# 119-s-939: Medicare Dental, Hearing, and Vision Expansion Act of 2025

119-s-939, Medicare Dental, Hearing, and Vision Expansion Act of 2025, is a 119th Congress bill sponsored by Sen. Sanders, Bernard [I-VT] (I-VT); status introduced; PRIA reads it as touching household money (as of 2026-05-16).

- Canonical: https://policyrisk.com/legislation/119-s-939
- As of: 2026-05-16
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-939
- Congress: 119
- Title: Medicare Dental, Hearing, and Vision Expansion Act of 2025
- Status: introduced
- Introduced: 2025-03-11
- Sponsor: Sen. Sanders, Bernard [I-VT] (I-VT)
- Cosponsors: 8
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-05-16

## Summary

**Expands Medicare to cover comprehensive dental, hearing, and vision services.** It would add preventive and restorative dental care, dentures and prosthetics, audiology and hearing aids, and routine eye exams with staged start dates and a phased Part B premium rule for 2026–2030. - Medicare beneficiaries would gain preventive dental services, restorative care, dentures, audiology visits, hearing aids for moderately severe-or-worse loss, and routine eye exams under Part B. - Providers would be paid under a new Part B dental fee schedule initially set at 70% of the 2020 ADA median. Oral health professionals would receive payment based on 85% of the fee schedule amount. - Rural Health Clinics and Federally Qualified Health Centers could furnish these services and use temporary 1848-based payment rules until sufficient data are available or January 1, 2031. - Implementation funding is provided, including $900 million for dental and $500 million for vision implementation support. - The Secretary would establish fee schedules, designate Medicare Administrative Contractors to manage dental claims, and begin competitive acquisition for hearing aids by January 1, 2031.

## Cosponsors (8)

- Sen. Warren, Elizabeth [D-MA] (D-MA), 2025-03-11T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-03-11T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-03-11T00:00:00.000Z
- Sen. Markey, Edward J. [D-MA] (D-MA), 2025-03-11T00:00:00.000Z
- Sen. Duckworth, Tammy [D-IL] (D-IL), 2025-03-11T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2025-03-11T00:00:00.000Z
- Sen. Blumenthal, Richard [D-CT] (D-CT), 2025-03-11T00:00:00.000Z
- Sen. Schiff, Adam B. [D-CA] (D-CA), 2025-12-08T00:00:00.000Z

## Provisions PRIA read

- New Medicare dental coverage rules: benefit, high. If enacted, Medicare Part B would cover many dental and oral services starting Jan 1, 2027. Dentures would be covered starting Jan 1, 2026. Preventive care would be paid in full, most other services would pay 80% of the allowed amount, and special rules apply when services are from an oral health p…
- New Medicare hearing aid benefit: benefit, high. If enacted, Medicare would treat hearing aids as a Part B prosthetic device for people with moderately severe or worse hearing loss starting Jan 1, 2027. Coverage would generally pay 80% up to a cap tied to the 2021 Federal Supply Schedule rate updated to the year. Hearing aids would be limited to…
- Medicare vision exams and glasses: benefit, medium. If enacted, Medicare Part B would cover one routine eye exam every two years starting Jan 1, 2027. It would also cover one pair of conventional eyeglasses (lenses and frame) every two years, with an extra pair allowed after cataract surgery. Payment for eyeglasses would be capped at the 2021 Federa…
- Changes to exclusions and self-referral: mixed, medium. If enacted, the bill would remove the general Medicare exclusion for certain hearing aids and exams that meet the new Part B rules. It would also add exclusions for dental or vision services given more often than allowed. The bill creates transitional physician self-referral rules for hearing servi…
- Rural and community clinics can offer care: mixed, medium. If enacted, Rural Health Clinics and Federally Qualified Health Centers could provide dental, hearing, and vision services through staff or contractors starting Jan 1, 2027. While HHS collects payment data (or until Jan 1, 2031), those services would be paid using Medicare physician rates instead o…

## Related bills

- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-2823: FAMILY Act
- 119-s-51: Washington, D.C. Admission Act
- 119-s-5108: Right to IVF Act of 2026
- 119-s-4540: Reproductive Health Care Accessibility Act

## Sources
- [119-s-939 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/939)

## Related
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-2823: FAMILY Act](https://policyrisk.com/legislation/119-s-2823)
- [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51)
- [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108)
- [119-s-4540: Reproductive Health Care Accessibility Act](https://policyrisk.com/legislation/119-s-4540)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-939 (as of 2026-05-16).