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Mandatory Dental Coverage for Adults under Medicaid

This bill amends the Social Security Act to mandate that Medicaid programs in the 50 States and D.C. provide dental and oral health services for adults, including dentures and implants. This requirement applies to calendar quarters beginning on or after January 1, 2025. For a period of 12 quarters (three years), the Federal medical assistance percentage (FMAP) is set at 100% for expenditures related to these services, excluding services that were available prior to the enactment of the subsection.
Key points
Starting January 1, 2025, states are required to provide dental benefits to Medicaid adults, covering treatment, prevention, dentures, and implants.
The federal government will provide a 100% Federal medical assistance percentage (FMAP) for these services for the first 12 quarters (three years), provided the services were not previously covered.
The Secretary will publish a core set of adult oral health quality and equity measures, and states will be required to report on these measures annually.
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Additional Information
Print number: 118_HR_1342
Sponsor: Rep. Barragan, Nanette Diaz [D-CA-44]
Process start date: 2023-03-03
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OFFICIAL LEGAL TITLE

Medicaid Dental Benefit Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_1342.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2023-03-03.

What are the main provisions?

Key points include:

  • Starting January 1, 2025, states are required to provide dental benefits to Medicaid adults, covering treatment, prevention, dentures, and implants.
  • The federal government will provide a 100% Federal medical assistance percentage (FMAP) for these services for the first 12 quarters (three years), provided the services were not previously covered.
  • The Secretary will publish a core set of adult oral health quality and equity measures, and states will be required to report on these measures annually.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Barragan, Nanette Diaz [D-CA-44].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-30.

CATEGORIES

Health Benefits