A bill for an act relating to prior authorization for dental care services, notice to dental care providers that a dental care service plan is state-regulated, and the recovery of overpayments by a dental carrier.
SSB 1146 (now renumbered as SF 470) establishes new rules for dental insurance in Iowa, affecting dental providers, insurance companies (dental carriers), and patients. It requires dental carriers to reimburse providers for services approved via prior authorization (with exceptions like exceeded benefit limits or documentation issues), and mandates that carriers notify providers if a patient's plan is state-regulated - via online portals or "state-regulated" labels on ID cards starting in 2025. The bill also limits dental carriers' ability to recover overpayments, requiring written notice within 365 days of payment and providing providers with appeal options for disputed claims. These changes aim to clarify billing processes and ensure transparency in dental coverage.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 18, 2025
Last action Mar 3, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
4
Committee
4
Mar 3, 2025
Legislature · Passed
Subcommittee recommends amendment and passage.
legislature
Feb 26, 2025
Legislature · Passed
Committee report approving bill, renumbered as SF 470.
legislature
Feb 20, 2025
Legislature · Passed
Subcommittee Meeting: 02/25/2025 3:00PM Room 217 Conference Room.
legislature
Feb 18, 2025
Legislature · Passed
Subcommittee: Rowley, Trone Garriott, and Warme.
legislature
Feb 18, 2025
Introduced
Introduced, referred to Commerce.
legislature
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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