Child Health Advocates’ Guide to Essential Health Benefits

By Joe Touschner

This guide highlights considerations for the selection of the essential health benefits with a focus on services for children.  The Department of Health and Human Services has determined that each state will select an essential health benefits package based on an existing employer-based health plan.  The guide outlines the process for choosing and supplementing the benchmark plan, discusses the ACA requirement for coverage of pediatric services, and makes recommendations for engaging in the state selection process.