Healthy Airport Ordinance

The Healthy Airport Ordinance is a Health Care Accountability Ordinance (HCAO) Amendment for SFO Quality Standards Program Employees.

On November 10, 2020, the Board of Supervisors adopted the Healthy Airport Ordinance, which amends the Health Care Accountability Ordinance for specified workers at the San Francisco International Airport. Covered employers must comply with the ordinance's requirements on its operative date, March 21, 2021.

Employers at the San Francisco International Airport (SFO) are required to 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 pay $10.30 per hour (up to $412 per week) on behalf of the employee to the City Option Program.  Employers may choose which option they use to comply.  For more details on these two options, please review the Frequently Asked Questions, posted below.

For questions regarding health plan requirements, contact Max Gara at the Department of Public Health at or (415) 554-2621. To learn more about contributing to the City Option Program, visit or contact SF City Option Program Management at or (415) 615-4492.  Please mention that you are an San Francisco International Airport (SFO) employer or employee.  

Poster and Forms

Legal Authority


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 to determine if they have employees covered by the QSP.

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

Last updated September 13, 2023