II 

117TH CONGRESS 

1ST SESSION S. 560 

To improve coverage of maternal oral health care, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MARCH 3, 2021 

Ms. STABENOW introduced the following bill; which was read twice and 

referred to the Committee on Finance 

A BILL 

To improve coverage of maternal oral health care, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Oral Health for Moms 

5 Act’’. 

6 SEC. 2. REQUIRING COVERAGE OF ORAL HEALTH SERVICES 

7 FOR PREGNANT AND POSTPARTUM INDIVID8 UALS. 

9 (a) IN GENERAL.— 

10 (1) MEDICAID.—Section 1905 of the Social Se11 curity Act (42 U.S.C. 1396d) is amended— 


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1 (A) in subsection (a)(4)— 

2 (i) by striking ‘‘; and (D)’’ and insert3 ing ‘‘; (D)’’; and 

4 (ii) by inserting ‘‘; and (E) beginning 

5 January 1, 2022, oral health services for 

6 pregnant and postpartum individuals (as 

7 defined in subsection (hh))’’ after ‘‘sub8 section (hh))’’; and 

9 (B) by adding at the end the following new 

10 subsection: 

11 ‘‘(hh) ORAL HEALTH SERVICES FOR PREGNANT AND

12 POSTPARTUM INDIVIDUALS.— 

13 ‘‘(1) IN GENERAL.—For purposes of this title, 

14 the term ‘oral health services for pregnant and 

15 postpartum individuals’ means dental services nec16 essary to prevent disease and promote oral health, 

17 restore oral structures to health and function, and 

18 treat emergency conditions that are furnished to an 

19 individual during pregnancy (or during the 60-day 

20 period beginning on the last day of the pregnancy or 

21 such longer period beginning on the last day of the 

22 pregnancy as the State shall elect). 

23 ‘‘(2) COVERAGE REQUIREMENTS.—To satisfy 

24 the requirement to provide oral health services for 

25 pregnant and postpartum individuals, a State shall, 


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1 at a minimum, provide coverage to prevent disease 

2 and promote oral health, restore oral structures to 

3 health and function, and treat emergency conditions, 

4 consistent with recommendations for perinatal oral 

5 health care and dental care during pregnancy from 

6 the American Academy of Pediatric Dentistry and 

7 the American College of Obstetricians and Gyne8 cologists. Such coverage shall include— 

9 ‘‘(A) routine diagnostic and preventive care 

10 such as dental cleanings, exams, and X-rays; 

11 ‘‘(B) basic dental services such as fillings 

12 and extractions; 

13 ‘‘(C) major dental services such as root ca14 nals, crowns, and dentures; 

15 ‘‘(D) emergency dental care; and 

16 ‘‘(E) other necessary services related to 

17 dental and oral health (as defined by the Sec18 retary).’’. 

19 (2) COVERAGE OF ORAL HEALTH SERVICES FOR

20 PREGNANT AND POSTPARTUM INDIVIDUALS REGARD21 LESS OF ELIGIBILITY PATHWAY.—Section 

22 1902(a)(10) of the Social Security Act (42 U.S.C. 

23 1396a(a)(10)) is amended in the matter following 

24 subparagraph (G)— 


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1 (A) by striking ‘‘and (XVIII)’’ and insert2 ing ‘‘(XVIII)’’; and 

3 (B) by striking the semicolon at the end 

4 and inserting ‘‘, and (XIX) beginning January 

5 1, 2022, medical assistance shall be made avail6 able for oral health services for pregnant and 

7 postpartum individuals for any individual who 

8 is eligible for and receiving medical assistance 

9 under the State plan or under a waiver of such 

10 plan during such individual’s pregnancy and 

11 during the 60-day period beginning on the last 

12 day of the pregnancy (or such longer period be13 ginning on the last day of the pregnancy as the 

14 State shall elect), notwithstanding any other 

15 provision of law (including another provision of 

16 this paragraph) limiting such individual’s eligi17 bility for medical assistance under such plan or 

18 waiver to coverage for a limited type of benefits 

19 and services that would not otherwise include 

20 coverage of oral health services for pregnant 

21 and postpartum individuals;’’. 

22 (3) CHIP.— 

23 (A) IN GENERAL.—Section 2103(c)(6)(A) 

24 of the Social Security Act (42 U.S.C. 

