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45 CFR 147.150 : Public Welfare (Part 1 To Parts 2557-2599) — (Part 1 To Parts 171-199) — Department Of Health And Human Services (Part 1 To Parts 171-199) — Requirements Relating To Health Care Access (Parts 140-143 To § 159.120) — Health Insurance Reform Requirements For The Group And Individual Health Insurance Markets (§ 147.100 To § 147.200) — Coverage of essential health benefits.

4 Aug 2016

(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.

45 CFR 147.150
[78 FR 12865, Feb. 25, 2013]