Am. S.B. No. 148 Summary

• Establishes limitations on health insurers' restrictions of dental care services, requiring disclosure of covered dental services, out-of-pocket expenses, and provider fee information to enrollees in clear, conspicuous formats.

• Prohibits dental care providers from being required to accept insurer-set payment amounts for non-covered dental services; allows providers to opt out while providing pricing transparency to patients.

• Requires contracting entities to disclose whether dental care providers accept insurer-set fees for non-covered services in provider directories and marketing materials, treating all providers equally.

• Adds new disciplinary grounds for the state dental board, including violation of dental care contract provisions and failure to comply with vision and dental care insurance limitations.

• Applies effective dates of January 1, 2020 for dental care provisions and January 1, 2019 for vision care provisions related to similar payment and disclosure requirements.