25 1397cc(c)(6)(A)) is amended by inserting ‘‘and, 


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1 in the case that the State elects to provide 

2 pregnancy-related assistance pursuant to sec3 tion 2112, the pregnancy-related assistance pro4 vided to a targeted low-income pregnant 

5 woman’’ after ‘‘targeted low-income child’’. 

6 (B) EFFECTIVE DATE.—The amendment 

7 made by this section shall take effect on Janu8 ary 1, 2022. 

9 (b) ENHANCED FMAP; MAINTENANCE OF EF10 FORT.— 

11 (1) MEDICAID.—Section 1905 of the Social Se12 curity Act (42 U.S.C. 1396d), as amended by sub13 section (a)(1), is further amended— 

14 (A) in subsection (b), by striking ‘‘and 

15 (ff)’’ and inserting ‘‘(ff), and (ii)’’; and 

16 (B) by adding at the end the following: 

17 ‘‘(ii) INCREASED FMAP FOR ADDITIONAL EXPENDI18 TURES FOR LOW-INCOME PREGNANT PEOPLE.— 

19 ‘‘(1) IN GENERAL.—Subject to paragraph (2), 

20 for calendar quarters beginning on or after January 

21 1, 2022, notwithstanding subsection (b), the Federal 

22 medical assistance percentage for a State, with re23 spect to the additional amounts expended by such 

24 State for medical assistance under the State plan 

25 under this title or a waiver of such plan that are atVerDate Sep 11 2014 19:14 Apr 06, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S560.IS S560

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1 tributable to requirements imposed by the amend2 ments made by the Oral Health for Moms Act (as 

3 determined by the Secretary), shall be equal to 100 

4 percent. 

5 ‘‘(2) MAINTENANCE OF EFFORT.—Paragraph 

6 (1) shall not apply with respect to a State if, for any 

7 calendar quarter during the period beginning with 

8 the date of enactment of this subsection and ending 

9 with January 1, 2025, the State— 

10 ‘‘(A) has in effect under such plan eligi11 bility standards, methodologies, or procedures 

12 (including any enrollment cap or other numer13 ical limitation on enrollment, any waiting list, 

14 any procedures designed to delay the consider15 ation of applications for enrollment, or similar 

16 limitation with respect to enrollment) for indi17 viduals described in subsection (l)(1) who are 

18 eligible for medical assistance under the State 

19 plan or waiver under subsection 

20 (a)(10)(A)(ii)(IX) that are more restrictive than 

21 the eligibility standards, methodologies, or pro22 cedures, respectively, for such individuals under 

23 such plan or waiver that are in effect on the 

24 date of the enactment of this subsection; or 


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1 ‘‘(B) provides pregnancy-related assistance 

2 to targeted low-income pregnant women under 

3 the State plan under title XXI (or a waiver of 

4 such a plan) at a level that is less than the level 

5 at which the State provides such assistance to 

6 such women under such plan on the date of the 

7 enactment of this subsection.’’. 

8 (2) CHIP.—Section 2105 of the Social Security 

9 Act (42 U.S.C. 1397ee) is amended— 

10 (A) in subsection (b), by adding at the end 

11 the following: ‘‘For calendar quarters beginning 

12 on or after January 1, 2022, the enhanced 

13 FMAP for a State shall, subject to paragraph 

14 (2) of subsection (h), be 100 percent with re15 spect to amounts described in paragraph (1) of 

16 such subsection.’’; and 

17 (B) by adding at the end the following new 

18 subsection: 

19 ‘‘(h) INCREASED eFMAP FOR ADDITIONAL EXPEND20 ITURES FOR TARGETED LOW-INCOME PREGNANT

21 WOMEN.— 

22 ‘‘(1) AMOUNTS DESCRIBED.—For purposes of 

23 subsection (b), the amounts described in this para24 graph are additional amounts expended by a State 

25 for pregnancy-related assistance that is provided 


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1 under the State plan under this title or a waiver of 

2 such plan during a calendar quarter beginning on or 

3 after January 1, 2022, that are attributable to the 

4 provision of dental coverage to targeted low-income 

5 pregnant women (as determined by the Secretary). 

