25.1366.04000
Sixty-ninth
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 additional dental care services that were denied by the covered person's
dental plan .
4.Unless disclosed to the covered person before receiving dental care, a covered
person receiving or paying for additional dental care services described in
subsection 3 may not be charged a rate in excess of the preferred provider
arrangement's contracted rate for covered services.
Page No. 1 25.1366.04000
ENGROSSED SENATE BILL NO. 2377
FIRST ENGROSSMENT
with House Amendments
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