The cost of Healthy San Francisco is split between the city, which pays about $100 million, and a little under $80 million kicked in by local businesses. The 2007 law that crated the program mandated all businesses with over 20 employees (and non-profits with more than 50) had to either provide health insurance for their workers, pay into a city-operated health care fund or contribute to health savings accounts based on the size of the business and the number of hours worked by each employee.
Even with these multiple sources of funding, there have been concerns that the rising cost of health care–and the city’s substantial budget deficit–could put the program in jeopardy and increase the financial pressure on the city’s health clinics, which already feel squeezed the large influx of new patients brought in by the program.
This is not the first time San Francisco has been a selected for the Harvard prize. The city won previously in 1998 for its First Offender Prostitution Program and in 2004 for a Sheriff Department program targeted at reducing violence in prisons.
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