H. R. 2—78 
(1) IN
GENERAL.—Section 2103 (42 U.S.C. 1397cc) is 
amended— 
(A) in subsection (a)— 
(i) in the matter before paragraph (1), by striking 
‘‘subsection (c)(5)’’ and inserting ‘‘paragraphs (5) and 
(7) of subsection (c)’’; and 
(ii) in paragraph (1), by inserting ‘‘at least’’ after 
‘‘that is’’; and 
(B) in subsection (c)— 
(i) by redesignating paragraph (5) as paragraph 
(7); and 
(ii) by inserting after paragraph (4), the following: 
‘‘(5) DENTAL BENEFITS.— 
‘‘(A) IN GENERAL.—The child health assistance provided 
to a targeted low-income child shall include coverage of 
dental services necessary to prevent disease and promote 
oral health, restore oral structures to health and function, 
and treat emergency conditions. 
‘‘(B) PERMITTING USE OF DENTAL BENCHMARK PLANS 
BY CERTAIN STATES.—A State may elect to meet the require-
ment of subparagraph (A) through dental coverage that 
is equivalent to a benchmark dental benefit package 
described in subparagraph (C). 
‘‘(C) BENCHMARK
DENTAL
BENEFIT
PACKAGES.—The 
benchmark dental benefit packages are as follows: 
‘‘(i) FEHBP CHILDREN’S
DENTAL
COVERAGE.—A 
dental benefits plan under chapter 89A of title 5, 
United States Code, that has been selected most fre-
quently by employees seeking dependent coverage, 
among such plans that provide such dependent cov-
erage, in either of the previous 2 plan years. 
‘‘(ii) STATE
EMPLOYEE
DEPENDENT
DENTAL
COV-
ERAGE.—A dental benefits 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 dependent 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 para-
graphs (1) and (2) shall apply to coverage of items and services 
furnished on or after October 1, 2009. 
(b) STATE OPTION TO PROVIDE DENTAL-ONLY SUPPLEMENTAL 
COVERAGE.— 
(1) IN GENERAL.—Section 2110(b) (42 U.S.C. 1397jj(b)) is 
amended— 
(A) in paragraph (1)(C), by inserting ‘‘, subject to para-
graph (5),’’ after ‘‘under title XIX or’’; and 
(B) by adding at the end the following new paragraph:
H. R. 2—79 
‘‘(5) OPTION FOR STATES WITH A SEPARATE CHIP PROGRAM 
TO PROVIDE DENTAL-ONLY SUPPLEMENTAL COVERAGE.— 
‘‘(A) IN GENERAL.—Subject to subparagraphs (B) and 
(C), in the case of any child who is enrolled in a group 
health plan or health insurance coverage offered through 
an employer who would, but for the application of para-
graph (1)(C), satisfy the requirements for being a targeted 
low-income child under a State child health plan that is 
implemented under this title, a State may waive the 
application of such paragraph to the child in order to 
provide— 
‘‘(i) dental coverage consistent with the require-
ments of subsection (c)(5) of section 2103; or 
‘‘(ii) cost-sharing protection for dental coverage 
consistent with such requirements and the require-
ments of subsection (e)(3)(B) of such section. 
‘‘(B) LIMITATION.—A State may limit the application 
of a waiver of paragraph (1)(C) to children whose family 
income does not exceed a level specified by the State, 
so long as the level so specified does not exceed the max-
imum income level otherwise established for other children 
under the State child health plan. 
‘‘(C) CONDITIONS.—A State may not offer dental-only 
supplemental coverage under this paragraph unless the 
State satisfies the following conditions: 
‘‘(i) INCOME ELIGIBILITY.—The State child health 
plan under this title— 
‘‘(I) has the highest income eligibility standard 
permitted under this title (or a waiver) as of 
January 1, 2009; 
‘‘(II) does not limit the acceptance of applica-
tions for children or impose any numerical limita-
tion, waiting list, or similar limitation on the eligi-
bility of such children for child health assistance 
under such State plan; and 
‘‘(III) provides benefits to all children in the 
State who apply for and meet eligibility standards. 
‘‘(ii) NO MORE FAVORABLE TREATMENT.—The State 
child health plan may not provide more favorable 
dental coverage or cost-sharing protection for dental 
coverage to children provided dental-only supplemental 
coverage under this paragraph than the dental cov-
erage and cost-sharing protection for dental coverage 
provided to targeted low-income children who are 
eligible for the full range of child health assistance 
provided under the State child health plan.’’. 
(2) STATE
OPTION
TO
WAIVE
WAITING
PERIOD.—Section 
2102(b)(1)(B) (42 U.S.C. 1397bb(b)(1)(B)), as amended by section 
111(b)(2), is amended— 
(A) in clause (ii), by striking ‘‘and’’ at the end; 
(B) in clause (iii), by striking the period and inserting 
‘‘; and’’; and 
(C) by adding at the end the following new clause: 
‘‘(iv) at State option, may not apply a waiting 
period in the case of a child provided dental-only 
supplemental coverage under section 2110(b)(5).’’.
H. R. 2—80 
(c) DENTAL EDUCATION FOR PARENTS OF NEWBORNS.—The Sec-
retary shall develop and implement, through entities that fund 
or provide perinatal care services to targeted low-income children 
under a State child health plan under title XXI of the Social 
Security Act, 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 within their 
newborn’s first year of life. 
(d) 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 paragraph (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 relation-
ships 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 subpara-
graphs accordingly): 
‘‘(C) Section 1902(a)(72) (relating to limiting FQHC 
contracting for provision of dental services).’’. 
(3) EFFECTIVE DATE.—The amendments made by this sub-
section shall take effect on January 1, 2009. 
(e) 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 inserting ‘‘and other 
information relating to the provision 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 CHILDREN.— 
‘‘(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: 
‘‘(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 ENROLLEES 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
H. R. 2—81 
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 sub-
section shall be effective for annual reports submitted for years 
beginning after date of enactment. 
(f) 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 include, 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. 
(g) INCLUSION OF STATUS OF EFFORTS TO IMPROVE DENTAL 
CARE IN REPORTS ON THE QUALITY OF CHILDREN’S HEALTH CARE 
UNDER MEDICAID AND CHIP.—Section 1139A(a), as added by section 
401(a), is amended— 
(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 conditions’’; and 
(2) in paragraph (6)(A)(ii), by inserting ‘‘dental care,’’ after 
‘‘preventive health services,’’. 
(h) GAO STUDY AND REPORT.— 
(1) STUDY.—The Comptroller General of the United States 
shall provide for a study that examines— 
(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 providers are willing 
to treat children eligible for such programs; 
(ii) information on such children’s access to net-
works of care, including such networks that serve spe-
cial needs children; and 
(iii) geographic availability of oral health care, 
including preventive and restorative services, under 
such programs; and 
(C) the feasibility and appropriateness of using quali-
fied mid-level dental health providers, in coordination with 
dentists, to improve access for children to oral health serv-
ices and public health overall. 
(2) REPORT.—Not later than 18 months year after the date 
of the enactment of this Act, the Comptroller General shall 
submit to Congress a report on the study conducted under