# Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act
> **US Department of Health and Human Services** · Final rule with comment period. · Published 2011-12-07 · Effective 2012-01-03 · 76 FR 76574
## Document
- **Document number:** 2011-31289
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 76 FR 76574
- **CFR reference:** 45 CFR 158
- **Publication date:** 2011-12-07
- **Effective date:** 2012-01-03
- **HHS docket:** CMS-9998-FC
## Abstract

This final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to address the treatment of "mini-med" and expatriate policies under these regulations for years after 2011; modify the way the regulations treat ICD-10 conversion costs; change the rules on deducting community benefit expenditures; and revise the rules governing the distribution of rebates by issuers in group markets.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2011/12/07/2011-31289/medical-loss-ratio-requirements-under-the-patient-protection-and-affordable-care-act)
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