HHS also will need to amend the benefits package over time to keep pace with advances in clinical technologies, changes in patient populations, and other trends, according to the IOM. The report
recommends that any changes to the package be cost neutral and that HHS develop a strategy to limit the growth rate of health care spending. The IOM also recommends creation of an independent
council to advise HHS on research necessary to evaluate the EHB package's effectiveness and value, among other issues related to the updating of benefits.