HOUSE DOCKET, NO. 3457        FILED ON: 1/18/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 3806

The Commonwealth of Massachusetts

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PRESENTED BY:

Daniel R. Carey

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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act to provide equal and fair access to affordable dental care for all patients.

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PETITION OF:

HOUSE DOCKET, NO. 3457        FILED ON: 1/18/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 3806

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-First General Court
(2019-2020)

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An Act to provide equal and fair access to affordable dental care for all patients.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

Chapter 112 of the General Laws is hereby amended by inserting after section 53 the following section:-

Section 53A.  (a) As used in this section, the following words shall, unless the context clearly requires otherwise, have the following meanings:-

“Dental insurance company”, a dental service corporation organized under chapter 176E or some other company that offers and provides insurance coverage for dental care or services.

“Dentist”,  an individual licensed pursuant to sections 43 to 53, inclusive, to practice dentistry.

“Patient”, an individual contracting for dental care.

(b) Dentists may enter into contracts with patients or other entities, including dental insurance companies, without restrictions from: (i) other dental insurance companies; or (ii) the policies or contracts between the dentist and another insurance company.

(c) A dental insurance company may not charge a fee or provide a reimbursement to a dentist for dental services rendered to a patient covered by an insurance policy offered by that dental insurance company based on the fees charged and reimbursements provided under a different policy offered by another dental insurance company, MassHealth or some other contract between any individual patient and the dentist.  No dentist shall be liable to a dental insurance company for costs resulting from fees charged or reimbursements provided by that dental insurance company to the dentist for dental services rendered if the fees or reimbursements were based on the fees charged and reimbursments provided under a different policy offered by another dental insurance company, MassHealth or some other contract between any individual patient and the dentist.