On August 3, 2011, the HHS published an interim final rule with comment period amending rules regarding coverage of certain preventive services by group health plans and health insurance coverage in the group and individual markets under the ACA. As previously reported, HHS announced earlier this month that health plans will be required to furnish certain preventive health services, including contraceptive services, for women without cost sharing under the ACA, effective for plan years beginning on or after August 1, 2012.  The August 3 rule provides the Health Resources and Services Administration (HRSA) with additional discretion to exempt certain religious employers from HRSA preventive guidelines with regard to contraceptive services. Under the rule, a religious employer is one that: (1) has the inculcation of religious values as its purpose; (2) primarily employs persons who share its religious tenets; (3) primarily serves persons who share its religious tenets; and (4) is a non-profit organization. HHS will be accepting comments on this definition as well as alternative definitions.   The interim final regulations are effective August 1, 2011, although comments will be accepted until September 30, 2011.