Folks now going the route of insurance or healthy San Francisco . Yes, going the Health Insurance or contributing to the city option, the contribution tos the city option as has been indicated previously, the pool and the size of the healthy San Francisco problem, excuse me, the healthy San Francisco program is likely to be reduced and consequently, the contributions that employers make to the city option will be routed to medical reimbursement accounts that are administered by the city for individual employees, these are similar to frankly the Health Reimbursement accounts that are used widely today and administered privately, there are some difference, one of those which i think youre getting to is that the medical reimbursement accounts administered by the city have no prescribers other than them being available broadly for medical services. You said earlier, i want to get the number right, that about 35 of employers that use these hras have not allowed in this past year that the mo
2014, again, no with standing the possibility of changes at the federal or local level, employers would simply provide Health Insurance or contribute to the city option, those would be the two principle methods of complying with our local spending requirement. I see. So, talking about the 53 of employers who place restrictions on these accounts, then were talking abthese folks now going the route of insurance or healthy San Francisco . Yes, going the Health Insurance or contributing to the city option, the contribution tos the city option as has been indicated previously, the pool and the size of the healthy San Francisco problem, excuse me, the healthy San Francisco program is likely to be reduced and consequently, the contributions that employers make to the city option will be routed to medical reimbursement accounts that are administered by the city for individual employees, these are similar to frankly the Health Reimbursement accounts that are used widely today and administered p
Employers would simply provide Health Insurance or contribute to the city option, those would be the two principle methods of complying with our local spending requirement. I see. So, talking about the 53 of employers who place restrictions on these accounts, then were talking abthese folks now going the route of insurance or healthy San Francisco . Yes, going the Health Insurance or contributing to the city option, the contribution tos the city option as has been indicated previously, the pool and the size of the healthy San Francisco problem, excuse me, the healthy San Francisco program is likely to be reduced and consequently, the contributions that employers make to the city option will be routed to medical reimbursement accounts that are administered by the city for individual employees, these are similar to frankly the Health Reimbursement accounts that are used widely today and administered privately, there are some difference, one of those which i think youre getting to is that
Business community, i know the Golden Gate Restaurants Association did a lot of work to make sure that those numbers were lowered and i know that a lot of information to its members, but it hasnt i would be remiss if i didnt also mention while the rates of restrictions have stayed consist tents, we have seen an up tick on the utilization of these utilization accounts, people have been reimbursed in a higher pe sen taj due to a lot of outreach from both the business community, other members in the community. So, now that hras are not allowed under the aca, then what happens in terms of, you know, compliance with the health and security ordinance, what ways do employers have . Yeah, i certainly expect and theres all indications that theres a lot of robust policy discussions about this and any potential changes but for the time being, or pending any changes, i think our expectation or our understanding is commencing in 2014, again, no with standing the possibility of changes at the federa
Questions about the employer spending requirement, from the per specie of the department of Public Health, how could the employer spending requirement benefit employees that may fall within the 35 thousand, 15 thousand, you know, 19 thousand . So, certainly the employer spending requirement does many thing, it allows for people to get Health Insurance which is primarily how its used. Most of the employer spending requirement is spent to purchase Health Insurance for employees, it can also be used as you know for the city option which can support their enrollment in healthy San Francisco which doesnt mean the individual mandate, but the mra aoption under the city option can be used to purchase Health Insurance premiums for individuals. I see, and one of the things that i remember and i wasnt on the board when this happened, do you remember reading about dr. Cats that served as the director of Public Health at the time and i remember him explaining how the employer spending requirement w