Bill > H1111

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.

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https://malegislature.gov/Bills/193/H1111