2019 -- H 5190

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LC000648

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2019

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A N   A C T

RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY

ASSURANCE ACT

     Introduced By: Representatives Bennett, Corvese, Lima, Canario, and Walsh

     Date Introduced: January 24, 2019

     Referred To: House Finance

     It is enacted by the General Assembly as follows:

     SECTION 1. Section 27-18.8-4 of the General Laws in Chapter 27-18.8 entitled "Health

Care Accessibility and Quality Assurance Act" is hereby amended to read as follows:

     27-18.8-4. Contracts with providers for dental services.

     No contract between a dental plan of a health care entity and a dentist for the provision of

services to beneficiaries may require that a dentist provide services to its patients at a fee set by

the health care entity unless said services are covered services under the applicable subscriber

agreement. "Covered services," as used herein, means services reimbursable reimbursed, in whole

or in part, under the applicable beneficiary agreement, subject to such contractual limitations on

beneficiary benefits as may apply, including, for example, deductibles, waiting period, or

frequency limitations.

     SECTION 2. This act shall take effect upon passage.

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LC000648

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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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     This act would redefine the term "covered services" as used to describe applicable

subscriber agreements between a health care entity and a dentist, to exclude waiting period

provisions.

     This act would take effect upon passage.

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LC000648

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