Four notes:
1. Massachusetts voters greenlighted a first-of-its-kind initiative to reform dental insurer spending in November.
2. The ballot question asked voters whether the state should establish a medical loss ratio that would require dental insurers to spend at least 83 percent of premium dollars on dental services or refund the difference to patients.
3. Voters overwhelmingly approved the measure, with 71.6 percent of the votes cast in favor of it, making it the most popular question on the ballot.
4. The law will take effect on Jan. 1, 2024.
