Data / Federal rules / 2026-11994
Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard
The Health and Human Services Department published this proposed rule in the Federal Register on June 15, 2026. Comments closed on July 15, 2026.
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What the agency says
This request for information (RFI) seeks public input to support CMS' comprehensive review of the Essential Health Benefits (EHB) framework and the requirement under the Patient Protection and Affordable Care Act (Affordable Care Act) that the scope of EHB be equal to the scope of benefits provided under a typical employer plan. CMS seeks comment on current interpretations of EHB, State approaches to selecting and updating EHB-benchmark plans, and methodologies used to determine the scope of benefits included as EHB, as well as how these approaches relate to access and market stability under the Affordable Care Act. CMS also seeks comment on variation across States in the scope of benefits included as EHB, cost pressures affecting EHB, processes for updating State EHB-benchmark plans, limitations in available data used to evaluate EHB, and potential impacts of possible future policy changes. The information gathered will inform CMS' evaluation of whether revisions or additions to the current EHB regulations through future notice and comment rulemaking may be appropriate.
Key facts
- Document number
- 2026-11994
- Type
- Proposed rule
- Action
- Request for information
- Agency
- Health and Human Services Department
- Published
- June 15, 2026
- Comments due
- July 15, 2026
- Dates
- To be assured consideration, comments must be received at one of the addresses provided below, by July 15, 2026.
- Docket
- CMS-9874-NC
- Regulation ID (RIN)
- 0938-AW02
- Code of Federal Regulations
- 45 CFR 156
- Pages
- 7
Other documents from the Health and Human Services Department
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