1.1.................... moves to amend H.F. No. 2941 as follows:
1.2Delete everything after the enacting clause and insert:
1.3 "Section 1. Minnesota Statutes 2008, section 62Q.76, subdivision 1, is amended to read:
1.4 Subdivision 1.
Applicability. For purposes of sections
62Q.76 to
62Q.79 62Q.791,
1.5the terms
defined in this section contract, health care provider, dental plan, dental
1.6organization, dentist, and enrollee have the meanings given them
in sections 62Q.733
1.7and 62Q.76.
1.8 Sec. 2.
[62Q.791] CONTRACTS WITH DENTAL CARE PROVIDERS.
1.9(a) Notwithstanding any other provision of law, no contract of any dental
1.10organization for provision of dental care services may:
1.11(1) require, directly or indirectly, that a dentist or health care provider provide dental
1.12care services to its enrollees at a fee set by the dental organization, unless the services
1.13provided are covered dental care services for enrollees under the dental plan or contract; or
1.14(2) prohibit, directly or indirectly, the dentist or health care provider from offering or
1.15providing dental care services that are not covered dental care services under the dental
1.16plan or contract, on terms and conditions acceptable to the enrollee and the dentist or
1.17health care provider. For purposes of this section, "covered dental care services" means
1.18dental care services that are expressly covered under the dental plan or contract, including
1.19dental care services that are subject to contractual limitations such as deductibles,
1.20co-payments, annual maximums, and waiting periods.
1.21(b) When making payment or otherwise adjudicating any claim for dental care
1.22services provided to an enrollee, a dental organization or dental plan must clearly identify
1.23on an explanation of benefits form or other form of claim resolution the amount, if any,
1.24that is the enrollee's responsibility to pay to the enrollee's dentist or health care provider.
1.25(c) This section does not apply to any contract for the provision of dental care
1.26services under any public program sponsored or funded by the state or federal government.
2.1EFFECTIVE DATE.This section is effective August 1, 2010."
2.2Amend the title accordingly