DENTAL CARE-ELECTRONIC BILLING
Summary
Amends the Uniform Electronic Transactions in Dental Care Billing Act. Provides that beginning January 1, 2028 (instead of 2026), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Sets forth exemptions from the requirements of the Act, and requires a dental care provider who is exempt from the requirements of the Act to file a form with the Department of Insurance indicating the applicable exemption. Requires each dental plan carrier to establish a portal that provides certain benefit and billing information. Requires a dental plan carrier to establish an electronic portal that allows dental care providers to submit claims electronically and directly to the dental care provider; accept attachments in an electronic format with the initial electronic claim's submission; and provide remittance advice with the corresponding payment. Provides that nothing in the Act requires a dental care provider to only accept electronic payment from a dental plan carrier. Provides that dental plan carriers shall allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Effective immediately.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Aug 2025
Introduced Apr 10, 2025
Signed Aug 15, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
4 edits
·
Aug 15, 2025
MODERATE
The bill was finalized from its engrossed version to the enrolled version, incorporating minor formatting adjustments and a significant update to exemption criteria for dental care providers. The most notable policy change is the reduction of the weekly hour threshold for solo practitioners seeking an exemption from electronic claims filing, lowering the requirement from 20 hours to 16 hours per week. Additionally, new text was added to the eligibility portal section to clarify how previous claim payments are applied to annual maximums or deductibles.
Scope change
The scope of the bill remains focused on standardizing dental care billing and reimbursement, but the eligibility criteria for exemptions have been modified to include more solo practitioners.
ELIGIBILITY
The exemption threshold for solo practitioners was reduced from working less than 20 hours per week to less than 16 hours per week, allowing more small practices to qualify for an exemption from electronic filing requirements.
An exemption category for dental care providers planning to retire prior to January 1, 2031, was removed from the list of allowable exemptions.
REQUIREMENT
New language was added to the eligibility portal requirements to specify that previous 12 months of claim payments should be applied to the member's annual maximum or deductible to help determine benefit usage.
TECHNICAL
Minor formatting and spacing adjustments were made throughout the text to align with the final enrolled version standards.
Floor votes · Senate May 21, 2025 · House Apr 9, 2025
How they voted
57–0
Passed · 1 other
Total votes 58
May 21, 2025
D
Democratic39
97% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
48
Key actions
15
Committee
17
Amendments
5
Aug 15, 2025
Signed into law
Governor Approved
lower
May 31, 2025
Lower · Passed
Passed Both Houses
lower
May 31, 2025
Lower · Passed
Senate Committee Amendment No. 1 House Concurs 117-000-000
lower
May 29, 2025
Lower · Passed
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 015-000-000
lower
May 28, 2025
Committee
Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
lower
May 21, 2025
Committee
Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
lower
May 21, 2025
Lower · Passed
Senate Committee Amendment No. 1 Motion Filed Concur Rep. Robert "Bob" Rita
lower
May 21, 2025
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
lower
May 21, 2025
Introduced
Arrived in House
lower
May 21, 2025
Upper · Passed
Third Reading - Passed; 058-000-000
upper
May 14, 2025
Upper · Passed
Do Pass as Amended Insurance; 010-000-000
upper
May 13, 2025
Upper · Passed
Senate Committee Amendment No. 1 Adopted
upper
May 13, 2025
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Insurance
upper
May 12, 2025
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 12, 2025
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Javier L. Cervantes
upper
May 9, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As May 23, 2025
upper
May 6, 2025
Committee
Assigned to Insurance
upper
Apr 10, 2025
Committee
Referred to Assignments
upper
Apr 10, 2025
Introduced
Arrive in Senate
upper
Apr 9, 2025
Lower · Passed
Third Reading - Short Debate - Passed 116-000-000
lower
Apr 9, 2025
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 8, 2025
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 014-000-000
lower
Apr 7, 2025
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Insurance Committee
lower
Apr 2, 2025
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 2, 2025
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Robert "Bob" Rita
lower
Mar 18, 2025
Lower · Passed
Do Pass / Short Debate Insurance Committee; 010-005-000
lower
Feb 25, 2025
Committee
Assigned to Insurance Committee
lower
Jan 29, 2025
Committee
Referred to Rules Committee
lower
2 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Bob Rita
DDemocratic
P
Javier Cervantes
DDemocratic
Co
Camille Lilly
DDemocratic
Co
Dave Syverson
RRepublican
Co
Hoan Huynh
DDemocratic
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