# Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act
> **US Department of Health and Human Services** · Interim final rule with request for comments. · Published 2010-12-01 · Effective 2011-01-01 · 75 FR 74864
## Document
- **Document number:** 2010-29596
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 75 FR 74864
- **CFR reference:** 45 CFR 158
- **Publication date:** 2010-12-01
- **Effective date:** 2011-01-01
- **HHS docket:** OCIIO-9998-IFC
## Abstract

This document contains the interim final regulation implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act).

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2010/12/01/2010-29596/health-insurance-issuers-implementing-medical-loss-ratio-mlr-requirements-under-the-patient)
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