All Roll Calls
Yes: 133 • No: 0
UtahH.B. 4952025 General SessionHouse
Health Care Amendments
Sponsored By: James A. Dunnigan (Republican)
Signed by Governor
Health InsuranceInsuranceBusinessHealth and Human ServicesHealth Care ProfessionalsCommercial Health Insurance\Managed Care ContractsDentists and Dental Hygienists
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 0 costs, 2 mixed.
More prescription options at dispensing practices
Beginning May 7, 2025, qualified dentists can dispense prescriptions at licensed dispensing practices, and eligible practices can dispense gabapentin. Drugs must come in fixed-quantity packaging under the treating practitioner's prescription, and patients need a same-day evaluation. The prescriber must regularly practice at that location. Generally, the treated condition cannot be expected to last over 30 days; prescription fluoride dispensed by dentists is exempt. The 30-day supply limit still applies, and controlled substances and drugs barred by the state remain excluded.
Providers can reject insurer card payments
Beginning May 7, 2025, providers can reject credit-card or similar payments across an insurer's plans through one opt-out process. That choice lasts until the provider opts back in or a new contract is issued. Insurers must allow payment by paper check. This changes provider payments, not household benefits.
Dental cost notices and patient bills
Beginning May 7, 2025, dentists must make reasonable efforts to warn patients when planned services may not be covered. Dental plans cannot use contracted fees to lower covered-service payments in ways that block collection of the actual service's contracted fee. That fee can come from the plan or patient. Plans also cannot block dentists from seeking the contracted fee from patients after denying payment for covered services. This denied-payment rule does not apply when accepted practice standards say the service should not be billed.
Dental overpayments get repayment timing rules
Beginning May 7, 2025, dental providers must return overpayments within 60 days after the insurer sends notice. They can repay by check or another method. Beginning January 1, 2026, insurers cannot automatically recover these overpayments until more than 60 days after sending notice. Providers can agree to earlier automatic recovery. These rules do not create a new patient payment duty.
Sponsors & Cosponsors
Sponsor
James A. Dunnigan
Republican • House
Cosponsors
Evan J. Vickers
Republican • Senate
Roll Call Votes
Senate vote • 3/7/2025
Senate/ passed 3rd reading
Yes: 21 • No: 0
Senate vote • 3/3/2025
Senate Comm - Favorable Recommendation
Yes: 5 • No: 0
Senate vote • 3/3/2025
Senate Comm - Consent Calendar Recommendation
Yes: 5 • No: 0
House vote • 2/28/2025
House/ passed 3rd reading
Yes: 66 • No: 0
House vote • 2/25/2025
House Comm - Favorable Recommendation
Yes: 12 • No: 0
House vote • 2/25/2025
House Comm - Consent Calendar Recommendation
Yes: 12 • No: 0
House vote • 2/25/2025
House Comm - Amendment Recommendation
Yes: 12 • No: 0
Actions Timeline
Governor Signed
3/25/2025House/ to Governor
3/17/2025HouseHouse/ received enrolled bill from Printing
3/17/2025HouseHouse/ enrolled bill to Printing
3/13/2025HouseEnrolled Bill Returned to House or Senate
3/13/2025Draft of Enrolled Bill Prepared
3/7/2025Bill Received from House for Enrolling
3/7/2025House/ signed by Speaker/ sent for enrolling
3/7/2025HouseHouse/ received from Senate
3/7/2025HouseSenate/ to House
3/7/2025SenateSenate/ signed by President/ returned to House
3/7/2025SenateSenate/ passed 3rd reading
3/7/2025SenateSenate/ 3rd reading
3/7/2025SenateSenate/ 2nd reading
3/4/2025SenateSenate/ comm rpt/ placed on Consent Calendar
3/4/2025SenateSenate Comm - Consent Calendar Recommendation
3/3/2025SenateSenate Comm - Favorable Recommendation
3/3/2025SenateSenate/ to standing committee
2/28/2025SenateSenate/ 1st reading (Introduced)
2/28/2025SenateSenate/ received from House
2/28/2025SenateHouse/ to Senate
2/28/2025HouseHouse/ passed 3rd reading
2/28/2025HouseHouse/ 3rd reading
2/28/2025HouseHouse/ 2nd reading
2/26/2025HouseHouse/ comm rpt/ amended/ placed on Consent Cal
2/26/2025House
Bill Text
Enrolled
3/13/2025
Amended 2/26/2025 10:02:293
2/26/2025
Introduced
2/12/2025