Individuals beyond the most frequently cited group of undocumented immigrants who are categorically excluded for from eligibility for subsidies. As tom ammiano said, there will be people who simply will not be able to afford to enroll in the aca. Therefore, i have asked the City Attorneys Office to clarify eligibility requirements for healthy San Francisco to ensure that the Program Remains open not only to the citys undocumented residents, but to other groups of immigrants who are excluded from subsidized exchange coverage. Medical and medicare, to ensure that its accessible to dependents who are disqualified for Exchange Subsidies because their family members have received offers of affordable individual coverage, payer with unaffordable dependent coverage and to other individuals who are exempt from the individual mandate provisions of the aca. The final point, final principle that will be at the heart of this ordinance is that in order to maximize the uptick of Health Insurance rec
Benefit program, worker can use city medical reimbursement accounts to pay for premiums, deductibles, copayments and other costs associated with carrying Health Insurance coverage through cover california without actually disqualifying them from federal subsidies under the aca. During the process thats was followed by the universal health care council, staff and the mayors office, the department of Public Health, and the City Attorneys Office vetted the question with federal officials, and i believe that they were all satisfied that the city mra funds could be used for these purposes. Because of that, i have asked the City Attorneys Office to explore how we can best codify the structure of the city option as receipts of employer funds and assignment of enrollees to receipt sets of benefits with the aim of ensuring that the funds are most efficiently used to encourage enrollment and Health Insurance and to provide useful benefits to medical beneficiaries. The third point that i want to
And leaving it to the mayor and this body, the board of supervisors, to decide whether or not any changes to a health and security ordinance are warranted. And in the spirit of that work, i think its imperative that we as an entity, we a a board of supervisors carefully look at the pictures that are needed. ~ as a the Councils Report makes it clear that the healthy San Francisco program and the Employer Health care spending requirements put the city in a unique position to lead the nation in helping the aca achieve its fullest potential. San francisco is in the best position of any other city to make sure that a many people have access to health care as possible. To maximize that access, however, there are several thing that need to happen. I look forward between now and the time we introduce this ordinance and in the next coming weeks as we move forward with a discussion and review of the ordinance to have and engage in a discussion with all of you about the best way to maximize acces
Healthy San Francisco and the citys Employee Health care spending requirement should continue to coexist with the aca under the new federal framework. The council, however, did not attempt to reach a collective conclusion norrish you collective finding regarding specific data nor recommendationses that were raised by different participants. In fact, instead of doing that, the council completed its efforts by compiling and reporting the contributions of the department of Public Health staff and stakeholder groups and leaving it to the mayor and this body, the board of supervisors, to decide whether or not any changes to a health and security ordinance are warranted. And in the spirit of that work, i think its imperative that we as an entity, we a a board of supervisors carefully look at the pictures that are needed. ~ as a the Councils Report makes it clear that the healthy San Francisco program and the employer Health Care Spending requirements put the city in a unique position to lead