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San Francisco’s landmark universal health care program won
considerably on Tuesday when a panel of federal judges found that San Francisco
had the right to charge employers to help pay for its universal health care
plan.
To be more specific, a three-judge panel for the U.S. Court
of Appeals in Pasadena ruled Tuesday that fees charged to employers under the
10-month-old San Francisco Care Security Ordinance do not violate federal laws
regulating employee benefit programs.
The San Francisco
ordinance, which took effect Jan. 9, requires companies with at least 20
workers to offer health insurance, set aside funds in health reimbursement
accounts or pay a fee to the city’s Healthy San Francisco program. Nonprofit
employers with 50 or more staffers are also covered. Payments from restaurants
and other businesses are expected to contribute between 15 to 20 percent of the
approximately $229 million needed to fund the program each year. The plan is
also funded by city money and payments from people who are enrolled.Healthy San Francisco program is
the first plan in the country to offer universal coverage, which provided basic
medical care to 30,000 uninsured city residents in less than a year. Previous
estimates put the city's uninsured population at about 82,000.
But the Golden Gate Restaurant Association, the trade
organization for city restaurants, sued San
Francisco in 2006 over the health plan, arguing that
its requirement that businesses pay a fee violated a federal law that gives
employers a choice in how to provide health coverage. The law is known as
Employee Retirement Income Security Act, or ERISA and took effect in 1974.
Kevin Westlye, the restaurant association’s executive
director, said his organization continued to believe that the San Francisco ordinance was expensive and
burdensome to employers. He added that many restaurants are currently covering
their new health insurance costs by putting a surcharge of 3 to 6 percent on
their customers’ bills in order to survive.
On the other hand, supporters of Healthy San Francisco say
their local program should be a model for the state and the nation.
“Today’s ruling is a huge victory for the city and for the
46 million Americans who don’t have health insurance. San Francisco is proving that it can be done.
By thinking outside the box, every city and state in this country can provide
health insurance if they are willing to challenge the conventional wisdom,”
Mayor Gavin Newsom, a supporter of the program, said.
Dennis Herrera, San Francisco’s
city attorney also praised the court’s ruling, which recognized the flexibility
of San Francisco’s
health care program.
Westlye said his organization planned to appeal the court’s
ruling arguing that “many counties and states will pass their own employers
expenditure rulings” if the court’s ruling stands “going against why Congress
passed ERISA in the first place.”
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