small employer does not offer coverage for part time employees, the San Francisco ordinance should apply.

 

Recommended priorities for the funding available under the Ordinance.

·       The Medical Resource Account (MRA) program would be rechristened as the San Francisco Premium Assistance program.

·       The MRA would help pay for Healthy San Francisco for employed individuals not eligible for Covered California or full scope Medi-Cal.

·       The MRA program funding would help pay Covered California premiums for employed individuals eligible for that program at employee option.

·       The MRA would be available to upgrade coverage from bronze or catastrophic to silver through Covered California at the employee’s option.

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