Amendment
Bill No. 0811
Amendment No. 226753
CHAMBER ACTION
Senate House
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1Representative Farkas offered the following:
2
3     Amendment to Amendment (455143)
4Remove lines 800 through 818 and insert:
5in the last contract or calendar year when the majority of the
6members of a health individual covered by such plan are is
7enrolled in and maintain maintains participation in any health
8wellness, maintenance, or improvement program offered by the
9group contract holder and approved by the health plan. The group
10individual must provide evidence of demonstrative maintenance or
11improvement of his or her health status as determined by
12assessments of agreed-upon health status indicators between the
13group individual and the health insurer, including, but not
14limited to, reduction in weight, body mass index, and smoking
15cessation. Any rebate provided by the health maintenance
16organization insurer is presumed to be appropriate unless
17credible data demonstrates otherwise or unless such rebate
18program requires the insured to incur costs to qualify for the
19rebate that equal or exceed the value of the rebate, but in no
20event shall the rebate not exceed 10 percent of paid premiums.
21     (b)  The premium rebate authorized by this section shall be
22effective for a subscriber an insured on an annual basis, unless
23the number of participating members on the


CODING: Words stricken are deletions; words underlined are additions.