Essential Health Benefits
The ACA requires that everyone in the United States have health insurance beginning in 2014. To facilitate this, the ACA also calls for the establishment of state-run health insurance purchasing “exchanges” to help improve insurance access, choice, cost, and coverage. Qualified insurance plans participating in these exchanges are required by the ACA to cover, at a minimum, a package of “essential health benefits,” which include rehabilitation and habilitation. AOTA will work with Congress, federal agencies, states, and key stakeholders to ensure the exchanges provide full access to occupational therapy.
Resources
- AOTA Files Comments on Essential Health Benefits Proposed Rule
- The Importance of Essential Health Benefits to Occupational Therapy - FAQs - pdf, 219 kb -
- Essential Health Benefits Advocacy Guide for State Associations - pdf, 521 kb -
- EHB Presentation for State Association Leaders - pptx, 118 kb -
- State Essential Health Benefit Status Chart (September 7, 2012) - pdf, 297 kb -
- AOTA BULLETIN FOR STATES: Essential Health Benefits in the Affordable Care Act - pdf, 84 kb
- AOTA Comments on HHS CCIIO Essential Health Benefits Bulletin (January 31, 2012) - pdf, 160 kb
- Essential Health Benefits: Balancing Coverage and Cost - AOTA Analysis of the Institute of Medicine Report
- Kaiser Family Foundation: Questions About Essential Health Benefits (October 18, 2011)
- IOM Report: Essential Health Benefits: Balancing Coverage and Cost (October 7, 2011)
- IOM Report Criteria
- IOM Report Brief
- AOTA Comments on the Summary of Benefits and Coverage and Uniform Glossary (October 21, 2011) - pdf, 148 kb -
- Summary of Benefits and Coverage (SBC) and the Uniform Glossary Solicitation of Comments
- 9-30-10 - AOTA Comments - Proposed Glossary and Consumer Information Form Templates - pdf, 125 kb
