I 
113TH CONGRESS 
1ST SESSION H. R. 3120 
To improve access to oral health care for vulnerable and underserved 
populations. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 18, 2013 
Mr. CUMMINGS (for himself and Ms. SCHAKOWSKY) introduced the following 
bill; which was referred to the Committee on Energy and Commerce, and 
in addition to the Committees on Ways and Means, the Judiciary, Nat-
ural Resources, Veterans’ Affairs, and Armed Services, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To improve access to oral health care for vulnerable and 
underserved populations. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Comprehensive Dental 
Reform Act of 2013’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6211
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
Sec. 3. Findings. 
TITLE I—MEDICARE AND MEDICAID 
Subtitle A—Medicare 
Sec. 101. Coverage of dental services under the Medicare program. 
Subtitle B—Medicaid 
Sec. 111. Coverage of dental services under the Medicaid program. 
TITLE II—PUBLIC HEALTH PROGRAMS 
Subtitle A—National Health Service Corps 
Sec. 201. National Health Service Corps. 
Sec. 202. Community based dental residencies. 
Subtitle B—Oral Health Education 
Sec. 211. Authorization of appropriations for oral health education for medical 
providers. 
Sec. 212. Oral health education for other non-health professionals. 
Sec. 213. Dental education. 
Sec. 214. Oral health professional student loans. 
Subtitle C—Other Oral Health Programs 
Sec. 221. Access points. 
Sec. 222. Dental clinics in schools. 
Sec. 223. Emergency room care coordination. 
Sec. 224. Research funding. 
Sec. 225. Mobile and portable dental services. 
Subtitle D—Oral Health Services as an Essential Health Benefit 
Sec. 231. Oral health services as an essential health benefit. 
TITLE III—DEPARTMENT OF VETERANS AFFAIRS AND 
DEPARTMENT OF DEFENSE MATTERS 
Subtitle A—Department of Veterans Affairs Matters 
Sec. 301. Requiring the Secretary of Veterans Affairs to furnish dental care in 
the same manner as any other medical service. 
Sec. 302. Demonstration program on training and employment of alternative 
dental health care providers for dental health care services for 
veterans in rural and other underserved communities. 
Subtitle B—Department of Defense Matters 
Sec. 311. Demonstration program on training and employment of alternative 
dental health care providers for dental health care services for 
members of the Armed Forces and dependents lacking ready 
access to such services. 
TITLE IV—FEDERAL BUREAU OF PRISONS 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6211
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
Sec. 401. Demonstration program on training and employment of alternative 
dental health care providers for dental health care services for 
prisoners within the custody of the Bureau of Prisons. 
TITLE V—INDIAN HEALTH SERVICE 
Sec. 501. Demonstration program on training and employment of alternative 
dental health care providers for dental health care services 
under the Indian Health Service. 
TITLE VI—REPORTS TO CONGRESS 
Sec. 601. Evaluation of expansion of coverage for dental services. 
SEC. 3. FINDINGS. 
Congress makes the following findings: 
(1) The United States must establish a nation-
wide and comprehensive approach to address the 
lack of access to needed dental care and reduce oral 
health disparities. 
(2) Since 2000, when the Surgeon General of 
the United States called dental disease a ‘‘silent epi-
demic’’, there has been increasing but still insuffi-
cient attention given to addressing oral health 
issues. The Healthy People 2020 initiative includes 
oral health as a leading health indicator for the first 
time in the history of the Healthy People program, 
and in 2011, the Institute of Medicine published 2 
reports, ‘‘Improving Access to Oral Health Care for 
Vulnerable and Underserved Populations’’ and ‘‘Ad-
vancing Oral Health in America’’, that focused on 
oral health. 
(3) Dental caries, commonly known as cavities, 
are the most common chronic disease for children in 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
the United States. Additionally, 25 percent of Amer-
ican adults who have attained 65 years of age have 
lost all of their teeth. 
