| 1 | Representative Farkas offered the following: |
| 2 |
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| 3 | Amendment to Amendment (455143) |
| 4 | Remove lines 800 through 818 and insert: |
| 5 | in the last contract or calendar year when the majority of the |
| 6 | members of a health individual covered by such plan are is |
| 7 | enrolled in and maintain maintains participation in any health |
| 8 | wellness, maintenance, or improvement program offered by the |
| 9 | group contract holder and approved by the health plan. The group |
| 10 | individual must provide evidence of demonstrative maintenance or |
| 11 | improvement of his or her health status as determined by |
| 12 | assessments of agreed-upon health status indicators between the |
| 13 | group individual and the health insurer, including, but not |
| 14 | limited to, reduction in weight, body mass index, and smoking |
| 15 | cessation. Any rebate provided by the health maintenance |
| 16 | organization insurer is presumed to be appropriate unless |
| 17 | credible data demonstrates otherwise or unless such rebate |
| 18 | program requires the insured to incur costs to qualify for the |
| 19 | rebate that equal or exceed the value of the rebate, but in no |
| 20 | event shall the rebate not exceed 10 percent of paid premiums. |
| 21 | (b) The premium rebate authorized by this section shall be |
| 22 | effective for a subscriber an insured on an annual basis, unless |
| 23 | the number of participating members on the |