SF 308 (LSB 1914XS (5) 90)

SENATE FILE 308

BY  TRONE GARRIOTT, JOCHUM, WINCKLER, CELSI, GIDDENS, DONAHUE, DOTZLER, BOULTON, T. TAYLOR, PETERSEN, WEINER, QUIRMBACH, and WAHLS

A BILL FOR

An Act relating to dental provider reimbursement under the dental wellness plan and the dental wellness plan kids.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  DENTAL WELLNESS PLAN AND DENTAL WELLNESS PLAN KIDS —— PROVIDER REIMBURSEMENT.  A provider participating in the dental wellness plan or the dental wellness plan kids shall be reimbursed for services at the percentage of the usual, customary, and reasonable fee or at the percentage of the commercial dental insurance billed charges, whichever is higher, to align dental provider reimbursement rates under the dental wellness plan and the dental wellness plan kids with reimbursement rates under the healthy and well kids in Iowa (hawk-i) program pursuant to chapter 514I, in order to maximize dental provider participation in and member access under the dental wellness plan and the dental wellness plan kids. 
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires that a provider participating in the dental wellness plan or the dental wellness plan kids shall be reimbursed for services at the percentage of the usual, customary, and reasonable fee or at the percentage of the commercial dental insurance billed charges, whichever is higher, to align dental provider reimbursement rates under the dental wellness plan and the dental wellness plan kids with those under the healthy and well kids in Iowa (hawk-i) program, in order to maximize dental provider participation in and member access under the dental wellness plan and the dental wellness plan kids.