{"abstract":"This document contains final regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Specifically, these final regulations increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20 percent to 30 percent of the cost of coverage. The final regulations further increase the maximum permissible reward to 50 percent for wellness programs designed to prevent or reduce tobacco use. These regulations also include other clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer in order to avoid prohibited discrimination.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2013/06/03/2013-12916.html","cfr_references":[{"chapter":null,"citation_url":null,"part":54,"title":26},{"chapter":null,"citation_url":null,"part":2590,"title":29},{"chapter":null,"citation_url":null,"part":146,"title":45},{"chapter":null,"citation_url":null,"part":147,"title":45}],"citation":"78 FR 33158","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: August 2, 2013.","disposition_notes":null,"docket_ids":["TD 9620","CMS-9979-F"],"dockets":[],"document_number":"2013-12916","effective_on":"2013-08-02","end_page":33192,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/06/03/2013-12916.xml","html_url":"https://www.federalregister.gov/documents/2013/06/03/2013-12916/incentives-for-nondiscriminatory-wellness-programs-in-group-health-plans","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-12916?publication_date=2013-06-03","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-06-03/2013-12916/mods.xml","not_received_for_publication":null,"page_length":35,"page_views":{"count":70382,"last_updated":"2026-04-04 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-06-03/pdf/2013-12916.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-12916.pdf?1369840629","publication_date":"2013-06-03","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/06/03/2013-12916.txt","regulation_id_number_info":{"1210-AB55":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/1210-AB55/incentives-for-nondiscriminatory-wellness-programs-in-group-health-plans","title":"Incentives for Nondiscriminatory Wellness Programs in Group Health Plans","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=1210-AB55&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"0938-AR48":null,"1545-BL07":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/1545-BL07/notice-of-proposed-rulemaking-regarding-wellness-programs","title":"Notice of Proposed Rulemaking Regarding Wellness Programs","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=1545-BL07&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0938-AR48","1210-AB55","1545-BL07"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0371","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":33158,"subtype":null,"title":"Incentives for Nondiscriminatory Wellness Programs in Group Health Plans","toc_doc":"Incentives for Nondiscriminatory Wellness Programs in Group Health Plans","toc_subject":null,"topics":["Employee benefit plans","Excise taxes","Health care","Health insurance","Pensions","Reporting and recordkeeping requirements"],"type":"Rule","volume":78}