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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.
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Status:
Introduced
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Additional Information
DOC Access Act of 2025
Print number: HR 1521
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1]
Process start date: 2025-02-24