(4) Untreated oral health problems contribute 
to an increased risk for serious medical conditions 
such as diabetes, hospital-acquired pneumonia, and 
poor birth outcomes. 
(5) According to a report by the Surgeon Gen-
eral of the United States, students miss more than 
51,000,000 hours of school and employed adults lose 
more than 164,000,000 hours of work each year due 
to dental disease and dental visits. 
(6) While the lack of access to oral health serv-
ices is a national problem, those who are most likely 
to remain underserved are individuals with low in-
comes, racial and ethnic minorities, pregnant 
women, older adults, individuals with special needs, 
and individuals living in rural communities. 
(7) More than 1 in 4 Americans do not have 
dental health insurance which is far greater than the 
number of individuals who lack general health insur-
ance. 
(8) The Medicare program and the Department 
of Veterans Affairs do not provide dental coverage to 
the majority of their beneficiaries, and States can 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
elect whether to provide dental coverage to adults 
under the Medicaid program. 
(9) Only 20 percent of practicing dentists in the 
United States provide care to individuals enrolled in 
Medicaid, and a very small percentage of dentists 
devote a substantial part of their practice towards 
caring for individuals who are underserved. 
(10) The United States spends more than 
$100,000,000,000 on dental care and that number 
is expected to rise to $170,000,000,000 by 2020. 
Over $30,000,000,000 dollars was spent out-of-pock-
et for dental services in 2008. 
(11) The lack of access to oral health services 
results in higher health care expenditures. In 2009, 
there were over 830,000 visits to emergency rooms 
across the United States for preventable dental con-
ditions, which is 16 percent higher than in 2006. 
The treatment of dental conditions in hospital emer-
gency 
rooms 
in 
2010 
cost 
as 
much 
as 
$2,100,000,000. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
TITLE I—MEDICARE AND 
MEDICAID 
Subtitle A—Medicare 
SEC. 101. COVERAGE OF DENTAL SERVICES UNDER THE 
MEDICARE PROGRAM. 
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(2)) is amended— 
(1) in subparagraph (EE), by striking ‘‘and’’ 
after the semicolon at the end; 
(2) in subparagraph (FF), by adding ‘‘and’’ 
after the semicolon at the end; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(GG) dental services (as defined in subsection 
(iii));’’. 
(b) DENTAL SERVICES DEFINED.—Section 1861(s) 
of the Social Security Act (42 U.S.C. 1395x(s)) is amend-
ed by adding at the end the following new subsection: 
‘‘Dental Services 
‘‘(iii)(1) The term ‘dental services’ means oral health 
services (as defined by the Secretary) provided by a li-
censed oral health care provider that are necessary to pre-
vent disease and promote oral health, restore oral struc-
tures to health and function, and treat emergency condi-
tions. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘(2) For purposes of paragraph (1), such term shall 
include mobile and portable oral health services (as de-
fined by the Secretary) that— 
‘‘(A) are provided for the purpose of over-
coming mobility, transportation, and access barriers 
for individuals; and 
‘‘(B) satisfy the standards and certification re-
quirements established under section 1902(a)(84)(B) 
for the State in which the services are provided.’’. 
(c) 
PAYMENT
AND
COINSURANCE.—Section 
1833(a)(1) of the Social Security Act (42 U.S.C. 
1395l(a)(1)) is amended— 
(1) by striking ‘‘and’’ before ‘‘(Z)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (AA) with respect to dental 
services (as defined in section 1861(iii)), the amount 
paid shall be (i) in the case of such services that are 
dental health preventive services described in para-
graph (1)(D) of such section, 100 percent of the 
lesser of the actual charge for the services or the 
amount determined under the payment basis deter-
mined under section 1848, and (ii) in the case of all 
other such services, 80 percent of the lesser of the 
actual charge for the services or the amount deter-
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
mined under the payment basis determined under 
section 1848’’. 
