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Health Commission reviews proposed changes to Health Care Security Ordinance amid public calls to close HRA 'loophole'
Summary
DPH briefed the commission on Supervisor Campos’ proposed amendments to the Health Care Security Ordinance to make employer health‑care expenditures irrevocable and create a Covered San Francisco subsidy; public speakers and labor groups urged closing an HRA reclamation loophole they say allowed employers to pocket tens of millions.
The San Francisco Health Commission reviewed proposed amendments to the Health Care Security Ordinance introduced by Supervisor David Campos that would (1) require employer health‑care expenditures under the ordinance to be irrevocable and (2) replace the current city option with a Health Care Access Assistance Program that includes a new Covered San Francisco subsidy to help low‑ and moderate‑income workers buy coverage on Covered California.
Colleen Chavla, deputy director for policy and planning at the Department of Public Health, walked commissioners through the ordinance’s two major changes and three program elements of the proposed HCAAP: Covered San Francisco (a new premium subsidy option), continued operation of Healthy San Francisco for…
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