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Board tables Health Care Security ordinance amendments after extended debate over HRA loophole

3005939 · April 16, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Supervisor Campos proposed amendments to close a perceived loophole in Healthy San Francisco reimbursement accounts (HRAs); after lengthy debate about legal risk, business impacts and implementation, Supervisor Campos moved to table the item and the Board voted to table it.

After several hours of debate on Aug. 2, the San Francisco Board of Supervisors voted to table proposed amendments to the city’s Health Care Security Ordinance that would tighten rules on employer-administered health reimbursement accounts (HRAs) and close what proponents called a loophole allowing some employers to avoid providing workers the intended benefits.

Supervisor Campos introduced the amendments and urged colleagues to close a loophole he said allowed a small number of businesses to collect HRA funds without those funds reaching workers. Campos described an amendment that would impose an 18-month inactivity limit on HRA accounts after an employee leaves: if there is no activity during that…

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