They are also a privacy grab, bypassing HIPAA laws for "voluntary" opt-in programs. One of the tipping point for the West Virginia teachers strike was a requirement to wear Fitbits and logging activity to avoid insurance premium penalties.<p>"But the one issue that has distressed many teachers, he said, is the Go365, an addition to the PEIA’s health program.<p>Beginning July 1, participation will be a requirement as it stands now to avoid paying more for insurance, according to the West Virginia Education Association (WVEA).<p>Go365 requires participants to earn a certain level of points in the program by May 15 of each year in order to avoid penalties for the following year, including an additional $500 deductible and a $25 a month premium increase.<p>Those points are earned by doing things like using a Fitbit (a device worn like a watch that measures items like the number of steps taken each day) and logging activities online.<p>Evans said a person’s waist circumference measurement is also required. “This is invasive,” he added."