HB 159 Summary

• Prohibits health insurers from establishing or requiring fee schedules for dental services that are not covered under an enrollee's health benefit plan, except for ERISA-regulated plans.

• Defines "covered dental services" as services for which reimbursement is available under a plan or would be available except for contractual limitations like deductibles, copayments, or frequency limits.

• Declares it an unfair and deceptive insurance practice for insurers to set fees or require approval of fees for non-covered dental services.

• Prohibits contracting entities from requiring dentists to provide uncovered services at insurer-set rates in health care contracts.

• Applies only to health benefit plans not subject to the federal Employee Retirement Income Security Act of 1974 (ERISA).