I 
118TH CONGRESS 
1ST SESSION 
H. R. 590 
To amend title XXI of the Social Security Act to prohibit lifetime or annual 
limits on dental coverage under the Children’s Health Insurance Pro-
gram, and to require wraparound coverage of dental services for certain 
children under such program. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 27, 2023 
Ms. BARRAGA´N (for herself, Mr. COHEN, Mr. CA´RDENAS, and Mr. BISHOP of 
Georgia) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend title XXI of the Social Security Act to prohibit 
lifetime or annual limits on dental coverage under the 
Children’s Health Insurance Program, and to require 
wraparound coverage of dental services for certain chil-
dren under such 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. 
This Act may be cited as the ‘‘Ensuring Kids Have 
Access to Medically Necessary Dental Care Act’’. 
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SEC. 2. PROHIBITION OF LIFETIME OR ANNUAL LIMITS ON 
DENTAL BENEFITS UNDER THE CHILDREN’S 
HEALTH INSURANCE PROGRAM. 
(a) IN GENERAL.—Section 2103(c)(6) of the Social 
Security Act (42 U.S.C. 1397cc(c)(6)) is amended— 
(1) in subparagraph (A), by inserting ‘‘, subject 
to subparagraph (D),’’ after ‘‘shall include’’; 
(2) in subparagraph (B), by striking ‘‘A State’’ 
and inserting ‘‘Subject to subparagraph (D), a 
State’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(D) NO LIFETIME OR ANNUAL LIMITS ON 
DENTAL BENEFITS.—A State shall not establish 
lifetime or annual limits on the dollar value of 
benefits for dental services provided under the 
State child health plan to a targeted low-income 
child, and, in the case that the State elects to 
provide pregnancy-related assistance pursuant 
to section 2112, to a targeted low-income preg-
nant woman (as defined in section 2112(d)), in-
cluding benefits for such services that are pro-
vided through dental coverage that is otherwise 
equivalent to a benchmark dental package de-
scribed in subparagraph (C).’’. 
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(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date that is 6 months 
after the date of enactment of this Act. 
SEC. 3. REQUIRING WRAPAROUND COVERAGE OF DENTAL 
SERVICES FOR CERTAIN CHILDREN UNDER 
CHIP. 
(a) IN GENERAL.—Section 2110(b)(5) of the Social 
Security Act (42 U.S.C. 1397jj(b)(5)) is amended— 
(1) in the paragraph header, by striking ‘‘OP-
TION’’ and inserting ‘‘REQUIREMENT’’; 
(2) in subparagraph (A), by striking ‘‘may 
waive’’ and inserting ‘‘shall waive’’; and 
(3) in subparagraph (C)— 
(A) in the subparagraph header, by strik-
ing ‘‘CONDITIONS’’ and inserting ‘‘REQUIRE-
MENTS’’; and 
(B) by striking ‘‘may not offer dental-only 
supplemental coverage under this paragraph 
unless the State satisfies the following condi-
tions’’ and inserting ‘‘shall offer dental-only 
supplemental coverage under this paragraph in 
accordance with the following requirements’’. 
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(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date that is 6 months 
after the date of enactment of this Act. 
Æ 
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