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The Essential Health Benefits (EHB) (CRS Report for Congress)

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Release Date July 6, 2016
Report Number IF10287
Report Type In Focus
Authors Vanessa C. Forsberg
Source Agency Congressional Research Service
Summary:

The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) requires all non-grandfathered health plans in the non-group and small-group private health insurance markets to offer a core package of health care services, known as the essential health benefits (EHB). The ACA does not specifically define this core package. Instead, it lists 10 categories from which benefits and services must be included (see Figure 1) and requires the Secretary of the Department of Health and Human Services (HHS) to further define the EHB.