II 

110TH CONGRESS 

1ST SESSION S. 739 

To provide disadvantaged children with access to dental services. 

IN THE SENATE OF THE UNITED STATES 

MARCH 1, 2007 

Mr. BINGAMAN (for himself, Mr. COCHRAN, Mr. CARDIN, Mr. KERRY, Ms. 

CANTWELL, and Mrs. LINCOLN) introduced the following bill; which was 

read twice and referred to the Committee on Finance 

A BILL 

To provide disadvantaged children with access to dental 

services. 

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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Children’s Dental Health Improvement Act of 2007’’. 

6 (b) TABLE OF CONTENTS.—The table of contents of 

7 this Act is as follows: 

Sec.1.Short title; table of contents. 

TITLE I—IMPROVING DELIVERY OF PEDIATRIC DENTAL 

SERVICES UNDER MEDICAID AND SCHIP 

Sec.101.Grants to improve the provision of dental services under medicaid 

and SCHIP. 


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Sec.102.State option to provide wrap-around SCHIP coverage to children who 

have other health coverage. 

TITLE II—CORRECTING GME PAYMENTS FOR DENTAL 

RESIDENCY TRAINING PROGRAMS 

Sec.201.Limitation on the application of the 1-year lag in the indirect medical 

education ratio (IME) changes and the 3-year rolling average 

for counting interns and residents for IME and direct graduate 

medical education (D–GME) payments under the medicare 

program. 

TITLE III—IMPROVING DELIVERY OF PEDIATRIC DENTAL SERVICES UNDER COMMUNITY HEALTH CENTERS, PUBLIC HEALTH 

DEPARTMENTS, AND THE INDIAN HEALTH SERVICE. 

Sec.301.Grants to improve the provision of dental health services through 

community health centers and public health departments. 

Sec.302.Dental officer multiyear retention bonus for the Indian Health Service. 

Sec.303.Demonstration projects to increase access to pediatric dental services 

in underserved areas. 

Sec.304.Technical correction. 

TITLE IV—IMPROVING ORAL HEALTH PROMOTION AND DISEASE 

PREVENTION PROGRAMS 

Sec.401.Oral health initiative. 

Sec.402.CDC reports. 

Sec.403.Early childhood caries. 

Sec.404.School-based dental sealant program. 

Sec.405.Basic oral health promotion. 

1 TITLE I—IMPROVING DELIVERY 

2 OF PEDIATRIC DENTAL SERV3 ICES UNDER MEDICAID AND 

4 SCHIP 

5 SEC. 101. GRANTS TO IMPROVE THE PROVISION OF DENTAL 

6 SERVICES UNDER MEDICAID AND SCHIP. 

7 Title V of the Social Security Act (42 U.S.C. 701 

8 et seq.) is amended by adding at the end the following: 


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1 ‘‘SEC. 511. GRANTS TO IMPROVE THE PROVISION OF DEN2 TAL SERVICES UNDER MEDICAID AND SCHIP. 

3 ‘‘(a) AUTHORITY TO MAKE GRANTS.—In addition to 

4 any other payments made under this title to a State, the 

5 Secretary shall award grants to States that satisfy the re6 quirements of subsection (b) to improve the provision of 

7 dental services to children who are enrolled in a State plan 

8 under title XIX or a State child health plan under title 

9 XXI (in this section, collectively referred to as the ‘State 

10 plans’). 

11 ‘‘(b) REQUIREMENTS.—In order to be eligible for a 

12 grant under this section, a State shall provide the Sec13 retary with the following assurances: 

14 ‘‘(1) IMPROVED SERVICE DELIVERY.—The 

15 State shall have a plan to improve the delivery of 

16 dental services to children, including children with 

17 special health care needs, who are enrolled in the 

18 State plans, including providing outreach and ad19 ministrative case management, improving collection 

20 and reporting of claims data, and providing incen21 tives, in addition to raising reimbursement rates, to 

22 increase provider participation. 

