Bills/H.R. 1521

DOC Access Act of 2025

DOC Access Act of 2025

In CommitteeHealthcareHouseHouse Bill · 119th Congress
Bill Progress · House
Introduced
Committee
Passed House
Passed Senate
Passed Both
Signed

Plain Language Summary

# DOC Access Act of 2025 Summary **What the bill would do:** The DOC Access Act would limit how private health insurance companies can control costs for dental and vision care. Specifically, it would prevent insurers from setting their own rates for services provided by dentists and optometrists—except for basic dental cleanings—unless the insurance plan actually pays a substantial portion of those costs. The bill would also require insurers to get a dentist's or optometrist's approval before renewing limited dental or vision coverage agreements beyond two years, and would prohibit insurers from forcing these doctors to use specific laboratories or suppliers. **Who it affects:** This bill primarily affects dentists, optometrists, and their patients.

It could impact private health insurance companies and employers who offer dental and vision benefits to their workers. Patients might see changes in their coverage options and how much they pay out-of-pocket for these services. **Current status:** The bill was introduced by Representative Buddy Carter (R-GA) in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full House of Representatives. The bill would not override existing state insurance laws.

CRS Official Summary

Dentist and Optometric Care Access Act of 2025 or the DOC Access Act of 2025This 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 (or an employer of such a doctor) for which the plan does not pay a substantial amount.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.Such doctors may elect to waive the application of the payment amount and choice of laboratories provisions of this bill.The bill does not supersede state laws regarding health insurers and dental or vision benefit plans.

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Latest Action

February 24, 2025

Referred to the House Committee on Energy and Commerce.

Subjects

Civil actions and liabilityDental careEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessHearing, speech, and vision careState and local government operations

Sponsor

99 cosponsors

Key Dates

Introduced
February 24, 2025
Last Updated
February 24, 2025
Read Full Text on Congress.gov →
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