Health Care Accountability Ordinance (HCAO)

Effective July 1, 2001, the Health Care Accountability Ordinance (HCAO) generally requires City contractors and certain tenants to offer health plan benefits to their covered employees, to make payments to the City for use by the Department of Public Health, or, under limited circumstances, to make payments directly to their covered employees.

Effective July 1, 2011, the fee option for contractors/tenants is $3.50 per hour, capped at $140.00 per work week.  Note:  Each July 1 the fee option will be adjusted for inflation.

Note: the fee options remains $3.00 per hour, capped at $120.00 per work week, through June 30, 2011.

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Health Care Accountability Ordinance, SF Admin Code, Chapter 12Q

• Regulations Implementing the HCAO (PDF) - Effective July 1, 2009
• Regulations, released November 1, 2008 (PDF)
• Regulations, released May 10, 2002 (PDF)
  

• Minimum Standards for Health Plan Benefits (PDF)  Effective 1/1/2011
• Resolution No. 21-10 Amending the Minimum Standards and Supporting Other Modifications to the HCAO (PDF) adopted 1/1/2011
• Minimum Standards for Health Plan Benefits (PDF) updated July 1, 2009
• Minimum Standards for Health Plan Benefits (PDF) effective 11/1/2008
• Resolution No. 19-08 Amending the Minimum Standards and Supporting Other Modifications to the HCAO (PDF)
• Minimum Standards for Health Plan Benefits (PDF) effective 9/1/2004
• Resolution No. 10-04 Amending the Minimum Standards and Supporting Other Modifications to the HCAO (PDF) adopted July 20, 2004
• Resolution No. 13-01 Approving and Adopting Minimum Standards For Health Plan Benefits In the Healthcare Accountability Ordinance (PDF) adopted June 19, 2001

• HCAO Employee Notice (PDFs) Required Posting
  English  Spanish  Chinese  Russian  Vietnamese  Tagalog
• Know Your Rights & Voluntary Waiver Form (PDF)  Employers must maintain copies signed by employees.
• HCAO Payment Option Form Excel  PDF
• Employee Complaint Form (PDFs)
  English  Spanish  Chinese  Russian  Vietnamese
• HCAO Subcontractor Information Form (PDF) This form must be filled out by the Prime Contractor, who is responsible for the Subcontractor's compliance.
• HCAO - MCO Comparison (PDF)

• HCAO Contractor Compliance Declaration (Word) (PDF)

The following forms may be found on the City's Intranet:

• MCO Form P-360 Exemption & Waiver
• HCAO Form P-365 Exemption & Waiver
  

Free and Low Cost City Resources for Uninsured Employees:

• Healthy San Francisco
• Health Clinic Information (PDF)
• Health Clinic Map (PDF)
• Healthy Families (outside of SFGov.org)