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CS/SB 86 — Dentists

by Appropriations Committee and Senator Latvala

This summary is provided for information only and does not represent the opinion of any Senator, Senate Officer, or Senate Office.

Prepared by: Health Policy Committee (HP)

The bill prohibits an insurer, health maintenance organization, or prepaid limited health service organization from contracting with a licensed dentist to provide services to an insured or subscriber at a specified fee unless such services are “covered services” under the applicable contract. “Covered services” are defined as dental care services for which a reimbursement is available under the insured’s contract, or for which a reimbursement would be available for the application of a contractual limitation. The bill also prohibits an insurer from requiring that a contracted health care provider accept the terms of other practitioner contracts with a prepaid limited health service organization that is under common management and control with the contracting insurer.

If approved by the Governor, these provisions take effect July 1, 2014.

Vote: Senate 27-0; House 115-0