Amendment ID: H3452-19

Amendment 19

Relative to Coverage for Pediatric Dental Benefits Outside of the Exchange

Mr. Tarr moves to amend the bill by adding at the end thereof the following new section:

“SECTION XX. Paragraph (4) of subsection (b) of section (4) of Chapter 176J is amended by adding at the end the following:

Notwithstanding any other provision in this section, with respect to a health benefit plan offered only through a public exchange that pursuant to federal law and regulation does not include pediatric dental benefits, a carrier may deny an eligible individual or eligible small business of any size enrollment in such health benefit plan unless the eligible individual or eligible small business enrolls through the connector. If an eligible individual or eligible small business elects to enroll through the connector, a carrier may not deny that eligible individual or eligible small business enrollment. The carrier shall implement such requirements consistently, treating all eligible individuals and eligible small business in a similar manner.”