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Wellness & Prevention Initiatives,2010 PPACA Provisions, Health Insurance Exchanges, and OTC Drug Reimbursements and Mini Med Plans,[object Object],Presented by Sharon Alt,[object Object]
Today’s Agenda,[object Object],[object Object]
2010 PPACA Provisions
Health Insurance Exchanges
OTC Drug Reimbursements/Mini Med PlansSource: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives Under PPACA,[object Object]
Wellness & Prevention Initiatives,[object Object],Purpose of Reform ,[object Object],[object Object]
PricewaterhouseCoopers’ Health Research Institute survey disclosed approximately $303 billion to $493 billion is spent annually on treating preventable illnesses.Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives ,[object Object],Key Elements ,[object Object],[object Object]
Employee wellness discounts
Break time for nursing mothers
Posting of nutritional requirements
Government funding for wellness programs
Small business grants for wellness programsSource: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives ,[object Object],Elimination of Co-Payments for Screenings and Preventive Care ,[object Object],[object Object]
Co-pays are eliminated for certain recommended immunizations, breast care screenings and other preventive care/screenings for women and children.
Requirements do NOT apply to “grandfathered” health plans.Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Employee Wellness Discounts ,[object Object],[object Object]
May be expanded to 50% subject to the discretion of the Secretary of Health and Human Services (HHS). Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Break Time for Nursing Mothers ,[object Object],Effective immediately for employers covered by the Fair Labor Standards Act: ,[object Object],[object Object]
Employers are not required to compensate employees during such breaks.
Employers with less than 50 employees may qualify for exceptions if it can be proven the requirement would impose an undo hardship. 	Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Posting of Nutritional Requirements ,[object Object],[object Object]
The number of calories for each item must be disclosed on menus, menu boards and drive through menus.
Menus must also feature “a succinct statement concerning suggested daily caloric intake.”
Includes buffet items and vending machines. Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Government Funding for Wellness Programs,[object Object],Prevention and Public Health Fund,[object Object],The Prevention and Public Health Fund will be administered through HHS and will support prevention and public health programs. Beginning with the fiscal year 2010, $500 million will be appropriated to various programs within HHS, with the amount of appropriations increasing each year to $2 billion in the fiscal year 2015 and each year thereafter. ,[object Object],Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Government Funding for Wellness Programs,[object Object],Prevention and Public Health FundUnder PPACA, funds are to be used for activities such as:,[object Object],[object Object]
Community Transformation grant program (designed to fund state and municipal wellness programs by creating walking paths, nutrition awareness programs, etc)
Education and Outreach Campaign for Preventive Benefits (a planned public-private partnership to raise awareness on preventive care)
Immunization programs.Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Government Funding for Wellness Programs ,[object Object],Prevention and Public Health Fund,[object Object],School-based health centers (facilities that provide primary health care to students on school campuses) will receive $50 million per year in grant funding through 2013. These grant monies are to be used only for expenditures on facilities and equipment, not for personnel hiring. ,[object Object],Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Small Business Grants for Wellness Programs ,[object Object],[object Object]
Grants will be awarded beginning in 2011.
$200 million appropriated for a five year period.Note: Money will likely go quickly. Small businesses need to be prepared with a wellness program proposal which meets the criteria and requirements as described in the PPACA, and developed by the Secretary of HHS. ,[object Object],Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Small Business Grants for Wellness Programs,[object Object],Who is an eligible employer?,[object Object],[object Object]
Did NOT have a workplace program in place as of March 23, 2010 (date of PPACA enactment). Source: www.HealthCare.gov,[object Object]
Wellness & Prevention Initiatives,[object Object],Small Business Grants for Wellness Programs ,[object Object],Unresolved questions…,[object Object],[object Object]
How much grant money can a qualified employer receive?

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