23 ‘‘(2) ADEQUATE PAYMENT RATES.—The State 

24 has provided for payment under the State plans for 

25 dental services for children at levels consistent with 

26 the market-based rates and sufficient enough to enVerDate Aug 31 2005 20:48 Mar 03, 2007 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S739.IS S739

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1 list providers to treat children in need of dental serv2 ices. 

3 ‘‘(3) ENSURED ACCESS.—The State shall en4 sure it will make dental services available to children 

5 enrolled in the State plans to the same extent as 

6 such services are available to the general population 

7 of the State. 

8 ‘‘(c) USE OF FUNDS.— 

9 ‘‘(1) IN GENERAL.—Funds provided under this 

10 section may be used to provide administrative re11 sources (such as program development, provider 

12 training, data collection and analysis, and research13 related tasks) to assist States in providing and as14 sessing services that include preventive and thera15 peutic dental care regimens. 

16 ‘‘(2) LIMITATION.—Funds provided under this 

17 section may not be used for payment of direct den18 tal, medical, or other services or to obtain Federal 

19 matching funds under any Federal program. 

20 ‘‘(d) APPLICATION.—A State shall submit an applica21 tion to the Secretary for a grant under this section in such 

22 form and manner and containing such information as the 

23 Secretary may require. 

24 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

25 are authorized to be appropriated to make grants under 


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1 this section $50,000,000 for fiscal year 2008 and each fis2 cal year thereafter. 

3 ‘‘(f) APPLICATION OF OTHER PROVISIONS OF

4 TITLE.— 

5 ‘‘(1) IN GENERAL.—Except as provided in para6 graph (2), the other provisions of this title shall not 

7 apply to a grant made under this section. 

8 ‘‘(2) EXCEPTIONS.—The following provisions of 

9 this title shall apply to a grant made under sub10 section (a) to the same extent and in the same man11 ner as such provisions apply to allotments made 

12 under section 502(c): 

13 ‘‘(A) Section 504(b)(6) (relating to prohi14 bition on payments to excluded individuals and 

15 entities). 

16 ‘‘(B) Section 504(c) (relating to the use of 

17 funds for the purchase of technical assistance). 

18 ‘‘(C) Section 504(d) (relating to a limita19 tion on administrative expenditures). 

20 ‘‘(D) Section 506 (relating to reports and 

21 audits), but only to the extent determined by 

22 the Secretary to be appropriate for grants made 

23 under this section. 

24 ‘‘(E) Section 507 (relating to penalties for 

25 false statements). 


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1 ‘‘(F) Section 508 (relating to non2 discrimination). 

3 ‘‘(G) Section 509 (relating to the adminis4 tration of the grant program).’’. 

5 SEC. 102. STATE OPTION TO PROVIDE WRAP-AROUND 

6 SCHIP COVERAGE TO CHILDREN WHO HAVE 

7 OTHER HEALTH COVERAGE. 

8 (a) IN GENERAL.— 

9 (1) SCHIP.— 

10 (A) STATE OPTION TO PROVIDE WRAP11 AROUND COVERAGE.—Section 2110(b) of the 

12 Social Security Act (42 U.S.C. 1397jj(b)) is 

13 amended— 

14 (i) in paragraph (1)(C), by inserting 

15 ‘‘, subject to paragraph (5),’’ after ‘‘under 

16 title XIX or’’; and 

17 (ii) by adding at the end the fol18 lowing: 

19 ‘‘(5) STATE OPTION TO PROVIDE WRAP-AROUND

20 COVERAGE.—A State may waive the requirement of 

21 paragraph (1)(C) that a targeted low-income child 

22 may not be covered under a group health plan or 

23 under health insurance coverage, if the State satis24 fies the conditions described in subsection (c)(8). 


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1 The State may waive such requirement in order to 

2 provide— 

3 ‘‘(A) dental services; 

4 ‘‘(B) cost-sharing protection; or 

5 ‘‘(C) all services. 

6 In waiving such requirement, a State may limit the 

7 application of the waiver to children whose family in8 come does not exceed a level specified by the State, 

9 so long as the level so specified does not exceed the 

10 maximum income level otherwise established for 

11 other children under the State child health plan.’’. 

