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Massachusetts Bill H.1174 Authorizes Direct Dental Care Agreements Bypassing Insurance

Original title: An Act to create direct dental care agreements

Last action · March 12, 2026: Accompanied a study order, see H5207Sponsor: Homar Gomez

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Massachusetts House Bill 1174 allows dentists and patients to enter into agreements based on periodic fees rather than traditional insurance arrangements. The bill explicitly exempts these agreements and participating dentists from regulation by the division of insurance. This measure changes how patients can pay for dental screening, assessment, and diagnosis.

Why it matters

Establishes a legal framework for subscription-style dental care models in Massachusetts, removing participating dental practices from insurance division oversight while setting mandatory contract requirements.

Background
  • Homar Gómez represents Easthampton in the Massachusetts House of Representatives. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Dentists

Licensed dentists are permitted to enter into direct dental care agreements with patients and are exempted from division of insurance oversight for these agreements.

Directly affected

Patients

Individuals are legally permitted to contract directly with dentists for care using periodic fee arrangements instead of insurance.

Directly affected

Division of Insurance

The division is explicitly barred from exercising oversight over direct dental care agreements and participating dentists regarding these agreements.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is a direct dental care agreement?
It is an agreement between a dentist and a patient for the delivery of based on a periodic fee for a specified period, rather than through dental insurance.
Are direct dental care agreements regulated by the division of insurance?
No. The bill explicitly states that participating dentists and these agreements are not considered insurance and are not subject to the oversight of the division of insurance.
Can a dentist submit a fee-for-service claim for services covered under a direct agreement?
No. The agreement must explicitly prohibit the dentist from submitting a fee-for-service claim for services covered under the agreement.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

4 actions
  1. Mar 12, 2026House
    Accompanied a study order, see H5207
  2. Oct 15, 2025Joint
    Hearing scheduled for 10/27/2025 from 10:30 AM-04:00 PM in Gardner Auditorium
  3. Feb 27, 2025Senate
    Senate concurred
  4. Feb 27, 2025HouseCommittee
    Referred to the committee on Financial Services

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Division of Insurance, Homar Gomez
OrganizationDivision of Insurance“Excluded from regulating direct dental care agreements and participating dentist”Map →
PersonHomar Gomez“Representative who filed the petition for House, No. 1174”Map →

Sources

Open source document

malegislature.gov

Analysis Score

0–100
  • Significance50
    How much this matters to a regular citizen
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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