Health reform implementation

House panel readies bill to alter health law’s medical loss ratio

{mosads}Democrats and the Obama administration have praised the policy for producing more than $1 billion in consumer rebates this year.

But Rogers’s bill seeks to placate brokers unhappy that their fees are included in the MLR.

Agents say the status quo threatens their business by incentivizing insurers not to work with brokers as they try to maintain profits.

The measure, likely to pass the Energy and Commerce Committee on Thursday, would remove brokers’ commissions from the MLR.

Panel chairman Fred Upton (R-Mich.) argued in a subcommittee hearing that under the MLR policy “it will become harder to shop for a plan you like and can afford” as agents see less business.

But some healthcare experts say insurance brokers are victims of an increasingly unfriendly market, not just the MLR.

Some Democrats have argued that Rogers’s bill would weaken standards designed to protect consumers’ premium dollars.

The Energy and Commerce Committee will also mark up the Strengthening Medicare and Repaying Taxpayers Act (H.R. 1063), making several minute changes to the Medicare Secondary Payer program, on Thursday. 

—This post was updated on Wednesday at 10:57 a.m.

See all Hill.TV See all Video

Most Popular

Load more


See all Video