25.1366.03001
Title.04000
Adopted by the House Industry,
Business and Labor Committee
Sixty-ninth
March 11, 2025
Legislative Assembly
of North Dakota
Introduced by
Senators Boschee, Bekkedahl, Dwyer
Representatives Dockter, Koppelman, Louser
A BILL for an Act to amend and reenact section 26.1-47-02.1 of the North Dakota Century
Code, relating to preferred provider arrangements and restrictions on dental care services.
BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
SECTION 1. AMENDMENT. Section 26.1-47-02.1 of the North Dakota Century Code is
amended and reenacted as follows:
26.1-47-02.1. Fees for dental services - Prohibition.
1.As used in this section, "covered services" means dental care services for which a
reimbursement is available under an enrollee's plan or for which a reimbursement
would be available but for the application of a deductible, copayment, coinsurance,
waiting period, annual or lifetime maximum, or frequency limitation.
2.Except for fees for covered services, a preferred provider arrangement for a dental
plan may not directly or indirectly set or otherwise regulate the fees charged by the
preferred provider for dental care services.
3.A preferred provider arrangement may not restrict a covered person from receiving or
paying for covered services at the preferred provider arrangement's contracted rate as
described in this section for additional dental care services the covered person's
network plan that were denied by the covered person's dental plan due to annual,
lifetime, or frequency limitations being met .
4. Unless disclosed to the covered person before receiving dental care, a covered
person rec eiving or paying for additional dental care services described in
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ENGROSSED SENATE BILL NO. 2377
FIRST ENGROSSMENT
PROPOSED AMENDMENTS TO
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20 Sixty-ninth
Legislative Assembly
subsection 3 may not be charged a rate in excess of the preferred provider
arrangement's contracted rate for covered services.
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