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San Francisco's 'Pay or Play' Mandate Resulted in Greater Health Coverage by Local Private Employers and Public Care Program
Health Affairs Link to more items from this source
Jan. 8, 2013

"In 2008 San Francisco implemented a pay-or-play employer mandate that required firms operating in the city to provide health insurance coverage for employees or contribute to the city's 'public option' health access program.... [This study] found that in the first two years after implementation, more employers offered insurance and provided employee health benefit coverage relative to employers outside San Francisco not subject to the mandate. Sixty-seven percent reported in 2009 that they had expanded benefits since 2007.... Overall, 64 percent of firms responding to the survey supported the employer mandate."

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