How Do Employers React to a Pay-or-Play Mandate? Early Evidence from San Francisco

Carrie Colla, William Dow and Arindrajit Dube

Institute for Research on Labor and Employment, Working Paper Series from Institute of Industrial Relations, UC Berkeley

Abstract: In 2006 San Francisco adopted major health reform, becoming the first city to implement a pay-or-play employer-health spending mandate. It also created Healthy San Francisco, a "public option" to promote affordable universal access to care. Using the 2008 Bay Area Employer Health Benefits Survey, we find that most employers (75%) had to increase health spending to comply with the law, yet most (64%) are supportive of the law. There is substantial employer demand for the public option, with 21% of firms using Healthy San Francisco for at least some employees, yet there is little evidence of firms dropping existing insurance offerings in the first year after implementation.

Keywords: Medicine; and; Health; Sciences (search for similar items in EconPapers)
Date: 2010-07-01
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.escholarship.org/uc/item/2sw0q5dh.pdf;origin=repeccitec (application/pdf)

Related works:
Journal Article: How Do Employers React to a Pay-or-Play Mandate? Early Evidence from San Francisco (2013)
Journal Article: How Do Employers React to a Pay-or-Play Mandate? Early Evidence from San Francisco (2011)
Working Paper: How Do Employers React to A Pay-or-Play Mandate? Early Evidence from San Francisco (2010)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:cdl:indrel:qt2sw0q5dh

Access Statistics for this paper

More papers in Institute for Research on Labor and Employment, Working Paper Series from Institute of Industrial Relations, UC Berkeley Contact information at EDIRC.
Bibliographic data for series maintained by Lisa Schiff ().