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HR 4801 114th Congress House

Medical Loss Ratio Accountability Act of 2016

Official title: To amend title XXVII of the Public Health Service Act, and title XVIII of the Social Security Act, to direct the Secretary of Health and Human Services to cond… Show full official titleShow less

Official title: To amend title XXVII of the Public Health Service Act, and title XVIII of the Social Security Act, to direct the Secretary of Health and Human Services to conduct audits of medical loss ratio reports submitted by health insurance issuers, and for other purposes.

Introduced: March 17, 2016 See on congress.gov
Health Accounting and auditingBusiness recordsCongressional oversightGovernment studies and investigations
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Health care costs and insuranceInsurance industry and regulationMedicare
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This bill died when the 114th Congress ended
It never became law before the 114th Congress (2015–2016) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 30, 2016
Referred to the Subcommittee on Health.
Mar 18, 2016
Referred to the Subcommittee on Health.
Mar 17, 2016
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Mar 17, 2016
Introduced in House
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 Latest action March 30, 2016

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

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.
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 1
All 1 Democratic 1
D
Schakowsky, Janice D.
Illinois · Mar 17, 2016
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4801: Medical Loss Ratio Accountability Act of 2016. 114th Congress. Open America. https://openamerica.io/bill/114-HR-4801/
MLA
"H.R. 4801: Medical Loss Ratio Accountability Act of 2016." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-HR-4801/.
Bluebook (legal)
H.R. 4801, 114th Cong. (2026), https://openamerica.io/bill/114-HR-4801/.
Markdown link
[H.R. 4801: Medical Loss Ratio Accountability Act of 2016](https://openamerica.io/bill/114-HR-4801/)
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