A bill for an act relating to prior authorization for dental care services.
HF 636 requires dental insurance carriers in Iowa to cover dental services approved through prior authorization, mandating they reimburse providers at the contracted rate for these services. It directly affects dental care providers, insurance carriers, and patients enrolled in dental plans. The bill prohibits carriers from denying claims for pre-approved services except under specific exceptions, such as when benefit limits were exceeded after authorization or documentation fails to support the service. Contracts attempting to waive these requirements are declared void, and the insurance commissioner may create implementing rules.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 28, 2025
Last action Apr 3, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Apr 3, 2025
Committee
Referred to Commerce.
lower
Feb 28, 2025
Introduced
Introduced, placed on calendar.
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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