WA People
BILL · 2019–20 SESSION · LATEST VERSION 2SHB 1018

HB 1018: Dental insurance practices

Concerning fair dental insurance practices.

Summary

  • Requires health carriers offering dental-only coverage to establish comprehensive grievance and appeals processes for the carrier's enrollees.
  • Requires the Office of the Insurance Commissioner to create a pilot project utilizing independent review organizations for dental-only plans to provide for external review processes for consideration of disputes relating to clinical decisions by carriers to deny, modify, reduce, or terminate coverage of or payment of specified dental services.
  • Requires health carriers offering dental coverage to maintain a documented utilization review program description and review criteria based on reasonable dental evidence and to provide participating providers with all clinical protocols, standards, and criteria before the provider is subject to the policies.
  • Prohibits health carriers offering dental-only coverage from retrospectively denying coverage for dental care that had prior authorization under the carrier's policies at the time the dental care was rendered.
  • Prohibits health carriers offering dental-only coverage from retaliating against a provider for disputing the carrier's determination about a dental service or filing an appeal on a patient's behalf.

From the House Bill Report (HB 1018), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · stalled on the House floor
  1. IntroducedJan 14, 2019
  2. Out of committeeFeb 11, 2020
  3. Passed Housestopped here
  4. Passed Senate
  5. Governor
  6. Law
Prime sponsor
Michelle Valdez (R-26)
Introduced
January 14, 2019 in the House
Last action
February 11, 2020
Budget
Has a fiscal note
Versions
HB 1018, SHB 1018, 2SHB 1018

AN ACT Relating to fair dental insurance practices;

Sponsors

Prime sponsor: Michelle Valdez (R-26)

4 co-sponsors (4 Democrats, 0 Republicans)

Eileen Cody D-34Laurie Jinkins D-27Sharon Tomiko Santos D-37Sherry Appleton D-23

Votes

No recorded floor votes.

History

  1. Referred to Rules 2 Review. (2SHB 1018)
  2. APP - Majority; 2nd substitute bill be substituted, do pass. (2SHB 1018)
  3. APP - Majority; 2nd substitute bill be substituted, do pass. (SHB 1018)
  4. Referred to Rules 2 Review. (SHB 1018)
  5. Referred to Rules 2 Review.
  6. APP - Majority; 2nd substitute bill be substituted, do pass.
  7. By resolution, reintroduced and retained in present status. (SHB 1018)
  8. By resolution, reintroduced and retained in present status.
  9. Referred to Appropriations. (SHB 1018)
  10. Referred to Appropriations.
  11. HCW - Majority; 1st substitute bill be substituted, do pass. (SHB 1018)
  12. Minority; without recommendation. (SHB 1018)
  13. Minority; do not pass. (SHB 1018)
  14. Minority; do not pass.
  15. Minority; without recommendation.
  16. HCW - Majority; 1st substitute bill be substituted, do pass.
  17. First reading, referred to Health Care & Wellness.
  18. Prefiled for introduction.

HB 1018 in other sessions

Bill numbers restart every two years, so the same number is a different bill in each session.

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