Volume 11, Issue 8   |   December 2007

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San Francisco Health care Security Ordinance UPDATE (3)

Employer Spending Requirement Struck Down:
Federal District Court in San Francisco rules that the Health Care Security Ordinance “fails to withstand the expansive test of ERISA preemption.”

The San Francisco Health Care Security Ordinance, which required that employers meet minimum spending requirements in providing health care to employees, was overturned by the Federal District Court effective December 26, 2007. After hearing evidence in the suit brought by the Golden Gate Restaurant Association on November 2, the court determined that “By mandating employee health benefit structures and administration… [the Ordinance] interferes with preserving employer autonomy over… coverage, and ensuring uniform national regulation of such coverage.”

The court found that the Ordinance would interfere with ERISA in several key areas:

  1. By regulating the level of benefits provided by mandating a minimum spending level that would affect the structure of existing ERISA health plans.
     

  2. By imposing recordkeeping and other administrative requirements that would affect the administration of ERISA health plans.
     

  3. By imposing local requirements that would interfere with nationally uniform plan design and administration.

The court ruling prevents the employer spending requirement from going into effect. The City is appealing the ruling and is evaluating how this ruling will affect the roll out of the Healthy San Francisco coverage program for uninsured residents.

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This document is not intended to provide any legal advice or analysis. Please consult your own legal counsel for further information on the topics discussed in this issue of Insight.

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