Affordable Care Act Wellness Incentive Proposed Regulations

The Affordable Care Act contains specific provisions that address incentives in worksite health promotion programs. Proposed regulations for these incentives were published in November and a public comment period followed. These proposed regulations would increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20 percent to 30 percent of the cost of coverage. The proposed regulations would further increase the maximum permissible reward to 50 percent for wellness programs designed to prevent or reduce tobacco use. These regulations also included other proposed clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer in order to avoid prohibited discrimination. In January, generic drugstore Health Promotion Advocates submitted comments on the proposed rules. Health Promotion Advocates endorses most of the rules proposed to guide implementation of the Wellness Incentives described in Section 2705 of the Affordable Care Act. Our specific comments and key concern is about encouraging participation versus achieving a health goal. You can read the full comments submitted by Health Promotion Advocates here.

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