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IL HB2072
Bill
Status
6/9/2023
Primary Sponsor
Jennifer Gong-Gershowitz
Click for details
AI Summary
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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.
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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.
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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.
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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.
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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