Sec. 1103. SAVINGS FROM LIMITS ON MA PLAN ADMINISTRATIVE COSTS
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## SEC. 1103 SAVINGS FROM LIMITS ON MA PLAN ADMINISTRATIVE COSTS Section 1857(e) of the Social Security Act (42 U.S.C. 1395w-27(e)) is amended by adding at the end the following new paragraph: > > #### “(4) Requirement for minimum medical loss ratio > > If the Secretary determines for a contract year (beginning with 2014) that an MA plan has failed to have a medical loss ratio of at least .85— > > > ##### “(A) > > the MA plan shall remit to the Secretary an amount equal to the product of— > > > ###### “(i) > > the total revenue of the MA plan under this part for the contract year; and > > > ###### “(ii) > > the difference between .85 and the medical loss ratio; > > > ##### “(B) > > for 3 consecutive contract years, the Secretary shall not permit the enrollment of new enrollees under the plan for coverage during the second succeeding contract year; and > > > ##### “(C) > > the Secretary shall terminate the plan contract if the plan fails to have such a medical loss ratio for 5 consecutive contract years.” > .
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Sec. 1103
SAVINGS FROM LIMITS ON MA PLAN ADMINISTRATIVE COSTS
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