Overview

Title

To allow additional individuals to enroll in standalone dental plans offered through Federal Exchanges.

ELI5 AI

H.R. 1397 wants to help more people get dental insurance by letting them sign up for a dental plan without needing to get health insurance first. This means people can choose to have only dental coverage if that's what they need.

Summary AI

H.R. 1397, titled the “Increasing Access to Dental Insurance Act,” is designed to help more people get dental insurance through Federal Exchanges, even if they don't have a health insurance plan. The bill changes the Patient Protection and Affordable Care Act to make sure that individuals can enroll in standalone dental plans without needing to also sign up for a health insurance plan. This gives individuals more flexibility and access to dental coverage independently.

Published

2025-02-18
Congress: 119
Session: 1
Chamber: HOUSE
Status: Introduced in House
Date: 2025-02-18
Package ID: BILLS-119hr1397ih

Bill Statistics

Size

Sections:
2
Words:
226
Pages:
2
Sentences:
7

Language

Nouns: 69
Verbs: 22
Adjectives: 15
Adverbs: 1
Numbers: 7
Entities: 21

Complexity

Average Token Length:
4.56
Average Sentence Length:
32.29
Token Entropy:
4.59
Readability (ARI):
19.60

AnalysisAI

Summary of the Bill

H.R. 1397, titled the "Increasing Access to Dental Insurance Act," is a bill introduced to the 119th Congress. The main purpose of this legislation is to allow individuals to enroll in standalone dental plans offered through Federal Exchanges without the requirement to also enroll in a health insurance plan. The bill seeks to amend Section 1321 of the Patient Protection and Affordable Care Act (ACA) to ensure that any qualified individual can access a dental plan independently through the marketplace.

Significant Issues

There are several significant issues related to the bill. First, the amendment to the ACA lacks clear context and explanation about the implications or overall purpose. This omission might lead to ambiguous interpretations and confusion among the public about what exact changes are being implemented and why they are necessary.

Secondly, the bill's language is technical, referencing specific sections of the ACA without offering additional context or simplification. This could make it difficult for the average person to understand the changes' implications, consequently hindering transparency of the legislative process.

Moreover, the bill does not provide details on how this amendment might alter the enrollment process for those looking to sign up solely for standalone dental plans. The absence of such crucial information could result in uncertainties about whether the enrollment procedures will become more straightforward or remain complex.

Impact on the Public

Broadly, this bill has the potential to increase access to dental care by allowing more individuals to enroll in dental plans without the burden of also purchasing health insurance. This could particularly benefit individuals who are in good health and do not wish to pay the additional costs associated with a full health insurance plan but still require dental coverage. Increased access may lead to improved dental health outcomes among broader segments of the population.

However, due to the lack of clarity within the bill, there is a possibility of misinterpretation regarding its impact and effectiveness. Without explicit guidance on how the enrollment process would be changed or improved, potential enrollees might still encounter barriers, thereby decreasing the bill's intended accessibility benefits.

Impact on Specific Stakeholders

For individuals who are primarily interested in obtaining dental insurance without committing to a comprehensive health plan, this bill could provide much-needed flexibility and affordability. This group includes young adults who may not have significant medical expenses but still need routine dental check-ups and treatments.

Insurance providers offering standalone dental plans might see an increase in enrollments, potentially expanding their customer base. However, insurance companies would need clear guidelines on how these amendments are to be implemented effectively to avoid any legal or administrative challenges.

On the other hand, some healthcare experts might worry that loosening enrollment requirements for dental plans could reduce overall participation in comprehensive health insurance plans, potentially destabilizing insurance markets.

In conclusion, while H.R. 1397 aims to make dental insurance more accessible and affordable, its current form may fall short due to the lack of clarity and precision. Understanding its full impact depends heavily on additional information and well-defined implementation strategies.

Issues

  • The amendment to Section 1321 of the Patient Protection and Affordable Care Act, as described in SEC. 2, could potentially lead to ambiguous interpretations due to the lack of context or explanation on the implications or purpose of the amendment. The general public may not fully understand the changes or their impact without further clarification.

  • The language in SEC. 2 may be overly technical and difficult for a layperson to understand, as it references specific sections and subsections of the law without providing additional explanation. This could contribute to a lack of transparency and hinder public understanding of the bill's effects.

  • The bill does not explain how the amendment might affect the enrollment process for standalone dental plans. This absence of information could lead to uncertainties regarding the impact on individuals who want to enroll in these plans only, potentially affecting their accessibility and availability.

  • The bill's limited information on the potential impacts or benefits to those enrolling solely in standalone dental plans raises concerns about its effectiveness in achieving its stated goal of increasing access to dental insurance.

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The first section of the bill states the official short title, which is the “Increasing Access to Dental Insurance Act.”

2. Standalone dental plans Read Opens in new tab

Summary AI

The amendment to the Patient Protection and Affordable Care Act ensures that individuals can enroll in standalone dental insurance plans through a health insurance marketplace without needing to also enroll in a health insurance plan.