A ruling by a Federal court of appeals upheld Schwarzenegger?s efforts to create universal health care in California. A city-wide ordinance in San Francisco, which took effect in January, states that for-profit employers with more than 20 employees and non-profit employers with more than 50 employees must offer basic health insurance, set aside retirement benefits, or pay a fee to the Healthy San Francisco program. Healthy San Francisco uses the fees to fund local clinics and hospitals for the uninsured. In less than a year, this program has provided basic care to 30,000 uninsured. However, employers represented by the Golden Gate Restaurant Association argued that the plan was burdensome to employers already struggling and could lead to conflicting regional and state regulations. The court ruled yesterday that the program does not violate federal regulations.