Action for Dental Health Act of 2018

Bill: 115-hr-2422
Sponsor: full_name: Rep. Kelly, Robin L. [D-IL-2]
Introduced: 2017-05-15
Policy area: Health
Subjects: Dental care

Health care coverage and access

Health programs administration and funding

Health promotion and preventive care

Health technology, devices, supplies

Medical education

Social work, volunteer service, charitable organizations

Tax-exempt organizations
Latest action: action_date: 2018-12-11
text: Became Public Law No: 115-302.

Summaries:
action_date: 2017-05-15
action_desc: Introduced in House
text: <p><b>Action for Dental Health Act 2017</b></p> <p>This bill amends the Public Health Service Act to reauthorize oral health promotion and disease prevention programs through FY2022. </p> <p>The Centers for Disease Control and Prevention (CDC) may award grants or enter into contracts to obtain portable or mobile dental equipment and pay operational costs for the provision of free dental services to underserved populations.</p> <p>The CDC may also award grants or enter into contracts to collaborate with state, county, or local public officials and other stakeholders to develop and implement initiatives to: (1) improve oral health education and dental disease prevention; (2) make the dental services delivery system more accessible and efficient through outreach programs that facilitate the establishment of dental homes; (3) reduce geographic barriers, language barriers, cultural barriers, and other similar barriers in the provision of dental services; (4) reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; or (5) facilitate the provision of dental care to nursing home residents who are disproportionately affected by lack of care.</p>

action_date: 2017-09-25
action_desc: Reported to House with amendment(s)
text: <p><b>Action for Dental Health Act 2017</b></p> <p>(Sec. 2) This bill amends the Public Health Service Act to reauthorize oral health promotion and disease prevention programs through FY2022. </p> <p>The Department of Health and Human Services&nbsp;may award grants or enter into contracts to collaborate with state, county, or local public officials and other stakeholders to develop and implement initiatives to: (1) improve oral health education and dental disease prevention; (2) reduce geographic barriers, language barriers, cultural barriers, and other similar barriers in the provision of dental services; (3) establish dental homes for children and adults; (4) reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; or (5) facilitate the provision of dental care to nursing home residents. </p>

action_date: 2018-02-26
action_desc: Passed House amended
text: <p>(This measure has not been amended since it was reported to the House on September 25, 2017. The summary of that version is repeated here.)</p> <p><b>Action for Dental Health Act 2017</b></p> <p>(Sec. 2) This bill amends the Public Health Service Act to reauthorize oral health promotion and disease prevention programs through FY2022. </p> <p>The Department of Health and Human Services&nbsp;may award grants or enter into contracts to collaborate with state, county, or local public officials and other stakeholders to develop and implement initiatives to: (1) improve oral health education and dental disease prevention; (2) reduce geographic barriers, language barriers, cultural barriers, and other similar barriers in the provision of dental services; (3) establish dental homes for children and adults; (4) reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; or (5) facilitate the provision of dental care to nursing home residents. </p>

action_date: 2018-12-11
action_desc: Public Law
text: <p><b>Action for Dental Health Act </b><b>of 2018</b></p> <p>(Sec. 2) This bill amends the Public Health Service Act to authorize the Department of Health and Human Services to award grants for oral health initiatives conducted by state, local, and tribal entities, including initiatives aimed at preventing dental disease and reducing barriers to dental services.</p> <p>(Sec. 3) The bill also reauthorizes through FY2023 and revises the grant program regarding dental health professional shortage areas, which is administered by the Health Resources and Services Administration. The bill authorizes states to use grant funds for: (1) dental homes for children and adults, and (2) initiatives that reduce emergency department visits for certain dental services. </p>

tv_txt: I 115th CONGRESS 1st Session H. R. 2422 IN THE HOUSE OF REPRESENTATIVES May 15, 2017 Ms. Kelly of Illinois (for herself and Mr. Simpson ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL 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.

