Local Health Care Ordinances

Local Health Care Ordinances

There are two local San Francisco health care laws that require employers to provide either health insurance or payment on the employee’s behalf into SF City Option. These laws include the Health Care Security Ordinance (HCSO) and Healthy Airport Ordinance (HAO).

Please direct any inquiries about the HCSO and HAO, including questions about compliance and the Annual Reporting Form, to the San Francisco Office of Labor Standards Enforcement (OLSE).

The San Francisco Health Care Security Ordinance (HCSO), requires Covered Employers to satisfy an Employer Spending Requirement by making health care expenditures for their Covered Employees, among other reporting and notice requirements. Detailed information about the HCSO is on the OLSE website.

The Healthy Airport Ordinance (HAO), an amendment to the Health Care Accountability Ordinance, requires Covered Employers at San Francisco International Airport to provide employees covered by SFO’s Quality Standards Program with family health insurance that meets the compliance requirements at no cost to the employee or pay a specified amount on behalf of the employee to SF City Option. Employers may choose which option they use to comply with the HAO. Detailed information about the HAO is on the OLSE website.

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HCSO HAO
Required to pay quarterly. Required to pay monthly.
Required to pay within 30 days after end of quarter. Required to pay with 15 days after the end of the month.
Employee is eligible for SF MRA. Employee is eligible for SF MRA.
For ESR refer to the HCSO website. For contribution amount refer to HAO website.
Employee must have been employed for more than 90 days and worked at least 8 hours per week on average to be a Covered Employee. Employee can work any number of hours to be a Covered Employee.