Board approves amended Health Care Security Ordinance after heated public hearing

Apr 16, 2025

The San Francisco Board of Supervisors approved amendments to the city—s Health Care Security Ordinance in a 6-5 vote after a day-long public hearing in which labor groups, health workers and restaurant owners clashed over whether the changes close a perceived loophole in employer-provided health benefits.

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President Chu and the Board of Supervisors voted to approve amendments to the Health Care Security Ordinance (HCSO) intended to curb misuse of employer-collected surcharges and to change how employer-funded Health Reimbursement Arrangements (HRAs) are treated. Supervisor Cohen moved the amendments and President Chu seconded; the measure passed 6-5 on a recorded roll call.

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