General Information

HHS Issues Guidance on Essential Health Benefits

The U.S. Department of Health and Human Services (HHS) issued a 15-page document last week that provides guidance on the essential health benefits that must be included in the scope of coverage that insurance plans must meet in 2014 to sell in state-based health insurance exchanges. The guidance provides states with a choice of benchmark plans instead of dictating a single approach. The HHS guidance puts choice and flexibility in the hands of the states as they work to build their insurance exchanges. States that defer to the federally-run exchange would still have their choice of benchmark plans. The HHS guidance is attached. Contact: Anne McLeod, (916) 552-7536,