pp. 29-34

Insurance providers can't limit eligibility for a plan based on an employee's income, but they can make contribution amounts for lower-paid-workers smaller than what they require of higher paid workers in similar situations if they want to.

In 2 years The Secretary will develop reporting requirements for insurance plans that

• improve health outcomes by managing care better
  
• reduce hospital re-admissions using better followups
• reduce medical errors
• use wellness programs
  

At the same time The Secretary will also give regulations that will tell if these reporting requirements affect reimbursements. 3 months after he does that, the Government Accountability Office will report to the House and Senate what kind of an impact this is having on healthcare quality and cost.

Every year the insurance providers have to report on how their program meets these 4 things, and the report must be available to customers when they enroll in a plan. The Secretary can come up with penalties if the reporting isn't done, and also make exceptions to the reporting if a health plan or provider does a good job at meeting these 4 things.

The bill defines "wellness programs" in a pretty common-sense manner: nutrition, physical fitness, stopping smoking, etc.