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New Dental and Vision Insurance Rules: More Choice and Clarity

This act changes how dental and vision insurance plans operate. It aims to give individuals more freedom in choosing their doctors and laboratories, and clarifies payment rules for services not fully covered. This should provide citizens with greater control over their healthcare expenses.
Key points
Doctors can charge for non-covered services at or below their usual rates, except for dental cleanings which have a contracted network fee.
Insurance plans cannot restrict a doctor's choice of laboratory or material supplier.
Agreements for limited scope plans can only be extended beyond 2 years with the doctor's prior acceptance.
States can enforce these rules, and if they don't, the federal government will step in.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_1521
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1]
Process start date: 2025-02-24
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

DOC Access Act of 2025

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_1521.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2025-02-24.

What are the main provisions?

Key points include:

  • Doctors can charge for non-covered services at or below their usual rates, except for dental cleanings which have a contracted network fee.
  • Insurance plans cannot restrict a doctor's choice of laboratory or material supplier.
  • Agreements for limited scope plans can only be extended beyond 2 years with the doctor's prior acceptance.
  • States can enforce these rules, and if they don't, the federal government will step in.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Carter, Earl L. "Buddy" [R-GA-1].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Energy and Commerce.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-22.

CATEGORIES

Health