Bill Text: AZ SB1417 | 2010 | Forty-ninth Legislature 2nd Regular | Engrossed

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Bill Title: Dental insurance; charges; covered services

Spectrum: Partisan Bill (Republican 1-0)

Status: (Engrossed - Dead) 2010-04-12 - Transmit to Senate [SB1417 Detail]

Download: Arizona-2010-SB1417-Engrossed.html

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Senate Engrossed

 

 

 

 

State of Arizona

Senate

Forty-ninth Legislature

Second Regular Session

2010

 

 

SENATE BILL 1417

 

 

 

AN ACT

 

Amending title 20, chapter 4, article 3, Arizona Revised Statutes, by adding section 20‑847; Amending title 20, chapter 4, article 9, Arizona Revised Statutes, by adding section 20‑1057.12; Amending title 20, chapter 6, article 4, Arizona Revised Statutes, by adding section 20‑1342.06; Amending title 20, chapter 6, article 5, Arizona Revised Statutes, by adding sections 20‑1402.04 and 20-1404.04; relating to dental contracts.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 

Be it enacted by the Legislature of the State of Arizona:

Section 1.  Title 20, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 20-847, to read:

START_STATUTE20-847.  Contracts; dentists; covered services; definition

A.  A provider contract, entered into or renewed on or after January 1, 2011, between a dental service corporation and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a subscription contract based on a fee set by the dental service corporation unless the service for which the fee applies is a covered service under the individual's subscription contract.

B.  For the purposes of this section, "covered service" means a service for which any reimbursement is available under a subscription contract without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE

Sec. 2.  Title 20, chapter 4, article 9, Arizona Revised Statutes, is amended by adding section 20-1057.12, to read:

START_STATUTE20-1057.12.  Contracts; dentists; covered services; definition

A.  A provider contract, entered into or renewed on or after January 1, 2011, between a health care services organization and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under an evidence of coverage based on a fee set by the health care services organization unless the services for which the fee applies is a covered service under the individual's evidence of coverage.

B.  For the purposes of this section, "covered service" means a service for which any reimbursement is available under an evidence of coverage without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE

Sec. 3.  Title 20, chapter 6, article 4, Arizona Revised Statutes, is amended by adding section 20-1342.06, to read:

START_STATUTE20-1342.06.  Contracts; dentists; covered services; definition

A.  A provider contract, entered into or renewed on or after January 1, 2011, between a disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a disability insurance policy based on a fee set by the disability insurer unless the services for which the fee applies is a covered service under the individual's disability insurance policy.

B.  For the purposes of this section, "covered service" means a service for which any reimbursement is available under a disability insurance policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE

Sec. 4.  Title 20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding sections 20-1402.04 and 20-1404.04, to read:

START_STATUTE20-1402.04.  Contracts; dentists; covered services; definition

A.  A provider contract, entered into or renewed on or after January 1, 2011, between a group disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a group disability policy based on a fee set by the group disability insurer unless the services for which the fee applies is a covered service under the individual's group disability policy.

B.  For the purposes of this section, "covered service" means a service for which any reimbursement is available under a group disability policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE

START_STATUTE20-1404.04.  Contracts; dentists; covered services; definition

A.  A provider contract, entered into or renewed on or after January 1, 2011, between a blanket disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a Blanket disability policy based on a fee set by the blanket disability insurer unless the services for which the fee applies is a covered service under the individual's blanket disability policy.

B.  For the purposes of this section, "covered service" means a service for which any reimbursement is available under a blanket disability policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE