An Act ensuring transparency in the practice of dental leased networks
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to increase transparency in how dental care is delivered through ‘dental leased networks.’ It requires Provider Network Entities, which connect Third-Party Health Plans with dental providers, to disclose information to both participating dentists and patients about which health plans are using their services. The bill also mandates that Third-Party Health Plans notify their customers about the use of leased networks and provide details on the fee schedules used for dental services.
Key provisions
- Provider Network Entities must have written agreements with participating dentists.
- Provider Network Entities must provide participating dentists with a list of Third-Party Health Plans using their network.
- Third-Party Health Plans must notify their customers about the use of leased dental networks.
- Third-Party Health Plans must indicate in their provider directories that providers are part of a leased network.
- Third-Party Health Plans must reimburse dentists according to the contracted fee schedule.
- Provider Network Entities must annually notify participating dentists of the Third-Party Health Plans accessing their network and the volume of patients seen.
- The Commissioner of Insurance must approve arrangements involving leased dental networks.
- The Commissioner’s approval will be based on whether the arrangement is reasonable in relation to fee schedules, premiums, and potential discrimination.
Who is affected
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
2 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsor
Daniel J. Ryan
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours