paragraph (4) of section 1861(aa) of the Social Security 
Act), rural health clinics (as defined in paragraph (2) of 
such section), nonprofit dental clinics, and dental schools 
to provide mobile and portable, comprehensive dental serv-
ices that provide for the restoration or maintenance of oral 
health and function (including dental services provided by 
licensed providers through telehealth-enabled collaboration 
and supervision) and outreach for dental services to un-
derserved populations. Eligible entities shall deliver such 
services at locations such as senior centers, nursing 
homes, assisted living facilities, schools, licensed day care 
centers that serve eligible individuals who receive benefits 
under the State Children’s Health Insurance Program 
under title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.) or the Medicaid program under title XIX 
of the Social Security Act (42 U.S.C. 1396 et seq.), and 
facilities that provide services under the Special Supple-
mental Nutrition Program for Women, Infants, and Chil-
dren (the WIC program) or the Head Start Act (42 U.S.C. 
9831 et seq.). The Secretary shall award the grants to 
entities that can provide coordinated care and continuity 
of care. 
‘‘(b) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary.’’. 
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Subtitle D—Oral Health Services as 
an Essential Health Benefit 
SEC. 231. ORAL HEALTH SERVICES AS AN ESSENTIAL 
HEALTH BENEFIT. 
Section 1302(b)(1) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 18022(b)(1)) is amended by 
adding at the end the following: 
‘‘(K) Oral health services.’’. 
TITLE 
III—DEPARTMENT 
OF 
VETERANS AFFAIRS AND DE-
PARTMENT OF DEFENSE MAT-
TERS 
Subtitle A—Department of 
Veterans Affairs Matters 
SEC. 301. REQUIRING THE SECRETARY OF VETERANS AF-
FAIRS TO FURNISH DENTAL CARE IN THE 
SAME MANNER AS ANY OTHER MEDICAL 
SERVICE. 
(a) IN GENERAL.—Title 38, United States Code, is 
amended— 
(1) in section 1701(6), by striking ‘‘as de-
scribed in sections 1710 and 1712 of this title’’; 
(2) in section 1710(c), by striking the second 
sentence; 
(3) in section 1712— 
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(A) by striking subsections (a) and (b); 
(B) by redesignating subsections (c), (d), 
and (e) as subsections (a), (b), and (c), respec-
tively; and 
(C) in subsection (a), as redesignated by 
subparagraph (B)— 
(i) by striking ‘‘Dental appliances’’ 
and inserting ‘‘The Secretary may furnish 
dentures, dental appliances’’; and 
(ii) by striking ‘‘to be furnished by the 
Secretary under this section may be pro-
cured by the Secretary’’ and inserting 
‘‘under this section and may procure such 
appliances’’; and 
(4) by striking section 2062. 
(b) CONFORMING AMENDMENTS.—Such title is fur-
ther amended— 
(1) in section 1525(a), by striking ‘‘medicines 
under section 1712(d)’’ and inserting ‘‘medicines 
under section 1712(b)’’; and 
(2) in section 1703(a)(7), by striking ‘‘, for a 
veteran described in section 1712(a)(1)(F) of this 
title’’. 
(c) CLERICAL AMENDMENTS.—Such title is further 
amended— 
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(1) in section 1712, in the heading for such sec-
tion, by striking ‘‘Dental care’’ and inserting 
‘‘Appliances’’; 
(2) in the table of sections at the beginning of 
chapter 17, by striking the item relating to section 
1712 and inserting the following new item: 
‘‘1712. Appliances; drugs and medicines for certain disabled veterans; vac-
cines.’’; 
and 
(3) in the table of sections at the beginning of 
chapter 20, by striking the item relating to section 
2062. 
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 COMMU-
NITIES. 
(a) DEMONSTRATION PROGRAM AUTHORIZED.—The 
Secretary of Veterans Affairs may carry out a demonstra-
tion program to establish programs to train and employ 
alternative dental health care providers in order to in-
crease access to dental health care services for veterans 
entitled to such services who reside in rural and other un-
derserved communities. 
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(b) TELEHEALTH.—For purposes of alternative den-
tal health care providers and any other dental care pro-
viders who are licensed to provide clinical care, dental 
services provided under the demonstration program under 
this section may be administered by such providers 
through telehealth-enabled collaboration and supervision 
when deemed appropriate and feasible. 
(c) ALTERNATIVE DENTAL HEALTH CARE PRO-
VIDERS DEFINED.—In this section, the term ‘‘alternative 
dental health care providers’’ has the meaning given that 
term in section 340G–1(a)(2) of the Public Health Service 
Act (42 U.S.C. 256g–1(a)(2)). 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out the demonstration program under this 
section. 
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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. 
