- Many states have enacted laws governing noncovered services, network leasing, prior authorization, prompt payment, and retroactive denials – protections that safeguard the doctor-patient relationship and promote insurer fairness, transparency and accountability.
- State laws often do not apply to self-funded plans, regulated under ERISA. This creates a major regulatory gap where many patients and dentists are denied protections that state lawmakers intended to apply broadly.
- Reps. Jeff Van Drew, DMD (R-N.J.) and Herb Conaway, MD (D-N.J.) introduced the Improving Dental Administration (IDA) Act (H.R. 7931), bipartisan legislation that would apply state insurance laws to self-funded dental plans and their administrators, closing the ERISA loophole.
- Applying uniform insurance protections to all dental plans in a state would:
- Guarantee equal protections for patients regardless of how their dental coverage is structured.
- Increase transparency and accountability for all plans, benefiting patients, providers and regulators.
- Support strong provider networks – and improve patient access – by streamlining compliance and giving dentists consistent coverage rules.
By providing your mobile number, you agree to receive periodic call to action text messages from American Association of Oral and Maxillofacial Surgeons. Message and data rates may apply. Reply HELP for help. Reply STOP to unsubscribe. Message frequency varies.
Privacy Policy