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MA S807

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Patrick O'Connor

Click for details

Origin

Senate

194th General Court

AI Summary

  • Creates new Chapter 176X in Massachusetts General Laws requiring dental benefit plans to allow insured individuals to direct that insurance payments be made directly to out-of-network dental providers who meet the carrier's credentialing criteria

  • Requires insurers to pay out-of-network dentists at least the same rate as in-network participating dentists when a patient executes a written assignment of benefits

  • Grants dental insurers the right to review dentist records related to a specific patient to verify services were rendered when paying under an assignment of benefits

  • Applies to all stand-alone dental plans issued by insurers under chapters 175, 176B, 176E, 176G, and 176I, covering both individual and group policies

  • Excludes hospital confinement indemnity, disability income, accident-only, long-term care, Medicare supplement, limited benefit health, specified disease indemnity, and other limited benefit policies from these requirements

Legislative Description

Relative to dental insurance assignment of benefits

Last Action

Accompanied a study order, see S2787

12/4/2025

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available