HF1176 Summary

• Health plan companies must provide dental plan organizations with individual contracted provider reimbursement information while protecting aggregate fee table data from antitrust violations.

• Dental provider contracts must include a payment method with no fees charged to dentists or dental clinics, with all potential payment-related fees disclosed before contract entry or renewal.

• Dental organizations may grant third-party access to provider contracts only if dentists can opt out without penalty at contract entry or renewal, with third parties clearly listed on the organization's website updated every 90 days.

• Third-party network leasing rules do not apply to public health program contracts (medical assistance, MinnesotaCare, Medicare, Medicare Advantage) or when access is granted to affiliated dental organizations using substantially similar terms.

• Effective date is January 1, 2024, for dental plans and provider agreements offered, issued, or renewed on or after that date.