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Bill > SB2375


ND SB2375

ND SB2375
Joint negotiations by dental providers with dental insurers.


summary

Introduced
01/27/2025
In Committee
03/26/2025
Crossed Over
02/17/2025
Passed
04/18/2025
Dead
Signed/Enacted/Adopted
04/23/2025

Introduced Session

Potential new amendment
69th Legislative Assembly

Bill Summary

AN ACT to create and enact a new section to chapter 43-28 of the North Dakota Century Code, relating to joint negotiations by dental providers with dental insurers.

AI Summary

This bill creates a new section in North Dakota law that allows dental providers to engage in voluntary, non-fee-related joint negotiations with dental insurers, subject to oversight by the Attorney General. Before starting negotiations, a joint negotiation representative must notify the Attorney General, providing details about the providers, insurer, negotiation topics, and anticipated benefits. The Attorney General will review the proposed negotiations, considering factors like market power, potential anticompetitive effects, and impact on consumer care. If approved, dental providers can jointly negotiate on topics such as medical necessity definitions, utilization management, clinical guidelines, patient referral standards, quality assurance programs, and administrative procedures, but cannot negotiate fee-related matters like payment amounts. The negotiations must be voluntary, and providers can select a representative to negotiate on their behalf. After reaching a proposed agreement, the joint negotiation representative must submit the terms to the Attorney General for further review, which will assess fairness, potential consumer benefits, and risks of harm. The bill explicitly does not apply to dental benefit plans for medical assistance recipients and cannot be used to limit dental services or violate federal antitrust laws.

Committee Categories

Business and Industry, Government Affairs

Sponsors (6)

Last Action

Senate Amendment 25.1361.03000 - Senate Amendment 25.1361.03000 (on 05/16/2025)

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