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DOC Access Act of 2025

HR 1521 · In committee · last action February 24, 2025

<p><strong>Dentist and Optometric Care Access Act of 2025 or the DOC Access Act</strong> <strong>of 20</strong><strong>25</strong></p><p>This bill prohibits private health insurance plans from setting rates for items and services, except for dental cleanings, provided by a doctor of optometry, of dental surgery, or of dental medicine&nbsp;(or an employer of such a doctor) for which the plan does not pay a substantial amount.</p><p>Additionally, an agreement between a plan and such a doctor for limited scope dental or vision benefits may last longer than two years only with the prior acceptance of the doctor for each term extension. Plans also may not restrict such a doctor's choice of laboratories or suppliers.</p><p>Such doctors may elect to waive the application of the payment amount and choice of laboratories provisions of this bill.</p><p>The bill does not supersede state laws regarding health insurers and dental or vision benefit plans.</p>

Sponsor

Earl Carter (R-GA)

Associated votes

No votes recorded against this bill yet — vote coverage is a work in progress.

Official summary

<p><strong>Dentist and Optometric Care Access Act of 2025 or the DOC Access Act</strong> <strong>of 20</strong><strong>25</strong></p><p>This bill prohibits private health insurance plans from setting rates for items and services, except for dental cleanings, provided by a doctor of optometry, of dental surgery, or of dental medicine&nbsp;(or an employer of such a doctor) for which the plan does not pay a substantial amount.</p><p>Additionally, an agreement between a plan and such a doctor for limited scope dental or vision benefits may last longer than two years only with the prior acceptance of the doctor for each term extension. Plans also may not restrict such a doctor's choice of laboratories or suppliers.</p><p>Such doctors may elect to waive the application of the payment amount and choice of laboratories provisions of this bill.</p><p>The bill does not supersede state laws regarding health insurers and dental or vision benefit plans.</p>