View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML
HHS/CMS RIN: 0938-AQ71 Publication ID: Spring 2011 
Title: ●Medical Loss Ratios (CMS-9998-F) 
Abstract: The Affordable Care Act requires health insurance issuers offering individual or group coverage to submit annual reports to the Secretary on the percentages of premiums that the coverage spends on reimbursement for clinical services and activities that improve health care quality, and to provide rebates to enrollees if this spending does not meet minimum standards for a given plan year. This final rule implement the definition and methodology associated with the calculation of the Medical Loss Ratio (MLR) provisions of the Affordable Care Act and the calculation of the rebate to consumers for plans that do not satisfy the MLR. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 111-148   
Legal Deadline:
Action Source Description Date
Final  Statutory    12/00/2011 
Timetable:
Action Date FR Cite
Interim Final Rule  12/01/2010  75 FR 7464   
Interim Final Rule Effective  01/01/2011    
Final Action  To Be Determined    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: State 
Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
James Mayhew
Director, Market Rules Division
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, MS: AR-20-54, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9244
Email: james.mayhew@cms.hhs.gov