Wyoming2025Inactive
SF0159
Dental Insurance Requirements
Last scannedOct 10, 2026, 2:19 AM
In one sentence
The bill sets rules for dental insurance billing and coding to protect dentists from unfair practices by insurance companies.
What it does
- Adds new requirements for how insurance companies can set fees for non-covered dental services.
- Prohibits insurance companies from downcoding or bundling procedures in ways that prevent dentists from getting paid fairly.
- Requires insurance companies to disclose their policies on downcoding and bundling clearly to dentists.
Who it affects
- Dentists
- Insurance companies that provide dental coverage
Limits and unknowns
- The bill only applies to contracts, policies, and certificates entered into or issued on or after July 1, 2025.
- It does not affect existing agreements before this date.
Plain language
Terms to know
- Downcoding
- Adjusting a claim to a less complex or lower cost procedure code, which can reduce payment.
- Bundling
- Combining distinct dental procedures into one for billing purposes.
Official record
Sources
Official activity
Bill history
- S:Died in Committee Returned Bill Pursuant to SR 5-4Senate
- S No report prior to CoW CutoffSenate
- S Introduced and Referred to S10 - LaborSenate
- S Received for IntroductionSenate
- Bill Number AssignedLSO