VIRGINIA LAW PORTAL

• Code of Virginia
• Virginia Administrative Code
• Constitution of Virginia
• Charters
• Authorities
• Compacts
• Uncodified Acts
• RIS Users (account required)

SEARCHABLE DATABASES

• Bills & Resolutions
  session legislation
• Bill Summaries
  session summaries
• Reports to the General Assembly
  House and Senate documents
• Legislative Liaisons
  State agency contacts

ACROSS SESSIONS

• Subject Index: Since 1995
• Bills & Resolutions: Since 1994
• Summaries: Since 1994

Developed and maintained by the Division of Legislative Automated Systems.

2019 SESSION

• | print version

HB 1682 Dental services; contracts between carriers and providers, PPO network arrangement, etc.

Introduced by: R. Lee Ware | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Insurance networks; dental services. Establishes limits on the ability of a health carrier or third-party administrator to sell or otherwise grant access, as provided in a dentist's or oral surgeon's provider contract, to a third-party carrier. The measure provides that such access may be granted only if it is expressly permitted by the provider contract and notice is given to the affected participating providers. The contracting entity or carrier is required to inform participating providers, upon request, which network plans have been granted access to the contract by the contracting entity.

SUMMARY AS PASSED HOUSE:

Insurance networks; dental services. Establishes limits on the ability of a health carrier or third-party administrator to sell or otherwise grant access, as provided in a dentist's or oral surgeon's provider contract, to a third-party carrier. The measure provides that such access may be granted only if it is expressly permitted by the provider contract and notice is given to the affected participating providers. The contracting entity or carrier is required to inform participating providers, upon request, which network plans have been granted access to the contract by the contracting entity.

SUMMARY AS INTRODUCED:

Insurance networks; dental services. Establishes limits on the ability of a health insurer or other person to sell or otherwise grant access, as provided in a dentist's or oral surgeon's provider contract, to a third-party carrier. Access as provided in a provider contract refers to the right to have dental services provided by the participating provider to the enrollees of the third-party carrier in accordance with the terms of a provider contract. The measure provides that such access may be granted only if it is expressly permitted by the provider contract and notice is given to the affected participating providers.