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Bill > HB1070

CO HB1070

CO HB1070
Third-Party Network Agreements for Dental Services

summary

Introduced
01/27/2026
In Committee
02/26/2026
Crossed Over
02/26/2026
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

The bill imposes requirements regarding a contract or agreement between an insurance carrier (carrier) and a third party concerning access to dental care services, including: ! Prohibiting a carrier from entering into a third-party network lease agreement to provide access to dental care services or contractually agreed-upon discounts provided by a dental provider who is contracted as a participating provider (provider) with the carrier, unless the provider gives affirmative consent to allow the third party to access the provider's dental care services and contractually agreed-upon discounts; ! Prohibiting a carrier from canceling a contract with a provider on the grounds that the provider refuses to allow access by a third party to the dental care services and contractually agreed-upon discounts provided by the provider; and ! If a provider allows a third party to access the provider's dental care services and contractually agreed-upon discounts through a contract between a carrier and a third party, requiring the carrier to comply with specified obligations. The bill create exemptions from the prohibitions on specified contract provisions in contracts between carriers and dental providers, including if: ! A provider network contract for dental services is provided to beneficiaries of programs for medical assistance sponsored by the state of Colorado; or ! Access to a provider network contract is granted to a dental carrier or an entity operating in accordance with the same brand licensee program as the contracting entity, and a list of the carriers or entities with the same brand licensee program as the contracting entity is made available to a provider on the contracting entity's website.

AI Summary

This bill establishes new rules for how dental insurance carriers (carriers) can allow third parties to access dental care services and discounted rates that dentists have agreed to with the carriers. Specifically, a carrier cannot enter into an agreement with a third party to use a dentist's services and discounts unless the dentist gives explicit, clear, and understandable "affirmative consent," which requires their signature, potentially electronic. Furthermore, carriers are prohibited from canceling a dentist's contract because they refuse to allow a third party access to their services and discounts, and they cannot refuse to contract with a dentist solely for this reason. If a dentist does consent, the carrier must offer the dentist the option to contract directly with the third party, ensure the third party adheres to the original contract terms with the carrier, and provide the dentist with a list of all third parties accessing their services and discounts, both at contract signing and renewal, and maintain a website listing these third parties. There are exceptions to these rules, such as for dental provider network contracts for state medical assistance programs or when access is granted to another dental carrier or an entity under the same brand licensee program, provided a list of these entities is available on the contracting entity's website.

Committee Categories

Health and Social Services

Sponsors (7)

Last Action

Senate Health & Human Services Committee Hearing (13:30:00 3/19/2026 LSB-B) (on 03/19/2026)

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