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IL HB3476
Bill
Status
2/7/2025
Primary Sponsor
Jennifer Gong-Gershowitz
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AI Summary
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Amends the Illinois Insurance Code Section 355.5 regarding dental coverage reimbursement prohibitions
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Removes the exception that previously allowed third-party fees charged to dental care providers for automated clearing house (ACH) network claims, transaction management, data management, and portal services
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Strengthens existing requirements that dental plan carriers cannot require providers to incur fees to access payment and must provide 100% of the contracted reimbursement amount
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Eliminates the loophole that permitted fees from third parties "not in the control of the dental plan carrier" to be passed on to dental providers
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Takes effect immediately upon becoming law
Legislative Description
DENTAL COVERAGE REIMBURSEMENT
Last Action
Rule 19(a) / Re-referred to Rules Committee
3/21/2025