SB 1378
An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for third-party access to dental insurance contracts; and promulgating regulations.
Take action
Record your position on this measure.
Sign in to record your position, submit testimony, or contact your legislator.
Sign in to take action- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Bill overview
This bill, Senate Bill 1378, aims to regulate how third parties can access dental insurance contracts in Pennsylvania. It establishes rules for ‘leasing’ provider network contracts, allowing third parties to gain access to a dental carrier’s network and associated discounts. The bill requires transparency from contracting entities regarding third-party access, including identifying third parties and disclosing contract terms. It also outlines specific requirements for notifying providers about third-party access and ensures that providers retain the right to choose not to participate.
Key provisions
- Defines key terms related to third-party access to dental insurance contracts.
- Allows contracting entities to grant third parties access to provider network contracts and associated discounts.
- Requires contracting entities to identify all third parties accessing contracts and publicly disclose this information.
- Mandates that contracting entities notify providers about third-party access arrangements.
- Specifies requirements for contract terms, including a provider's right to opt-out.
- Establishes a process for terminating third-party access agreements.
- Requires contracting entities to provide a copy of the provider network contract to providers upon request.
- Excludes certain arrangements from the bill’s requirements.
Who is affected
- Dental insurance carriers
- Contracting entities (e.g., third-party administrators)
- Dental providers
- Third-party administrators
Sponsors
Official sponsors from legislative records.
Primary sponsor
David Argall
Arguments in favor
Reasons to support this legislation.
No arguments in favor have been submitted.
Submit yoursArguments opposed
Reasons to oppose this legislation.
No arguments opposed have been submitted.
Submit yours