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CA AB2275

Bill

Status

Passed

9/30/2010

Primary Sponsor

Nathan Fletcher

Click for details

Origin

State Assembly

2009-2010 Session

AI Summary

  • Prohibits health care service plans and insurers from requiring dentists to accept plan-set payment amounts for dental services not covered under an enrollee's or insured's contract or policy, effective for contracts issued, amended, or renewed on or after January 1, 2011

  • Requires dentists to charge no more than their usual and customary rate for noncovered dental services, with the Department of Managed Health Care and Department of Insurance not required to enforce this provision

  • Mandates that evidence of coverage and disclosure forms for dental plans and policies issued, amended, or renewed on or after July 1, 2011, include a specified notice informing enrollees or insureds that participating providers may charge their usual and customary rate for noncovered services and explaining the obligation to provide treatment plans with estimated costs

  • Defines "covered services" or "covered dental services" to include dental care for which the plan or insurer is obligated to pay, or would be obligated to pay absent contractual limitations such as deductibles, copayments, coinsurance, waiting periods, or frequency limits

Legislative Description

Dental coverage: noncovered benefits.

Last Action

Chaptered by Secretary of State - Chapter 673, Statutes of 2010.

9/30/2010

Committee Referrals

Health8/19/2010
Appropriations7/15/2010
Health6/16/2010
Rules6/14/2010
Governmental Organization5/20/2010
Rules5/10/2010
Business and Professions3/11/2010

Full Bill Text

No bill text available