12 (B) CONDITIONS DESCRIBED.—Section 

13 2105(c) of the Social Security Act (42 U.S.C. 

14 1397ee(c)) is amended by adding at the end the 

15 following: 

16 ‘‘(8) CONDITIONS FOR PROVISION OF WRAP17 AROUND COVERAGE.—For purposes of section 

18 2110(b)(5), the conditions described in this para19 graph are the following: 

20 ‘‘(A) INCOME ELIGIBILITY.—The State 

21 child health plan (whether implemented under 

22 title XIX or this XXI)— 

23 ‘‘(i) has the highest income eligibility 

24 standard permitted under this title as of 

25 January 1, 2008; 


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1 ‘‘(ii) subject to subparagraph (B), 

2 does not limit the acceptance of applica3 tions for children; and 

4 ‘‘(iii) provides benefits to all children 

5 in the State who apply for and meet eligi6 bility standards. 

7 ‘‘(B) NO WAITING LIST IMPOSED.—With 

8 respect to children whose family income is at or 

9 below 200 percent of the poverty line, the State 

10 does not impose any numerical limitation, wait11 ing list, or similar limitation on the eligibility of 

12 such children for child health assistance under 

13 such State plan. 

14 ‘‘(C) NO MORE FAVORABLE TREATMENT.— 

15 The State child health plan may not provide 

16 more favorable coverage of dental services to 

17 the children covered under section 2110(b)(5) 

18 than to children otherwise covered under this 

19 title.’’. 

20 (C) STATE OPTION TO WAIVE WAITING PE21 RIOD.—Section 2102(b)(1)(B) of the Social Se22 curity Act (42 U.S.C. 1397bb(b)(1)(B)) is 

23 amended— 

24 (i) in clause (i), by striking ‘‘and’’ at 

25 the end; 


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1 (ii) in clause (ii), by striking the pe2 riod and inserting ‘‘; and’’; and 

3 (iii) by adding at the end the fol4 lowing: 

5 ‘‘(iii) at State option, may not apply 

6 a waiting period in the case of a child de7 scribed in section 2110(b)(5), if the State 

8 satisfies the requirements of section 

9 2105(c)(8).’’. 

10 (2) APPLICATION OF ENHANCED MATCH UNDER

11 MEDICAID.—Section 1905 of the Social Security Act 

12 (42 U.S.C. 1396d) is amended— 

13 (A) in subsection (b), in the fourth sen14 tence, by striking ‘‘or subsection (u)(3)’’ and 

15 inserting ‘‘(u)(3), or (u)(4)’’; and 

16 (B) in subsection (u)— 

17 (i) by redesignating paragraph (4) as 

18 paragraph (5); and 

19 (ii) by inserting after paragraph (3) 

20 the following: 

21 ‘‘(4) For purposes of subsection (b), the ex22 penditures described in this paragraph are expendi23 tures for items and services for children described in 

24 section 2110(b)(5), but only in the case of a State 


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1 that satisfies the requirements of section 

2 2105(c)(8).’’. 

3 (3) APPLICATION OF SECONDARY PAYOR PROVI4 SIONS.—Section 2107(e)(1) of the Social Security 

5 Act (42 U.S.C. 1397gg(e)(1)) is amended— 

6 (A) by redesignating subparagraphs (B) 

7 through (D) as subparagraphs (C) through (E), 

8 respectively; and 

9 (B) by inserting after subparagraph (A) 

10 the following: 

11 ‘‘(B) Section 1902(a)(25) (relating to co12 ordination of benefits and secondary payor pro13 visions) with respect to children covered under 

14 a waiver described in section 2110(b)(5).’’. 

15 (b) EFFECTIVE DATE.—The amendments made by 

16 subsection (a) shall take effect on January 1, 2008, and 

17 shall apply to child health assistance and medical assist18 ance provided on or after that date. 


