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Supervisors debate HCSO changes; committee moves measure out to allow further negotiation

Board of Supervisors Government Audit and Oversight Committee · October 13, 2011
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

Competing amendments to the Health Care Security Ordinance exposed a core split: President David Chu proposed accrual-based changes (rolling one-year availability, stronger notices) to improve access and close fraud loopholes; Supervisor David Campos pushed a cash/expenditure approach and opposed capping employee accumulations. The committee moved the matter out without recommendation to allow additional stakeholder talks.

The committee considered competing amendments to the Health Care Security Ordinance (HCSO) intended to address shortcomings in employer Health Reimbursement Arrangements (HRAs), including "use it or lose it" effects, notification practices, and consumer protections.

President David Chu introduced amendments that would require at least a year's worth of health‑care funds to be available to employees on a rolling basis, increase employer notification (quarterly in appropriate languages), and strengthen reporting to allow the Office of Labor Standards Enforcement to refer possible…

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