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SF 274

Pediatric zirconia crowns inclusion in dental service coverage modification

2025-2026 Regular Session Introduced by Liz Boldon and 2 co-sponsors

Summary of SF 274: Pediatric zirconia crowns inclusion in dental service coverage modification OverviewBill Number: SF 274 Title: Pediatric zirconia crowns inclusion in dental ser

Referred to Health and Human Services
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Bill Summary · SF 274

Summary of SF 274: Pediatric zirconia crowns inclusion in dental service coverage modification

Overview

Bill Number: SF 274
Title: Pediatric zirconia crowns inclusion in dental service coverage modification
Status: Referred to Health and Human Services
Introduced: February 12, 2025

Purpose and Intent

The purpose of SF 274 is to require health insurance plans in the state to provide coverage for pediatric zirconia crowns as part of their dental service benefits. Zirconia crowns are a durable, tooth-colored restoration option that can be an important treatment for children with severe tooth decay or damage. This bill aims to ensure greater access to this beneficial dental treatment for insured children.

Key Provisions

  • Mandates that all health insurance plans offered in the state must cover the cost of pediatric zirconia crowns as part of their standard dental benefits package
  • Defines "pediatric zirconia crowns" as tooth-colored, metal-free dental crowns used to restore primary (baby) teeth in children
  • Requires plans to reimburse providers at reasonable, market-based rates for the placement of pediatric zirconia crowns
  • Prohibits plans from imposing annual or lifetime dollar limits, copays, or other cost-sharing requirements that would limit access to this covered service

Affected Parties and Impacts

  • Children enrolled in health insurance plans would gain access to zirconia crowns as a covered dental treatment option
  • Pediatric dentists and other dental providers would see increased utilization and reimbursement for placing zirconia crowns
  • Health insurance companies would need to adjust their dental benefits packages and coverage policies to comply with the new mandate

Procedural and Timeline Considerations

SF 274 was introduced in the state legislature on February 12, 2025 and has been referred to the Health and Human Services committee for further consideration. If passed, the new coverage mandate for pediatric zirconia crowns would take effect on January 1, 2026 for all health plans issued or renewed in the state.

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

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