UTA LEG Provider Opt-Out Credit Cards

Updated on: Mar 28, 2025

Latest Event


  • Mar. 2025 UTA LEG Bill Approval
  • On Mar. 25, 2025, UTA LEG reported bill approval by governor, effective May 7, 2025.

On Mar. 7, UTA LEG passed bill related to dental claim practices.

  • UTA LEG passed HB 495 related to health care amendments, including use of credit card payments, dental claim practices, and dispensing of medication by dentists.
  • Legislative Provisions
  • Amended Utah code UTA INS 31A-26-301.6; allow provider opt-out of all credit card, similar arrangements for every plan offered by insurer by single opt-out process.
  • If provider elects not to receive remittance via credit card, decision in effect until provider affirmatively elects receive remittance via credit card or new contract issued.
  • Amended Utah code UTA INS 31A-26-301.7, Dental claims; insurer may not maintain dental plan that does not allow dental provider to seek payment of contracted fee
  • For covered service when denied payment by insurer unless, service performed should not be billed; or beginning on Jan. 1, 2026, automatically recoups overpayment.
  • Amended Utah code UTA LEG 58-88-202; dispensing practitioner that is a dentist may dispense prescription fluoride regardless if condition treating lasts longer than 30 days.
  • Legislative History
  • On Feb. 13, 2025, bill introduced into House; on Feb. 28, 2025, bill passed the House.
  • On Feb. 28, 2025, bill introduced into Senate; on Mar. 7, 2025, bill passed the Senate.
  • Effectiveness
  • if finalized, bill effective on May 7, 2025.
  • Mar. 2025 UTA LEG Bill Approval
  • On Mar. 25, 2025, UTA LEG reported bill approval by governor, effective May 7, 2025.
Regulators
UTA LEG
Entity Types
Ins
Reference
Bill, 3/25/2025; Bill, HB0495, 3/7/2025; Citation: *UTA INS* 31A-26-301.6, 31A-26-301.7; UTA LEG 58-88-202;
Functions
Claims/Accelerated Benefits; Compliance; Legal; Operations; Product Administration
Countries
United States of America
Category
State
N/A
Products
Cards; Dental; Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Mar 7, 2025
Effective Date
May 7, 2025
Rule ID
246279
Linked to
N/A
Reg. Last Update
Mar 25, 2025
Report Section
US Insurance