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IL HB3476

Bill

Status

Introduced

2/7/2025

Primary Sponsor

Jennifer Gong-Gershowitz

Click for details

Origin

House of Representatives

104th General Assembly

AI Summary

  • Amends the Illinois Insurance Code Section 355.5 regarding dental coverage reimbursement prohibitions

  • 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

  • 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

  • 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

  • Takes effect immediately upon becoming law

Legislative Description

DENTAL COVERAGE REIMBURSEMENT

Last Action

Rule 19(a) / Re-referred to Rules Committee

3/21/2025

Committee Referrals

Rules3/21/2025
Insurance: Main3/19/2025
Insurance3/11/2025
Rules2/18/2025

Full Bill Text

No bill text available