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Healthcare Reform Advocacy Opportunity
Advocate for coverage of HD within your state’s Essential Health Benefits
Essential Health Benefits (EHB’s) are a collection of health care services that insurance policies offered through State Exchanges are required to provide by 2014. At a minimum, Essential Health benefits must include services within the following 10 categories:
1. Ambulatory patient services
2. Emergency services
4. Maternity and newborn care
5. Mental health and substance use disorder services, including behavioral health treatment
6. Prescription drugs
7. Rehabilitative and habilitative services and devices
8. Laboratory services
9. Preventive and wellness services and chronic disease management, and
10. Pediatric services, including oral and vision care
EHB’s will be defined using a benchmark approach, under which states will have the flexibility to select a plan that best meets the needs of their citizens. Click here to learn about where your state is in the process.
Governors and State Health Commissioners heavily influence the adoption of EHB packages. It is critical that we reach out to these individuals in order to guarantee that those with HD do not continue to fall through systematic cracks in coverage. Particularly, EHBs should promote meaningful mental health parity, address the coverage gaps that exist in small group plans, and mitigate the potential disparities in coverage among various state packages.
Advocacy Opportunity: Speak Up for HD!
Click here for information about whom to contact in your state
Click here for a letter that you can customize about EHB
Here is the timeline for EHB implementation:
December 14, 2012: States that are creating exchange must submit blueprint to HHS.
January 1, 2013: HHS certification of state-operated Exchanges.
February 15, 2013: States that want to operate an exchange in partnership with Federal government must submit plan to HHS.
Mid-2013: Earliest possible open-enrollment
January 1, 2014: State-based Exchanges officially begin coverage
* These dates are subject to change