On February 25, 2013, the U.S. Department of Health and Human Services (HHS) published a much-anticipated component in the steps to implementing the Patient Protection and Affordable Care Act (2010) (P.L. 111–148) (PPACA). This component, the final rule on the essential health benefits (EHB) standards (Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation, 2013), was meant to provide qualified health plans (those plans that have been certified to meet the minimum standards necessary to be offered through health insurance exchanges or marketplaces) with clarification on the EHB standards (PPACA § 1301). Far short of providing nationally defined EHB, the rule creates choices for each state to enact its own definition of the EHB. Social work has an important role to play in ensuring that states enact EHB in a way that will provide needed care for our clients. This Viewpoint provides a brief overview of the EHB final rule and the areas where social work advocacy is needed to ensure the best outcome for clients.