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H.R. 9833 · House bill · 119th Congress
This bill modifies dental coverage under the Children's Health Insurance Program (CHIP). Specifically, the bill prohibits lifetime or annual limits on CHIP dental coverage. It also requires states to offer dental-only supplemental coverage under CHIP to children who have other health insurance but are otherwise eligible for CHIP (i.e., wraparound coverage); such coverage is currently at the option of the state.
This Act may be cited as the “Ensuring Kids Have Access to Medically Necessary Dental Care Act”.
(a) In general.— Section 2103(c)(6) of the Social Security Act (42 U.S.C. 1397cc(c)(6)) is amended—
(1) in subparagraph (A), by inserting “, subject to subparagraph (D),” after “shall include”;
(2) in subparagraph (B), by striking “A State” and inserting “Subject to subparagraph (D), a State”; and
(3) by adding at the end the following new subparagraph:
“(D) No lifetime or annual limits on dental benefits.— A State shall not establish lifetime or annual limits on the dollar value of benefits for dental services provided under the State child health plan to a targeted low-income child, and, in the case that the State elects to provide pregnancy-related assistance pursuant to section 2112, to a targeted low-income pregnant woman (as defined in section 2112(d)), including benefits for such services that are provided through dental coverage that is otherwise equivalent to a benchmark dental package described in subparagraph (C).”.
(b) Effective date.— The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.
(a) In general.— Section 2110(b)(5) of the Social Security Act (42 U.S.C. 1397jj(b)(5)) is amended—
(1) in the paragraph header, by striking “Option” and inserting “Requirement”;
(2) in subparagraph (A), by striking “may waive” and inserting “shall waive”; and
(3) in subparagraph (C)—
(A) in the subparagraph header, by striking “Conditions” and inserting “Requirements”; and
(B) by striking “may not offer dental-only supplemental coverage under this paragraph unless the State satisfies the following conditions” and inserting “shall offer dental-only supplemental coverage under this paragraph in accordance with the following requirements”.
(b) Effective date.— The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.