Page:United States Statutes at Large Volume 124.djvu/162

124 STAT. 136 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(A) IN GENERAL.—A group health plan and a health insurance issuer offering group or individual health insur- ance coverage shall annually submit to the Secretary, and to enrollees under the plan or coverage, a report on whether the benefits under the plan or coverage satisfy the elements described in subparagraphs (A) through (D) of paragraph (1). ‘‘(B) TIMING OF REPORTS.—A report under subpara- graph (A) shall be made available to an enrollee under the plan or coverage during each open enrollment period. ‘‘(C) AVAILABILITY OF REPORTS.—The Secretary shall make reports submitted under subparagraph (A) available to the public through an Internet website. ‘‘(D) PENALTIES.—In developing the reporting require- ments under paragraph (1), the Secretary may develop and impose appropriate penalties for non-compliance with such requirements. ‘‘(E) EXCEPTIONS.—In developing the reporting require- ments under paragraph (1), the Secretary may provide for exceptions to such requirements for group health plans and health insurance issuers that substantially meet the goals of this section. ‘‘(b) WELLNESS AND PREVENTION PROGRAMS.—For purposes of subsection (a)(1)(D), wellness and health promotion activities may include personalized wellness and prevention services, which are coordinated, maintained or delivered by a health care provider, a wellness and prevention plan manager, or a health, wellness or prevention services organization that conducts health risk assess- ments or offers ongoing face-to-face, telephonic or web-based inter- vention efforts for each of the program’s participants, and which may include the following wellness and prevention efforts: ‘‘(1) Smoking cessation. ‘‘(2) Weight management. ‘‘(3) Stress management. ‘‘(4) Physical fitness. ‘‘(5) Nutrition. ‘‘(6) Heart disease prevention. ‘‘(7) Healthy lifestyle support. ‘‘(8) Diabetes prevention. ‘‘(c) REGULATIONS.—Not later than 2 years after the date of enactment of the Patient Protection and Affordable Care Act, the Secretary shall promulgate regulations that provide criteria for determining whether a reimbursement structure is described in subsection (a). ‘‘(d) STUDY AND REPORT.—Not later than 180 days after the date on which regulations are promulgated under subsection (c), the Government Accountability Office shall review such regulations and conduct a study and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report regarding the impact the activities under this section have had on the quality and cost of health care. ‘‘SEC. 2718. BRINGING DOWN THE COST OF HEALTH CARE COVERAGE. ‘‘(a) CLEAR ACCOUNTING FOR COSTS.—A health insurance issuer offering group or individual health insurance coverage shall, with Reports. 42 USC 300gg–18. Deadline.