Expanding limitations to third-party access to provider network contracts and discounts unless certain criteria are met and prohibitions on payment method restrictions and limitations on certain transaction fees from dental services to all healthcare services.
Allows dental provider networks, certain health and hospital service corporations, and health care plans to enter into a third-party network contract to provide access to care services and discounted rates of a provider under a provider network contract.
Providing for the election of alternative payment methods by a dental provider and allowing such payment method to remain in force for the duration of a contract with a dental benefit plan.
Providing that the selection of alternative payment methods by a dental provider will remain in force for the duration of a contract with a dental benefit plan.
Allows dental provider networks, certain health and hospital service corporations, and health care plans to enter into contracts with a third party to gain access to services and discounted rates of a provider under a provider network contract.
To Prohibit Healthcare Providers And Healthcare Insurers From Using Artificial Intelligence In The Delivery Of Healthcare Services Or The Generation Of Medical Records Unless Certain Requirements Are Met.
Prohibiting certain terms in a contract between a health insurer and a dentist and requiring that reviews, audits or investigations of healthcare providers concerning healthcare provider claims be completed within six months.
To Prohibit Healthcare Insurers From Exercising Recoupment For Payment Of Healthcare Services More Than One Year After The Payment For Healthcare Services Was Made.
To Require Fair And Transparent Reimbursement Rates; To Ensure Parity Of Healthcare Services; To Amend The Billing In The Best Interest Of Patients Act; And To Declare An Emergency.
To Clarify Enforcement Provisions Against A Healthcare Insurer; To Retroactively Apply To A Healthcare Contract For The Benefit Of A Temporary Hospital Facility; And To Declare An Emergency.
To Amend The Healthcare Contracting Simplification Act; To Define "downcode" Under The Healthcare Contracting Simplification Act; And To Require Notification By Contracting Entities Of Downcoding.