HB 26-1070

HB 26-1070 is a Colorado law that stops insurance companies from making deals with third parties for access to dental services without the dentist's permission. It also prevents insurance companies from penalizing dentists who don't want their services shared with these third parties. The law requires insurance companies to follow certain rules if they do make such agreements and allows some exceptions, like when dealing with state-sponsored medical assistance programs or similar brand licensee programs. Since it has been signed into law, this means the bill is now an official part of Colorado's legal framework and must be followed by relevant parties.

Official Summary

The act imposes requirements regarding a contract or agreement between an insurance carrier (carrier) and a third party concerning access to dental care services, including:Prohibiting a carrier from entering into a third-party network lease agreement to provide access to dental care services or contractually agreed-upon discounts provided by a dental provider who is contracted as a participating provider (provider) with the carrier, unless the provider gives affirmative consent to allow the third party to access the provider's dental care services and contractually agreed-upon discounts;Prohibiting a carrier from canceling or entering into a contract with a provider on the grounds that the provider refuses to allow access by a third party to the dental care services and contractually agreed-upon discounts provided by the provider; andIf a provider allows a third party to access the provider's dental care services and contractually agreed-upon discounts through a contract between a carrier and a third party, requiring the carrier to comply with specified obligations.     The act creates exemptions from the prohibitions on specified contract provisions in contracts between carriers and dental providers, including if:A provider network contract for dental services is provided to beneficiaries of programs for medical assistance sponsored by the state of Colorado; orAccess to a provider network contract is granted to a dental carrier or an entity operating in accordance with the same brand licensee program as the contracting entity, and a list of the carriers or entities with the same brand licensee program as the contracting entity is made available to a provider on the contracting entity's website.(Note: This summary applies to this bill as enacted.)

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