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Wellness Programs/Preventive Services
Government Resources Analysis
Government Resources
HHS, DOL, and the Treasury released an Advanced Notice of Proposed Rulemaking regarding policy intended to provide women with access to recommended preventive services including contraceptives without cost sharing, while ensuring that non-profit religious organizations are not forced to pay for, provide or facilitate the provision of any contraceptive service they object to on religious grounds. The Advance Notice of Proposed Rulemaking provides opportunity to formally comment on ideas for implementing this policy. Comments are due by June 19, 2012.
Fifty-Four Million Additional Americans Are Receiving Preventive Services Coverage Without Cost-Sharing Under The Affordable Care Act, 2/21/12
The EBSA, IRS and HHS have finalized regulations authorizing the exemption of group health plans and group health insurance coverage sponsored by certain religious employers from having to cover certain preventive health services under provisions of the Patient Protection and Affordable Care Act. These rules are effective on April 16, 2012.
The Cost of Covering Contraceptives through Health Insurance, HHS, 2/13/12
HHS announced that ACA required coverage of women's preventive services, including contraceptive services, will apply to nonprofit religious organizations, but these groups are given a delayed compliance date of August 1, 2013. 1/20/12
On August 1, 2011, HHS, EBSA and IRS released new rules requiring new health plans to cover women's preventive health services at no additional cost. The guidelines were developed by the Institute of Medicine. 8/1/11
The Institute of Medicine (IOM) has released a report of recommendations of clinical preventive services for women. Under the ACA, the IOM was charged with reviewing what preventive services are important to women’s health and well-being and then recommending which of these should be considered in the development of comprehensive guidelines. 7/19/11
HHS has announced the availability of $10 million to establish and evaluate comprehensive workplace health promotion programs across the nation to improve the health of American workers and their families. The initiative, with funds from the Affordable Care Act’s Prevention and Public Health Fund, is aimed at improving workplace environments so that they support healthy lifestyles and reduce risk factors for chronic diseases like heart disease, cancer, stroke, and diabetes. 6/23/11
The agencies have issued a request for information on how group health plans and health insurance issuers can employ value-based insurance design in the coverage of recommended preventive services. Public comments in response to this request for information are due on or before February 28, 2011. 12/28/10
On July 14, 2010, the EBSA, IRS and OCIIO released interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Affordable Care Act regarding preventive health services. These rules spell out the requirements for health plans to cover preventive services without employee/participant cost sharing. These rules do not apply to grandfathered plans.
The HHS issued a press release outlining prevention and health promotion initiatives that will be implemented due to the Affordable Care Act. 6/22/10
Analysis
- Agencies Seek Input for Future Religious Exemption Rule, Littler, 3/20/12 (New)
- Update on Application of Birth-Control Requirement to Religiously Affiliated Employers, Sibson, 3/12/12 (New)
- White House Defends Birth Control Rule Against Religious Protest, Reuters, 1/31/12
- Obama Administration Gives Groups More Time to Comply With Birth Control Rule, Washington Post, 1/20/12
- HHS Issues New Women’s Preventive Services Required Health Plan Coverage Guidelines, Alston & Bird, 8/25/11
- Affordable Care Act Expands Preventive Services for Women, Segal, 8/11/11
- HHS Announces Preventive Health Care for Women, Cheiron, 8/8/11
- Health Care Reform: Women’s Health Preventive Care Requirements, Proskauer Rose, 8/5/11
- Guidelines for Women's Preventive Care Issued, PricewaterhouseCoopers, 8/4/11
- Agencies Issue Additional Details on Preventive Care Requirements for Women, Aon Hewitt, 8/3/11
- New Guidelines for Women’s Preventive Care Services, Vorys, 8/3/11
- Benchmarking Preventive Care Utilization, Milliman, 3/21/11
- Departments Expand Guidelines and Request Information on Preventive Care Benefits That Non-Grandfathered Group Health Plans Must Provide, Segal, 1/19/11
- Agencies Outline Preventive Care Coverage Requirements under PPACA, Alston & Bird, 7/27/10
- Health Care Reform: Preventive Services Interim Final Rules Released, Proskauer Rose, 7/22/10
- Agencies Issue Rules Implementing Preventive Care Requirements, Sutherland, 7/21/10
- Preventive Care Guidance for Non-Grandfathered Health Plans Released, Buck Consultants, 7/20/10
- Agencies Release Interim Final Rule on Preventive Services, Hewitt, 7/20/10
- Required First Dollar Coverage for Preventive Services, Seyfarth Shaw, 7/16/10
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