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November 21, 2012

Implementation of the Patient Protection & Affordable Care Act (PPACA) moved forward on November 20th with the issuance of proposed rules on some of the health care law’s key provisions, according to a news release from the Department of Health and Human Services. The expansion of employment-based wellness programs is the subject of one proposed rule.  It also outlines standards for nondiscriminatory “health-contingent wellness programs,” which generally require individuals to meet a specific standard related to their health to obtain a reward, according to a fact sheet on the rule. A second proposed rule addresses standards for “essential health benefits” that must be covered by plans offered in the individual and small group markets, and a third proposed rule tackles insurance company requirements related to issues such as coverage for people with pre-existing conditions, fairness of premiums, and guaranteed renewability of coverage. A discussion of “Incentives and Rewards” appears in chapter Wellness and Health Promotion Programs.  In addition, the HR Health Care Compliance portal page provides easy access to a range of ACA news, analysis, and other resources.  11.21.2012

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