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NY S05313
Bill
Status
2/20/2025
Primary Sponsor
Jamaal Bailey
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AI Summary
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Requires all dental insurance policies and contracts to include a mandatory disclosure informing consumers that participating providers may charge their normal (non-discounted) fees for services not covered by the plan
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Mandates that dental providers give patients an estimated cost for each non-covered service before performing the work
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Defines "covered services" as dental services eligible for reimbursement, including those that would be reimbursable but for contractual limitations like deductibles, copayments, waiting periods, annual maximums, or frequency limitations
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Amends three sections of the insurance law (sections 3216, 3221, and 4303) to apply the disclosure requirement across individual policies, group policies, and contracts issued by dental expense indemnity 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
REFERRED TO INSURANCE
1/7/2026