AN ACT RELATING TO INSURANCE -DENTAL SERVICE CORPORATIONS
It is enacted by the General Assembly as follows:
SECTION 1. Chapter 23-17.13 of the General Laws entitled "Health Care Accessibility and Quality Assurance Act" is hereby amended by adding thereto the following section:
23-17.13-6. Contracts with providers for dental services.- (a) No contract between a dental plan of a health care entity and a dentist for the provision of services to patients may require that a dentist provide services to its subscribers at a fee set by the health care entity unless said services are covered services under the applicable subscriber agreement. "Covered services," as used herein, means services reimbursable under the applicable subscriber agreement, subject to such contractual limitations on subscriber benefits as may apply, including, for example, deductibles, waiting period or frequency limitations.
(b) For the purposes of this section "dental plan" shall include any policy of insurance which is issued by a health care entity which provides for coverage of dental services not in connection with a medical plan.
SECTION 2. This act shall take effect upon passage.
EXPLANATION BY THE LEGISLATIVE COUNCIL AN ACT RELATING TO INSURANCE -DENTAL SERVICE CORPORATIONS
This act would provide that no contract between a dental insurance company or similar entity and a dentist would require the dentist to provide services to a subscriber at a price set by the insurer, unless the services were covered under the applicable insurance agreement. This act would take effect upon passage.