(d) PAYMENT UNDER PHYSICIAN FEE SCHEDULE.— 
Section 1848(j)(3) of the Social Security Act (42 U.S.C. 
1395w–4(j)(3)) is amended by inserting ‘‘(2)(GG),’’ after 
‘‘risk assessment),’’. 
(e) DENTURES.—Section 1861(s)(8) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(8)) is amended— 
(1) by striking ‘‘(other than dental)’’ and in-
serting ‘‘(including dentures)’’; and 
(2) by striking ‘‘internal body’’. 
(f) REPEAL OF GROUND FOR EXCLUSION.—Section 
1862(a) of the Social Security Act (42 U.S.C. 1395y) is 
amended by striking paragraph (12). 
(g) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2014. 
Subtitle B—Medicaid 
SEC. 111. COVERAGE OF DENTAL SERVICES UNDER THE 
MEDICAID PROGRAM. 
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (a)(10), by adding ‘‘(as de-
scribed in subsection (ee)(1))’’ after ‘‘dental serv-
ices’’; and 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
(2) by adding at the end the following: 
‘‘(ee)(1) Subject to paragraphs (2) and (3), for pur-
poses of this title, the term ‘dental services’ means oral 
health services (as defined by the Secretary) provided by 
a licensed oral health care provider that are necessary to 
prevent disease and promote oral health, restore oral 
structures to health and function, and treat emergency 
conditions. 
‘‘(2) For purposes of paragraph (1), such term shall 
include— 
‘‘(A) dentures; and 
‘‘(B) mobile and portable oral health services 
(as defined by the Secretary) that— 
‘‘(i) are provided for the purpose of over-
coming mobility, transportation, and access bar-
riers for individuals; and 
‘‘(ii) satisfy the standards and certification 
requirements 
established 
under 
section 
1902(a)(82)(C) for the State in which the serv-
ices are provided. 
‘‘(3) For purposes of paragraph (1), such term shall 
not apply to dental care or services provided to individuals 
under the age of 21 under subsection (r)(3).’’. 
(b) CONFORMING AMENDMENTS.— 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
(1) STATE
PLAN
REQUIREMENTS.—Section 
1902(a) of such Act (42 U.S.C. 1396a(a)) is amend-
ed— 
(A) in paragraph (10)(A), in the matter 
preceding clause (i), by inserting ‘‘(10),’’ after 
‘‘(5),’’; 
(B) in paragraph (80), by striking ‘‘and’’ 
at the end; 
(C) in paragraph (81), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(D) by inserting after paragraph (81) the 
following: 
‘‘(82) provide for— 
‘‘(A) informing, in writing, all individuals 
who have been determined to be eligible for 
medical assistance of the availability of dental 
services (as defined in section 1905(ee)); 
‘‘(B) conducting targeted outreach to preg-
nant women who have been determined to be el-
igible for medical assistance about the avail-
ability of medical assistance for such dental 
services and the importance of receiving dental 
care while pregnant; and 
‘‘(C) establishing and maintaining stand-
ards for and certification of mobile and portable 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
oral health services (as described in subsections 
(r)(3)(C) and (ee)(2)(B) of section 1905).’’. 
(2) DEFINITION
OF
MEDICAL
ASSISTANCE.— 
Section 1905(a)(12) of such Act (42 U.S.C. 
1396d(a)(12)) is amended by striking ‘‘, dentures,’’. 
