0938-AW02 202510 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Request for Information: Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Standard (CMS-9874)

This Request for Information (RFI) seeks public input to support CMS’s comprehensive review of the Essential Health Benefits (EHB) framework and the statutory requirement that EHB be equal in scope to benefits offered by a typical employer plan. It examines whether current EHB definitions, State benchmark approaches, and methodologies for determining the scope of benefits included as EHB continue to align with the Affordable Care Act, evolving market conditions, and goals of affordability, access, and market stability. CMS also requests feedback on State variation in EHB coverage, cost pressures, processes for updating benchmarks, data limitations, and potential impacts of future policy changes. The information gathered will inform CMS’s evaluation of whether revisions to EHB regulations or future rulemaking may be appropriate.

]]> Other Significant First Time Published in The Unified Agenda Prerule Stage No No Not subject to, not significant None Pub. L. 111-148, title I No Request for Information 07/00/2026 No Federal State No No No LeAnn Brodhead Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 667 290-8805 leann.brodhead@cms.hhs.gov Center for Consumer Information and Insurance Oversight , 7500 Security Blvd, Baltimore MD 21244