1 | | - | Sixty-ninth Legislative Assembly of North Dakota |
---|
2 | | - | In Regular Session Commencing Tuesday, January 7, 2025 |
---|
3 | | - | SENATE BILL NO. 2377 |
---|
4 | | - | (Senators Boschee, Bekkedahl, Dwyer) |
---|
5 | | - | (Representatives Dockter, Koppelman, Louser) |
---|
6 | | - | AN ACT to amend and reenact section 26.1-47-02.1 of the North Dakota Century Code, relating to |
---|
7 | | - | preferred provider arrangements and restrictions on dental care services. |
---|
| 1 | + | 25.1366.03001 |
---|
| 2 | + | Title.04000 |
---|
| 3 | + | Adopted by the House Industry, |
---|
| 4 | + | Business and Labor Committee |
---|
| 5 | + | Sixty-ninth |
---|
| 6 | + | March 11, 2025 |
---|
| 7 | + | Legislative Assembly |
---|
| 8 | + | of North Dakota |
---|
| 9 | + | Introduced by |
---|
| 10 | + | Senators Boschee, Bekkedahl, Dwyer |
---|
| 11 | + | Representatives Dockter, Koppelman, Louser |
---|
| 12 | + | A BILL for an Act to amend and reenact section 26.1-47-02.1 of the North Dakota Century |
---|
| 13 | + | Code, relating to preferred provider arrangements and restrictions on dental care services. |
---|
13 | | - | reimbursement is available under an enrollee's plan or for which a reimbursement would be |
---|
14 | | - | available but for the application of a deductible, copayment, coinsurance, waiting period, |
---|
15 | | - | annual or lifetime maximum, or frequency limitation. |
---|
16 | | - | 2.Except for fees for covered services, a preferred provider arrangement for a dental plan may |
---|
17 | | - | not directly or indirectly set or otherwise regulate the fees charged by the preferred provider |
---|
18 | | - | for dental care services. |
---|
19 | | - | 3.A preferred provider arrangement may not restrict a covered person from receiving or paying |
---|
20 | | - | for additional dental care services that were denied by the covered person's dental plan . |
---|
21 | | - | 4.Unless disclosed to the covered person before receiving dental care, a covered person |
---|
22 | | - | receiving or paying for additional dental care services described in subsection 3 may not be |
---|
23 | | - | charged a rate in excess of the preferred provider arrangement's contracted rate for covered |
---|
24 | | - | services. S. B. NO. 2377 - PAGE 2 |
---|
25 | | - | ____________________________ ____________________________ |
---|
26 | | - | President of the Senate Speaker of the House |
---|
27 | | - | ____________________________ ____________________________ |
---|
28 | | - | Secretary of the Senate Chief Clerk of the House |
---|
29 | | - | This certifies that the within bill originated in the Senate of the Sixty-ninth Legislative Assembly of North |
---|
30 | | - | Dakota and is known on the records of that body as Senate Bill No. 2377. |
---|
31 | | - | Senate Vote:Yeas 43 Nays 1 Absent 3 |
---|
32 | | - | House Vote: Yeas 92 Nays 0 Absent 2 |
---|
33 | | - | ____________________________ |
---|
34 | | - | Secretary of the Senate |
---|
35 | | - | Received by the Governor at ________M. on _____________________________________, 2025. |
---|
36 | | - | Approved at ________M. on __________________________________________________, 2025. |
---|
37 | | - | ____________________________ |
---|
38 | | - | Governor |
---|
39 | | - | Filed in this office this ___________day of _______________________________________, 2025, |
---|
40 | | - | at ________ o’clock ________M. |
---|
41 | | - | ____________________________ |
---|
42 | | - | Secretary of State |
---|
| 19 | + | reimbursement is available under an enrollee's plan or for which a reimbursement |
---|
| 20 | + | would be available but for the application of a deductible, copayment, coinsurance, |
---|
| 21 | + | waiting period, annual or lifetime maximum, or frequency limitation. |
---|
| 22 | + | 2.Except for fees for covered services, a preferred provider arrangement for a dental |
---|
| 23 | + | plan may not directly or indirectly set or otherwise regulate the fees charged by the |
---|
| 24 | + | preferred provider for dental care services. |
---|
| 25 | + | 3.A preferred provider arrangement may not restrict a covered person from receiving or |
---|
| 26 | + | paying for covered services at the preferred provider arrangement's contracted rate as |
---|
| 27 | + | described in this section for additional dental care services the covered person's |
---|
| 28 | + | network plan that were denied by the covered person's dental plan due to annual, |
---|
| 29 | + | lifetime, or frequency limitations being met . |
---|
| 30 | + | 4. Unless disclosed to the covered person before receiving dental care, a covered |
---|
| 31 | + | person rec eiving or paying for additional dental care services described in |
---|
| 32 | + | Page No. 1 25.1366.03001 |
---|
| 33 | + | ENGROSSED SENATE BILL NO. 2377 |
---|
| 34 | + | FIRST ENGROSSMENT |
---|
| 35 | + | PROPOSED AMENDMENTS TO |
---|
| 36 | + | 1 |
---|
| 37 | + | 2 |
---|
| 38 | + | 3 |
---|
| 39 | + | 4 |
---|
| 40 | + | 5 |
---|
| 41 | + | 6 |
---|
| 42 | + | 7 |
---|
| 43 | + | 8 |
---|
| 44 | + | 9 |
---|
| 45 | + | 10 |
---|
| 46 | + | 11 |
---|
| 47 | + | 12 |
---|
| 48 | + | 13 |
---|
| 49 | + | 14 |
---|
| 50 | + | 15 |
---|
| 51 | + | 16 |
---|
| 52 | + | 17 |
---|
| 53 | + | 18 |
---|
| 54 | + | 19 |
---|
| 55 | + | 20 Sixty-ninth |
---|
| 56 | + | Legislative Assembly |
---|
| 57 | + | subsection 3 may not be charged a rate in excess of the preferred provider |
---|
| 58 | + | arrangement's contracted rate for covered services. |
---|
| 59 | + | Page No. 2 25.1366.03001 |
---|
| 60 | + | 1 |
---|
| 61 | + | 2 |
---|