45 CFR 147.150
§ 147.150 Coverage of essential health benefits.
United States · 45 CFR — Public Welfare · Status: effective
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- Citation
- 45 CFR 147.150, § 147.150 Coverage of essential health benefits, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/217344
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Full text
(a) Requirement to cover the essential health benefits package. A health insurance issuer offering health insurance coverage in the individual or small group market must ensure that such coverage includes the essential health benefits package as defined in section 1302(a) of the Affordable Care Act effective for plan or policy years beginning on or after January 1, 2014.
(b) Cost-sharing under group health plans. [Reserved]
(c) Child-only plans. If a health insurance issuer offers health insurance coverage in any level of coverage specified under section 1302(d)(1) of the Affordable Care Act, the issuer must offer coverage in that level as a plan in which the only enrollees are individuals who, as of the beginning of a plan year, have not attained the age of 21.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.