Job-Based Benefits

Health Access supports a level playing field for employers who offer coverage.

More Californians (45%) get health coverage through their job, even as employer-based coverage has been declining over the past few years. Health Access continues to work to strengthen this function of our health coverage system, recognizing the advantages of large group coverage with respect to purchasing power and risk management.  

Compared to the national average, California ranks poorly (#39) in the number of people how have job-based coverage. To help slow down the decline in job-based coverage, California voters and policymakers have considered various proposals including Proposition 166 in 1992, Proposition 72 in 2004, S B2 (Burton) in 2003, and AB 880 (Gomez) in 2013. Employer responsibility was also a key element of the AB1x1 (Nunez/Schwarzenegger) proposal in 2007 and in the current Healthy San Francisco, passed in 2006. The “Healthy San Francisco 2.0” proposal builds on its success by leveraging employer contributions to subsidize premiums, providing a possible model for California’s Section 1332 waiver discussions.   

After decades of employers dropping health coverage benefits, it is critical the ACA has tax credits for small businesses and responsibility requirements for large employers to encourage on-the-job benefits and affordable options for working families. But we need the employer responsibility provision in the ACA implemented and enhanced to secure and expand coverage for working families, protect taxpayers and ensure the sustainability of our health system for the long-term, and to promote fairness and a level playing field for employers who still offer health benefits but have to compete against those who do not.


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Health Access Analysis & Advocacy