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IL HB2072

Bill

Status

Passed

6/9/2023

Primary Sponsor

Jennifer Gong-Gershowitz

Click for details

Origin

House of Representatives

103rd General Assembly

AI Summary

  • Dental carriers must provide written notice via certified mail 60 days before assigning or leasing their provider network to another entity, including all contract terms, policy manuals, fee schedules, and a statement of the provider's right to opt out.

  • Dental carriers cannot automatically enroll providers in leased networks and must allow existing network providers to choose not to participate through an opt-out mechanism.

  • Dental carriers cannot cancel or penalize dentists who decline to accept terms of a network assignment or lease, and must offer providers the option to contract directly with entities gaining network access.

  • Dental plan carriers must pay dental care providers 100% of contracted amounts without requiring fees to access payment or reimbursement systems, excluding third-party fees outside the carrier's control.

  • Exemptions apply to network assignments within the same brand licensee program and to provider networks serving State employee health insurance or medical assistance program beneficiaries.

Legislative Description

INS-DENTAL NETWORK PLAN CHANGE

Last Action

Public Act . . . . . . . . . 103-0024

6/9/2023

Committee Referrals

Assignments3/24/2023
Insurance3/21/2023
Rules3/17/2023
Insurance3/16/2023
Rules3/15/2023
Insurance3/7/2023
Rules3/3/2023
Insurance: Main3/2/2023
Insurance2/15/2023
Rules2/7/2023

Full Bill Text

No bill text available