San Francisco Health Care Security Ordinance (SF HCSO) Rates for 2026 Announced
The San Francisco Health Care Security Ordinance (SF HCSO) rates for 2026 have been announced, reflecting annual increases that depend on employer size.
Employer Contributions for 2026
For 2026, medium-sized employers (20-99 employees) are required to allocate $2.74 per payable hour, capped at $471.28 monthly based on 172 payable hours. Large employers (100+ employees) must contribute $4.11 per payable hour, with a maximum of $706.92 per month.
Comparison with 2025 Rates
| Employer Size | 2026 Rate | 2025 Rate |
|---|---|---|
| Small Employers (0-19 employees) | Exempt | Exempt |
| Medium Employers (20-99 employees) | $2.74/hour (max $471.28/month) | $2.56/hour (max $440.32/month) |
| Large Employers (100+ employees) | $4.11/hour (max $706.92/month) | $3.85/hour (max $662.20/month) |
Employer Actions for 2026 Compliance
Employers subject to SF HCSO should ensure compliance by reviewing the criteria for coverage, identifying eligible employees, and planning f...