(c) MOBILE AND PORTABLE ORAL HEALTH SERV-
ICES UNDER EPSDT.—Section 1905(r)(3) of the Social 
Security Act (42 U.S.C. 1396d(r)(3)) is amended— 
(1) in subparagraph (A)(ii), by striking ‘‘; and’’ 
and inserting a semicolon; 
(2) in subparagraph (B), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(C) which shall include mobile and portable 
oral health services (as defined by the Secretary) 
that— 
‘‘(i) are provided for the purpose of over-
coming mobility, transportation, or access bar-
riers for children; and 
‘‘(ii) satisfy the standards and certification 
requirements 
established 
under 
section 
1902(a)(82)(C) for the State in which the serv-
ices are provided.’’. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
(d) INCREASED FEDERAL FUNDING FOR DENTAL 
SERVICES.— 
(1) IN GENERAL.—Section 1905 of the Social 
Security Act (42 U.S.C. 1396d), as amended by sub-
section (a), is amended— 
(A) in subsection (b), in the first sentence, 
by striking ‘‘and (aa)’’ and inserting ‘‘(aa), and 
(ff)’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(ff) INCREASED FMAP FOR DENTAL SERVICES.— 
‘‘(1) IN GENERAL.—Notwithstanding subsection 
(b) and section 1903(a)(7) and subject to the re-
quirements described in paragraphs (3) and (4), 
with respect to amounts expended on or after Janu-
ary 1, 2014, for covered dental expenses (as de-
scribed in paragraph (2)), the Federal medical as-
sistance percentage for a State that is one of the 50 
States or the District of Columbia for such expenses 
shall be equal to the Federal medical assistance per-
centage that would otherwise apply to the State for 
the fiscal year, as determined under subsection (b) 
or section 1903(a)(7), increased by 15 percentage 
points. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘(2) COVERED DENTAL EXPENSES.—For pur-
poses of paragraph (1), the term ‘covered dental ex-
penses’ means the amounts expended for medical as-
sistance for dental services (as described in sub-
section (ee)) and amounts expended for the proper 
and efficient administration of the provision of such 
dental services under the State plan. 
‘‘(3) REQUIREMENTS.—For purposes of para-
graph (1), the Federal medical assistance percentage 
applicable to covered dental expenses under this sub-
section shall not apply to a State unless— 
‘‘(A) the State plan for medical assistance 
provides payment for dental services (as so de-
fined) furnished by a dental provider at a rate 
that is not less than 70 percent of the usual 
and customary fee for such services in the 
State; and 
‘‘(B) the State satisfies such additional re-
quirements as are established by the Secretary, 
which shall include— 
‘‘(i) streamlining of administrative 
procedures for purposes of ensuring ade-
quate provider participation and increasing 
patient utilization of dental services; and 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘(ii) the provision of technical assist-
ance to dental providers designed to reduce 
the number of missed patient appoint-
ments and reduce other barriers to the de-
livery of oral health services. 
‘‘(4) LIMITATION.—For purposes of amounts 
expended for covered dental services, in no case shall 
any increase under this subsection result in a Fed-
eral medical assistance percentage that exceeds 100 
percent.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1903(a)(7) of the Social Security Act (42 U.S.C. 
1396b(a)(7)) is amended by striking ‘‘section 
1919(g)(3)(B)’’ and inserting ‘‘sections 1905(ff) and 
1919(g)(3)(B)’’. 
(e) SECRETARIAL RESPONSIBILITIES.— 
(1) TECHNICAL ASSISTANCE AND OUTREACH.— 
The Secretary of Health and Human Services, act-
ing through the Administrator of the Centers for 
Medicare & Medicaid Services, shall provide tech-
nical assistance to States and conduct outreach to 
States for purposes of educating and encouraging 
States to utilize and provide payment under each 
State Medicaid program for telehealth-enabled den-
tal services in order to provide dental services to tra-
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
ditionally underserved populations in need of such 
services. 