6 ‘‘(2) MAINTENANCE OF EFFORT.—The fourth 

7 sentence of subsection (b) shall not apply with re8 spect to a State if, for any calendar quarter during 

9 the period beginning with the date of enactment of 

10 this subsection and ending with January 1, 2025, 

11 the State— 

12 ‘‘(A) has in effect under the State plan 

13 under title XIX (or a waiver of such a plan) eli14 gibility standards, methodologies, or procedures 

15 (including any enrollment cap or other numer16 ical limitation on enrollment, any waiting list, 

17 any procedures designed to delay the consider18 ation of applications for enrollment, or similar 

19 limitation with respect to enrollment) for indi20 viduals described in subsection (l)(1) of section 

21 1902 who are eligible for medical assistance 

22 under such State plan or waiver under sub23 section (a)(10)(A)(ii)(IX) of such section that 

24 are more restrictive than the eligibility stand25 ards, methodologies, or procedures, respectively, 


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1 for such individuals under such plan or waiver 

2 that are in effect on the date of the enactment 

3 of this subsection; or 

4 ‘‘(B) provides pregnancy-related assistance 

5 to targeted low-income pregnant women under 

6 the State plan under this title (or a waiver of 

7 such a plan) at a level that is less than the level 

8 at which the State provides such assistance to 

9 such women under such plan or waiver on the 

10 date of the enactment of this subsection.’’. 

11 (3) EXCLUSION OF AMOUNTS ATTRIBUTABLE

12 TO INCREASED FMAP FROM TERRITORIAL CAPS.— 

13 Section 1108 of the Social Security Act (42 U.S.C. 

14 1308) is amended— 

15 (A) in subsection (f), in the matter pre16 ceding paragraph (1), by striking ‘‘subsections 

17 (g) and (h)’’ and inserting ‘‘subsections (g), 

18 (h), and (i)’’; and 

19 (B) by adding at the end the following: 

20 ‘‘(i) EXCLUSION FROM CAPS OF AMOUNTS ATTRIB21 UTABLE TO INCREASED FMAP FOR COVERAGE OF ORAL

22 HEALTH SERVICES FOR PREGNANT AND POSTPARTUM

23 INDIVIDUALS.—Any payment made to a territory for ex24 penditures on medical assistance that are subject to the 

25 Federal medical assistance percentage specified under secVerDate Sep 11 2014 19:14 Apr 06, 2021 Jkt 019200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S560.IS S560

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1 tion 1905(ii) shall not be taken into account for purposes 

2 of applying payment limits under subsections (f) and (g) 

3 to the extent that such payment exceeds the amount of 

4 the payment that would have been made to the territory 

5 for such expenditures without regard to such section.’’. 

6 (4) ADJUSTMENT OF CHIP ALLOTMENTS TO AC7 COUNT FOR INCREASED EFMAP.—Section 2104 of 

8 the Social Security Act (42 U.S.C. 1397dd) is 

9 amended— 

10 (A) in subsection (c)— 

11 (i) in paragraph (1), by inserting 

12 ‘‘paragraph (5) and’’ before ‘‘subsections 

13 (d) and (m)(5)’’; and 

14 (ii) by adding at the end the following 

15 new paragraph: 

16 ‘‘(5) ADJUSTING ALLOTMENTS TO ACCOUNT

17 FOR INCREASED FEDERAL PAYMENTS FOR COV18 ERAGE OF DENTAL SERVICES FOR PREGNANT PEO19 PLE.—If a commonwealth or territory described in 

20 paragraph (3) receives payment for a fiscal year 

21 under subsection (a) of section 2105 for expendi22 tures that are subject to the enhanced FMAP speci23 fied under subsection (h) of such section, the 

24 amount of the allotment determined for such comVerDate Sep 11 2014 19:14 Apr 06, 2021 Jkt 019200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\S560.IS S560

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1 monwealth or territory under this subsection shall be 

2 increased by the amount by which— 

3 ‘‘(A) the amount of the payment received 

4 by the commonwealth or territory for such ex5 penditures for the fiscal year; exceeds 

6 ‘‘(B) the amount of the payment that the 

7 commonwealth or territory would have received 

8 for such expenditures for the fiscal year without 

9 regard to such subsection (h).’’; and 

10 (B) in subsection (m)— 

11 (i) in paragraph (2)(B), in the matter 

12 preceding clause (i), by striking ‘‘para13 graphs (5) and (7)’’ and inserting ‘‘para14 graphs (5), (7), and (12)’’; and 

