implement a pay-or-play employer health spending mandate. It also created Healthy San Francisco, a "public option" to promote …

potential concern, though, is that employers will circumvent the employer mandate by increasing their use of workers in staffing … arrangements that are not covered by the mandate: workers averaging less than 30 hours per week, working on a temporary basis, or … characteristics of employers and employees most affected by the ACA's employer mandate. For the period 2010 to 2012, we estimate that …