An Act relating to direct health care agreements; relating to dental health care insurance plans and dental loss ratios; and providing for an effective date.

HB 273 establishes rules for "direct health care agreements" between dental/primary care providers and patients, where patients pay a periodic fee for services instead of using traditional insurance. It requires agreements to detail services, fees, locations, and complaint procedures, while explicitly stating patients lose protections under standard health insurance laws (AS 21.07). The bill prohibits Medicaid-eligible patients (under AS 47.07/47.08) from using these agreements and allows providers to decline new patients if they can’t provide needed services or lack capacity. It also permits termination based solely on inability to provide required services. This affects dental/primary care providers and patients seeking fee-for-service arrangements outside insurance systems.