Senate Bill 189, a measure under consideration by the California Legislature, would have severely limited a health plan’s ability to use a wellness program to encourage healthy behavior. The proposed legislation would have affected the design of wellness programs and prohibited incentives to participants based on health status factors. SB 189 recently failed to pass the California Senate Appropriations Committee. Therefore, the requirements of the Affordable Care Act (ACA) can be followed for development of wellness program designs and incentives. For additional information about the wellness provisions under the ACA, please see Wellness Programs and the ACA on the Keenan HCR web site.