An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for third-party access to dental insurance contracts; and promulgating regulations.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
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)
Bill text
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Document of record
- Version
- Pn 1814 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
1 on record
Primary sponsor
David Argall
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