Tuesday, February 5, 2013 at 2:30 p.m. ET
- Joe Touschner, Georgetown Center for Children and Families
- Meg Comeau, The Catalyst Center
The Affordable Care Act (ACA) established a minimum set of services, called the essential health benefits (EHB), that all health plans in the individual and small group markets must offer starting in 2014. The ACA included 10 broad categories of services that the EHB must cover, including emergency services, preventive services, maternity and newborn care, and prescription drugs, but left what should be covered within these categories up to the Secretary of the U.S. Department of Health and Human Services (HHS). In November 2012 HHS published a proposed rule outlining standards relating to EHB packages, and a timeline for when issuers offering coverage in a federally facilitated exchange or state partnership exchange must become accredited. On this Kids’ Access Funders Network call participants learned more about the framework that states will use to create EHB plans, the implications for children and families, including children with special health care needs, and next steps.