Bill Text: IN SB0129 | 2010 | Regular Session | Amended
Bill Title: Contracts for dental services.
Spectrum: Slight Partisan Bill (Republican 3-1)
Status: (Engrossed - Dead) 2010-02-02 - First reading: referred to Committee on Insurance [SB0129 Detail]
Download: Indiana-2010-SB0129-Amended.html
Citations Affected: IC 27-8; IC 27-13.
Synopsis: Contracts for dental services. Prohibits dental insurers and
health maintenance organizations from requiring dentists to accept
certain payments.
Effective: July 1, 2010.
January 5, 2010, read first time and referred to Committee on Health and Provider
Services.
January 21, 2010, amended, reported favorably _ Do Pass.
January 26, 2010, read second time, amended, ordered engrossed.
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or
A BILL FOR AN ACT to amend the Indiana Code concerning
insurance.
(b) An insurer may not, under an agreement under section 3 of this chapter, require a dentist to accept an amount set by the insurer as payment for health care services provided to an insured unless the health care services are covered services under the insured's policy.
(c) This section does not apply to a discount medical card program provider agreement regulated under IC 27-17.
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2010]: Sec. 15.2. (a) As used in this section,
"covered services" means limited health services for which any
coverage is available under an enrollee's individual contract or
group contract, regardless of whether the coverage is contractually
limited by a deductible, copayment, coinsurance, waiting period,
annual or lifetime maximum, frequency limitation, alternative
benefit payment, or another limitation.
(b) A limited service health maintenance organization may not,
under a contract described in section 15 of this chapter, require a
dentist to accept an amount set by the limited service health
maintenance organization as payment for limited health services
provided to an enrollee unless the limited health services are
covered services under the enrollee's individual contract or group
contract.
(c) This section does not apply to a discount medical card
program provider agreement regulated under IC 27-17.