Bills › 91st General Assembly
Relating to prior authorization for dental care services
Sponsored by the House Commerce Committee
Topics:Health careInsurance
Same legislation: HSB 183
Where it is now
- Done: IntroducedFebruary 17, 2025
- Done: SubcommitteeFebruary 17, 2025
- Done: House committeeFebruary 25, 2025
- Stopped: Passes the HouseDied when the General Assembly ended
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary Insurance companies for dental care cannot refuse to pay a dentist for services that they previously approved. If a dentist gets permission for a procedure ahead of time, the insurance company must pay them the agreed-upon amount. This rule applies to all dental insurance contracts and cannot be ignored.1
Read the official explanation
This bill relates to prior authorization for dental care services. Under the bill, a dental carrier (carrier) shall not deny a claim submitted by a dental care provider (provider) for dental care services (services) approved by prior authorization. A carrier shall reimburse a provider at the contracted reimbursement rate for a service provided by the provider to a covered person per a prior authorization. “Covered person”, “dental care provider”, “dental care services”, “dental carrier”, and “prior authorization” are defined in the bill. A carrier may deny a claim submitted by a provider for services approved by prior authorization if, for each service for which a provider is denied reimbursement, an exception as described in the bill is applicable. The requirements of the bill shall not be waived by contract, and any contract to the contrary shall be null and void. The commissioner of insurance may adopt rules to administer the bill.
House subcommittee
Named February 17, 2025 (as HSB 183). On February 24, 2025 it recommended passage.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
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91st General Assembly