107 1 qualified health plan solely because the plan 2 does not offer coverage of benefits offered 3 through the stand-alone plan that are otherwise 4 required under paragraph (1)(J); and 5 (G) periodically review the essential health 6 benefits under paragraph (1), and provide a re- 7 port to Congress and the public that contains— 8 (i) an assessment of whether enrollees 9 are facing any difficulty accessing needed 10 services for reasons of coverage or cost; 11 (ii) an assessment of whether the es- 12 sential health benefits needs to be modified 13 or updated to account for changes in med- 14 ical evidence or scientific advancement; 15 (iii) information on how the essential 16 health benefits will be modified to address 17 any such gaps in access or changes in the 18 evidence base; 19 (iv) an assessment of the potential of 20 additional or expanded benefits to increase 21 costs and the interactions between the ad- 22 dition or expansion of benefits and reduc- 23 tions in existing benefits to meet actuarial 24 limitations described in paragraph (2); and wwoods2 on DSK1DXX6B1PROD with BILLS •AMDT. NO. 2786 VerDate Nov 24 2008 00:00 Nov 20, 2009 Jkt 089200 PO 00000 Frm 00107 Fmt 6654 Sfmt 6201 E:\BILLS\H3590.AS H3590