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Federal Update Medical Loss Ratio Last Thursday, a National Association of Insurance Commissioners (NAIC) task force recommended that the NAIC endorse the Access to Professional Health Insurance Advisors Act (HR 1206), which would take broker and agent commissions out of the medical loss ratio (MLR) calculation created by the Affordable Care Act. The ACA requires insurers to spend at least 80 percent of their ... MLR is clearly an important tool for consumers. The NAIC's Executive Committee meets via teleconference Tuesday to consider its next step. ACS CAN is concerned about the task force’s action and will be reaching out, along with other consumer groups, to committee members to encourage them ...

Federal Update Medical Loss Ratio Last Thursday, a National Association of Insurance Commissioners (NAIC) task force recommended that the NAIC endorse the Access to Professional Health Insurance Advisors Act (HR 1206), which would take broker and agent commissions out of the medical loss ratio (MLR) calculation created by the Affordable Care Act. The ACA requires insurers to spend at least 80 percent of their ... MLR is clearly an important tool for consumers. The NAIC's Executive Committee meets via teleconference Tuesday to consider its next step. ACS CAN is concerned about the task force’s action and will be reaching out, along with other consumer groups, to committee members to encourage them ...

... week, state leaders approved the state budget for FY 2024-25. In response, Michael Davoli, American Cancer Society Cancer Action Network (ACS CAN) New York Senior Government Relations Director, released the following statement: “If we are truly serious about limiting the burden of cancer for New Yorkers, we have to take a comprehensive approach. Governor Hochul and the State Legislature had an opportunity to do so in the ... proposals that impact individuals across the cancer continuum. Unfortunately, the final budget came up short in key areas, thwarting the promise of the robust legislative package that advocates strongly supported.   “The burden of disease in New York has reached a fever-pitch with the ...

... prohibitions on rescinding insurance after a policy holder becomes ill, lifetime and annual caps, pre-existing condition restrictions, and cost sharing for preventive services.   Legislation already introduced that would repeal the medical loss ratio (MLR) provision included in the Affordable Care Act was also discussed. The MLR provision requires insurers in the individual and small group markets to spend 80 percent of premiums on medical care and quality improvement activities, and requires larger plans to spend 85 percent of premiums.   ACS CAN opposes both legislative proposals because they would eliminate some of the most important consumer protections that ACS CAN advocated for in ...