HB404 Summary

• Prohibits health insurance entities that provide dental coverage from establishing quality rating systems for dentists based on cost of services.

• Requires quality rating systems to use only verified, transparent, fair, and accessible data that is disclosed to the public.

• Mandates fair data be derived from nationally recognized evidence-based or consensus-based clinical recommendations and guidelines, including consideration of patient population characteristics.

• Requires sufficient dental record-based verifications to ensure data accuracy and consideration of patient factors including case types, condition severity, comorbidities, and patient compliance.

• Becomes effective on the first day of the third month following passage and gubernatorial approval.