Illinois SB 1984: DENTAL CARE-ELECTRONIC BILLING

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB1984

Introduced 2/6/2025, by Sen. Dave Syverson 

SYNOPSIS AS INTRODUCED:

215 ILCS 111/15

215 ILCS 111/20

215 ILCS 111/25

215 ILCS 111/30 new

215 ILCS 111/35 new

215 ILCS 111/40 new

215 ILCS 111/45 new

 Amends the Uniform Electronic Transactions in Dental Care Billing Act. Provides that beginning January 1, 2028 (instead of 2026), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Sets forth exemptions from the requirements of the Act, and requires a dental care provider who is exempt from the requirements of the Act to file a form with the Department of Insurance indicating the applicable exemption. Requires each dental plan carrier to establish a portal that provides certain benefit and billing information. Requires a dental plan carrier to establish an electronic portal that allows dental care providers to submit claims electronically and directly to the dental care provider; accept attachments in an electronic format with the initial electronic claim's submission; and provide remittance advice with the corresponding payment. Provides that nothing in the Act requires a dental care provider to only accept electronic payment from a dental plan carrier. Provides that dental plan carriers shall allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Effective immediately.

LRB104 06096 BAB 16129 b

A BILL FOR

SB1984LRB104 06096 BAB 16129 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section