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States to Choose New Benchmark Plans for 2017

The current state benchmark plans will continue to be used through 2016. Currently the benchmark plans are based on 2012 plans which have been amended to include all ten of the Essential Health Benefits. A proposed rule will permit states to select a new benchmark plan for 2017. HHS will begin collecting data such as administrative data, covered benefits, limitations and exclusions on the 2014 plans in order to assist in identifying benchmark plans. It appears that HHS will continue to rely on this benchmark approach rather than committing to its own detailed essential health benefit requirements.


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