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1 TITLE II—CORRECTING GME 

2 PAYMENTS FOR DENTAL 

3 RESIDENCY TRAINING PRO4 GRAMS 

5 SEC. 201. LIMITATION ON THE APPLICATION OF THE 1- 

6 YEAR LAG IN THE INDIRECT MEDICAL EDU7 CATION RATIO (IME) CHANGES AND THE 3- 

8 YEAR ROLLING AVERAGE FOR COUNTING IN9 TERNS AND RESIDENTS FOR IME AND DI10 RECT GRADUATE MEDICAL EDUCATION (D–

11 GME) PAYMENTS UNDER THE MEDICARE 

12 PROGRAM. 

13 (a) IME RATIO AND ROLLING AVERAGE.—Section 

14 1886(d)(5)(B)(vi) of the Social Security Act (42 U.S.C. 

15 1395ww(d)(5)(B)(vi)) is amended by adding at the end 

16 the following new sentence: ‘‘For cost reporting periods 

17 beginning during fiscal years beginning on or after Octo18 ber 1, 2007, subclauses (I) and (II) shall be applied only 

19 with respect to a hospital’s approved medical residency 

20 training program in the fields of allopathic medicine and 

21 osteopathic medicine.’’. 

22 (b) D–GME ROLLING AVERAGE.—Section 

23 1886(h)(4)(G) of the Social Security Act (42 U.S.C. 

24 1395ww(h)(4)(G)) is amended by adding at the end the 

25 following new clause: 


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1 ‘‘(iv) APPLICATION FOR FY 2008 AND

2 SUBSEQUENT YEARS.—For cost reporting 

3 periods beginning during fiscal years be4 ginning on or after October 1, 2007, 

5 clauses (i) through (iii) shall be applied 

6 only with respect to a hospital’s approved 

7 medical residency training program in the 

8 fields of allopathic medicine and osteo9 pathic medicine.’’. 

10 TITLE III—IMPROVING DELIV11 ERY OF PEDIATRIC DENTAL 

12 SERVICES UNDER COMMU13 NITY HEALTH CENTERS, PUB14 LIC HEALTH DEPARTMENTS, 

15 AND THE INDIAN HEALTH 

16 SERVICE 

17 SEC. 301. GRANTS TO IMPROVE THE PROVISION OF DENTAL 

18 HEALTH SERVICES THROUGH COMMUNITY 

19 HEALTH CENTERS AND PUBLIC HEALTH DE20 PARTMENTS. 

21 Subpart I of part D of title III of the Public Health 

22 Service Act (42 U.S.C. 254b et seq.) is amended by insert 

23 before section 330, the following: 


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1 ‘‘SEC. 329. GRANT PROGRAM TO EXPAND THE AVAIL2 ABILITY OF SERVICES. 

3 ‘‘(a) IN GENERAL.—The Secretary, acting through 

4 the Health Resources and Services Administration, shall 

5 establish a program under which the Secretary may award 

6 grants to eligible entities and eligible individuals to expand 

7 the availability of primary dental care services in dental 

8 health professional shortage areas or medically under9 served areas. 

10 ‘‘(b) ELIGIBILITY.— 

11 ‘‘(1) ENTITIES.—To be eligible to receive a 

12 grant under this section an entity— 

13 ‘‘(A) shall be— 

14 ‘‘(i) a health center receiving funds 

15 under section 330 or designated as a Fed16 erally qualified health center; 

17 ‘‘(ii) a county or local public health 

18 department, if located in a federally-des19 ignated dental health professional shortage 

20 area; 

21 ‘‘(iii) an Indian tribe or tribal organi22 zation (as defined in section 4 of the In23 dian Self-Determination and Education 

24 Assistance Act (25 U.S.C. 450b)); 


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1 ‘‘(iv) a dental education program ac2 credited by the Commission on Dental Ac3 creditation; or 

4 ‘‘(v) a community-based program 

5 whose child service population is made up 

6 of at least 33 percent of children who are 

7 eligible children, including at least 25 per8 cent of such children being children with 

9 mental retardation or related develop10 mental disabilities, unless specific docu11 mentation of a lack of need for access by 

12 this sub-population is established; and 

13 ‘‘(B) shall prepare and submit to the Sec14 retary an application at such time, in such 

15 manner, and containing such information as the 

16 Secretary may require, including information 

17 concerning dental provider capacity to serve in18 dividuals with developmental disabilities. 

