New dental insurance regulations set for teledentistry coverage in 2026

House Bill 567, introduced in the Georgia House Legislature on February 28, 2025, aims to reform dental insurance practices in the state, focusing on enhancing transparency and accessibility in dental care. The bill addresses several key issues, including the limitations placed on dentists by dental insurers and the growing role of teledentistry in providing dental services.

One of the primary provisions of House Bill 567 prohibits dental insurers from requiring dentists to accept payment amounts for services that are not covered under a patient's dental benefit plan. This aims to protect dentists from being compelled to offer discounts on noncovered services, which could undermine their practice's financial viability. Additionally, the bill restricts dental insurers from suggesting that dentists should provide discounts for these noncovered services, thereby promoting clearer communication between insurers, dentists, and patients.

Another significant aspect of the bill is its endorsement of teledentistry. Starting January 1, 2026, dental benefit plans may include coverage for dental care provided through teledentistry, as regulated by the Commissioner. This provision reflects a growing trend in healthcare towards remote services, particularly in light of the COVID-19 pandemic, which has accelerated the adoption of telehealth solutions.

The bill has sparked notable discussions among stakeholders. Supporters argue that it will enhance patient access to dental care and ensure fair compensation for dental services. Critics, however, express concerns that the changes could lead to increased costs for dental insurers, which may ultimately be passed on to consumers.

The implications of House Bill 567 are significant, as it seeks to balance the interests of dental providers, insurers, and patients. By promoting teledentistry and clarifying payment structures, the bill could reshape how dental care is delivered and financed in Georgia. As the legislative process continues, stakeholders will be closely monitoring amendments and debates surrounding the bill, which could influence its final form and impact on the state's dental care landscape.