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H 5045

An Act ensuring transparency in the practice of dental leased networks

194th Legislature (2025-2026) Introduced by Danny Ryan

Massachusetts bill requiring dental leased networks to transparently disclose fee schedules and terms to patients and providers, increasing market clarity and consumer choice in dental care.

Reporting date extended to Thursday, December 31, 2026
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Bill Summary · H 5045

Legislative bill overview

H 5045 requires dental leased networks operating in Massachusetts to disclose their fee schedules, network participation terms, and financial arrangements to patients and dental providers. The bill mandates transparency in how these networks operate, including clarity on reimbursement rates and any restrictions on provider choice or treatment recommendations.

Why is this important

Dental leased networks are intermediaries that negotiate rates between insurance companies and dental practices, but their operations are largely opaque to both patients and providers. This lack of transparency can result in patients unknowingly receiving care at network-restricted facilities, providers operating under unclear financial terms, and reduced market competition. Greater transparency allows stakeholders to make informed decisions and identify potential conflicts of interest.

Potential points of contention

  • Network operators' concerns: Requiring disclosure of proprietary fee schedules and business arrangements may be viewed as exposing competitive trade secrets and could face resistance from network companies operating across multiple states.
  • Implementation costs: Dental practices and networks may argue that compliance systems for transparency requirements create administrative burdens and costs that could ultimately affect service availability or pricing.
  • Scope and enforceability: Questions remain about whether state-level transparency mandates can effectively regulate leased networks that operate regionally or nationally, and what enforcement mechanisms exist for violations.

Compiled from official sources — confirm details with the bill’s official record.

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