Beginning in 2014, the ACA requires that newly established health insurance plans in the individual and small group markets, the exchanges, and Medicaid provide a minimum package of services, known as “essential health benefits” (EHB). States must consider many factors in establishing EHBs, including: aligning their EHB packages between plans in order to ensure continuity of coverage; determining the fiscal and budgetary implications for EHB selection; and addressing the health care needs of their populations. This brief highlights these key considerations as states move forward with implementation of the ACA.
Key State Considerations for Selecting an Essential Health Benefit Benchmark for Medicaid and the Exchange
Funder: Robert Wood Johnson Foundation