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.
House Floor Amendment No. 1: Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that, beginning January 1, 2027 (rather than 2028), 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 except as provided. Provides that all dental plan carriers and dental care providers must comply with applicable State and federal privacy and security laws and regulations when conducting the exchange of information under the Act. Requires the Department of Insurance to provide a specified exemption form no later than January 1, 2027 (rather than 2028). Establishes additional requirements for the eligibility and benefit verification portal. Removes language requiring dental plan carriers to allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Makes changes to defined terms and makes other changes. Effective immediately, except that provisions concerning exemptions, requirements for the eligibility and benefit verification portal, and payments accepted by dental care providers are effective Janaury 1, 2027.
Senate Committee Amendment No. 1: In provisions concerning circumstances in which a dental care provider shall not be required to submit claims electronically, includes a dental care provider that works less than 16 (rather than 20) hours per week and is a solo practitioner. Removes the dental care provider planning to retire prior to January 1, 2031 from the list of circumstances.

Statutes affected:
Introduced: 215 ILCS 111/15, 215 ILCS 111/20, 215 ILCS 111/25, 215 ILCS 111/30, 215 ILCS 111/35, 215 ILCS 111/40, 215 ILCS 111/45
Engrossed: 215 ILCS 111/5, 215 ILCS 111/15, 215 ILCS 111/20, 215 ILCS 111/25, 215 ILCS 111/30, 215 ILCS 111/35, 215 ILCS 111/40
Enrolled: 215 ILCS 111/5, 215 ILCS 111/15, 215 ILCS 111/20, 215 ILCS 111/25, 215 ILCS 111/30, 215 ILCS 111/35, 215 ILCS 111/40