The Department of Health and Human Services said Friday it will allow states to determine what benefits health plans must cover under the health care reform law.
The law includes 10 categories of benefits that every health plan must cover beginning in 2014, but leaves details in the hands of HHS. HHS has passed the responsibility of defining essential benefits
on to the states.
HHS said the states should choose from “benchmark” models already available, including those from benefits packages offered by the state’s largest small-group plans; those offered by state’s largest employee plans; the benefits of the largest federal employee plans; or those offered by the largest health maintenance organization selling coverage in the state.