HHS finalizes essential health benefits ruling for individuals and small groups

Published Updated 2 Min Read

The Department of Health and Human Services issues a final rule on the essential health benefits required of insurers under the Patient Protection and Affordable Care Act. These benefits, defined by HHS as standards that the issuer must meet in their core package of health care coverage, will mainly affect individual and small group plans in both the private insurance and public exchange markets starting in January. The standards were widely in line with industry expectations following proposals in December.

“People all across the country will soon find it easier to compare and enroll in health plans with better coverage, greater quality and new benefits,” said Secretary Kathleen Sebelius in a statement released with the ruling. HHS highlights that the regulation most drastically affects mental health and substance abuse services.


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