H.R. 4801 · 114th Congress

Medical Loss Ratio Accountability Act of 2016

Stage
In committee
Introduced
2016-03-17
Latest action
2016-03-30 · Referred to the Subcommittee on Health.

Summary

Medical Loss Ratio Accountability Act of 2016

This bill amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to audit a statistically significant and representative selection of health insurers to verify that insurer reports on medical loss ratio are accurate.

This bill amends the Social Security Act to base determinations of the medical loss ratio of a Medicare Advantage plan on information from the HHS audit of the plan, if the plan was audited.