e-mail Print Share

Legislative Advocacy on Dental Benefits

Victories in the legislative arena are hard-fought but achievable through collective action. The ADA, working closely with its state partners, has helped implement legislation to help establish an environment where dental practices can succeed. Check out the ADA’s Legislative Advocacy on Dental Benefits. Let your voice be heard! Get Involved.

ERISA Legislation (Coordination of Benefits and Assignment of Benefits): The bill amends the Employee Retirement Income Security Act of 1974 to prescribe certain health care coverage value requirements for dental benefits under self-insured group health plans. It requires all self-funded health plans to provide for uniform coordination of benefits and permit the assignment of benefits by the consumer. 

Non-Covered Services Legislation: The Dental and Optometric Care Access Act (DOC Access Act) would prevent dental and vision insurers of federally-overseen plans from dictating discounts for goods/services without providing compensation, and dovetails with laws already enacted in 36 states. 

McCarran- Ferguson Legislation: The Competitive Health Insurance Reform Act of 2015 authorizes the Federal Trade Commission and Justice Department to enforce federal antitrust laws against health insurance companies engaged in anticompetitive activity. It does not affect the states’ ability to act to address anticompetitive behavior. 

Flexible Spending Accounts: RAISE Health Benefits Act of 2015 (H.R. 1185) would increase the annual maximum contribution to Flexible Spending Accounts (FSA) to $5,000 and permit rollover of unused monies in the account. FSAs permit the use of pre-tax dollars for non-covered medical (including dental) expenses. This bill was developed with the American Association of Orthodontists and is supported by the ADA.

In addition, your state dental society may also be working on state legislative issues. Be sure to call your state society for an update, and read the quarterly State Legislative Report.

Principles for Model Legislation

The Council on Dental Benefit Programs offers Principles for Model Legislation for state dental societies to use in their legislative efforts. Contact dentalbenefits@ada.org for more information.