104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3476 Introduced , by Rep. Jennifer Gong-Gershowitz SYNOPSIS AS INTRODUCED: 215 ILCS 5/355.5 Amends the Illinois Insurance Code. Removes provision stating that fees incurred directly by a dental care provider from third parties related to transmitting an automated clearing house network claim, transaction management, data management, or portal services and other fees charged by third parties that are not in the control of the dental plan carrier shall not be prohibited. Effective immediately. LRB104 08938 BAB 18993 b A BILL FOR 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3476 Introduced , by Rep. Jennifer Gong-Gershowitz SYNOPSIS AS INTRODUCED: 215 ILCS 5/355.5 215 ILCS 5/355.5 Amends the Illinois Insurance Code. Removes provision stating that fees incurred directly by a dental care provider from third parties related to transmitting an automated clearing house network claim, transaction management, data management, or portal services and other fees charged by third parties that are not in the control of the dental plan carrier shall not be prohibited. Effective immediately. LRB104 08938 BAB 18993 b LRB104 08938 BAB 18993 b A BILL FOR
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3476 Introduced , by Rep. Jennifer Gong-Gershowitz SYNOPSIS AS INTRODUCED:
215 ILCS 5/355.5 215 ILCS 5/355.5
215 ILCS 5/355.5
Amends the Illinois Insurance Code. Removes provision stating that fees incurred directly by a dental care provider from third parties related to transmitting an automated clearing house network claim, transaction management, data management, or portal services and other fees charged by third parties that are not in the control of the dental plan carrier shall not be prohibited. Effective immediately.
LRB104 08938 BAB 18993 b LRB104 08938 BAB 18993 b
LRB104 08938 BAB 18993 b
A BILL FOR
HB3476LRB104 08938 BAB 18993 b HB3476 LRB104 08938 BAB 18993 b
HB3476 LRB104 08938 BAB 18993 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Illinois Insurance Code is amended by
5 changing Section 355.5 as follows:
6 (215 ILCS 5/355.5)
7 Sec. 355.5. Dental coverage reimbursement; prohibitions.
8 No insurer, dental service plan corporation, professional
9 service corporation, insurance network leasing company, or any
10 company that amends, delivers, issues, or renews an individual
11 or group policy of accident and health insurance on or after
12 the effective date of this amendatory Act of the 103rd General
13 Assembly shall require a dental care provider to incur a fee to
14 access and obtain payment or reimbursement for services
15 provided. A dental plan carrier shall provide a dental care
16 provider with 100% of the contracted amount of the payment or
17 reimbursement. Fees incurred directly by a dental care
18 provider from third parties related to transmitting an
19 automated clearing house network claim, transaction
20 management, data management, or portal services and other fees
21 charged by third parties that are not in the control of the
22 dental plan carrier shall not be prohibited by this Section.
23 (Source: P.A. 103-24, eff. 1-1-24.)
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3476 Introduced , by Rep. Jennifer Gong-Gershowitz SYNOPSIS AS INTRODUCED:
215 ILCS 5/355.5 215 ILCS 5/355.5
215 ILCS 5/355.5
Amends the Illinois Insurance Code. Removes provision stating that fees incurred directly by a dental care provider from third parties related to transmitting an automated clearing house network claim, transaction management, data management, or portal services and other fees charged by third parties that are not in the control of the dental plan carrier shall not be prohibited. Effective immediately.
LRB104 08938 BAB 18993 b LRB104 08938 BAB 18993 b
LRB104 08938 BAB 18993 b
A BILL FOR
215 ILCS 5/355.5
LRB104 08938 BAB 18993 b
HB3476 LRB104 08938 BAB 18993 b
HB3476- 2 -LRB104 08938 BAB 18993 b HB3476 - 2 - LRB104 08938 BAB 18993 b
HB3476 - 2 - LRB104 08938 BAB 18993 b
HB3476 - 2 - LRB104 08938 BAB 18993 b