15 (ii) by adding at the end the following 

16 new paragraph: 

17 ‘‘(12) ADJUSTING ALLOTMENTS TO ACCOUNT

18 FOR INCREASED FEDERAL PAYMENTS FOR COV19 ERAGE OF DENTAL SERVICES FOR PREGNANT PEO20 PLE.—If a State receives payment for a fiscal year 

21 under subsection (a) of section 2105 for expendi22 tures that are subject to the enhanced FMAP speci23 fied under subsection (h) of such section, the 

24 amount of the allotment determined for the State 


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1 and fiscal year under this subsection shall be in2 creased by the amount by which— 

3 ‘‘(A) the amount of the payment received 

4 by the State for such expenditures for the fiscal 

5 year; exceeds 

6 ‘‘(B) the amount of the payment that the 

7 State would have received for such expenditures 

8 for the fiscal year without regard to such sub9 section (h).’’. 

10 SEC. 3. MATERNAL ORAL HEALTH QUALITY MEASURES. 

11 Title XI of the Social Security Act (42 U.S.C. 1301 

12 et seq.) is amended by inserting after section 1139B the 

13 following new section: 

14 ‘‘SEC. 1139C. MATERNAL ORAL HEALTH QUALITY MEAS15 URES. 

16 ‘‘(a) DEVELOPMENT OF CORE SET OF MATERNAL

17 ORAL HEALTH CARE QUALITY MEASURES.— 

18 ‘‘(1) IN GENERAL.—The Secretary shall iden19 tify and publish a recommended core set of health 

20 quality measures for enrolled pregnant individuals in 

21 the same manner as the Secretary identifies and 

22 publishes a core set of child health quality measures 

23 under section 1139A, including with respect to iden24 tifying and publishing existing maternal oral health 

25 quality measures for such individuals that are in use 


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1 under public and privately sponsored health care 

2 coverage arrangements, or that are part of reporting 

3 systems that measure both the presence and dura4 tion of health insurance coverage over time, that 

5 may be applicable to enrolled pregnant individuals. 

6 ‘‘(2) ALIGNMENT WITH EXISTING CORE SET.— 

7 In identifying and publishing the recommended core 

8 set of maternal oral health quality measures re9 quired under paragraph (1), the Secretary shall en10 sure that, to the extent possible, such measures 

11 align with and do not duplicate the core set of adult 

12 health quality measures identified, published, and re13 vised under section 1139B. 

14 ‘‘(3) PROCESS FOR MATERNAL ORAL HEALTH

15 QUALITY MEASURES PROGRAM.—In identifying gaps 

16 in existing maternal oral health quality measures 

17 and establishing priorities for the development and 

18 advancement of such measures, the Secretary shall 

19 consult with— 

20 ‘‘(A) States; 

21 ‘‘(B) health care providers, including phy22 sicians in the fields of general obstetrics, mater23 nal-fetal medicine, family medicine, 

24 neonatology, and pediatrics; 

25 ‘‘(C) dental professionals; and 


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1 ‘‘(D) national organizations with expertise 

2 in maternal oral health quality measurement. 

3 ‘‘(4) DEFINITION OF ENROLLED PREGNANT IN4 DIVIDUAL.—The term ‘enrolled pregnant individual’ 

5 means an individual who— 

6 ‘‘(A) is pregnant or is in the 60-day period 

7 beginning on the last day of the individual’s 

8 pregnancy; and 

9 ‘‘(B) is enrolled for medical assistance, 

10 child health assistance, or pregnancy-related as11 sistance (as applicable) under a State plan 

12 under title XIX or XXI (or a waiver of such a 

13 plan). 

14 ‘‘(b) DEADLINES.— 

15 ‘‘(1) RECOMMENDED MEASURES.—Not later 

16 than January 1, 2023, the Secretary shall identify 

17 and publish for comment a recommended core set of 

18 maternal oral health quality measures that includes 

19 the following: 

20 ‘‘(A) Measures of utilization of oral health 

21 and dental services during pregnancy across 

22 health care settings. 

23 ‘‘(B) Measures that address the availability 

24 of oral evaluations during or following medical 

25 visits for enrolled pregnant individuals. 


