Title 42, The Public Health and WelfareRelease 119-110

§256g–1 Demonstration Program to Increase Access to Dental Health Care Services

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part D — Primary Health Care › subpart x — primary dental programs › § 256g–1

Last updated Sep 23, 2026|Official source

Summary

The Secretary can give grants to 15 eligible organizations so they can start programs that train or hire alternative dental health care providers to improve dental care in rural and other underserved areas. “Alternative dental health care providers” covers roles like community dental health coordinators, various types of dental hygienists, dental therapists, dental health aides, primary care doctors, and any other types the Secretary approves. Eligible organizations include colleges (including community colleges), public‑private partnerships, federally qualified health centers, Indian Health Service facilities or tribes, state or county public health clinics or similar tribal or urban Indian dental programs, and public hospitals or health systems. Applicants must be in an accredited dental program and apply to the Secretary as required. Each grant must be at least $4,000,000 for the 5‑year project. Projects must start within 2 years after March 23, 2010, and end within 7 years after that date. Beginning 1 year after March 23, 2010, up to 20% of a grant may be paid early for planning; the rest must be paid so at least 15% of the remaining amount is paid each later year. Grantees must certify they meet state licensing rules. The Secretary must hire the Director of the Institute of Medicine to study the demonstration projects using both quantitative and qualitative data. A dental health aide program approved by the Indian Health Service can get a grant. Congress may provide whatever money is needed to run the program.

Full Legal Text

Title 42, §256g–1

The Public Health and Welfare, Source: USLM XML via OLRC

(a)In general
(1)Authorization
The Secretary is authorized to award grants to 15 eligible entities to enable such entities to establish a demonstration program to establish training programs to train, or to employ, alternative dental health care providers in order to increase access to dental health care services in rural and other underserved communities.
(2)Definition
The term “alternative dental health care providers” includes community dental health coordinators, advance practice dental hygienists, independent dental hygienists, supervised dental hygienists, primary care physicians, dental therapists, dental health aides, and any other health professional that the Secretary determines appropriate.
(b)Timeframe
The demonstration projects funded under this section shall begin not later than 2 years after March 23, 2010, and shall conclude not later than 7 years after March 23, 2010.
(c)Eligible entities
To be eligible to receive a grant under subsection (a), an entity shall—
(1)be—
(A)an institution of higher education, including a community college;
(B)a public-private partnership;
(C)a federally qualified health center;
(D)an Indian Health Service facility or a tribe or tribal organization (as such terms are defined in section 5304 of title 25);
(E)a State or county public health clinic, a health facility operated by an Indian tribe or tribal organization, or urban Indian organization providing dental services; or
(F)a public hospital or health system;
(2)be within a program accredited by the Commission on Dental Accreditation or within a dental education program in an accredited institution; and
(3)shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.
(d)Administrative provisions
(1)Amount of grant
Each grant under this section shall be in an amount that is not less than $4,000,000 for the 5-year period during which the demonstration project being conducted.
(2)Disbursement of funds
(A)Preliminary disbursements
Beginning 1 year after March 23, 2010, the Secretary may disperse to any entity receiving a grant under this section not more than 20 percent of the total funding awarded to such entity under such grant, for the purpose of enabling the entity to plan the demonstration project to be conducted under such grant.
(B)Subsequent disbursements
The remaining amount of grant funds not dispersed under subparagraph (A) shall be dispersed such that not less than 15 percent of such remaining amount is dispersed each subsequent year.
(e)Compliance with State requirements
Each entity receiving a grant under this section shall certify that it is in compliance with all applicable State licensing requirements.
(f)Evaluation
The Secretary shall contract with the Director of the Institute of Medicine to conduct a study of the demonstration programs conducted under this section that shall provide analysis, based upon quantitative and qualitative data, regarding access to dental health care in the United States.
(g)Clarification regarding dental health aide program
Nothing in this section shall prohibit a dental health aide training program approved by the Indian Health Service from being eligible for a grant under this section.
(h)Authorization of appropriations
There is authorized to be appropriated such sums as may be necessary to carry out this section.

Reference

Citations & Metadata

Citation

42 U.S.C. § 256g–1

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110