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IN HB1063
Bill
Status
1/6/2015
Primary Sponsor
Ronald Bacon
Click for details
AI Summary
HB 1063 Summary
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Prohibits dental and vision insurers from requiring dentists and optometrists to accept limited or set payment amounts unless the services are covered under the patient's policy.
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Prohibits dentists and optometrists from charging patients for noncovered services in amounts exceeding their usual and customary charges for those services.
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Applies the same restrictions to limited service health maintenance organizations regarding their contracts with participating dentists and optometrists.
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Requires that discounts offered by insurers or HMOs not result in charges below what reimbursement would be if not eliminated by deductibles, copayments, or coinsurance.
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Takes effect July 1, 2015, and applies to agreements and contracts entered into, renewed, or modified after June 30, 2015.
Legislative Description
Dental and optometry service coverage. Prohibits dental and vision insurers and health maintenance organizations from requiring dentists and optometrists to accept certain payments unless the health care services are covered services. Prohibits dentists and optometrists from charging for noncovered services an amount that exceeds the usual and customary charges for the services.
Last Action
First Reading: referred to Committee on Insurance
1/6/2015