90th General Assembly
Summary of HB0558
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House Sponsors:
WOJCIK-ERWIN-KLINGLER-FLOWERS AND FEIGENHOLTZ.

Senate Sponsors:
BOMKE-O'MALLEY-MOLARO-PARKER

Short description: 
DENTAL MANAGED CARE REGULATION                                             

Synopsis of Bill as introduced:
        Creates the Managed Dental Care  Patient  Protection  and  Reform      
   Act.   Provides for the regulation of dental managed care plans by the      
   Director of Public Health. Establishes requirements for disclosure  to      
   enrollees.    Establishes   credentialing   and   utilization   review      
   standards.   Requires  plans  to  include  a  point-of-service option.      
   Provides that the Director of Public  Health  shall  issue  an  annual      
   report on the performance of managed care entities.                         
        HOUSE AMENDMENT NO. 1.                                                 
        Replaces the  substance  of  the  bill  with  similar  provisions      
   regulating  managed  care  dental plans.  Deletes references to health      
   maintenance organizations.  Does not apply  to  ERISA  benefit  plans.      
   Provides for regulation of managed care dental plans by the Department      
   of  Public  Health.   Requires  the availability of a point-of-service      
   option.  Sets forth credentialing and  utilization  review  standards.      
   Requires   managed   dental   care  plan  purchases  to  make  certain      
   disclosures to prospective enrollees.                                       
 
Last action on Bill: SESSION SINE DIE

   Last action date: 99-01-12

           Location: House

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   1     SENATE -   0


   END OF INQUIRY 



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