Bad mental health days are more likely for residents with less than excellent employment opportunities. In an analysis conducted by the Office of Epidemiology and Evaluation of the 2017 – 2018 Health and Quality of Life Survey, results revealed San Mateo County residents that feel they have fair employment opportunities (compared to excellent opportunities) are more likely to experience bad mental health days. Strong community hiring policies can enhance the health and well-being of San Mateo County residents by boosting quality employment opportunities.