CMS: Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard

Federal Register

Jun 15, 2026

Notice from the Centers for Medicare & Medicaid Services (CMS) seeking public input regarding its comprehensive review of the Essential Health Benefits (EHB) framework and the requirement that the scope of EHB be equal to the scope of benefits provided under a typical employer plan. Among other things, CMS seeks comments on current interpretations of EHB, state approaches to selecting and updating EHB-benchmark plans, methodologies used to determine the scope of benefits included as EHB, and how these approaches relate to access and market stability under the Patient Protection and Affordable Care Act. Comments are due by July 15, 2026.

Health insurance · Policy