45 CFR 158.301
§ 158.301 Standard for adjustment to the medical loss ratio.
United States · 45 CFR — Public Welfare · Status: effective
Cite this
- Citation
- 45 CFR 158.301, § 158.301 Standard for adjustment to the medical loss ratio, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/217879
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Full text
The Secretary may adjust the MLR standard that must be met by issuers offering coverage in the individual market in a State, as defined in section 2791 of the PHS Act, for a given MLR reporting year if, in the Secretary's discretion, the Secretary determines that there is a reasonable likelihood that an adjustment to the 80 percent MLR standard of section 2718(b)(1)(A)(ii) of the Public Health Service Act will help stabilize the individual market in that State.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.