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Senate Engrossed |
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State of Arizona Senate Forty-ninth Legislature Second Regular Session 2010
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SENATE BILL 1417 |
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AN ACT
Amending title 20, chapter 4, article 3, Arizona Revised Statutes, by adding section 20‑847; Amending title 20, chapter 4, article 9, Arizona Revised Statutes, by adding section 20‑1057.12; Amending title 20, chapter 6, article 4, Arizona Revised Statutes, by adding section 20‑1342.06; Amending title 20, chapter 6, article 5, Arizona Revised Statutes, by adding sections 20‑1402.04 and 20-1404.04; relating to dental contracts.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 20-847, to read:
20-847. Contracts; dentists; covered services; definition
A. A provider contract, entered into or renewed on or after January 1, 2011, between a dental service corporation and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a subscription contract based on a fee set by the dental service corporation unless the service for which the fee applies is a covered service under the individual's subscription contract.
B. For the purposes of this section, "covered service" means a service for which any reimbursement is available under a subscription contract without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE
Sec. 2. Title 20, chapter 4, article 9, Arizona Revised Statutes, is amended by adding section 20-1057.12, to read:
20-1057.12. Contracts; dentists; covered services; definition
A. A provider contract, entered into or renewed on or after January 1, 2011, between a health care services organization and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under an evidence of coverage based on a fee set by the health care services organization unless the services for which the fee applies is a covered service under the individual's evidence of coverage.
B. For the purposes of this section, "covered service" means a service for which any reimbursement is available under an evidence of coverage without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE
Sec. 3. Title 20, chapter 6, article 4, Arizona Revised Statutes, is amended by adding section 20-1342.06, to read:
20-1342.06. Contracts; dentists; covered services; definition
A. A provider contract, entered into or renewed on or after January 1, 2011, between a disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a disability insurance policy based on a fee set by the disability insurer unless the services for which the fee applies is a covered service under the individual's disability insurance policy.
B. For the purposes of this section, "covered service" means a service for which any reimbursement is available under a disability insurance policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation.
Sec. 4. Title 20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding sections 20-1402.04 and 20-1404.04, to read:
20-1402.04. Contracts; dentists; covered services; definition
A. A provider contract, entered into or renewed on or after January 1, 2011, between a group disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a group disability policy based on a fee set by the group disability insurer unless the services for which the fee applies is a covered service under the individual's group disability policy.
B. For the purposes of this section, "covered service" means a service for which any reimbursement is available under a group disability policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE
20-1404.04. Contracts; dentists; covered services; definition
A. A provider contract, entered into or renewed on or after January 1, 2011, between a blanket disability insurer and a dentist who is licensed to practice in this state shall not require the dentist to render services to an individual covered under a Blanket disability policy based on a fee set by the blanket disability insurer unless the services for which the fee applies is a covered service under the individual's blanket disability policy.
B. For the purposes of this section, "covered service" means a service for which any reimbursement is available under a blanket disability policy without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation. END_STATUTE