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1 ‘‘(C) Measures that address the incidence 

2 of emergency department visits for non-trau3 matic dental conditions during pregnancy. 

4 ‘‘(D) Measures that address the avail5 ability of follow-up dental care after emergency 

6 department visits for non-traumatic dental con7 ditions during pregnancy. 

8 ‘‘(E) Measures that address the availability 

9 of counseling of enrolled pregnant individuals 

10 and postpartum individuals aimed at improving 

11 the oral health of enrolled pregnant individuals 

12 and infants. 

13 ‘‘(F) Measures that address screening and 

14 evaluation for caries risk and periodontitis and 

15 treatment for caries risk and periodontitis, in16 cluding the following: 

17 ‘‘(i) The percentage of enrolled preg18 nant individuals who have caries risk docu19 mented in the reporting year involved. 

20 ‘‘(ii) The percentage of enrolled preg21 nant individuals who received a topical flu22 oride application or sealants based on an 

23 oral health risk assessment demonstrating 

24 the need for such application or sealants 

25 during the reporting year involved. 


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1 ‘‘(iii) The percentage of enrolled preg2 nant individuals who received a com3 prehensive or periodic oral evaluation or a 

4 comprehensive periodontal evaluation dur5 ing the reporting year involved. 

6 ‘‘(iv) The percentage of enrolled preg7 nant individuals with a history of 

8 periodontitis who received an oral prophy9 laxis, scaling or root planing, or peri10 odontal maintenance visit at least 2 times 

11 during the reporting year involved. 

12 ‘‘(2) DISSEMINATION.—Not later than January 

13 1, 2024, the Secretary shall publish an initial core 

14 set of maternal oral health quality measures that are 

15 applicable to enrolled pregnant individuals. 

16 ‘‘(3) STANDARDIZED REPORTING.—Not later 

17 than January 1, 2025, the Secretary, in consultation 

18 with States, shall develop a standardized format for 

19 reporting information based on the initial core set of 

20 maternal oral health quality measures (stratified by 

21 race, ethnicity, primary language, and disability sta22 tus) and create procedures to encourage States to 

23 use such measures to voluntarily report information 

24 regarding the quality of oral health care for enrolled 

25 pregnant individuals. 


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1 ‘‘(4) REPORTS TO CONGRESS.—Not later than 

2 January 1, 2026, and every 3 years thereafter, the 

3 Secretary shall include in the report to Congress re4 quired under section 1139A(a)(6) information simi5 lar to the information required under that section 

6 with respect to the measures established under this 

7 section. 

8 ‘‘(c) ANNUAL STATE REPORTS REGARDING STATE9 SPECIFIC MATERNAL ORAL HEALTH QUALITY MEASURES

10 APPLIED UNDER MEDICAID OR CHIP.— 

11 ‘‘(1) IN GENERAL.—Each State with a plan or 

12 waiver approved under title XIX or XXI shall annu13 ally report (separately or as part of the annual re14 port required under section 1139A(c)) to the Sec15 retary on— 

16 ‘‘(A) the State-specific maternal oral 

17 health quality measures applied by the State 

18 under such a plan or waiver, including meas19 ures described in subsection (b)(1); 

20 ‘‘(B) the State-specific information on the 

21 quality of oral health care furnished to enrolled 

22 pregnant individuals under such a plan or waiv23 er, including information collected through ex24 ternal quality reviews of managed care organiVerDate Sep 11 2014 19:14 Apr 06, 2021 Jkt 019200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\S560.IS S560

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1 zations under section 1932 and benchmark 

2 plans under section 1937; and 

3 ‘‘(C) the State-specific information regard4 ing the dental benefits available to enrolled 

5 pregnant individuals under such a plan or waiv6 er, including any limits on such benefits and 

7 the amount of reimbursement provided under 

8 such plan or waiver for such benefits. 

9 ‘‘(2) PUBLICATION.—Not later than September 

10 30, 2026, and annually thereafter, the Secretary 

11 shall collect, analyze, and make publicly available the 

12 information reported by States under paragraph (1). 

13 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

14 are authorized to be appropriated $10,000,000 to carry 

15 out this section. Funds appropriated under this subsection 

16 shall remain available until expended.’’. 

