The medical loss ratio provision of the Patient Protection and Affordable Care Act is "working the way we hoped it would," Sen. John D. Rockefeller IV, D-W. Va., said this week at a contentious Senate hearing on the MLR  rules.

"The minimum medical loss ratio is a very simple idea, but it appears to have had a powerful, and very positive, effect on the health insurance market," Rockefeller said at the Wednesday hearing, which was organized by the Senate Commerce, Science & Transportation Committee. Rockefeller  chairs the committee.

Republicans used the hearing as a vehicle to challenge every aspect of PPACA.

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