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NC H140

Bill

Status

Passed

8/30/2017

Primary Sponsor

Bert Jones

Click for details

Origin

House of Representatives

2017-2018 Session

AI Summary

  • Removes the exemption for stand-alone dental insurance from health plan fee schedule disclosure and notification requirements under G.S. 58-3-227, making dental insurers subject to the same transparency rules as other health insurers.

  • Requires dental insurers to disclose fee schedules, claims submission policies, and reimbursement policies including information on claims bundling, CPT code modifiers, downcoding, global surgery periods, and payment policies.

  • Adds ICD-10-CM codes to the list of applicable codes that must be included in insurer fee schedules alongside CPT, HCPCS, ICD-9-CM, ASA codes, and modifiers.

  • Modifies credit property insurance definitions to clarify that "personal household property" includes other personal property of debtors beyond furniture and appliances, excluding only automobiles and business property.

  • Changes credit unemployment insurance rate standard review from annual to every three years beginning September 1, 2018, with new standards becoming effective January 1 following their prescription.

Legislative Description

Dental Plans Provider Contracts/Transparency

Last Action

Ch. SL 2017-205

8/30/2017

Committee Referrals

Rules, Calendar, and Operations of the House8/3/2017
Rules and Operations of the Senate6/27/2017
Health Care6/19/2017
Rules and Operations of the Senate3/30/2017
Insurance2/22/2017

Full Bill Text

No bill text available