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ND SB2375
Bill
Status
4/23/2025
Primary Sponsor
Jose Castaneda
Click for details
AI Summary
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Allows two or more dental providers to jointly negotiate non-fee-related contract terms with dental insurers, including medical necessity definitions, utilization management criteria, clinical practice guidelines, credentialing standards, and dispute resolution mechanisms
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Requires dental providers to notify the attorney general before commencing joint negotiations, with the attorney general having 90 days to review and authorize the negotiations based on factors including market power, anticompetitive risks, and potential consumer impact
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Explicitly excludes fee-related matters from joint negotiations, defined as payment amounts, discounts, procedure codes, and any matters directly relating to reimbursement or revenue
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Requires attorney general approval of any final negotiated contract terms, with review based on fairness, consumer benefit, and anticompetitive risk factors
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Passed the Senate 44-2 and House 78-14; does not apply to dental plans serving individuals eligible for medical assistance (Medicaid)
Legislative Description
Joint negotiations by dental providers with dental insurers.
Last Action
Filed with Secretary Of State 04/22
4/24/2025