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As enacted in 1996 by a Republican Congress and a Democratic President, the HIPAA nondiscrimination rule specifically provided that it was not to be construed to prevent plan sponsors from establishing premium discounts or rebates or modifying otherwise applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention. The Bush Administration issued regulations implementing the wellness plan exception in 2006, and those regulations were largely codified by the Affordable Care Act (ACA) of 2010
Despite their resistance, they must return to their everyday lives
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Exposure to cigarette smoke, either directly or indirectly, has harmful effects on human health and increases the risk of various diseases 18
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