1.1 	A bill for an act
1.2 	relating to insurance; changing definition of covered services for dental care;
1.3 	amending Minnesota Statutes 2022, section 62Q.78, subdivision 6.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2022, section 62Q.78, subdivision 6, is amended to read:
1.6 		Subd. 6.Payment for covered services. (a) No contract of any dental plan or dental 
1.7 	organization that covers any dental services or dental provider agreement with a dentist 
1.8 	may require, directly or indirectly, that a dentist provide services to an enrolled participant 
1.9 	at a fee set by, or at a fee subject to the approval of, the dental plan or dental organization 
1.10 	unless the dental services are covered services.
1.11 	(b) A dental plan or dental organization or other person providing third-party 
1.12 	administrator services shall not make available any providers in its dentist network to a plan 
1.13 	that sets dental fees for any services except covered services.
1.14 	(c) "Covered services" means dental care services for which a reimbursement is available 
1.15 	under an enrollee's plan contract, or for which a reimbursement would be available but for 
1.16 	the application of contractual limitations such as deductibles, co-payments, coinsurance, 
1.17 	waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit 
1.18 	payments, or any other limitation that are reimbursed in whole or in part under a dental 
1.19 	provider agreement.
1.20 	(d) Nothing in this section shall be construed as limiting the ability of a dental plan or 
1.21 	dental organization or other person providing third party administrator services to restrict 
1.22 	any of the following as they relate to covered services:
2.1 	(1) balance billing;
2.2 	(2) waiting periods;
2.3 	(3) frequency limitations;
2.4 	(4) deductibles; or
2.5 	(5) maximum annual benefits.