(a) DEMONSTRATION PROGRAM AUTHORIZED.—The 
Secretary of Defense may carry out a demonstration pro-
gram to establish programs to train and employ alter-
native dental health care providers in order to increase ac-
cess to dental health care services for members of the 
Armed Forces and their dependents who lack ready access 
to such services, including the following: 
(1) Members and dependents who reside in 
rural areas or areas otherwise underserved by dental 
health care providers. 
(2) Members of the National Guard and Re-
serves 
in 
active 
status 
who 
are 
potentially 
deployable. 
(b) TELEHEALTH.—For purposes of alternative den-
tal health care providers and any other dental care pro-
viders who are licensed to provide clinical care, dental 
services provided under the demonstration program under 
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this section may be administered by such providers 
through telehealth-enabled collaboration and supervision 
when deemed appropriate and feasible. 
(c) ALTERNATIVE DENTAL HEALTH CARE PRO-
VIDERS DEFINED.—In this section, the term ‘‘alternative 
dental health care providers’’ has the meaning given that 
term in section 340G–1(a)(2) of the Public Health Service 
Act (42 U.S.C. 256g–1(a)(2)). 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out the demonstration program under this 
section. 
TITLE IV—FEDERAL BUREAU OF 
PRISONS 
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. 
(a) DEMONSTRATION PROGRAM AUTHORIZED.—The 
Attorney General, acting through the Director of the Bu-
reau of Prisons, may carry out a demonstration program 
to establish programs to train and employ alternative den-
tal health care providers in order to increase access to den-
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tal health services for prisoners within the custody of the 
Bureau of Prisons. 
(b) TELEHEALTH.—For purposes of alternative den-
tal health care providers and any other dental care pro-
viders who are licensed to provide clinical care, dental 
services provided under the demonstration program under 
this section may be administered by such providers 
through telehealth-enabled collaboration and supervision 
when deemed appropriate and feasible. 
(c) ALTERNATIVE DENTAL HEALTH CARE PRO-
VIDERS DEFINED.—In this section, the term ‘‘alternative 
dental health care providers’’ has the meaning given that 
term in section 340G–1(a)(2) of the Public Health Service 
Act (42 U.S.C. 256g–1(a)(2)). 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out the demonstration program under this 
section. 
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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. 
(a) DEMONSTRATION PROGRAM AUTHORIZED.—The 
Secretary of Health and Human Services, acting through 
the Indian Health Service, may carry out a demonstration 
program to establish programs to train and employ alter-
native dental health care providers in order to help elimi-
nate oral health disparities and increase access to dental 
services through health programs operated by the Indian 
Health Service, Indian tribes, tribal organizations, and 
Urban Indian organizations (as those terms are defined 
in section 4 of the Indian Health Care Improvement Act 
(25 U.S.C. 1603)). 
(b) TELEHEALTH.—For purposes of alternative den-
tal health care providers and any other dental care pro-
viders who are licensed to provide clinical care, dental 
services provided under the demonstration program under 
this section may be administered by such providers 
through telehealth-enabled collaboration and supervision 
when deemed appropriate and feasible. 
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(c) ALTERNATIVE DENTAL HEALTH CARE PRO-
VIDERS DEFINED.—In this section, the term ‘‘alternative 
dental health care providers’’ has the meaning given that 
term in section 340G–1(a)(2) of the Public Health Service 
Act (42 U.S.C. 256g–1(a)(2)). 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out the demonstration program under this 
section. 
TITLE VI—REPORTS TO 
CONGRESS 
SEC. 601. EVALUATION OF EXPANSION OF COVERAGE FOR 
DENTAL SERVICES. 
(a) SECRETARY
OF HEALTH
AND HUMAN SERV-
ICES.—Not later than October 1, 2017, the Secretary of 
Health and Human Services shall submit to Congress a 
report that provides a comprehensive cost-benefit analysis 
regarding the expansion of coverage for dental services 
pursuant to this Act, including whether the provision of 
such services resulted in a reduction in total health care 
costs for individuals under the Medicare and Medicaid 
programs. 
(b) COMPTROLLER GENERAL.— 
(1) MEDICAID AND MEDICARE.—Not later than 
January 1, 2017, the Comptroller General of the 
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United States shall submit to Congress a report that 
provides a comprehensive analysis and evaluation of 
the implementation and utilization of the expanded 
coverage for dental services pursuant to this Act for 
individuals enrolled in the Medicare and Medicaid 
programs. 
(2) DEMONSTRATION
PROGRAMS.—Not later 
than January 1, 2017, the Comptroller General of 
the United States shall submit to Congress a report 
that provides a comprehensive analysis and evalua-
tion of the demonstration programs described in sec-
tions 302, 311, 401, and 501, including— 
(A) the extent to which the programs im-
proved access to oral health care and increased 
utilization of oral health services; and 
(B) an examination of the training pro-
vided under the programs to alternative dental 
health care providers and the quality of care 
provided by such providers. 
Æ 
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