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119-s-5088119th CongressWALLET

Ensuring Kids Have Access to Medically Necessary Dental Care Act

Sponsored By: Senator Alsobrooks, Angela D. [D-MD]

Introduced

Summary

This bill would create a ban on lifetime or annual dollar limits for CHIP dental benefits for targeted low-income children and for targeted low-income pregnant women when a state offers pregnancy-related assistance. The protections would take effect six months after enactment.

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  • Children and families: Targeted low-income children would not face lifetime or annual dollar caps on dental services covered by the State Children's Health Insurance Program, including services provided through dental coverage equivalent to a benchmark dental package.
  • Pregnant women: When a state elects to provide pregnancy-related CHIP assistance, targeted low-income pregnant women would also be protected from lifetime and annual dollar limits on dental benefits.
  • State coverage and supplements: States that offer dental-only supplemental coverage would have to ensure those plans are no more generous in benefits or cost-sharing than the dental coverage provided to children eligible for the full CHIP benefit package, creating required wraparound parity.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

No dental caps for CHIP children

If enacted, this bill would ban States from imposing lifetime or yearly dollar limits on dental care paid by CHIP for targeted low‑income children. It would also cover targeted low‑income pregnant women, but only in States that choose to provide pregnancy‑related assistance. States that offer dental‑only supplemental plans would not be allowed to give those plans better dental benefits or lower cost‑sharing than the full CHIP dental coverage for children. These changes would apply to dental services covered through CHIP or equivalent benchmark dental packages and would take effect six months after enactment.

Sponsors & CoSponsors

Sponsor

Alsobrooks, Angela D. [D-MD]

MD • D

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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