Women and Health Reform

Ensuring the Health Care Needs of Women: Resources for Health Exchanges


Essential Health Benefits

Questions to consider:


 How is your state implementing the Essential Health Benefit (EHB) provisions?


 Does your state exchange offer insurance products that cover the comprehensive range of health services important to women across the lifespan (e.g., prevention, reproductive care, mental health, chronic illnesses, and other care)?


 Will the benefits be broader than the categories of federal requirements? For example, will it include mandatory state benefits?


 How is your state evaluating the adequacy of EHB benchmark plans in meeting the needs of women?

Lessons Learned:

National Association for State Health Policy and Robert Wood Johnson Foundation, State Refor(u)m, State Progress on Essential Health Benefits

Blue Cross Blue Shield of Massachusetts Foundation, Massachusetts Connector and Robert Wood Johnson Foundation, Determining Health Benefit Designs

Further Reading:

Centers for Medicare and Medicaid Services, Frequently Asked Questions on Essential Health Benefits Bulletin

Families USA, Designing the Essential Health Benefits for Your State: An Advocate’s Guide

Health Affairs and Robert Wood Johnson Foundation, Health Policy Brief: Essential Health Benefits. States Will the Minimum Set of Benefits to be Included in Individual and Small Group Insurance Plans. What Lies Ahead?

Institute of Medicine, Essential Health Benefits: Balancing Coverage and Costs

Kaiser Family Foundation, Essential Health Benefit (EHB) Benchmark Plans

Kaiser Family Foundation, Impact of Health Reform on Women's Access to Coverage and Care