The San Francisco Health Care Security Ordinance requires certain covered employers to satisfy a spending requirement by making required health care expenditures on behalf of all covered employees.  Covered employers are those who employ one or more workers within the geographic boundaries of the City and County of San Francisco, who are required to obtain a San Francisco business registration certificate, and who are for-profit businesses with 20 or more employees. Nonprofit organizations are also subject to the rule if they have 50 or more employees.


On August 8, 2017, the Office of Labor Standards Enforcement (OLSE) released updated proposed rules interpreting the San Francisco Health Care Security Ordinance.  The proposed rules help to provide additional clarification surrounding the rules, which can be complex.  They also help to align amendments that were made to the rule in 2011 and 2014.  The proposed rules can be found here.


Anyone has the option to present written or oral statements regarding the proposed rules.  Written comments will become part of the public record.  All written comments must be received by 5:00 p.m. on August 22, 2017, to be considered.


Written comments may be submitted by electronic or U.S. mail to the following: 

Ellen Love, Principal Administrative Analyst
Office of Labor Standards Enforcement
City and County of San Francisco
City Hall, Room 430
1 Dr. Carlton B. Goodlett Place
San Francisco, CA 94102-4685


Oral testimony may be provided at a public hearing, which will be held on August 22, 2017 at 1:30 p.m.

Hearing Details

  • SUBJECT: Public Hearing on Proposed Revised Rules for the Health Care Security Ordinance
  • DATE: Tuesday, August 22, 2017
  • TIME: 1:30 PM
  • PLACE: City Hall, Room 416, 1 Dr. Carlton B. Goodlett Pl. San Francisco, CA 94102


Additional HCSO Resources:

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