H. R. 976—83 
guidance to States with respect to any new reporting require-
ments related to such improvements. Amounts appropriated 
under this paragraph shall remain available until expended. 
(2) REQUIREMENTS.—The improvements made by the Sec-
retary under paragraph (1) shall be designed and implemented 
(including with respect to any necessary guidance for States 
to report such information in a complete and expeditious 
manner) so that, beginning no later than October 1, 2008, 
data regarding the enrollment of low-income children (as 
defined in section 2110(c)(4) of the Social Security Act (42 
U.S.C. 1397jj(c)(4)) of a State enrolled in the State plan under 
Medicaid or the State child health plan under CHIP with 
respect to a fiscal year shall be collected and analyzed by 
the Secretary within 6 months of submission. 
(d) GAO STUDY AND REPORT ON ACCESS TO PRIMARY AND SPE-
CIALITY SERVICES.— 
(1) IN GENERAL.—The Comptroller General of the United 
States shall conduct a study of children’s access to primary 
and specialty services under Medicaid and CHIP, including— 
(A) the extent to which providers are willing to treat 
children eligible for such programs; 
(B) information on such children’s access to networks 
of care; 
(C) geographic availability of primary and specialty 
services under such programs; 
(D) the extent to which care coordination is provided 
for children’s care under Medicaid and CHIP; and 
(E) as appropriate, information on the degree of avail-
ability of services for children under such programs. 
(2) REPORT.—Not later than 2 years after the date of enact-
ment of this Act, the Comptroller General shall submit a report 
to the Committee on Finance of the Senate and the Committee 
on Energy and Commerce of the House of Representatives 
on the study conducted under paragraph (1) that includes rec-
ommendations for such Federal and State legislative and 
administrative changes as the Comptroller General determines 
are necessary to address any barriers to access to children’s 
care under Medicaid and CHIP that may exist. 
SEC. 403. APPLICATION OF CERTAIN MANAGED CARE QUALITY SAFE-
GUARDS TO CHIP. 
(a) IN GENERAL.—Section 2103(f) of Social Security Act (42 
U.S.C. 1397bb(f)) is amended by adding at the end the following 
new paragraph: 
‘‘(3) COMPLIANCE WITH MANAGED CARE REQUIREMENTS.— 
The State child health plan shall provide for the application 
of subsections (a)(4), (a)(5), (b), (c), (d), and (e) of section 1932 
(relating to requirements for managed care) to coverage, State 
agencies, enrollment brokers, managed care entities, and man-
aged care organizations under this title in the same manner 
as such subsections apply to coverage and such entities and 
organizations under title XIX.’’. 
(b) EFFECTIVE DATE.—The amendment made by subsection (a) 
shall apply to contract years for health plans beginning on or 
after July 1, 2008.
H. R. 976—84 
TITLE V—IMPROVING ACCESS TO 
BENEFITS 
SEC. 501. DENTAL BENEFITS. 
(a) COVERAGE.— 
(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 paragraph 
(1) shall apply to coverage of items and services furnished 
on or after October 1, 2008. 
(b) DENTAL EDUCATION FOR PARENTS OF NEWBORNS.—The Sec-
retary shall develop and implement, through entities that fund
H. R. 976—85 
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. 
(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 paragraph (69); 
(B) by striking the period at the end of paragraph 
(70) and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (70) the following 
new paragraph: 
‘‘(71) 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)(71) (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, 2008. 
(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 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 
such plans under this title shall provide for the reporting 
of such information by such plans to the State.’’.
H. R. 976—86 
(3) EFFECTIVE DATE.—The amendments made by this sub-
section shall be effective for annual reports submitted for years 
beginning after date of enactment. 
(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 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. 
(f) 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,’’. 
(g) 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 
paragraph (1). The report shall include recommendations for 
such Federal and State legislative and administrative changes