I 
109TH CONGRESS 
1ST SESSION H. R. 4624 
To amend title XIX of the Social Security Act to require States to provide 
oral health services to children and aged, blind, or disabled individuals 
under the Medicaid Program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 17, 2005 
Mr. BOUSTANY (for himself and Mr. ANDREWS) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to require 
States to provide oral health services to children and 
aged, blind, or disabled individuals under the Medicaid 
Program, and for other purposes. 
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 ‘‘Special Care Dentistry 
Act of 2005’’.
SEC. 2. REQUIREMENT TO PROVIDE CHILDREN AND AGED, 
BLIND, OR DISABLED INDIVIDUALS WITH 
ORAL HEALTH SERVICES UNDER THE MED-
ICAID PROGRAM. 
(a) IN GENERAL.—Title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.) is amended— 
(1) by redesignating section 1936 as section 
1937; and 
(2) by inserting after section 1935, the fol-
lowing: 
‘‘ORAL HEALTH SERVICES FOR CHILDREN AND AGED, 
BLIND, OR DISABLED INDIVIDUALS 
‘‘SEC. 1936. (a) EXPANSION OF EPSDT.— 
‘‘(1) IN GENERAL.—A State plan under this 
title shall provide, subject to the succeeding provi-
sions of this section and through a plan amendment, 
for the provision of oral health services for children 
who are eligible for medical assistance under the 
State program under this title and aged, blind, or 
disabled individuals described in subsection (b) as 
part of the early and periodic screening, diagnostic, 
and treatment services described in section 1905(r) 
(in this section referred to as ‘EPSDT services’) 
that are provided under the State plan. 
‘‘(2) 
APPLICATION
OF
EPSDT
REQUIRE-
MENTS.—The requirements applicable under this
title and the State plan with respect to the provision 
of EPSDT services that are oral health services, in-
cluding payment structures, access requirements, 
participation goals, and standards of care, shall 
apply to the provision of oral health services for 
aged, blind, or disabled individuals described in sub-
section (b) in the same manner as such requirements 
apply to the provision of such services to children. 
‘‘(3) SPECIAL CARE WAIVER TO PROVIDE SERV-
ICES
UNDER
A
SEPARATE
STATE
ADULT
DENTAL 
PROGRAM.—The Secretary may permit a State to 
provide oral health services for aged, blind, or dis-
abled individuals described in subsection (b) through 
a separate State adult dental program if the State 
demonstrates that the services and fees provided and 
program requirements under the waiver are at least 
equivalent to the services, fees, and requirements 
that are provided to children under this title and in-
clude age-appropriate services for such individuals. 
‘‘(4) MEDICAL
NECESSITY.—EPSDT services 
that are oral health services (other than purely cos-
metic dental or oral health procedures, as defined by 
the Secretary) provided to children who are eligible 
for medical assistance under the State program 
under this title or to aged, blind, or disabled individ-