Senate File 327 - Introduced SENATE FILE 327 BY TRONE GARRIOTT , DONAHUE , ZIMMER , and PETERSEN A BILL FOR An Act relating to dental provider reimbursement under the 1 dental wellness plan and the dental wellness plan kids. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1697XS (2) 91 lh/ko
S.F. 327 Section 1. DENTAL WELLNESS PLAN AND DENTAL WELLNESS PLAN 1 KIDS PROVIDER REIMBURSEMENT. A provider participating in 2 the dental wellness plan or the dental wellness plan kids 3 shall be reimbursed for services at the percentage of the 4 usual, customary, and reasonable fee or at the percentage of 5 the commercial dental insurance billed charges, whichever is 6 higher, to align dental provider reimbursement rates under the 7 dental wellness plan and the dental wellness plan kids with 8 reimbursement rates under the healthy and well kids in Iowa 9 (Hawki) program pursuant to chapter 514I, in order to maximize 10 dental provider participation in and member access under the 11 dental wellness plan and the dental wellness plan kids. 12 EXPLANATION 13 The inclusion of this explanation does not constitute agreement with 14 the explanations substance by the members of the general assembly. 15 This bill requires that a provider participating in the 16 dental wellness plan or the dental wellness plan kids shall 17 be reimbursed for services at the percentage of the usual, 18 customary, and reasonable fee or at the percentage of the 19 commercial dental insurance billed charges, whichever is 20 higher, to align dental provider reimbursement rates under the 21 dental wellness plan and the dental wellness plan kids with 22 those under the healthy and well kids in Iowa (Hawki) program, 23 in order to maximize dental provider participation in and 24 member access under the dental wellness plan and the dental 25 wellness plan kids. 26 -1- LSB 1697XS (2) 91 lh/ko 1/ 1