19 ‘‘(2) INDIVIDUALS.—To be eligible to receive a 

20 grant under this section an individual shall— 

21 ‘‘(A) be a dental health professional li22 censed or certified in accordance with the laws 

23 of State in which such individual provides den24 tal services; 


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1 ‘‘(B) prepare and submit to the Secretary 

2 an application at such time, in such manner, 

3 and containing such information as the Sec4 retary may require; and 

5 ‘‘(C) provide assurances that— 

6 ‘‘(i) the individual will practice in a 

7 federally-designated dental health profes8 sional shortage area; or 

9 ‘‘(ii) not less than 25 percent of the 

10 patients of such individual are— 

11 ‘‘(I) receiving assistance under a 

12 State plan under title XIX of the So13 cial Security Act (42 U.S.C. 1396 et 

14 seq.); 

15 ‘‘(II) receiving assistance under a 

16 State plan under title XXI of the So17 cial Security Act (42 U.S.C. 1397aa 

18 et seq.); or 

19 ‘‘(III) uninsured. 

20 ‘‘(c) USE OF FUNDS.— 

21 ‘‘(1) ENTITIES.—An entity shall use amounts 

22 received under a grant under this section to provide 

23 for the increased availability of primary dental serv24 ices in the areas described in subsection (a). Such 

25 amounts may be used to supplement the salaries ofVerDate Aug 31 2005 20:48 Mar 03, 2007 Jkt 059200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\S739.IS S739

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1 fered for individuals accepting employment as den2 tists in such areas. 

3 ‘‘(2) INDIVIDUALS.—A grant to an individual 

4 under subsection (a) shall be in the form of a 

5 $1,000 bonus payment for each month in which such 

6 individual is in compliance with the eligibility re7 quirements of subsection (b)(2)(C). 

8 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.— 

9 ‘‘(1) IN GENERAL.—Notwithstanding any other 

10 amounts appropriated under section 330 for health 

11 centers, there is authorized to be appropriated 

12 $40,000,000 for each of fiscal years 2008 through 

13 2012 to hire and retain dental health care providers 

14 under this section. 

15 ‘‘(2) USE OF FUNDS.—Of the amount appro16 priated for a fiscal year under paragraph (1), the 

17 Secretary shall use— 

18 ‘‘(A) not less than 65 percent of such 

19 amount to make grants to eligible entities; and 

20 ‘‘(B) not more than 35 percent of such 

21 amount to make grants to eligible individuals.’’. 

22 SEC. 302. DENTAL OFFICER MULTIYEAR RETENTION BONUS 

23 FOR THE INDIAN HEALTH SERVICE. 

24 (a) TERMS AND DEFINITIONS.—In this section: 


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1 (1) CREDITABLE SERVICE.—The term ‘‘cred2 itable service’’ includes all periods that a dental offi3 cer spent in graduate dental educational (GDE) 

4 training programs while not on active duty in the In5 dian Health Service and all periods of active duty in 

6 the Indian Health Service as a dental officer. 

7 (2) DENTAL OFFICER.—The term ‘‘dental offi8 cer’’ means an officer of the Indian Health Service 

9 designated as a dental officer. 

10 (3) DIRECTOR.—The term ‘‘Director’’ means 

11 the Director of the Indian Health Service. 

12 (4) RESIDENCY.—The term ‘‘residency’’ means 

13 a graduate dental educational (GDE) training pro14 gram of at least 12 months leading to a specialty, 

15 including general practice residency (GPR) or an ad16 vanced education general dentistry (AEGD). 

17 (5) SPECIALTY.—The term ‘‘specialty’’ means a 

18 dental specialty for which there is an Indian Health 

19 Service specialty code number. 

20 (b) REQUIREMENTS FOR BONUS.— 

21 (1) IN GENERAL.—An eligible dental officer of 

22 the Indian Health Service who executes a written 

23 agreement to remain on active duty for 2, 3, or 4 

24 years after the completion of any other active duty 

25 service commitment to the Indian Health Service 


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1 may, upon acceptance of the written agreement by 

2 the Director, be authorized to receive a dental officer 

3 multiyear retention bonus under this section. The 

4 Director may, based on requirements of the Indian 

5 Health Service, decline to offer such a retention 

6 bonus to any specialty that is otherwise eligible, or 

7 to restrict the length of such a retention bonus con8 tract for a specialty to less than 4 years. 

