This policy brief discusses the potential implementation of a "play-or-pay" requirement on employers as part of national health reform. The authors draw on lessons from California's experience with a similar requirement, which aimed to increase access to health insurance for low-income individuals. The brief notes that while the California requirement has been effective in increasing coverage, it has also faced criticism and challenges. The authors suggest that any national play-or-pay requirement should be carefully designed to balance the need for increased access to health insurance with concerns about potential negative impacts on employers and the overall healthcare system.
