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NY A03687
Bill
Status
6/12/2025
Primary Sponsor
David Weprin
Click for details
AI Summary
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Requires all dental insurance contracts to include a disclosure informing consumers that participating providers may charge their normal fees for services not covered under the plan
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Mandates that dental providers give patients an estimated cost for each non-covered service before providing treatment
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Defines "covered services" as dental services eligible for reimbursement, including those that would be reimbursable except for contractual limitations like deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums, and frequency limitations
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Applies the disclosure requirements to contracts issued by medical expense indemnity corporations, dental expense indemnity corporations, and health service corporations
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Takes effect January 1, 2027 and applies to all insurance contracts issued or entered into on or after that date
Legislative Description
Addresses non-covered dental services by requiring all policies providing coverage of and all contracts for dental services issued to include a disclosure stating that a participating provider may charge their normal fee for services that are not covered; requires a cost estimate to be provided.
Last Action
ordered to third reading cal.116
1/7/2026