9 (2) LIMITATIONS.—Each annual dental officer 

10 multiyear retention bonus authorized under this sec11 tion shall not exceed the following: 

12 (A) $14,000 for a 4-year written agree13 ment. 

14 (B) $8,000 for a 3-year written agreement. 

15 (C) $4,000 for a 2-year written agreement. 

16 (c) ELIGIBILITY.— 

17 (1) IN GENERAL.—In order to be eligible to re18 ceive a dental officer multiyear retention bonus 

19 under this section, a dental officer shall— 

20 (A) be at or below such grade as the Di21 rector shall determine; 

22 (B) have completed any active duty service 

23 commitment of the Indian Health Service in24 curred for dental education and training or 

25 have 8 years of creditable service; 


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1 (C) have completed initial residency train2 ing, or be scheduled to complete initial resi3 dency training before September 30 of the fiscal 

4 year in which the officer enters into a dental of5 ficer multiyear retention bonus written service 

6 agreement under this section; and 

7 (D) have a dental specialty in pediatric 

8 dentistry or oral and maxillofacial surgery. 

9 (2) EXTENSION TO OTHER OFFICERS.—The Di10 rector may extend the retention bonus to dental offi11 cers other than officers with a dental specialty in pe12 diatric dentistry, as well as to other dental hygien13 ists with a minimum of a baccalaureate degree, 

14 based on demonstrated need. 

15 (d) TERMINATION OF ENTITLEMENT TO SPECIAL

16 PAY.—The Director may terminate, with cause, at any 

17 time a dental officer’s multiyear retention bonus contract 

18 under this section. If such a contract is terminated, the 

19 unserved portion of the retention bonus contract shall be 

20 recouped on a pro rata basis. The Director shall establish 

21 regulations that specify the conditions and procedures 

22 under which termination may take place. The regulations 

23 and conditions for termination shall be included in the 

24 written service contract for a dental officer multiyear re25 tention bonus under this section. 


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1 (e) REFUNDS.— 

2 (1) IN GENERAL.—Prorated refunds shall be re3 quired for sums paid under a retention bonus con4 tract under this section if a dental officer who has 

5 received the retention bonus fails to complete the 

6 total period of service specified in the contract, as 

7 conditions and circumstances warrant. 

8 (2) DEBT TO UNITED STATES.—An obligation 

9 to reimburse the United States imposed under para10 graph (1) is a debt owed to the United States. 

11 (3) NO DISCHARGE IN BANKRUPTCY.—Notwith12 standing any other provision of law, a discharge in 

13 bankruptcy under title 11, United States Code, that 

14 is entered less than 5 years after the termination of 

15 a retention bonus contract under this section does 

16 not discharge the dental officer who signed such a 

17 contract from a debt arising under the contract or 

18 under paragraph (1). 

19 SEC. 303. DEMONSTRATION PROJECTS TO INCREASE AC20 CESS TO PEDIATRIC DENTAL SERVICES IN 

21 UNDERSERVED AREAS. 

22 (a) AUTHORITY TO CONDUCT PROJECTS.—The Sec23 retary of Health and Human Services, through the Admin24 istrator of the Health Resources and Services Administra25 tion and the Director of the Indian Health Service, shall 


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1 establish demonstration projects that are designed to in2 crease access to dental services for children in underserved 

3 areas, as determined by the Secretary. 

4 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

5 authorized to be appropriated such sums as may be nec6 essary to carry out this section. 

7 SEC. 304. TECHNICAL CORRECTION. 

8 Section 340G(b)(1)(B) of the Public Health Service 

9 Act (42 U.S.C. 256g(b)(1)(B)) is amended by striking 

10 ‘‘and’’ at the end and inserting ‘‘or’’. 

