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
Employees from using the funds to Purchase Health insurance and 28 of them precluded individuals from using the funds to enroll in healthy San Francisco, the rates have stayed exactly the same, in 2011 and 2012 with respect to those specific restrictions as well. And i think those of us who were not supportive o f the amendment as it passed really believed that it wasnt enough to really make things change, it seems like in that sense, we have been provender to be rightfinger but i do want to acknowledge that there were efforts on the part of the 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 f
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 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 re
Affords their workers reduced fee or free enrollment in healthy San Francisco program or for those who are not eligible for healthy San Francisco, a medical reimbursement account and we see that approximately 3 of all the expenditures under the employer spending requirement go toward that city option and then finally the third sort of category or bucket are these Reimbursement Program that is are typically administered by third parttys on behalf of employers and we see that in the range of 6 or 7 of the Overall Health care spending goes into those Health Reimbursement sketches and those are then accessed by employees to be refunded for any out of pocket medical expense that is they occur. And i know at the board of supervisors as some of my colleagues remember, there was i guess a little bit of a difference of opinion if you will among friends in terming of how to deal with Health Reimbursement accounts. Im wondering if you can taug a little bit about what has happened around Health Re
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 money be used for Health Insurance . That is correct. If