An Act relative to financial services contracts for dental benefits corporations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill modifies contracts between dental benefits corporations and dentists to ensure that fees for covered dental services are determined by the dentist or the enrollee’s plan, rather than by the dental benefits corporation. It clarifies the definition of ‘dental services’ and prohibits contracts from requiring dentists to charge specific fees for services not included as ‘covered services’ under a plan. The bill also aims to prevent dental benefits corporations from limiting the availability of dentists in their networks to those who adhere to their fee schedules.
Key provisions
- Defines ‘covered services’ as dental care services reimbursed under an enrollee’s plan or that would be reimbursed but for contractual limitations.
- Clarifies that ‘dental plan’ includes policies covering dental services not in connection with a medical plan.
- Prohibits contracts requiring dentists to provide services at fees set or approved by the health care service contractor unless those services are ‘covered services’.
- Restricts health care service contractors from making available only dentists who adhere to their fee schedules to plans setting dental fees.
- Prevents agreements from requiring dentists to provide dental services at particular fees unless those services are covered services.
- Requires dental service corporations to ensure that fees for covered services are determined by the dentist or the enrollee’s plan.
- Prohibits health maintenance organizations from requiring dentists to provide services at particular fees unless those services are covered services.
Bill text
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsors
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