House bill on ACA’s MLR requirement passes Energy and Commerce Committee
Posted on September 20, 2012 | No Comments
H.R. 1206, sponsored by Representatives Mike Rogers and John Barrow, alters the Affordable Care Act’s (ACA’s) medical loss ratio (MLR) by excluding insurance brokers’ fees from counting as administrative costs under the ACA provision. MLR mandates that insurers spend at least 80 percent of premiums on medical care as opposed to administrative costs or profits. Nearly 13 million consumers recently received over one billion dollars in rebates on their health insurance premiums due to the MLR standard.
Today, the Committee voted 26-14 to pass the bill. Representative John Barrow was the only Democrat to support it.
- Applicability of the Medical Loss Ratio to Certain Types of Plans
- Employer Groups of One
- Counting Employees for Determining Market Size
- Individual Association Policies
- Offering Policyholders a “Premium Holiday”
- Reinsurance and Reporting
- Exchange User Fees
- States With a Higher Medical Loss Ratio Standard
- “Mini-Med” Experience – Application of the Adjustment
- Form of Rebate