SEC. 5. ENHANCED MATCHING RATE UNDER MEDICAID
FOR COVERAGE OF FULL ADULT DENTAL
BENEFITS.
(a) IN GENERAL.—Section 1905(a)(4) of the Social
Security Act (42 U.S.C. 1396d(a)(4)) is amended—
(1) by inserting ‘‘(A)’’ after ‘‘with respect to’’;
and
(2) by inserting before the period at the end the
following: ‘‘and (B) with respect to medical assist-
ance provided for dental benefits for adults but only
if such benefits cover the full range of dental bene-
fits (including orthodontia and dentures)’’.
(b) EFFECTIVE DATE.—The amendments made by
subsection (a) shall apply to medical assistance for items
and services furnished on or after the date of the enact-
ment of this Act, regardless of whether the State medicaid
plan provided for full adult dental benefits before such
date.
SEC. 6. ESTABLISHMENT OF FUND FOR ORAL HEALTH
SERVICES 
THROUGH 
COMMUNITY-BASED
HEALTH CENTERS.
(a) IN GENERAL.—There is established in the Treas-
ury of the United States a fund to be known as Commu-
nity Oral Health Expansion Fund (referred to in this sec-
tion as the ‘‘Fund’’). The Fund shall consist of such
amounts as may be appropriated under subsection (b) to
the Fund. Amounts appropriated for the Fund shall re-
main available until expended.
(b) 
AUTHORIZATION
OF
APPROPRIATIONS
TO
FUND.—For each fiscal year beginning with fiscal year
2003, there is authorized to be appropriated to the Fund
$140,000,000.
(c) USE OF FUND.—
(1) IN GENERAL.—Amounts in the Fund and
available pursuant to appropriations Act shall be
used by the Secretary of Health and Human Serv-
ices to make grants to the States for the purpose of
establishing or expanding the availability of oral
health services through Federally-qualified health
centers (as defined in section 1905(l)(2)(B) of the
Social Security Act) or through other nonprofit pri-
vate or public community-based providers of health
services.
(2) CERTAIN USES.—The purposes for which a
grant under paragraph (1) may be expended include,
with respect to oral health services—
(A) recruiting and compensating staff;
(B) purchasing equipment; and
(C) constructing, modernizing, or ren-
ovating facilities.
(3) USE FOR DEMONSTRATION PROJECTS.—In
conjunction with any of the uses specified under
paragraph (2), grants under paragraph (1) also may
be used by health centers and other community-
based providers described in paragraph (1) for dem-
onstration projects and demonstration partnerships
with Head Start programs for identifying children at
risk of dental disease and providing early interven-
tion and prevention of such disease.
(d) REQUIREMENT OF MATCHING FUNDS.—
(1) IN GENERAL.—With respect to the costs of
the program to be carried out under subsection (c)
by a State, a grant under such subsection may be
made only if the State agrees to make available (di-
rectly or through donations from public or private
entities) non-Federal contributions toward such
costs in an amount that is not less than 10 percent
of such costs ($1 for each $9 of Federal funds pro-
vided in the grant).
(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions required in para-
graph (1) may be in cash or in kind, fairly evalu-
ated, including plant, equipment, or services.
Amounts provided by the Federal Government, or
services assisted or subsidized to any significant ex-
tent by the Federal Government, may not be in-
cluded in determining the amount of such non-Fed-
eral contributions.
(e) PRIORITY
FOR STATES COVERING MEDICAID
LEVEL
OF DENTAL BENEFITS UNDER SCHIP AND
PREFERENCE FOR STATES WITH MARKET-BASED PAY-
MENT RATES FOR DENTAL SERVICES UNDER MEDICAID
AND SCHIP.—In awarding grants to States under this
section, the Secretary of Health and Human Services
shall—
(1) give priority to those States that provide,
under its State child health insurance plan under
title XXI of the Social Security Act, for the coverage
of dental benefits in an amount, duration, and scope
equivalent to that provided under its State medicaid
plan under title XIX of such Act; and
(2) give preference to States that provide for
reimbursement under its State medicaid plan and its
State child health insurance plan under titles XIX
and XXI of such Act for dental services at levels
consistent with market-based rates.
(f) STATE DEFINED.—For purposes of this section,
the term ‘‘State’’ has the meaning given such term for
purposes of title XIX of the Social Security Act.
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