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state of implementation
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OR Efforts on Value-Based Benefit Design
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Defining Essential Health Benefits - Key State Considerations
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CA - Essential Health Benefit and State-Level Benefit Mandates
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CA Report - Other States’ Health Benefit Review Programs 2011
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OH Exchange Planning, Design, and Financial Sustainability - Report by Milliman
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CHCS - Carolyn Ingram Presentation to the IOM EHB Committee
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MD Benefit Mandates and the Essential Health Benefits
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Essential Health Benefits
Essential Health Benefits
States will need to analyze how their benefit mandates compare with federal minimum requirements established by the ACA and decide whether to continue, add to or eliminate any state-mandated benefits.
*Milestone details:
*Full name: Compare current state benefit mandates with federal laws, regulations, and the essential health benefit packages and identify any needed updates.
*Relevance to the ACA:
The ACA establishes federal benefit mandates that all states must follow. The ACA also permits states to establish their own benefit mandates.
§1302 – Establishes the essential benefit package levels that define qualified health plans.
§1311 – Allows states to add additional benefit requirements to qualified health plans; costs would be borne by states rather than the federal government.
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