Implementation of the Affordable Care Act (ACA) On March 14th Florida joined the group of 5 states currently seeking a waiver from the medical-loss ratio (MLR) requirements in the ACA. In the application the state asked that insurers only be required to spend 65 percent of premiums on medical costs in the individual market up through 2014, rather than meet the ACA provision that requires an 80 percent level. Only one state, Maine, has been approved so far.
On March 14th House Energy & Commerce Committee Chairman Fred Upton (R-MI) sent a letter to HHS Secretary Kathleen Sebelius asking her to send an HHS official to Capitol Hill to explain how the decision to not allow a period for public comment on the end-of-life rule in the ACA was made. Secretary Sebelius has said before that it was her decision alone to not include a period for public comment on that particular rule. A copy of that letter can be found here.
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