Labor Law
San Francisco Compliance Reminder: SF Health Care Security Ordinance (HCSO)
Panko Compliance · July 16, 2026
The San Francisco Health Care Security Ordinance, in effect since 2008, requires covered employers to make health care expenditures on behalf of each covered employee. You can satisfy the requirement by paying for actual health insurance, contributing to a health reimbursement account, OR paying into the SF City Option (which funds Healthy San Francisco and Medical Reimbursement Accounts). The HCSO is administered by the SF Office of Labor Standards Enforcement (OLSE). Penalties: Failure to make required expenditure: 1.5× the unpaid amount + 10% per quarter interest. Full compliance guide: alerts.getpanko.app/compliance/sf/health-care-security-ordinance
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