17 SEC. 4. INCLUSION OF ORAL HEALTH SERVICES FOR PREG18 NANT AND POSTPARTUM INDIVIDUALS AS AN 

19 ESSENTIAL HEALTH BENEFIT. 

20 (a) IN GENERAL.—Section 1302(b) of the Patient 

21 Protection and Affordable Care Act (42 U.S.C. 18022(b)) 

22 is amended— 

23 (1) in paragraph (1), by adding at the end the 

24 following: 


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1 ‘‘(K) Oral health services for pregnant and 

2 postpartum individuals.’’; and 

3 (2) in paragraph (4)(F)— 

4 (A) by striking ‘‘section 1311(b)(2)(B)(ii)’’ 

5 and inserting ‘‘section 1311(d)(2)(B)(ii)’’; and 

6 (B) by inserting ‘‘or (1)(K)’’ after ‘‘para7 graph (1)(J)’’. 

8 (b) STATE EXCHANGE REQUIREMENTS.—Section 

9 1311(d)(2)(B)(ii) of the Patient Protection and Affordable 

10 Care Act (42 U.S.C. 18031(d)(2)(B)(ii)) is amended by 

11 inserting ‘‘or oral health benefits meeting the require12 ments of section 1302(d)(1)(K)’’ before the period. 

13 (c) PREMIUM ASSISTANCE CREDIT AMOUNT.—Sec14 tion 36B(b)(3)(E) of the Internal Revenue Code of 1986 

15 is amended— 

16 (1) by striking ‘‘section 1311(d)(2)(B)(ii)(I)’’ 

17 and inserting ‘‘section 1311(d)(2)(B)(ii)’’; and 

18 (2) by striking ‘‘section 1302(b)(1)(J)’’ and in19 serting ‘‘subparagraph (J) or (K) of section 

20 1302(b)(1)’’. 

21 (d) CONFORMING AMENDMENT.—Section 

22 2715(b)(3)(B)(i) of the Public Health Service Act (42 

23 U.S.C. 300gg–15(b)(3)(B)(i)) is amended by striking 

24 ‘‘through (J)’’ and inserting ‘‘through (K)’’. 


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1 SEC. 5. FEDERALLY QUALIFIED HEALTH CENTER GRANT 

2 PROGRAM. 

3 (a) IN GENERAL.—Not later than 1 year after the 

4 date of enactment of this Act, the Secretary of Health and 

5 Human Services (in this Act referred to as the ‘‘Sec6 retary’’) shall establish a grant program under which the 

7 Secretary shall award grants to Federally qualified health 

8 centers (as defined in section 1861(aa)(4) of the Social 

9 Security Act (42 U.S.C. 1395x(aa)(4))) to enter into ar10 rangements with private dental providers to provide dental 

11 services to eligible individuals. 

12 (b) AUTHORIZATION OF APPROPRIATIONS.—There 

13 are authorized to be appropriated to the Secretary such 

14 sums as are necessary to carry out this section. 

15 SEC. 6. MATERNAL ORAL HEALTH CARE REPORT. 

16 Not later than 2 years after the date of enactment 

17 of this Act, the Medicaid and CHIP Payment and Access 

18 Commission shall issue a report on issues related to ma19 ternal oral health across the 50 States and the territories, 

20 including— 

21 (1) the availability of maternal oral health cov22 erage, and enrollment in such coverage; 

23 (2) a survey of oral health status among low24 income women of childbearing age; 

25 (3) barriers to accessing maternal oral health 

26 care; 


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1 (4) innovations and potential solutions to prob2 lems of access to maternal oral health care, includ3 ing innovations that would expand access to such 

4 care beyond dental offices; and 

5 (5) the impact of the requirement (imposed by 

6 the amendments made by section 2) that State Med7 icaid programs cover oral health services for preg8 nant and postpartum individuals on providers of ma9 ternal health care services, and such recommenda10 tions for improving reimbursement rates for such 

11 providers as the Commission deems appropriate. 

12 SEC. 7. INDIAN HEALTH SERVICE MATERNAL ORAL 

13 HEALTH INITIATIVE. 

14 (a) IN GENERAL.—Not later than 1 year after the 

15 date of enactment of this Act, the Secretary shall develop 

16 and implement, in consultation with Indian tribes and 

17 tribal organizations (as those terms are defined in section 

18 4 of the Indian Health Care Improvement Act (25 U.S.C. 

