I 
111TH CONGRESS 
1ST SESSION H. R. 2220 
To amend titles V and XIX of the Social Security Act to improve essential 
oral health care for lower-income individuals under the Maternal and 
Child Health Program and the Medicaid Program. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 30, 2009 
Mr. ROSS (for himself and Mr. SIMPSON) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To amend titles V and XIX of the Social Security Act 
to improve essential oral health care for lower-income 
individuals under the Maternal and Child Health Pro-
gram and the Medicaid Program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Essential Oral Health Care Act of 2009’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
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TITLE I—PUBLIC-PRIVATE PARTNERSHIP TO IMPROVE ORAL 
HEALTH ACCESS 
Sec. 101. Grants to support volunteer dental projects. 
TITLE II—STATE OPTION FOR IMPROVING MEDICAID DENTAL 
SERVICES ACCESS 
Sec. 201. Support for ensuring individuals enrolled in Medicaid have dental 
services access equal to the population of the State. 
TITLE I—PUBLIC-PRIVATE PART-
NERSHIP TO IMPROVE ORAL 
HEALTH ACCESS 
SEC. 101. GRANTS TO SUPPORT VOLUNTEER DENTAL 
PROJECTS. 
Title V of the Social Security Act (42 U.S.C. 701 
et seq.) is amended by adding at the end the following 
new section: 
‘‘SEC. 511. GRANTS TO SUPPORT VOLUNTEER DENTAL 
PROJECTS. 
‘‘(a) AUTHORITY TO MAKE GRANTS.—In addition to 
any other payments made under this title to a State, the 
Secretary shall award grants to eligible entities as defined 
in subsection (b) to purchase portable or mobile dental 
equipment and to pay for appropriate operational costs, 
including direct health care or service delivery costs, for 
the provision of free dental services to underserved popu-
lations that are delivered in a manner consistent with 
State licensing laws. 
‘‘(b) ELIGIBLE ENTITY.—An eligible entity under 
this subsection is an organization, such as a State or local 
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dental association, or a dental education, dental hygiene 
education or postdoctoral dental education program ac-
credited by the Commission on Dental Accreditation, or 
a community-based organization that partners with an 
academic institution, that is exempt from tax under sec-
tion 501(c) of the Internal Revenue Code of 1986 and that 
offers a free dental services program for underserved pop-
ulations. 
‘‘(c) APPLICATION.—An institution desiring a grant 
under this section shall submit an application to the Sec-
retary in such manner as the Secretary may require. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to make grants under 
this section $3,000,000 for each of fiscal years 2010 
through 2014.’’. 
TITLE II—STATE OPTION FOR 
IMPROVING MEDICAID DEN-
TAL SERVICES ACCESS 
SEC. 201. SUPPORT FOR ENSURING INDIVIDUALS EN-
ROLLED IN MEDICAID HAVE DENTAL SERV-
ICES ACCESS EQUAL TO THE POPULATION OF 
THE STATE. 
(a) IN GENERAL.—Section 1903 of the Social Secu-
rity Act (42 U.S.C. 1396b) is amended by adding at the 
end the following new subsection: 
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