Removing Maternity Care and Mental Health Requirements

When the Senate releases its plan to repeal and replace the Affordable Care Act (ACA), it may retain the ACA’s community-rating rules, which prevent health insurers from setting premiums based on enrollees’ health status or preexisting conditions. However, the Senate’s plan may enable states to waive the ACA’s essential health benefits (EHB) requirement, a provision that requires most individual and small-group health insurers to cover 10 services including hospitalization, emergency department visits, prescription drugs, and other specific types of care.

When the Senate releases its plan to repeal and replace the Affordable Care Act (ACA), it may retain the ACA’s community-rating rules, which prevent health insurers from setting premiums based on enrollees’ health status or preexisting conditions. However, the Senate’s plan may enable states to waive the ACA’s essential health benefits (EHB) requirement, a provision that requires most individual and small-group health insurers to cover 10 services including hospitalization, emergency department visits, prescription drugs, and other specific types of care.

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