(2) DATABASE AND ANNUAL REPORT ON DEN-
TAL BENEFITS FOR ADULT MEDICAID ENROLLEES.— 
(A) MEDICAID DENTAL BENEFITS DATA-
BASE.—The Secretary of Health and Human 
Services, acting through the Administrator of 
the Centers for Medicare & Medicaid Services, 
shall maintain, as accurately and up-to-date as 
possible, a database that contains with respect 
to the each State (as defined for purposes of 
title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.)) information regarding the dental 
benefits available for adults enrolled in the 
State Medicaid program, including any limits 
on such benefits and the amount of reimburse-
ment provided under the State Medicaid pro-
gram for such benefits. The database also shall 
include a separate description of the dental ben-
efits, benefit limits, and amount of reimburse-
ment provided under each State Medicaid pro-
gram for pregnant women, if such benefits are 
not provided to the woman as part of early and 
periodic screening, diagnostic, and treatment 
services (as defined in section 1905(r) of the 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
Social Security Act (42 U.S.C. 1396d(r))), and 
a description of the use of dental services by 
children and adults enrolled in the State Med-
icaid program. 
(B) ANNUAL REPORT.—The Secretary of 
Health and Human Services shall make avail-
able to the public an annual report regarding 
the information collected in the database re-
quired under subparagraph (A). Each annual 
report under this subparagraph shall include for 
each State Medicaid program and with respect 
to the most recent year for which data are 
available the yearly dental service utilization 
rates for children and adults enrolled in the 
State Medicaid program. 
(f) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
shall apply to calendar quarters beginning on or 
after January 1, 2014, without regard to whether or 
not final regulations to carry out such amendments 
have been promulgated by such date. 
(2) DELAY
PERMITTED
FOR
STATE
PLAN 
AMENDMENT.—In the case of a State plan for med-
ical assistance under title XIX of the Social Security 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
Act which the Secretary of Health and Human Serv-
ices determines requires State legislation (other than 
legislation appropriating funds) in order for the plan 
to meet the additional requirements imposed by the 
amendments made by this section, the State plan 
shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet these additional requirements before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of enact-
ment of this Act. For purposes of the previous sen-
tence, in the case of a State that has a 2-year legis-
lative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
TITLE II—PUBLIC HEALTH 
PROGRAMS 
Subtitle A—National Health 
Service Corps 
SEC. 201. NATIONAL HEALTH SERVICE CORPS. 
(a) IN GENERAL.—Section 331 of the Public Health 
Service Act (42 U.S.C. 254d) is amended— 
(1) in subsection (a)(3), by adding at the end 
the following: 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘(F) The term ‘dental therapist’ means, 
with respect to a State that licenses such dental 
therapists, a mid-level dental practitioner who is 
licensed to practice under the law of the State 
and who provides preventive and restorative 
services directly to the public, commensurate 
with the scope of the practice.’’; and 
(2) in subsection (b)— 
(A) in paragraph (1), by inserting ‘‘, den-
tal therapy,’’ after ‘‘dental’’; and 
(B) in paragraph (2), by inserting ‘‘dental 
therapists,’’ after ‘‘dentists,’’. 
(b) FACILITATION
OF EFFECTIVE PROVISION
OF 
CORPS SERVICES.—Section 336(f)(3) of the Public Health 
Service Act (42 U.S.C. 254h–1(f)(3)) is amended by in-
serting ‘‘dental therapists’’ after ‘‘midwives,’’. 
(c) SCHOLARSHIP PROGRAM AND LOAN REPAYMENT 
PROGRAM.— 
(1) SCHOLARSHIP PROGRAM.—Section 338A of 
the Public Health Service Act (42 U.S.C. 254l) is 
amended— 
(A) in subsection (a)(1), by inserting ‘‘den-
tal therapists,’’ after ‘‘dentists,’’; and 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
(B) in subsection (b)(1), by inserting ‘‘in-
cluding dental therapy,’’ after ‘‘or other health 
profession,’’. 
(2) 
LOAN
REPAYMENT
PROGRAM.—Section 
338B of the Public Health Service Act (42 U.S.C. 
