San Francisco HCSO Rates for 2022

The San Francisco Health Care Security Ordinance (HCSO) requires covered employers to satisfy an employer spending requirement by making healthcare expenditures for their covered employees, among other reporting and notice requirements. The healthcare expenditure rate varies depending on the size of the employer and increases incrementally each year.

As of January 1, 2022, the healthcare expenditure rate for large employers with 100 or more employees increases to $3.30 per hour payable (up from $3.18 per hour in 2021). For medium-sized employers with 20 to 99 employees and for nonprofit employers with 50 to 99 employees, the expenditure rate will rise to $2.20 per hour payable (up from $2.12 per hour payable in 2021). Employers with fewer than 20 employees and nonprofit employers with fewer than 50 employees are exempt.

If an employee is a managerial, supervisorial or confidential employee earning $109,643 per year ($52.71 per hour) or more, that employee is exempt from the HCSO. This represents an increase from last year’s threshold of $107,991 per year ($51.92/hour).

All covered employers will be required to post the revised notice in all workplaces and job sites, when the poster becomes available

2022 HCSO Announcement »