Info Page
Healthy Airport Ordinance
The Healthy Airport Ordinance is a Health Care Accountability Ordinance (HCAO) Amendment for SFO Quality Standards Program Employees.
The City enacted an amendment to the Healthy Airport Ordinance (HAO), which will change employer compliance requirements effective January 1, 2027.
The Office of Labor Standards Enforcement (OLSE) will be providing additional information about these changes in the coming weeks. To stay informed about HAO updates, please subscribe to OLSE email notifications here: https://www.sf.gov/sign-olse-emails
Overview
Employers at the San Francisco International Airport (SFO) must either:
- Provide employees covered by SFO’s Quality Standards Program with family health insurance that meets the compliance requirements at no cost to the employee, or
- Effective July 1, 2026: Pay $12.95 per hour worked (up to $518 per week) on behalf of the employee to the City Option Program, or
- Adopt a tiered “Irrevocable Health Care Expenditure” approach and meet minimum spending requirements.
Employers may choose which option they use to comply. For more details on these 3 options, review the Healthy Airport Ordinance FAQ and Healthy Airport Ordinance Frequently Asked Questions posted February 25, 2026.
Questions?
For questions regarding health plan requirements, contact Max Gara at the Department of Public Health at maxwell.gara@sfdph.org or 628-271-7517.
To learn more about contributing to the City Option Program, visit the City Option Website or contact SF City Option Program Management at employerservices@sfcityoption.org or 415-615-4492.
- Please mention that you are a San Francisco International Airport (SFO) employer or employee.
Poster and forms
The HAO Poster - Must be displayed at each workplace
- HAO Poster - English
- HAO Poster - Spanish
- HAO Poster - Chinese
- HAO Poster - Filipino
- HAO Poster - Vietnamese (coming soon)
HAO Know Your Rights Form - Employers must maintain copies signed by employees.
- HAO Know Your Rights Form - English
- HAO Know Your Rights Form - Spanish
- HAO Know Your Rights Form - Chinese
- HAO Know Your Rights Form - Filipino
- HAO Know Your Rights Form - Vietnamese
HAO Employee Voluntary Waiver Form
Effective 2/26/2026
Legal authority
- Health Care Accountability Ordinance (includes Healthy Airport Ordinance)
- Healthy Airport Ordinance (adopted November 10, 2020)
- Healthy Airport Ordinance Amendments (adopted April 6, 2021)
- Healthy Airport Ordinance Amendment (Operative February 26, 2026 – With Required Changes Occurring on January 1, 2027)
- Healthy Airport Ordinance Frequently Asked Questions posted April 30, 2021 - updated FAQs are noted
- Healthy Airport Ordinance Frequently Asked Questions posted February 25, 2026
Resources
San Francisco International Airport Quality Standards Program (QSP) Description
- Employers may contact SFO’s Office of Social Responsibility and Community Sustainability at 650-821-1003 or qsp@flysfo.com to determine if they have employees covered by the QSP.
Video resources
HAO Updates for 2026 Webinar
- HAO Webinar video, recorded February 18, 2026
- HAO Webinar slides for February 18, 2026
Contact us
If you have questions about the Healthy Airport Ordinance or wish to report a violation of the law, call 415-554-7903 or email hcao@sfgov.org.