254l–1) is amended— 
(A) in subsection (a)(1), by inserting ‘‘den-
tal therapists,’’ after ‘‘dentists,’’; and 
(B) in subsection (b)(1)— 
(i) in subparagraph (A), by inserting 
‘‘dental therapist,’’ after ‘‘nurse practi-
tioner,’’; 
(ii) in subparagraph (B), by inserting 
‘‘dental therapy,’’ after ‘‘mental health,’’; 
and 
(iii) in subparagraph (C)(ii), by in-
serting ‘‘, including dental therapy,’’ after 
‘‘health profession’’. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 338H of the Public Health Service Act (42 
U.S.C. 254q) is amended— 
(A) in subsection (a), by striking ‘‘this sec-
tion’’ and inserting ‘‘this subpart’’; and 
(B) by adding at the end the following: 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘(d) AUTHORIZATION
OF APPROPRIATIONS WITH 
RESPECT TO ORAL HEALTH PROFESSIONALS.—To carry 
out this subpart with respect to dentists, dental therapists, 
and dental hygienists, in addition to the amounts author-
ized under subsection (a), there is authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2017, which shall be used to provide an 
emergency expansion for scholarships to, and loan repay-
ments on behalf of, such oral health professionals.’’. 
SEC. 202. COMMUNITY BASED DENTAL RESIDENCIES. 
Section 340H of the Public Health Service Act (42 
U.S.C. 256h) is amended by adding at the ending the fol-
lowing: 
‘‘(k) ADDITIONAL FUNDING.—For the purpose of ex-
panding the program under this section, there is author-
ized to be appropriated such sums as may be necessary 
for the 5-year period beginning with the fiscal year that 
begins not less than 1 year and not more than 2 years 
after the date of enactment of the Comprehensive Dental 
Reform Act of 2013’’. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
Subtitle B—Oral Health Education 
SEC. 211. AUTHORIZATION OF APPROPRIATIONS FOR ORAL 
HEALTH EDUCATION FOR MEDICAL PRO-
VIDERS. 
Section 747(c) of the Public Health Service Act (42 
U.S.C. 293k(c)) is amended by adding at the end the fol-
lowing: 
‘‘(4) ORAL HEALTH EDUCATION.—In addition 
to other amounts authorized under this subsection 
for purposes of carrying out this section, there is au-
thorized to be appropriated such sums as may be 
necessary for fiscal years 2014 through 2017 for the 
purpose of educating nondental medical profes-
sionals, including physicians, nurses, nurse practi-
tioners, physician assistants, and pharmacists, about 
oral health, including issues such as oral hygiene in-
struction, topical application of fluoride, and oral 
health screenings, with the goal of integrating oral 
health care into overall health care.’’. 
SEC. 212. ORAL HEALTH EDUCATION FOR OTHER NON- 
HEALTH PROFESSIONALS. 
Subpart I of part C of title VII of the Public Health 
Service Act (42 U.S.C. 293k et seq.) is amended by insert-
ing after section 748 the following: 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘SEC. 748A. ORAL HEALTH EDUCATION FOR OTHER NON- 
ORAL HEALTH PROFESSIONALS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to, or enter into contracts with, an accredited public or 
nonprofit private hospital, an educational institution, or 
a public or private nonprofit entity which the Secretary 
has determined is capable of carrying out such grant or 
contract to educate individuals, such as community health 
workers, social workers, nutritionists, health educators, 
occupational therapists, and psychologists, to promote oral 
health education and literacy and to provide support for 
behavior change and assistance with care coordination 
with respect to oral health. 
‘‘(b) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2017.’’. 
SEC. 213. DENTAL EDUCATION. 
