FINAL BILL REPORT

SHB 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.

C 228 L 10

Synopsis as Enacted

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

Sponsors: House Committee on Health Care & Wellness (originally sponsored by Representatives Driscoll, Hinkle, Condotta, Moeller and Goodman).

House Committee on Health Care & Wellness

Senate Committee on Health & Long-Term Care

Background:

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

Summary:

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. Covered services include services that would be reimbursable but for the application of contractual limitations such as benefit maximums, deductibles, coinsurance, waiting periods, or frequency limitations.

Votes on Final Passage:

House

97

0

Senate

45

1

(Senate amended)

House

95

0

(House concurred)

Effective:

June 10, 2010