CMS Request for Information on Essential Health Benefits
Health Insurance Marketplace

June 15, 2026

 

CMS Request for Information on Essential Health Benefits


The Centers for Medicare and Medicaid Services (CMS) is issuing a Request for Information (RFI) to solicit public comment on a variety of topics related to Essential Health Benefits (EHB), including the regulatory framework and the statutory requirement under section 1302(b)(2)(A) of the Affordable Care Act (ACA) that the scope of EHB be equal to the scope of benefits provided under a typical employer plan.

This RFI is intended to gather feedback on how the current EHB framework operates in practice, including considerations related to affordability, access to services, coverage gaps, and changes in medical evidence and scientific advancement.

CMS remains committed to a transparent, stakeholder-driven process and encourages stakeholders to submit comments during the 30-day comment period. The public comment period ends on July 15, 2026.

View the RFI here: https://www.federalregister.gov/documents/2026/06/15/2026-11994/request-for-information-comprehensive-review-of-the-essential-health-benefits-framework-and-typical


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