Section 748 of the Public Health Service Act (42 
U.S.C. 293k–2) is amended— 
(1) in subsection (a)(1)(H), by striking ‘‘pedi-
atric training programs’’ and inserting ‘‘pediatric 
dental training programs’’; and 
(2) in subsection (c)— 
(A) by striking the subsection heading and 
inserting ‘‘REQUIREMENTS FOR AWARD.—’’; 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
(B) by amending the matter preceding 
paragraph (1) to read as follows: ‘‘With respect 
to training provided for under this section, the 
Secretary shall award grants or contracts only 
to eligible entities that meet at least 7 of the 
following criteria:’’; 
(C) in paragraph (2), by striking ‘‘have a 
record of training the greatest percentage of 
providers, or that have demonstrated significant 
improvements in the percentage of providers, 
who enter and’’ and inserting ‘‘train significant 
numbers of providers who’’; 
(D) in paragraph (3)— 
(i) by striking ‘‘have a record of train-
ing’’ and inserting ‘‘intent to train’’; and 
(ii) by striking the period at the end 
and inserting ‘‘and have faculty with expe-
rience 
in 
treating 
underserved 
popu-
lations.’’; 
(E) in paragraph (8), by inserting ‘‘or 
have established’’ after ‘‘establish’’; and 
(F) by adding at the end the following: 
‘‘(9) Qualified applicants that require not less 
than 200 hours of community-based education rota-
tions.’’. 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00023
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
SEC. 214. ORAL HEALTH PROFESSIONAL STUDENT LOANS. 
Part F of title VII of the Public Health Service Act 
(42 U.S.C. 295j) is amended by adding at the end the 
following: 
‘‘SEC. 
799C. 
ORAL 
HEALTH 
PROFESSIONAL 
STUDENT 
LOANS. 
‘‘(a) IN GENERAL.—The Secretary shall establish 
and operate a student loan fund for oral health profes-
sional students, including dental hygienists, dental thera-
pists, and dentists. 
‘‘(b) CONTENT.—The Secretary shall establish and 
operate the student loan fund program under subsection 
(a) in the same manner and subject to the same terms 
as the loan fund program established with schools of nurs-
ing under section 835. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2017.’’. 
Subtitle C—Other Oral Health 
Programs 
SEC. 221. ACCESS POINTS. 
Subpart X of part D of title III of the Public Health 
Service Act (42 U.S.C. 256f et seq.) is amended by adding 
at the end the following: 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00024
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘SEC. 340G–2. FUNDING FOR ORAL HEALTH SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall establish a program to award grants 
to eligible entities to provide oral health services, or to con-
tract with private dental practices to provide comprehen-
sive oral health services, to low income individuals and in-
dividuals who are underserved with respect to oral health 
care. 
‘‘(b) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to entities receiving grants 
under subsection (a) to provide technical assistance to 
such entities in order to— 
‘‘(1) with respect to oral health care services, 
increase utilization and efficiency and minimize 
missed appointments, contract with offsite providers, 
recruit providers (including oral health specialists), 
and operate programs outside the physical facilities 
to take advantage of new systems to improve access 
to oral health services; 
‘‘(2) address barriers to access to such services 
and conduct targeted outreach to special populations 
such as pregnant women, individuals with disabil-
ities, individuals with chronic conditions such as dia-
betes, and individuals residing in long-term care fa-
cilities; or 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00025
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS
‘‘(3) contract with private dental practices that 
will provide oral health services other than preven-
tive oral health care, including restoration and main-
tenance of oral health, in order to meet the need for 
oral health services in the community. 
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under subsection (a), an entity shall— 
‘‘(1) be— 
‘‘(A) a Federally qualified health center 
(as defined in section 1861(aa) of the Social 
Security Act); 
‘‘(B) a safety net clinic or a free clinic (as 
defined by the Secretary); 
‘‘(C) a health care clinic that provides 
services to tribal organizations or urban Indian 
organizations (as such terms are defined in sec-
tion 4 of the Indian Health Care Improvement 
Act); or 
‘‘(D) any other interested public or private 
sector health care provider or organization that 
the Secretary determines has a demonstrated 
history in serving a high number of uninsured 
and or low-income individuals or those who lack 
ready access to oral health services; and 
VerDate Mar 15 2010 
06:46 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00026
Fmt 6652
Sfmt 6201
E:\BILLS\H3120.IH
H3120
pwalker on DSK7TPTVN1PROD with BILLS