Improving Access to Medical Care for Hotel Employees Ordinance

Ordinance: SMC 14.28

Improving Access to Medical Care for Hotel Employees Ordinance Q & A

Improving Access to Medical Care for Hotel Employees Fact Sheet

Ordinance Coverage Waiver

2021 Healthcare Expenditure Waiver

2022 Healthcare Expenditure Waiver

Sample Cancellation Waiver

The Improving Access to Medical Care for Hotel Employees Ordinance


New! The Office of Labor Standards recently released the 2022 healthcare expenditure rates. Please see below for more information.

The law requires covered employers to make monthly healthcare expenditures to, or on behalf of, covered employees to increase their access to medical care.

This law applies to hourly employees that work at a Seattle hotel or motel of 100 or more rooms. Hourly employees are those employees who are entitled to Seattle's Minimum Wage. The law does not apply to managers, supervisors, or employees who help to create or effect management policies about labor relations.   

Covered employers are:

  • those that own, control, or operate a hotel or motel with 100 or more guest rooms; and
  • ancillary hotel businesses of 50 or more employees worldwide.  

An ancillary hotel business is a business that has one or more of the following relationships to a covered hotel: 

  • Routinely contracts with a hotel to provide services in conjunction with the hotel's purpose,
  • Leases or subleases space at the site of the hotel to provide services in conjunction with the hotel's purpose, or 
  • Provides food and beverages to hotel guests and to the public where the business has an entrance within the hotel premises. 

Healthcare Expenditure Rates:

Covered employers must make healthcare expenditures to or on behalf of each covered employee to improve their access to medical care. The amounts of the healthcare expenditure are adjusted each year.

For the 2021 calendar year, the rates are:

  1. $437 per month for an employee with no spouse, domestic partner, or dependents
  2. $743 per month for an employee with only dependents
  3. $874 per month for an employee with only a spouse or domestic partner
  4. $1,310 per month for an employee with a spouse or domestic partner and one or more dependents


For the 2022 calendar year, the adjusted rates are:

  1. $459 per month for an employee with no spouse, domestic partner, or dependents
  2. $779 per month for an employee with only dependents
  3. $916 per month for an employee with only a spouse or domestic partner
  4. $1,375 per month for an employee with a spouse or domestic partner and one or more dependents


Effective Dates:

  • For ancillary hotel businesses with between 50 and 250 employees worldwide that contract, lease, or sublease with a hotel: July 1, 2025, or the date of the next annual open enrollment period for health coverage after July 1, 2025, if offered to employees
  • For all other covered employers: July 1, 2020, or the date of the next annual open enrollment period for health coverage after July 1, 2020, if offered to employees.

Required Notices, Postings, and Translations  OLS provides resources and materials to facilitate employer compliance with this ordinance.  The following resources are available for download on our Resources and Language Access pages:

  • Required Posting: Notice of Rights for Hotel Employees
  • Required Posting: Notice of Rights for Ancillary Hotel Business Employees
  • Healthcare Expenditure Waiver
  • Ordinance Waiver

These materials are available in Amharic, Arabic, Burmese, English, French, Karen, Karenni, Korean, Nepali, Oromo, Portuguese, Simplified Chinese, Somali, Spanish, Tigrigna, Tagalog and Vietnamese.