88R14088 CJD-D     By: Bettencourt S.B. No. 2065       A BILL TO BE ENTITLED   AN ACT   relating to the recovery of overpayments made to dentists by   certain employee benefit plans and health insurers.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 1451.206, Insurance Code, is amended by   adding Subsections (d) and (e) to read as follows:          (d)  An employee benefit plan or health insurance policy   provider or issuer may not recover an overpayment made to a dentist   unless:                (1)  not later than the 180th day after the date the   dentist receives the payment, the provider or issuer provides   written notice of the overpayment to the dentist that includes the   basis and specific reasons for the request for recovery of funds;   and                (2)  the dentist:                      (A)  fails to provide a written objection to the   request for recovery of funds and does not make arrangements for   repayment of the requested funds on or before the 45th day after the   date the dentist receives the notice; or                      (B)  objects to the request in accordance with the   procedure described by Subsection (e) and exhausts all rights of   appeal.          (e)  An employee benefit plan or health insurance policy   provider or issuer shall provide a dentist with the opportunity to   challenge an overpayment recovery request and establish written   policies and procedures for a dentist to object to an overpayment   recovery request. The procedures must allow the dentist to access   the claims information in dispute.          SECTION 2.  The changes in law made by this Act apply only to   an employee benefit plan for a plan year that commences on or after   January 1, 2024, or a health insurance policy delivered, issued for   delivery, or renewed on or after January 1, 2024, and any provider   network contract entered into on or after the effective date of this   Act in connection with one of those plans or policies.          SECTION 3.  This Act takes effect September 1, 2023.