FROM THE FOUNDATION

All Over the Map

Newly updated to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Medi-Cal Transforms

Medi-Cal is the main source of health insurance for one in five Californians. An updated report gives an overview of the program's key features, describes how the program is evolving, and examines the challenges ahead.

Obama Care in the Second Term

CHCF is a long-time sponsor of the UC Irvine Forecast Conference. A webcast of this year's conference on health policy in President Obama's second term is now available.

Health Care Reform

Tuesday, October 06, 2009

Supreme Court Asks for Obama's Stance on Healthy S.F. Challenge

On Monday, the U.S. Supreme Court asked the Obama administration to weigh in before it decides whether to hear a case challenging Healthy San Francisco's provision requiring all employers to contribute to workers' health care coverage, the San Francisco Chronicle reports (Egelko, San Francisco Chronicle, 10/6).

Healthy San Francisco aims to provide health care access for all city residents by requiring city employers with 20 or more workers to:

  • Contribute to employee health care spending accounts;
  • Pay into the city's fund for Healthy San Francisco; or
  • Provide health insurance benefits (California Healthline, 8/25).

Lawsuit Details

The Golden Gate Restaurant Association's lawsuit alleges that Healthy San Francisco's employer mandate violates a 1974 law giving the federal government exclusive control over employee benefit plans.

Last year, a federal appeals court rejected GGRA's argument and ruled that the city does not regulate benefits because it lets employers decide how to provide health coverage.

In March, the Supreme Court denied GGRA's request for an emergency order to block the employer fees.

Calling on Obama

The Supreme Court frequently asks the federal government to state its position on important cases, particularly those involving a potential conflict between federal and local regulations, the Chronicle reports.

Such requests typically indicate that at least one justice is undecided about whether to grant the case a review.

President Obama has praised Healthy San Francisco and also has expressed support for health care reform plans that leverage employer contributions.

However, the Obama administration has yet to issue a formal stance on the legal proceedings surrounding San Francisco's program (San Francisco Chronicle, 10/6).



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