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FL S0546

Bill

Status

Introduced

1/25/2011

Primary Sponsor

Alan Hays

Click for details

Origin

Senate

2011 Regular Session

AI Summary

  • Prohibits health insurers from requiring dentists to accept insurer-set fees unless the services are "covered services" reimbursable at no less than 50 percent of usual, customary, and reasonable fees in the provider's zip code area.

  • Prevents health insurers, prepaid limited health service organizations, and health maintenance organizations from including contract provisions that prohibit dentists from billing patients the difference between insurance reimbursement and the dentist's normal rate for non-covered services.

  • Prohibits health insurers, prepaid limited health service organizations, and health maintenance organizations from requiring dentists to participate in discount medical plans as a condition of contract.

  • Defines "covered services" as reimbursable dental services listed as benefits under the applicable contract, subject to contractual limitations such as deductibles, coinsurance, and copayments.

  • Takes effect July 1, 2011, and applies to contracts entered into or renewed on or after that date.

Legislative Description

Dentists

Last Action

Indefinitely postponed and withdrawn from consideration

5/7/2011

Committee Referrals

General Government Appropriations Subcommittee4/12/2011
Budget4/11/2011
Banking and Insurance2/9/2011

Full Bill Text

No bill text available