19 1603)), a formal initiative to improve the oral health sta20 tus of pregnant individuals, postpartum individuals, and 

21 infants and address barriers to oral health care during 

22 pregnancy for American Indian and Alaska Native popu23 lations. This initiative shall include strategies to— 


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1 (1) reduce the prevalence and severity of oral 

2 disease among pregnant individuals, postpartum in3 dividuals, and their infants; 

4 (2) improve access to oral health care during 

5 pregnancy and the postpartum period; 

6 (3) establish a data collection system to monitor 

7 prevalence of oral disease and access to care; 

8 (4) educate health and dental providers on the 

9 importance of oral health care during pregnancy and 

10 the postpartum period and build competencies in the 

11 delivery of such care; 

12 (5) increase rates of patient referral to oral 

13 health care by non-dental providers; and 

14 (6) establish mechanisms for outreach and edu15 cation of pregnant individuals and postpartum indi16 viduals for the purposes of improving oral health 

17 practices and access to care. 

18 (b) AUTHORIZATION OF APPROPRIATIONS.—There 

19 are authorized to be appropriated to the Secretary such 

20 sums as are necessary to carry out this section. 

21 SEC. 8. PERINATAL ORAL HEALTH OUTREACH AND EDU22 CATION. 

23 Not later than 1 year after the date of enactment 

24 of this Act, the Secretary shall develop a program, to be 

25 implemented by entities that fund or provide maternal 


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1 health care, oral health care, and maternal and infant sup2 port services, to provide— 

3 (1) interactive oral health education aimed at 

4 promoting good oral health practices for pregnant 

5 individuals and postpartum individuals who are eligi6 ble for or enrolled in the Medicaid program under 

7 title XIX of the Social Security Act or the Children’s 

8 Health Insurance Program under title XXI of the 

9 Social Security Act (42 U.S.C. 1396 et seq., 1397aa 

10 et seq.); 

11 (2) information on oral health and dental cov12 erage for pregnant individuals, postpartum individ13 uals, and children; and 

14 (3) assistance in connecting pregnant individ15 uals, postpartum individuals, and children to oral 

16 health care. 

17 SEC. 9. MATERNAL ORAL HEALTH TRAINING. 

18 (a) IN GENERAL.—Not later than 1 year after the 

19 date of enactment of this Act, the Secretary, acting 

20 through the Associate Administrator of the Maternal and 

21 Child Health Bureau of the Health Resources and Serv22 ices Administration, shall establish a grant program under 

23 which the Secretary shall award grants to eligible entities 

24 for the purpose of— 


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1 (1) integrating oral health care into maternal 

2 health care settings; 

3 (2) improving oral health outcomes during 

4 pregnancy and the postpartum period; 

5 (3) developing core competencies in oral health 

6 among maternal health providers, including obstetri7 cian-gynecologists and certified nurse-midwives, and 

8 non-clinical perinatal health workers, including com9 munity health workers and doulas; and 

10 (4) improving access to oral health care during 

11 pregnancy and closing referral gaps. 

12 (b) ELIGIBLE ENTITIES.—The Secretary may make 

13 grants under this section to, or enter into contracts with 

14 State health departments or other State health agencies, 

15 academic institutions, schools of medicine or dentistry, 

16 nonprofit hospitals, nonprofit accredited birth centers, or 

17 public or private nonprofit entities which the Secretary 

18 has determined are capable of carrying out such a grant 

19 or contract to— 

20 (1) plan, develop, and provide training of ma21 ternal health providers to establish core com22 petencies in oral health during pregnancy and the 

23 postpartum period; 

24 (2) provide information to maternal health pro25 viders, including information on periodontal disease, 


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25 

•S 560 IS

1 dental caries, oral health screening and risk assess2 ment, beneficial oral health practices for pregnant 

3 individuals and infants; and 

4 (3) provide tools and resources aimed at facili5 tating the integration of oral health care and refer6 ral to dental care into maternity care settings. 

7 (c) AUTHORIZATION OF APPROPRIATIONS.—There 

8 are authorized to be appropriated to the Secretary such 

9 sums as are necessary to carry out this section. 

Æ 


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