11 TITLE IV—IMPROVING ORAL 

12 HEALTH PROMOTION AND 

13 DISEASE PREVENTION PRO14 GRAMS 

15 SEC. 401. ORAL HEALTH INITIATIVE. 

16 (a) ESTABLISHMENT.—The Secretary of Health and 

17 Human Services shall establish an oral health initiative 

18 to reduce the profound disparities in oral health by im19 proving the health status of vulnerable populations, par20 ticularly low-income children and children with develop21 mental disabilities, to the level of health status that is en22 joyed by the majority of Americans. 

23 (b) ACTIVITIES.—The Secretary of Health and 

24 Human Services shall, through the oral health initiative— 


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1 (1) carry out activities to improve intra- and 

2 inter-agency collaborations, including activities to 

3 identify, engage, and encourage existing Federal and 

4 State programs to maximize their potential to ad5 dress oral health; 

6 (2) carry out activities to encourage public-pri7 vate partnerships to engage private sector commu8 nities of interest (including health professionals, 

9 educators, State policymakers, foundations, business, 

10 and the public) in partnerships that promote oral 

11 health and dental care; 

12 (3) carry out activities to reduce the disease 

13 burden in high risk populations through the applica14 tion of best-science in oral health, including pro15 grams such as community water fluoridation and 

16 dental sealants; and 

17 (4) carry out activities to improve the oral 

18 health literacy of the public through school-based 

19 education programs. 

20 (c) COORDINATION.—The Secretary of Health and 

21 Human Services shall— 

22 (1) through the Administrator of the Centers 

23 for Medicare & Medicaid Services, establish the 

24 Chief Dental Officer for the medicaid and State chil25 dren’s health insurance programs established under 


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1 titles XIX and XXI, respectively, of the Social Secu2 rity Act (42 U.S.C. 1396 et seq. 1397aa et seq.); 

3 (2) through the Administrator of the Health 

4 Resources and Services Administration, establish the 

5 Chief Dental Office for all oral health programs 

6 within the Health Resources and Services Adminis7 tration; 

8 (3) through the Director of the Centers for Dis9 ease Control and Prevention, establish the Chief 

10 Dental Officer for all oral health programs within 

11 such Centers; and 

12 (4) carry out this section in collaboration with 

13 the Administrators and Chief Dental Officers de14 scribed in paragraphs (1), (2), and (3). 

15 (d) AUTHORIZATION OF APPROPRIATIONS.—There is 

16 authorized to be appropriated to carry out this section, 

17 $25,000,000 for fiscal year 2008, and such sums as may 

18 be necessary for each subsequent fiscal year. 

19 SEC. 402. CDC REPORTS. 

20 (a) COLLECTION OF DATA.—The Director of the 

21 Centers for Disease Control and Prevention, in collabora22 tion with other organizations and agencies, shall collect 

23 data through State-based oral health surveillance systems 

24 describing the dental, craniofacial, and oral health of resi25 dents of all 50 States and certain Indian tribes. 


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1 (b) REPORTS.—The Director of the Centers for Dis2 ease Control and Prevention shall compile and analyze 

3 data collection under subsection (a) and annually prepare 

4 and submit to the appropriate committees of Congress a 

5 report concerning the oral health of States and Indian 

6 tribes. 

7 SEC. 403. EARLY CHILDHOOD CARIES. 

8 (a) IN GENERAL.—The Secretary of Health and 

9 Human Services, acting through the Director of the Cen10 ters for Disease Control and Prevention, shall— 

11 (1) expand existing surveillance activities to in12 clude the identification of children at high risk of 

13 early childhood caries, including sub-populations 

14 such as children with developmental disabilities; 

15 (2) assist State, local, and tribal health agen16 cies and departments in collecting, analyzing and 

17 disseminating data on early childhood caries; and 

18 (3) provide for the development of public health 

19 nursing programs and public health education pro20 grams on early childhood caries prevention. 

21 (b) APPROPRIATENESS OF ACTIVITIES.—The Sec22 retary of Health and Human Services shall carry out pro23 grams and activities under subsection (a) in a culturally 

24 appropriate manner with respect to populations at risk of 

25 early childhood caries. 


