H7395

	2022 -- H 7395
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	LC003277
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	STATE OF RHODE ISLAND
	IN GENERAL ASSEMBLY
	JANUARY SESSION, A.D. 2022
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	A N A C T
	RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY
	ASSURANCE ACT

	Introduced By: Representatives Bennett, Vella-Wilkinson, Williams, Shanley, Hawkins, Cardillo, Perez, Solomon, Casimiro, and Alzate
	Date Introduced: February 09, 2022
	Referred To: House 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" is hereby amended to read as follows:
3	27-18.8-4. Contracts with providers for dental services.
4	No contract between a dental plan of a health care entity and a dentist for the provision of
5	services to beneficiaries may require that a dentist provide services to its patients at a fee set by the
6	health care entity unless said services are covered services under the applicable subscriber
7	agreement. "Covered services," as used herein, means services reimbursable reimbursed, in whole
8	or in part, under the applicable beneficiary agreement, subject to such contractual limitations on
9	beneficiary benefits as may apply, including, for example, deductibles, waiting period, or frequency
10	limitations.
11	SECTION 2. This act shall take effect upon passage.
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	LC003277
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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.
3	This act would take effect upon passage.
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	LC003277
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