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.
- The ACA has the potential to cut the number of uninsured children by 40%. (Source:Improving Coverage for Children Under Health Reform)
- The ACA has helped maintain or improve access to preventive services for 54% of children. (Source: ACA Protects and Improves Access to Preventive Care for Children)
- 47 states have applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems (Source: Getting Into Gear for 2014)
- In 2011, 92% of children in the United States had health insurance coverage. (Source: Uninsured Children 2009-2011 Charting the Nation's Progress)
- In 2012, 26 statesmade improvements to their Medicaid and CHIP programs. (Source: Getting Into Gear for 2014)