Sen. Jay Rockefeller, D-W.Va., threatened to resurrect his quest for a public health insurance option after failing to win a commitment from federal and state officials for regulations imposing tight control over administrative costs in premiums.

At an appearance before the Alliance for Health Reform, a group funded by the Robert Wood Johnson Foundation–and of which Sen. Rockefeller is a charter member–the senator made clear he would renew the battle for a public health insurance option if medical loss ratio mandates in the health care reform law are diluted or otherwise undermined.

Sen. Rockefeller said he will not allow health insurers to "water down" the 80-to-85 percent MLR required by permitting health care quality provisions to be defined as medical care costs.

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