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CS/CS/HB 1219: Dental Insurance Claims

GENERAL BILL by Health & Human Services Committee ; Insurance & Banking Subcommittee ; Black ; (CO-INTRODUCERS) López, J.

Dental Insurance Claims; Prohibits contract between health insurer, prepaid limited health service organization, & HMO & dentist from containing certain restrictions on payment methods to dentists; requires health insurer, prepaid limited health service organization, & HMO to notify dentist before paying claim to dentist through electronic funds transfer; prohibits health insurer, prepaid limited health service organization, & HMO from charging fee to transmit payment to dentist through automated clearinghouse transfer unless dentist has consented to such fee; prohibits health insurer, prepaid limited health service organization, & HMO from denying claims for procedures included in prior authorization.

Effective Date: 7/1/2024
Last Action: 3/5/2024 House - Laid on Table, companion bill(s) passed, see CS/CS/CS/SB 892 (Ch. 2024-196)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    1/4/2024 House • Filed
    1/9/2024 House • 1st Reading (Original Filed Version)
    1/13/2024 House • Referred to Insurance & Banking Subcommittee
    • Referred to Select Committee on Health Innovation
    • Referred to Commerce Committee
    • Now in Insurance & Banking Subcommittee
    1/30/2024 House • Added to Insurance & Banking Subcommittee agenda
    2/1/2024 House • Favorable with CS by Insurance & Banking Subcommittee
    2/2/2024 House • Reported out of Insurance & Banking Subcommittee
    • Laid on Table under Rule 7.18(a)
    • CS Filed
    2/5/2024 House • Original reference removed: Select Committee on Health Innovation
    • Referred to Health & Human Services Committee
    • Referred to Commerce Committee
    • Now in Health & Human Services Committee
    • 1st Reading (Committee Substitute 1)
    2/13/2024 House • Added to Health & Human Services Committee agenda
    2/15/2024 House • Favorable with CS by Health & Human Services Committee
    2/16/2024 House • Reported out of Health & Human Services Committee
    • Laid on Table under Rule 7.18(a)
    • CS Filed
    2/19/2024 House • Referred to Commerce Committee
    • Now in Commerce Committee
    • 1st Reading (Committee Substitute 2)
    2/20/2024 House • Added to Commerce Committee agenda
    2/22/2024 House • Favorable by Commerce Committee
    2/23/2024 House • Reported out of Commerce Committee
    • Bill released to House Calendar
    • Added to Second Reading Calendar
    2/27/2024 House • Bill added to Special Order Calendar (3/1/2024)
    3/1/2024 House • Temporarily postponed, on 2nd Reading
    • Added to Second Reading Calendar
    3/5/2024 House • Laid on Table, companion bill(s) passed, see CS/CS/CS/SB 892 (Ch. 2024-196)

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  • CS/CS/HB 1219, Committee Substitute 2 (Current Bill Version) Posted 2/16/2024 at 4:42 PM

    Bill Text:   PDF
    Analyses:   Commerce Committee (Post-Meeting) 2/23/2024 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 892 (er) Dental Insurance Claims Harrell Similar Last Action: 5/20/2024 Chapter No. 2024-196

    Citations - Statutes (4)

    Citation Catchline Location in Bill Location In Bill Help
    627.6131 Payment of claims. Page 3 (pdf)
    636.032 Acceptable payments. Page 6 (pdf)
    636.035 Provider arrangements. Page 8 (pdf)
    641.315 Provider contracts. Page 9 (pdf)

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  • CS/HB 1219, Committee Substitute 1 Posted 2/2/2024 at 5:07 PM

    Bill Text:   PDF
    Analyses:   Health & Human Services Committee (Post-Meeting) 2/16/2024 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 892 (c2) Dental Insurance Claims Harrell Similar Last Action: 5/20/2024 Chapter No. 2024-196

    Committee Amendments (1)

    Amendment Sponsor Filed Last Committee Action Format
    534273 - Amendment
    Remove lines 62-339 and insert:
    Black 2/14/2024
    6:21 PM
    Adopted without Objection
    2/15/2024
    PDF

    Citations - Statutes (5)

    Citation Catchline Location in Bill Location In Bill Help
    627.6131 Payment of claims. Page 3 (pdf)
    627.6474 Provider contracts. Page 6 (pdf)
    636.032 Acceptable payments. Page 7 (pdf)
    636.035 Provider arrangements. Page 8 (pdf)
    641.315 Provider contracts. Page 11 (pdf)

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  • HB 1219, Original Filed Version Posted 1/4/2024 at 11:02 AM

    Bill Text:   PDF
    Analyses:   Insurance & Banking Subcommittee (Post-Meeting) 5/22/2024 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 892 Dental Insurance Claims Harrell Identical Last Action: 5/20/2024 Chapter No. 2024-196

    Committee Amendments (1)

    Amendment Sponsor Filed Last Committee Action Format
    324267 - Amendment
    Remove lines 90-308 and insert:
    Black 1/31/2024
    7:58 PM
    Adopted without Objection
    2/1/2024
    PDF

    Citations - Statutes (5)

    Citation Catchline Location in Bill Location In Bill Help
    627.6131 Payment of claims. Page 3 (pdf)
    627.6474 Provider contracts. Page 6 (pdf)
    636.032 Acceptable payments. Page 7 (pdf)
    636.035 Provider arrangements. Page 9 (pdf)
    641.315 Provider contracts. Page 11 (pdf)

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