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1 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

2 authorized to be appropriated to carry out this section, 

3 such sums as may be necessary for each fiscal year. 

4 SEC. 404. SCHOOL-BASED DENTAL SEALANT PROGRAM. 

5 Section 317M(c) of the Public Health Service Act (42 

6 U.S.C. 247b–14(c)) is amended— 

7 (1) in paragraph (1), by inserting ‘‘and school8 linked’’ after ‘‘school-based’’; 

9 (2) in the first sentence of paragraph (2)— 

10 (A) by inserting ‘‘and school-linked’’ after 

11 ‘‘school-based’’; and 

12 (B) by inserting ‘‘or Indian tribe’’ after 

13 ‘‘State’’; and 

14 (3) by striking paragraph (3) and inserting the 

15 following: 

16 ‘‘(3) ELIGIBILITY.—To be eligible to receive 

17 funds under paragraph (1), an entity shall— 

18 ‘‘(A) prepare and submit to the State or 

19 Indian tribe an application at such time, in 

20 such manner and containing such information 

21 as the State or Indian tribe may require; and 

22 ‘‘(B) be a— 

23 ‘‘(i) public elementary or secondary 

24 school— 


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1 ‘‘(I) that is located in an urban 

2 area in which more than 50 percent of 

3 the student population is participating 

4 in Federal or State free or reduced 

5 meal programs; or 

6 ‘‘(II) that is located in a rural 

7 area and, with respect to the school 

8 district in which the school is located, 

9 the district involved has a median in10 come that is at or below 235 percent 

11 of the poverty line, as defined in sec12 tion 673(2) of the Community Serv13 ices Block Grant Act (42 U.S.C. 

14 9902(2)); or 

15 ‘‘(ii) public or non-profit organization, 

16 including a grantee under section 330 and 

17 urban Indian clinics under title V of the 

18 Indian Health Care Improvement Act, that 

19 is under contract with an elementary or 

20 secondary school described in subpara21 graph (B) to provide dental services to 

22 school-age children.’’. 

23 SEC. 405. BASIC ORAL HEALTH PROMOTION. 

24 (a) IN GENERAL.—The Secretary of Health and 

25 Human Services, acting through the Director of the CenVerDate Aug 31 2005 20:48 Mar 03, 2007 Jkt 059200 PO 00000 Frm 00026 Fmt 6652 Sfmt 6201 E:\BILLS\S739.IS S739

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1 ters for Disease Control and Prevention and in consulta2 tion with dental organizations (including organizations 

3 having expertise in the prevention and treatment of oral 

4 disease in underserved pediatric populations), shall award 

5 grants to States and Indian tribes to improve the basic 

6 capacity of such States and tribes to improve the oral 

7 health of children and their families. 

8 (b) REQUIREMENTS.—A State or Indian tribes shall 

9 use amounts received under a grant under this section to 

10 conduct one or more of the following activities: 

11 (1) Establish an oral health plan, policies, effec12 tive prevention programs, and accountability meas13 ures and systems. 

14 (2) Establish and guide coalitions, partnerships, 

15 and alliances to accomplish the establishment of the 

16 plan, policies, programs and systems under para17 graph (1). 

18 (3) Monitor changes in oral disease burden, dis19 parities, and the utilization of preventive services by 

20 high-risk populations. 

21 (4) Identify, test, establish, support, and evalu22 ate prevention interventions to reduce oral health 

23 disparities. 

24 (5) Promote public awareness and education in 

25 support of improvements of oral health. 


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1 (6) Support training programs for dental and 

2 other health professions needed to strengthen oral 

3 health prevention programs. 

4 (7) Establish, enhance, or expand oral disease 

5 prevention and disparity reduction programs. 

6 (8) Evaluate the progress and effectiveness of 

7 the State’s oral disease prevention and disparity re8 duction program. 

9 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

10 authorized to be appropriated to carry out this section, 

11 such sums as may be necessary for fiscal year 2008 and 

12 each subsequent fiscal year. 

Æ 


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