Bill

Bill > H1111


MA H1111

Relative to a dental patient bill of rights


summary

Introduced
02/16/2023
In Committee
02/16/2023
Crossed Over
Passed
Dead
12/31/2024

Introduced Session

193rd General Court

Bill Summary

Relative to a dental insurance. Financial Services.

AI Summary

This bill aims to establish a dental patient bill of rights. The key provisions include: 1. Requiring employee benefit plans or health insurance policies to disclose if dental coverage is limited to the least costly treatment, and specify the payment or reimbursement amount for dental services, such as "usual and customary" fees or a preset fee schedule. 2. Mandating the creation of an internet website to provide resources and information to dentists, patients, and plan participants on the reimbursement standards used by the plan. 3. Prohibiting the plan from interfering with a patient's choice of dentist, denying a dentist's participation if they are licensed to provide the covered services, regulating or intervening in a dentist's provision of care within their scope of practice, and requiring certain diagnostic tests. The plan also cannot deduct overpayments from other claims unless the claims were for the same patient and dentist. The overall intent of the bill is to increase transparency and protect patient and provider rights in the provision of dental insurance coverage and reimbursement.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Accompanied a study order, see H4691 (on 05/30/2024)

bill text


bill summary

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bill summary

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bill summary

Document Type Source Location
State Bill Page https://malegislature.gov/Bills/193/H1111
BillText https://malegislature.gov/Bills/193/H1111.pdf
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