HC Reform Update from Mark Sanna: The Obama administration released regulations this morning detailing a health law requirement. The medical loss ratio, also know as MLR, rule requires insurance companies to spend at least 80 cents of the premium dollar on medical care and quality. For employer plans covering more than 50 people, the requirement is 85 cents. Part of the new health care law, the rule is meant to give consumers a better deal. Administration officials said it will prevent insurers from wasting valuable premiums on overhead, marketing and executive bonuses. 'These new rules are an important step to hold insurance companies accountable and increase value for consumers,” said Health and Human Services Secretary Kathleen Sebelius.