Assembly Bill 1214 aims to amend existing statutes related to health insurance policies and self-insured health plans, specifically concerning the prior authorization process for the treatment of severe misalignment or malocclusion of teeth. The bill prohibits these insurance policies from solely relying on the Salzmann Evaluation Index when making prior authorization decisions for dental treatments. It introduces new legal language by creating sections 609.823 and 632.851, which outline the definitions and stipulations regarding prior authorization for dental services.

Additionally, the bill amends several existing statutes, including sections 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g), and 185.983 (1) (intro.), to incorporate the new section 632.851. This section specifies that no disability insurance policy or self-insured health plan can rely solely on the Salzmann Evaluation Index for prior authorization decisions. The bill also includes provisions for its initial applicability and effective date, ensuring that it applies to policy or plan years beginning after its effective date, with specific considerations for collective bargaining agreements.

Statutes affected:
Bill Text: 40.51(8), 40.51, 40.51(8m), 66.0137(4), 66.0137, 120.13(2)(g), 120.13, 185.983(1)(intro.), 185.983