Previously, we discussed Maryland's unsuccessful attempt to force large employers either to provide certain levels of health benefits or to pay taxes to the state. In the latest effort to provide health coverage to more people -- this time by a local government -- San Francisco has passed a universal health care coverage ordinance.
San Francisco funds the program by requiring employers of 20 or more employees to provide health benefits costing from $1.17 to $1.76 per hour per employee, or to pay the City that amount and let the City provide the coverage. A group of San Francisco restaurants filed suit to block the ordinance, arguing, as in the Maryland case, that ERISA preempts compelled levels of benefits. The City filed a motion to dismiss the suit, and the restaurants filed a motion seeking summary judgment on ERISA preemption. A federal district court judge will hear argument on the motions in August.
Debate about the role that ERISA plays (or should play) in our nation's health care system will continue. Access to health care and how to pay for it is a major issue among the candidates running for President. Expect dozens of local and federal proposals to continue appearing as our elected leaders struggle to find a solution.