In this request for information (RFI), the Centers for Medicare & Medicaid Services (CMS) seeks public input to support their comprehensive review of the Essential Health Benefits (EHB) in Affordable Care Act (ACA) Marketplace plans and the statutory requirement that the scope of EHB be equal to the scope of benefits provided under a typical employer plan.
CMS seeks comments 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. CMS also seeks comments on variation across States in the scope of benefits included as EHB, cost pressures affecting EHB, limitations in available data used to evaluate EHB, and potential impacts of possible future policy changes. The feedback will help CMS decide whether changes to current regulations should be considered through future rulemaking.
Comment by July 15, 2026.