SSB 1146: Relating to prior authorization for dental care services, notice to dental care providers that a dental care service plan is state-regulated, and the recovery of overpayments by a dental carrier

What it does

_____ service plan is state-regulated, and recovery of overpayments by a dental carrier. 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.

Senate subcommittee · named February 18, 2025

• Sen. David D. Rowley (R) · david.rowley@legis.iowa.gov
• Sen. Sarah Trone Garriott (D) · sarah.trone.garriott@legis.iowa.gov
• Sen. Kara Warme (R) · kara.warme@legis.iowa.gov

Lobbying · 2 for, 0 against

For: Broadlawns Medical Center; Iowa Dental Association

In plain words

1. February 18, 2025Filed in the Senate and sent to the Commerce committee
2. February 18, 2025Senate subcommittee named: Rowley, Trone Garriott and Warme
3. February 26, 2025Approved by the Senate committee, and given a new number: SF 470
4. March 3, 2025Subcommittee recommended passing it with changes