'What in the world is this?': Woman shocked by 4% health fee added to LA restaurant bill to keep 'employees healthy and happy.' Are surcharges going too far?

“What in the world is this?” she exclaimed.

The bill from an unnamed restaurant, apparently sent to her by a friend, showed a subtotal of $158, tax of $16.84 and “L.A. Health 4%” fee of $6.32 for a total of $181.16 — plus a suggested tip of 18% to 22%.

It included a note about the health fee, telling customers: “If you would like this charge removed, we are more than happy to do so.”

While St. Clair was clearly taken aback by the surcharge, restaurants asking diners to pay extra to help cover employee health-care costs is actually not a new phenomenon. But with Americans being bombarded with tip requests and added fees around every corner, it begs the question: are restaurants taking surcharges too far?

Extra fees tacked onto bills

A number of L.A. restaurants have been adding a health-care surcharge to help cover their employees’ medical insurance costs since at least late 2013, according to this Los Angeles Times article.

Under the rules of the Affordable Care Act (ACA), small businesses with 50 or more full-time equivalent employees are required to offer minimum essential health insurance coverage to workers. But that coverage is expensive. On average, U.S. households spend 8% of their annual income on health care, according to the Bureau of Labor Statistics. By adding a health surcharge, restaurants may simply be trying to offer meaningful benefits to employees without eating into their profits.

But that doesn’t necessarily change diners’ appetites toward being charged for more than they asked for, and only finding out about it on the bill after a meal. Another thing to consider, particularly in L.A., is the fact that California just increased its minimum wage to $16 per hour, effective Jan. 1, 2024. Fast-food employees will also get an extra pay bump to $20 per hour starting on April 1, 2024.

California does not have a separate minimum wage for tipped workers.

FTC targets restaurant junk fees

If you ask the Federal Trade Commission (FTC), such health surcharges might be considered “junk fees” that bite into the earnings of hard-working Americans.