SF1137 (Legislative Session 94 (2025-2026))

Covered services for dental care definition modification

Related bill: HF1474

AI Generated Summary

The bill S.F. No. 1137 aims to amend the current dental insurance laws in Minnesota. It seeks to change how dental plans and dental organizations can manage the fees charged by dentists for services. Specifically, the bill outlines that:

  1. Dentists cannot be forced by dental plans or organizations to accept a fee set by them unless the service is covered by the insurance plan.

  2. Dental plans are not allowed to control the fees for services that are not covered under the patient's plan.

  3. "Covered services" are defined as the dental services that are eligible for payment under the patient's insurance plan or would be eligible if not for specific contract limits like deductibles or maximum benefits.

  4. Dentists should charge their usual rates for non-covered services and must provide a detailed cost estimate to patients before treatment.

  5. The bill clarifies that dental plans can still impose certain restrictions related to covered services, such as waiting periods and caps on benefits.

This legislation intends to provide clearer guidelines on the pricing and administration of dental services related to insurance coverage, helping to ensure fair practices and transparency for both patients and healthcare providers.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
February 09, 2025SenateFloorActionIntroduction and first reading
February 09, 2025SenateFloorActionReferred toCommerce and Consumer Protection

Citations

 
[
  {
    "analysis": {
      "added": [
        "New language about reimbursement availability for covered services."
      ],
      "removed": [],
      "summary": "The bill amends the definition of covered services for dental care under section 62Q.78, subdivision 6.",
      "modified": [
        "Clarifies payment and provider agreements within dental plans."
      ]
    },
    "citation": "62Q.78"
  }
]