220 
plan that is offered and generally available 
to State employees in the State involved 
and that has been selected most frequently 
by employees seeking dependent coverage, 
among such plans that provide such de-
pendent coverage, in either of the previous 
2 plan years. 
‘‘(iii) COVERAGE OFFERED THROUGH 
COMMERCIAL
DENTAL
PLAN.—A dental 
benefits plan that has the largest insured 
commercial, non-medicaid enrollment of 
dependent covered lives of such plans that 
is offered in the State involved.’’. 
(2) ASSURING
ACCESS
TO
CARE.—Section 
2102(a)(7)(B) (42 U.S.C. 1397bb(c)(2)) is amended 
by inserting ‘‘and services described in section 
2103(c)(5)’’ after ‘‘emergency services’’. 
(3) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to coverage of items 
and services furnished on or after October 1, 2009. 
(b) 
DENTAL
EDUCATION
FOR
PARENTS
OF 
NEWBORNS.—The Secretary shall develop and implement, 
through entities that fund or provide perinatal care serv-
ices to targeted low-income children under a State child 
health plan under title XXI of the Social Security Act,
221 
a program to deliver oral health educational materials that 
inform new parents about risks for, and prevention of, 
early childhood caries and the need for a dental visit with-
in their newborn’s first year of life. 
(c) PROVISION
OF DENTAL SERVICES THROUGH 
FQHCS.— 
(1) MEDICAID.—Section 1902(a) (42 U.S.C. 
1396a(a)) is amended— 
(A) by striking ‘‘and’’ at the end of para-
graph (70); 
(B) by striking the period at the end of 
paragraph (71) and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (71) the 
following new paragraph: 
‘‘(72) provide that the State will not prevent a 
Federally-qualified health center from entering into 
contractual relationships with private practice dental 
providers in the provision of Federally-qualified 
health center services.’’. 
(2) CHIP.—Section 2107(e)(1) (42 U.S.C. 
1397g(e)(1)), as amended by subsections (a)(2) and 
(d)(2) of section 203, is amended by inserting after 
subparagraph (B) the following new subparagraph 
(and redesignating the succeeding subparagraphs ac-
cordingly):
222 
‘‘(C) Section 1902(a)(72) (relating to lim-
iting FQHC contracting for provision of dental 
services).’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall take effect on January 1, 
2009. 
(d) 
REPORTING
INFORMATION
ON
DENTAL 
HEALTH.— 
(1) 
MEDICAID.—Section 
1902(a)(43)(D)(iii) 
(42 U.S.C. 1396a(a)(43)(D)(iii)) is amended by in-
serting ‘‘and other information relating to the provi-
sion of dental services to such children described in 
section 2108(e)’’ after ‘‘receiving dental services,’’. 
(2) CHIP.—Section 2108 (42 U.S.C. 1397hh) 
is amended by adding at the end the following new 
subsection: 
‘‘(e) INFORMATION ON DENTAL CARE FOR CHIL-
DREN.— 
‘‘(1) IN GENERAL.—Each annual report under 
subsection (a) shall include the following information 
with respect to care and services described in section 
1905(r)(3) provided to targeted low-income children 
enrolled in the State child health plan under this 
title at any time during the year involved:
223 
‘‘(A) The number of enrolled children by 
age grouping used for reporting purposes under 
section 1902(a)(43). 
‘‘(B) For children within each such age 
grouping, information of the type contained in 
questions 12(a)–(c) of CMS Form 416 (that 
consists of the number of enrolled targeted low 
income children who receive any, preventive, or 
restorative dental care under the State plan). 
‘‘(C) For the age grouping that includes 
children 8 years of age, the number of such 
children who have received a protective sealant 
on at least one permanent molar tooth. 
‘‘(2) INCLUSION OF INFORMATION ON ENROLL-
EES IN MANAGED CARE PLANS.—The information 
under paragraph (1) shall include information on 
children who are enrolled in managed care plans and 
other private health plans and contracts with such 
plans under this title shall provide for the reporting 
of such information by such plans to the State.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall be effective for annual re-
ports submitted for years beginning after date of en-
actment.
224 
(e) IMPROVED ACCESSIBILITY OF DENTAL PROVIDER 
INFORMATION TO ENROLLEES UNDER MEDICAID AND 
CHIP.—The Secretary shall— 
(1) work with States, pediatric dentists, and 
other dental providers (including providers that are, 
or are affiliated with, a school of dentistry) to in-
clude, not later than 6 months after the date of the 
enactment of this Act, on the Insure Kids Now 
website (http://www.insurekidsnow.gov/) and hotline 
(1–877–KIDS–NOW) (or on any successor websites 
or hotlines) a current and accurate list of all such 
dentists and providers within each State that provide 
dental services to children enrolled in the State plan 
(or waiver) under Medicaid or the State child health 
plan (or waiver) under CHIP, and shall ensure that 
such list is updated at least quarterly; and 
(2) work with States to include, not later than 
6 months after the date of the enactment of this 
Act, a description of the dental services provided 
under each State plan (or waiver) under Medicaid 
and each State child health plan (or waiver) under 
CHIP on such Insure Kids Now website, and shall 
ensure that such list is updated at least annually. 
(f) INCLUSION OF STATUS OF EFFORTS TO IMPROVE 
DENTAL CARE IN REPORTS ON THE QUALITY OF CHIL-
225 
DREN’S HEALTH CARE UNDER MEDICAID AND CHIP.— 
Section 1139A(a), as added by section 401(a), is amend-
ed— 
(1) in paragraph (3)(B)(ii), by inserting ‘‘and, 
with respect to dental care, conditions requiring the 
restoration of teeth, relief of pain and infection, and 
maintenance of dental health’’ after ‘‘chronic condi-
tions’’; and 
(2) in paragraph (6)(A)(ii), by inserting ‘‘dental 
care,’’ after ‘‘preventive health services,’’. 
(g) GAO STUDY AND REPORT.— 
(1) STUDY.—The Comptroller General of the 
United States shall provide for a study that exam-
ines— 
(A) access to dental services by children in 
underserved areas; 
(B) children’s access to oral health care, 
including preventive and restorative services, 
under Medicaid and CHIP, including— 
(i) the extent to which dental pro-
viders are willing to treat children eligible 
for such programs; 
(ii) information on such children’s ac-
cess to networks of care, including such