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Comprehensive Dental Reform: Expanded Coverage in Medicare and Medicaid

This Act aims to improve access to oral health care by expanding dental coverage under Medicare and Medicaid, including dentures. Citizens covered by these programs will gain access to preventive and restorative services. Furthermore, the law seeks to boost the dental workforce in underserved areas through training programs and student loan repayment incentives.
Key points
Medicare: Coverage of oral health services (preventive, restorative, emergency) and dentures, with 100% coverage for preventive services and 80% for other services (effective January 1, 2025).
Medicaid: Definition of oral health services for adults, including pregnant and postpartum women, and a 15 percentage point increase in federal funding for states meeting specific requirements.
Health Insurance (ACA): Oral health services for children and adults are added to the list of 'Essential Health Benefits'.
Veterans: Requirement for the Department of Veterans Affairs (VA) to furnish dental care in the same manner as any other medical service, and removal of certain eligibility restrictions.
Workforce: Expansion of scholarship and loan repayment programs (National Health Service Corps) to include dental therapists, dentists, and hygienists.
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Additional Information
Print number: 118_HR_9622
Sponsor: Rep. Dingell, Debbie [D-MI-6]
Process start date: 2024-09-17