This year is shaping up to be a big one for legislation related to dental loss ratios.
In 2024, nine state dental societies have already introduced legislation for dental loss ratios, which refers to the insurance premium revenue that is spent on patient care instead of operating costs. These include Illinois, Nebraska, New York, Oklahoma, Pennsylvania, Rhode Island, Virginia, Washington and West Virginia. Arizona, Colorado and Nevada adopted legislation in 2023, and New Mexico adopted legislation in 2022.
Some of these states have filed more than one measure, and nearly all of the bills would set a minimum ratio that dental plans must meet, with a corresponding rebate requirement for plans spending less than that minimum. While every proposal is framed around ensuring patients receive the most health care value from their dental plans, each state has taken a unique approach to calculating its dental loss ratio.
Source: The states introducing dental loss ratio legislation / ADA.org