S2672

	2018 -- S 2672
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	LC004662
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	STATE OF RHODE ISLAND
	IN GENERAL ASSEMBLY
	JANUARY SESSION, A.D. 2018
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	A N A C T
	RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY
	ASSURANCE ACT

	Introduced By: Senator Erin Lynch Prata
	Date Introduced: March 20, 2018
	Referred To: Senate Health & Human Services
	It is enacted by the General Assembly as follows:
1	SECTION 1. Section 27-18.8-4 of the General Laws in Chapter 27-18.8 entitled "Health
2	Care Accessibility and Quality Assurance Act [Effective January 1, 2018.]" is hereby amended to
3	read as follows:
4	27-18.8-4. Contracts with providers for dental services. [Effective January 1, 2018.].
5	No contract between a dental plan of a health care entity and a dentist for the provision of
6	services to beneficiaries may require that a dentist provide services to its patients at a fee set by
7	the health care entity unless said services are covered services under the applicable subscriber
8	agreement. "Covered services," as used herein, means services reimbursable reimbursed under the
9	applicable beneficiary agreement, subject to such contractual limitations on beneficiary benefits
10	as may apply, including, for example, deductibles, waiting period, or frequency limitations, but
11	excluding alternate benefit provisions.
12	SECTION 2. This act shall take effect upon passage.
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	LC004662
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	EXPLANATION
	BY THE LEGISLATIVE COUNCIL
	OF
	A N A C T
	RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY
	ASSURANCE ACT
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1	This act would redefine the term "covered services" as used to describe applicable
2	subscriber agreements between a health care entity and a dentist, to exclude waiting period and
3	alternate benefit provisions.
4	This act would take effect upon passage.
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	LC004662
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	LC004662 - Page 2 of 2