Bill Text: MS HB1167 | 2010 | Regular Session | Enrolled
Bill Title: Dental services; prohibit certain provision in contract between health care entity and dentist.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Passed) 2010-04-07 - Approved by Governor [HB1167 Detail]
Download: Mississippi-2010-HB1167-Enrolled.html
MISSISSIPPI LEGISLATURE
2010 Regular Session
To: Insurance
By: Representative Robinson
House Bill 1167
(As Sent to Governor)
AN ACT TO PROHIBIT A CONTRACT BETWEEN A HEALTH CARE ENTITY THAT OFFERS A DENTAL PLAN AND A DENTIST FOR THE PROVISION OF SERVICES TO HIS SUBSCRIBERS FROM REQUIRING THAT A DENTIST PROVIDE SERVICES TO HIS SUBSCRIBERS AT A FEE SET BY THE HEALTH CARE ENTITY UNLESS THE SERVICES ARE COVERED SERVICES UNDER THE APPLICABLE SUBSCRIBER AGREEMENT; AND FOR RELATED PURPOSES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:
SECTION 1. (1) No contract between a health care entity that offers a dental plan or plans and a dentist for the provision of services to subscribers may require that a dentist provide services to his subscribers at a fee set by the health care entity unless the services are covered services under the applicable subscriber agreement. For the purposes of this section, "covered services" means services that are reimbursable under the applicable subscriber agreement, notwithstanding any deductibles, waiting periods or frequency limitations that may apply. For the purposes of this section, "dental plan" means any policy of insurance that is issued by a health care entity that provides for coverage of dental services not in connection with a medical plan.
(2) The provisions of this section shall stand repealed from and after July 1, 2012.
SECTION 2. This act shall take effect and be in force from and after July 1, 2010.
