SB 527 - This act modifies a statute regarding access to dental provider networks to apply to dentists providing any health care service under network plans, as defined in the act. Current notice requirements are modified to require a contracting entity, as defined in the act, 30 days notice containing certain information to participating dentists, and written consent separate from the dentists' contracts, prior to the dentists' services being made available to participants in a network plan.
The act repeals a requirement that upon a dentist's request, a contracting entity shall properly identify any third-party that has been granted access to the dentist's services.
The act also repeals a requirement that third parties who have contracted for access to participating dentists' discounted rates shall comply with the dentists' contracts unless otherwise agreed by the dentists, including with regard to payment rates and methods.
Lastly, the act repeals a provision of law specifying that a contracting entity shall be deemed in compliance with the statute if the insured's identification card identifies the insurance carrier to be used to reimburse the participating dentist for the covered services.
This act is similar to provisions in the truly agreed to and finally passed CCS/HCS/SS/SCS/SBs 45 & 90 (2023), and identical to HB 100 (2023).
ERIC VANDER WEERD