(g) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2016. 
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 striking ‘‘dental 
services’’ and inserting ‘‘oral health services (as de-
fined in subsection (ee)(1))’’; and 
(2) by adding at the end the following: 
‘‘(ee)(1) Subject to paragraphs (2) and (3), for pur-
poses of this title, the term ‘oral health services’ means 
services (as defined by the Secretary) that are necessary 
to prevent disease and promote oral health, restore oral 
structures to health and function, and treat emergency 
conditions. These services shall include, in the case of 
pregnant or postpartum women, such services as are nec-
essary to address oral health conditions that exist or are 
exacerbated by pregnancy or childbirth or which, if left 
untreated, could adversely affect fetal or child develop-
ment. 
‘‘(2) For purposes of paragraph (1), such term shall 
include— 
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‘‘(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.— 
(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 
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(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 oral 
health 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 
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; 
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(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.’’. 
(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 further 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: 
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‘‘(ff) INCREASED FMAP FOR ORAL HEALTH SERV-
ICES.— 
‘‘(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, 2016, for covered oral health 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. 
‘‘(2) COVERED ORAL HEALTH EXPENSES.—For 
purposes of paragraph (1), the term ‘covered oral 
health expenses’ means the amounts expended for 
medical assistance for oral health services (as de-
fined in subsection (ee)) and amounts expended for 
the proper and efficient administration of the provi-
sion of such oral health services under the State 
plan. 
‘‘(3) REQUIREMENTS.—For purposes of para-
graph (1), the Federal medical assistance percentage 
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applicable to covered oral health expenses under this 
subsection shall not apply to a State unless— 
‘‘(A) the State plan for medical assistance 
provides payment for oral health services (as so 
defined) furnished by a health care 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 oral health services; 
and 
‘‘(ii) the provision of technical assist-
ance to health care providers designed to 
reduce the number of missed patient ap-
pointments and reduce other barriers to 
the delivery of oral health services. 
‘‘(4) LIMITATION.—For purposes of amounts 
expended for covered oral health services, in no case 
shall any increase under this subsection result in a 
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Federal 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-
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, 
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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 
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-
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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, 2016, 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 
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 
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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: 
‘‘(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)— 
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(A) in paragraph (1), by inserting ‘‘dental 
therapy programs and’’ after ‘‘schools at 
which’’; 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 
(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)— 
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(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: 
‘‘(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 
2016 through 2019, which shall be used to provide an 
emergency expansion for scholarships to, and loan repay-
ments on behalf of, such oral health professionals.’’. 
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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 2015’’. 
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 2016 through 2019 for the 
purpose of educating nondental medical professionals 
(including physicians, nurses, nurse practitioners, 
physician assistants, and pharmacists and particu-
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larly such professionals who provide care to children 
and pregnant and postpartum women) about oral 
health, including issues such as oral hygiene instruc-
tion, 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: 
‘‘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, educational institutions, or pub-
lic or private nonprofit entities that the Secretary has de-
termined to be capable of carrying out such grant or con-
tract 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. 
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‘‘(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 
2016 through 2019.’’. 
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.—’’; 
(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’’; 
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(D) in paragraph (3)— 
(i) by striking ‘‘have a record of train-
ing’’ and inserting ‘‘intend 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.’’. 
SEC. 214. ORAL HEALTH PROFESSIONAL STUDENT LOANS. 
Part F of title VII of the Public Health Service Act 
(42 U.S.C. 295j et seq.) 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 
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(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 
2016 through 2019.’’. 
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: 
‘‘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 
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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 
‘‘(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— 
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‘‘(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 of serving a high number of uninsured 
and or low-income individuals or those who lack 
ready access to oral health services; and 
‘‘(2) demonstrate a clear need to expand oral 
health care services beyond preventive oral health 
care. 
‘‘(d) ALLOCATION FOR HIRING ORAL HEALTH CARE 
SPECIALISTS.—A portion of the funds available under this 
section shall be allocated toward hiring oral health care 
specialists, such as oral surgeons and endodontists, at en-
tities receiving grants under this section. 
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‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated such sums as may be necessary for each of fiscal 
years 2016 through 2019.’’. 
SEC. 222. DENTAL CLINICS IN SCHOOLS. 
Part Q of title III of the Public Health Service Act 
(42 U.S.C. 280h et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399Z–2. DENTAL CLINICS IN SCHOOLS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to qualified entities for the purpose of funding the 
building, operation, or expansion of dental clinics in 
schools. 
‘‘(b) QUALIFIED ENTITIES.—To receive a grant 
under this section, a qualified entity shall submit an appli-
cation to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
‘‘(c) REQUIREMENTS.—An entity receiving a grant 
under this section shall— 
‘‘(1) provide comprehensive oral health services 
at a dental clinic based at a school, including oral 
health education, oral screening, fluoride application, 
prophylaxis, sealants, and basic restorative services; 
‘‘(2) develop a coordinated system of care by re-
ferring patients to an available qualified oral health 
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provider in the community for any required oral 
health services not provided in the dental clinic in 
the school, including restorative services, to ensure 
that all the oral health needs of students are met; 
and 
‘‘(3) maintain clinic hours that extend beyond 
school hours. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—For 
purposes of carrying out this section, there is authorized 
to be appropriated such sums as may be necessary for fis-
cal years 2016 through 2019.’’. 
SEC. 223. EMERGENCY ROOM CARE COORDINATION. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 320B. EMERGENCY ROOM CARE COORDINATION WITH 
RESPECT TO DENTAL CARE. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall establish a grant program to enable 
individuals to receive dental care at a facility operated by 
a grant recipient rather than at a hospital emergency 
room. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section an entity shall— 
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‘‘(1) be— 
‘‘(A) a Federally qualified health center 
(as defined in paragraph (4) of section 
1861(aa) of the Social Security Act) or rural 
health clinic (as defined in paragraph (2) of 
such section); 
‘‘(B) a private dental practice; or 
‘‘(C) any other interested public or private 
sector health care provider or organization, 
such as a dental school, that the Secretary de-
termines has the capacity to serve in a coordi-
nated, cost-effective manner, a high number of 
individuals who lack access to oral health serv-
ices; and 
‘‘(2) partner with a hospital or urgent care cen-
ter. 
‘‘(c) ORAL HEALTH EDUCATION FOR PRIMARY CARE 
AND ER HEALTH CARE PROVIDERS.—The Secretary shall 
allocate a portion of the amounts appropriated under sub-
section (e) toward medical education for primary care and 
emergency room physicians, nurses, nurse practitioners, 
and physician assistants to be trained in oral health. 
‘‘(d) REPORT.—Not later than January 1, 2019, the 
Secretary shall submit to Congress a report on the best 
practices determined by the program established under 
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