SF 2384: Relating to contracts and payments for dental care service plans

What it does

This bill relates to contracts and payments for dental care service plans. The bill permits a contracting entity to grant third-party access to a network contract (contract), or to a dental care provider’s (provider) dental care services or contractual discounts provided pursuant to a contract, if all of the following requirements are met: (1) the contracting entity allows a dental carrier or health carrier, at the time the contract is entered into, renewed, or modified, to choose not to participate in third-party access or to enter into a contract directly with the third party, and if a provider opts out of lease arrangements, a contracting entity shall not cancel or terminate a contractual relationship with, or refuse to contract with, the provider; (2) the contract states that the contracting entity may enter into an agreement to allow the third party to obtain the contracting entity’s rights and responsibilities under the contract; (3) the third party agrees to comply with all of the contract’s terms; (4) the contracting entity identifies to the provider all third parties participating in the contract when it is entered into or renewed; (5) the contracting entity provides a list of all third parties participating in the contract on the contracting entity’s internet site and the list is updated at least once every days; (6) the contracting entity notifies a provider at least days prior to a new third party leasing or purchasing the contract; (7) the contracting entity requires a third party to identify, for all remittance advice or explanations of payment under which a discount applies, the source of the discount; (8) the contracting entity notifies a third party no later than days from the termination date of the contract; (9) a third party’s right to a provider’s discounted rate is terminated as of the termination date of the contract; and (10) in the adjudication of a claim, the contracting entity makes available to the provider a copy of the contract no later than days after a request for the contract is received.

Lobbying · 2 for, 0 against

For: Association of Dental Support Organizations; Iowa Dental Association

In plain words

1. February 15, 2024Filed in the Senate
2. February 15, 2024Approved by the Senate committee
3. February 26, 2024Withdrawn