Bytes

Progress on Maine LD 1266, which would establish a minimum medical loss ratio of 80% for all dental plans and require rebates, stalled in the Health Coverage Insurance and Financial Services…

This legislative session, Rhode Island is once again attempting to redefine covered services for dental.

The New Mexico Office of the Superintendent of Insurance (OSI) issued a response to feedback from stakeholders on its proposed minimum standards rule for dental and vision benefits products.

In April, NADP represented the dental benefits industry during key stakeholder meetings held virtually.

Last week, the Biden Administration switched the Department of Justice’s (DOJ) position on the constitutionality of the individual mandate in the Affordable Care Act (ACA) that was argued on Nov. 10 in the Supreme Court (SCOTUS) case, California v Texas.

UPDATE: State-based exchange (SBE) issuers have an extension until March 3 to submit their SBE issuer survey data.

In January, the Centers for Medicare and Medicaid Services (CMS) issued a final regulation for CY 2022 Medicare and Medicaid Programs, which covers a variety of policies in these programs. One noteworthy item is a finalized amendment to 42 CFR § 422.220, which will allow Medicare Advantage (MA) supplemental benefits to reimburse providers that have opted out of Medicare.

On Jan. 28, President Biden signed “Executive Order on Strengthening Medicaid and the Affordable Care Act,” an executive order that will re-open federal exchanges for open enrollment from Feb. 15 to May 15

Several bills seeking to establish requirements that dental plans publicly report loss ratios have been introduced, or are pending introduction, this legislative session.

Following the adoption of the Transparency in Dental Benefits Contracting Model Act (“Model Act”) by the National Council of Insurance Legislators (NCOIL) in December 2020, NADP has seen the introduction of numerous dental network leasing bills in the states (Texas, Idaho, Utah, Kansas, South Dakota, etc).