In the Senate of the United States, 
October 11, 2018. 
Resolved, That the bill from the House of Representa-
tives (H.R. 2422) entitled ‘‘An Act to amend the Public 
Health Service Act to improve essential oral health care for 
low-income and other underserved individuals by breaking 
down barriers to care, and for other purposes.’’, do pass with 
the following 
AMENDMENT: 
Strike all after the enacting clause and insert the 
following: 
SECTION 1. SHORT TITLE. 
This Act may be cited as the Action for Dental Health 
Act of 2018. 
SEC. 2. ORAL HEALTH EDUCATION. 
(a) IN GENERAL.—Section 399LL of the Public Health 
Service Act (42 U.S.C. 280k) is amended— 
(1) in subsection (a)—
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(A) in the subsection heading, by inserting 
‘‘OF
ORAL
HEALTH
EDUCATION
CAMPAIGN’’ 
after ‘‘ESTABLISHMENT’’; and 
(B) by striking ‘‘focused on oral healthcare 
prevention and education’’ and inserting ‘‘fo-
cused on oral health education’’; 
(2) in subsection (b), in the matter preceding 
paragraph (1), by striking ‘‘campaign’’ and inserting 
‘‘campaign under subsection (a)’’; and 
(3) by striking subsection (c) and inserting the 
following: 
‘‘(c) ACTION FOR DENTAL HEALTH PROGRAM.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the Director of the Centers for Disease Con-
trol and Prevention and the Administrator of the 
Health Resources and Services Administration, may 
award grants, contracts, or cooperative agreements to 
eligible entities to collaborate with State or local pub-
lic health officials, tribal health officials, oral health 
professional organizations, and others, as appro-
priate, to develop and implement initiatives to im-
prove oral health, including activities to prevent den-
tal disease and reduce barriers to the provision of 
dental services, including—
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‘‘(A) through community-wide dental dis-
ease prevention programs; and 
‘‘(B) by increasing public awareness and 
education related to oral health and dental dis-
ease prevention. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant, contract, or cooperative agreement 
under this subsection, an entity shall be— 
‘‘(A) a dental association; 
‘‘(B) a State or tribal health department or 
State or tribal oral health program; 
‘‘(C) an accredited dental education, dental 
hygiene, or postdoctoral dental education pro-
gram; or 
‘‘(D) a non-profit community-based organi-
zation that partners with public and private 
non-profit entities, such as an academic institu-
tion, to facilitate the provision of dental services 
to underserved populations.’’; 
(b) TECHNICAL AMENDMENT.—Section 399LL–1(d) of 
the Public Health Service Act (42 U.S.C. 280k–1(d)) is 
amended— 
(1) by striking ‘‘shall’’ and inserting ‘‘shall, as 
practicable and appropriate,’’ before ‘‘utilize’’; and
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(2) by striking ‘‘public education campaign’’ 
and inserting ‘‘oral health education campaign and 
action for dental health program’’. 
(c) REPORT TO CONGRESS.—Not later than 3 years 
after the date of enactment of this Act, the Secretary of 
Health and Human Services shall submit to the Committee 
on Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce of the House 
of Representatives, a report on the outcomes and effective-
ness of programs and activities conducted under sections 
399LL and 399LL–1 of the Public Health Service Act (42 
U.S.C. 280k and 280k–1). 
SEC. 3. GRANTS FOR INNOVATIVE PROGRAMS. 
Section 340G of the Public Health Service Act (42 
U.S.C. 256g) is amended— 
(1) in subsection (b)(5)— 
(A) in subparagraph (B), by striking ‘‘and’’ 
at the end; and 
(B) by adding at the end the following: 
‘‘(D) the establishment or development of 
models for the provision of dental services to 
children and adults, such as dental homes, in-
cluding for the elderly, blind, individuals with 
disabilities, and individuals living in long-term 
care facilities; and
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‘‘(E) the establishment of initiatives to re-
duce the use of emergency departments by indi-
viduals who seek dental services more appro-
priately delivered in a dental primary care set-
ting;’’; and 
(2) in subsection (f), by striking ‘‘$25,000,000 
for the 5-fiscal year period beginning with fiscal year 
2008’’ and inserting ‘‘$13,903,000 for each of fiscal 
years 2019 through 2023’’. 
Attest: 
Secretary.