2025 - 2026 LEGISLATURE
LRB-4755/1
EKL:cdc
October 2, 2025 - Introduced by Senators Felzkowski, Feyen, Dassler-Alfheim, Nass, Ratcliff and Spreitzer, cosponsored by Representatives VanderMeer, Behnke, Brill, Gundrum, Melotik, Sinicki and Wichgers. Referred to Committee on Insurance, Housing, Rural Issues and Forestry.
SB504,1,2
1An Act to create 609.28 of the statutes; relating to: dental provider network
2rental by insurance plans. Analysis by the Legislative Reference Bureau
This bill sets requirements on certain health insurance plans that rent their networks of dental service providers to other entities. Under the bill, a defined network plan (which includes a health maintenance organization), a preferred provider plan, a limited service health organization, or other insurer that covers dental services and engages in the practice of renting its network of dental service providers must include in any contract with a dental service provider a notification that it engages in the practice of network rental and a list of all current entities to which the network may be rented. The bill also requires the plan, organization, or insurer to notify a dental service provider that it has entered into an agreement with an entity under which the dental service provider’s contract is rented to the entity. The notification must identify the entity and be provided within 45 days of the date of the rental of the contract on which the plan, organization, or insurer enters into the agreement.
The bill requires a person who obtains a network of dental service providers to abide by all terms and conditions of a dental service provider’s original contract. Additionally, the bill allows a dental service provider to terminate his or her participation in the contract with the entity to which his or her contract has been rented without terminating the original contract.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB504,1
1Section 1. 609.28 of the statutes is created to read: SB504,2,62609.28 Dental provider network rental. (1) A defined network plan, 3preferred provider plan, limited service health organization, or other insurer that 4offers coverage of dental services, has a network of participating dental service 5providers, and engages in the practice of renting its network of participating dental 6service providers to other entities shall do all of the following: SB504,2,117(a) Include in any contract with a dental service provider entered into, 8modified, or renewed more than 30 days after the effective date of this paragraph .... 9[LRB inserts date], a notification that the plan, organization, or insurer engages in 10the practice of network rental and a list of all current entities to which the network 11may be rented. SB504,2,1712(b) Notify a dental service provider, electronically or in writing, that the plan, 13organization, or insurer has entered into an agreement with an entity under which 14the dental service provider’s contract is rented to the entity. The notification under 15this paragraph shall identify the entity and be provided within 45 days of the date 16of the rental of the contract on which the plan, organization, or insurer enters into 17the agreement. SB504,2,2218(2) Any person who obtains a network of participating dental service 19providers through rental from a defined network plan, preferred provider plan, 20limited service health organization, or other insurer shall abide by all terms and 21conditions of the original contract, including discounted rates or fees, between a 22dental service provider and the plan, organization, or insurer. SB504,3,4
1(3) A dental service provider whose contract has been rented to another 2entity may terminate their participation in the contract with the entity without 3terminating the original contract with the defined network plan, preferred provider 4plan, limited service health organization, or other insurer. SB504,25Section 2. Initial applicability. SB504,3,106(1) For any contracts or agreements containing provisions that conflict with 7this act, this act first applies to contracts or agreements between defined network 8plans, preferred provider plans, limited service health organizations, or other 9insurers and dental service providers that are entered into, modified, or renewed on 10the effective date of this subsection.
