Washington State

House of Representatives

Office of Program Research

BILL

ANALYSIS

Health Care & Wellness Committee

HB 2686

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

Brief Description: Concerning fees for dental services that are not covered by insurance or contract.

Sponsors: Representatives Driscoll, Hinkle, Condotta, Moeller and Goodman.

Brief Summary of Bill

  • Prohibits insurers from setting or requiring approval of out-of-plan dental service fees.

Hearing Date: 1/21/10

Staff: Dave Knutson (786-7146).

Background:

Washington Dental Services notified participating dentists that it was changing provider contract provisions to allow it to limit fees charged by contracted dentists for dental services that are not covered by the insurer's dental plans.

Summary of Bill:

Disability insurers and health care service contractors are prohibited from requiring a contracting dentist to provide services to a subscriber at a fee set by, or subject to, the approval of the insurer unless the dental services are covered services under the applicable contract.

Appropriation: None.

Fiscal Note: Not requested.

Effective Date: The bill takes effect 90 days after adjournment of the session in which the bill is passed.