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LRB-2384/1
TJD:ahe
2017 - 2018 LEGISLATURE
July 28, 2017 - Introduced by Representatives VanderMeer, Ballweg, Bernier,
Brandtjen, R. Brooks, Horlacher, Kremer, Kulp, Murphy, Novak, Petersen,
Riemer, Rohrkaste, Skowronski, Spiros, Steffen, Tauchen, Tittl and
Weatherston, cosponsored by Senators LeMahieu, Feyen, Cowles,
Ringhand, Risser, Vinehout, Wanggaard and Shilling. Referred to
Committee on Insurance.
AB457,1,2 1An Act to create 609.28 of the statutes; relating to: dental provider network
2rental by insurance plans.
Analysis by the Legislative Reference Bureau
Generally, this bill sets requirements on certain health insurance plans that
rent networks of dental service providers to other entities. The bill requires a defined
network plan, which includes a health maintenance organization, a preferred
provider plan, a limited service health organization, or other insurer that covers
dental services and engages in the practice of renting its network of dental service
providers to 1) include in any contract with a dental service provider a notification
that the plan, organization, or insurer engages in the practice of network rental and
a list of all potential entities to which the network may be rented, 2) maintain and
update an Internet site with a list of entities to which a dental service provider's
contract may be rented, and 3) notify a dental service provider, in writing, that his
or her contract has been rented and to what entity the contract has been rented. Any
person that rents a network of participating dental service providers is required by
the bill to abide by the terms and conditions of the dental service provider's original
contract. Additionally, the bill allows a dental service provider whose contract has
been rented to terminate their participation in the contract with the entity to which
his or her contract has been rented without terminating the original contract.

This proposal may contain a health insurance mandate requiring a social and
financial impact report under s. 601.423, stats.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB457,1 1Section 1. 609.28 of the statutes is created to read:
AB457,2,6 2609.28 Dental provider network rental. (1) A defined network plan,
3preferred provider plan, limited service health organization, or other insurer that
4offers coverage of dental services, has a network of participating dental service
5providers, and engages in the practice of renting its network of participating dental
6service providers to other entities shall do all of the following:
AB457,2,107 (a) Include in any contract with a dental service provider entered into or
8renewed on or after January 1, 2018, a notification that the plan, organization, or
9insurer engages in the practice of network rental and a list of all potential entities
10to which the network may be rented.
AB457,2,1311 (b) Maintain an Internet site that allows a dental service provider that has a
12contract with the plan, organization, or insurer to obtain a list of entities, updated
13at least every 90 days, to which his or her contract may be rented.
AB457,2,1614 (c) Notify a dental service provider, in writing, that his or her contract has been
15rented and to what entity the contract has been rented, within 45 days after the date
16of the rental of the contract.
AB457,3,2 17(2) Any person that obtains a network of participating dental service providers
18through rental from a defined network plan, preferred provider plan, limited service
19health organization, or other insurer shall abide by the terms and conditions of the
20original contract, including discounted rates or fees, between a dental service

1provider and the defined network plan, preferred provider plan, limited service
2health organization, or other insurer.
AB457,3,6 3(3) A dental service provider whose contract has been rented to another entity
4may terminate their participation in the contract with the entity without
5terminating the original contract with the defined network plan, preferred provider
6plan, limited service health organization, or other insurer.
AB457,2 7Section 2. Nonstatutory provisions.
AB457,3,128 (1) For any contracts or agreements containing provisions that conflict with
9this act, this act first applies to contracts or agreements between defined network
10plans, preferred provider plans, limited service health organizations, or other
11insurers and dental service providers that are entered into, modified, or renewed on
12the effective date of this subsection.
AB457,3,1313 (End)
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