1. Short title This Act may be cited as the Action for Dental Health Act of 2017 . 2. Findings Congress finds the following: (1) More than 181 million Americans will not visit a dentist even though nearly half of people over 30 suffer from some form of gum disease and nearly one in four children under the age of five already have cavities. (2) Many volunteer dental projects sponsored by national, State, and local dental societies provide free care now to those most in need. Annually, dentists deliver an estimated $2.6 billion in free and discounted care according to the America’s Dentists Care Foundation. (3) It is estimated that emergency department (ED) charges for dental complaints totaled up to $2.1 billion in 2010. Nearly 80 percent of the dental emergency room visits were nonurgent and could have been seen in a dental office. Shifting those ED visits to a dental office translates into potential cost savings of up to $1.7 billion a year and offers the possibility of establishing a dental home for these individuals. (4) Seniors, especially those in nursing homes and long-term care facilities, often have special dental needs and complicated medical histories that require consultation between dentists and fellow medical professionals in providing an interdisciplinary approach to their overall health needs. 3. Volunteer dental projects and action for dental health program Section 317M of the Public Health Service Act ( 42 U.S.C. 247b–14 ) is amended— (1) by redesignating subsections (e) and (f) as subsections (g) and (h), respectively; (2) by inserting after subsection (d), the following new subsection: (e) Grants To Support Volunteer Dental Projects (1) In general The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may award grants to or enter into contracts with eligible entities to obtain portable or mobile dental equipment, and pay for appropriate operational costs, for the provision of free dental services to underserved populations that are delivered in a manner consistent with State licensing laws. (2) Eligible entity In this subsection, the term eligible entity includes a State or local dental association, a State oral health program, a dental education, dental hygiene education, or postdoctoral dental education program accredited by the Commission on Dental Accreditation, or a community-based organization that partners with an academic institution, that— (A) is exempt from tax under section 501(c) of the Internal Revenue Code of 1986; and (B) offers a free dental services program for underserved populations. (f) Action for Dental Health Program (1) In general The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may award grants to or enter into contracts with eligible entities to collaborate with State, county, or local public officials and other stakeholders to develop and implement initiatives to accomplish any of the following goals: (A) To improve oral health education and dental disease prevention, including through community-wide prevention programs, through the use of dental sealants and fluoride varnish, and by increasing oral health literacy. (B) To make the health care delivery system providing dental services more accessible and efficient through the development and expansion of outreach programs that will facilitate the establishment of dental homes for children and adults, including for the aged, blind, and disabled populations. (C) To reduce geographic barriers, language barriers, cultural barriers, and other similar barriers to the provision of dental services. (D) To help reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting. (E) To facilitate the provision of dental care to nursing home residents who are disproportionately affected by the lack of dental care. (2) Eligible entity In this subsection, the term eligible entity includes a State or local dental association; a State oral health program; or a dental education, dental hygiene, or postdoctoral dental education program accredited by the Commission on Dental Accreditation, or a community-based organization that partners with an academic institution, that— (A) is exempt from tax under section 501(c) of the Internal Revenue Code of 1986; and (B) partners with public and private stakeholders to facilitate the provision of dental services for underserved populations. ; and (3) in subsection (h), as redesignated by paragraph (1), by inserting and $18,000,000 for each of the fiscal years 2018 through 2022 after fiscal years 2001 through 2005 .

tv_txt: IB Union Calendar No. 238 115th CONGRESS 1st Session H. R. 2422 [Report No. 115–328] IN THE HOUSE OF REPRESENTATIVES May 15, 2017 Ms. Kelly of Illinois (for herself and Mr. Simpson ) introduced the following bill; which was referred to the Committee on Energy and Commerce September 25, 2017 Additional sponsors: Mr. Ryan of Ohio , Ms. DelBene , Mrs. Watson Coleman , Mr. Payne , Mrs. Napolitano , Mr. Heck , Ms. Norton , Ms. Clarke of New York , Mr. Conyers , Ms. DeLauro , Mr. Swalwell of California , Mrs. Comstock , Mr. Lowenthal , Mr. DeFazio , Ms. Sewell of Alabama , Mr. Palazzo , Mrs. Beatty , Ms. Jackson Lee , Ms. Judy Chu of California , Ms. Wilson of Florida , Mr. Butterfield , Mr. Gallego , Mr. Amodei , Mr. Lewis of Georgia , Mr. Beyer , Ms. Michelle Lujan Grisham of New Mexico , Mr. Kilmer , Ms. Moore , Ms. Meng , Mr. Cohen , Ms. Schakowsky , Ms. Brownley of California , Ms. Clark of Massachusetts , Mr. David Scott of Georgia , Mr. Carson of Indiana , Mr. Visclosky , Mr. Richmond , Mr. Rouzer , Mr. Rodney Davis of Illinois , Mr. Hastings , Mr. O'Rourke , Mr. Foster , Mr. Pocan , Mr. Walz , Mr. Brendan F. Boyle of Pennsylvania , Ms. Plaskett , Ms. Maxine Waters of California , Mr. Perlmutter , Mr. Keating , Mr. Russell , Mr. Nolan , Mr. Bilirakis , Mr. Loebsack , Mr. Carter of Georgia , Mr. Gosar , Mr. Price of North Carolina , Mr. Vela , Mr. Johnson of Georgia , Mr. Veasey , Mr. Quigley , Mrs. Bustos , Mr. Higgins of New York , Mr. Danny K. Davis of Illinois , Ms. Stefanik , Ms. Esty of Connecticut , Mr. Barton , Mr. Connolly , Mr. Blumenauer , Mr. Cleaver , Ms. Lofgren , Ms. McCollum , Mr. Levin , Ms. Castor of Florida , Ms. Adams , Mr. Yarmuth , Mr. Al Green of Texas , Mr. Peters , Ms. Lee , Mr. Young of Alaska , Mr. Cummings , Mr. Lipinski , and Mr. Michael F. Doyle of Pennsylvania September 25, 2017 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed Strike out all after the enacting clause and insert the part printed in italic For text of introduced bill, see copy of bill as introduced on May 15, 2017 A BILL 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.

1. Short title This Act may be cited as the Action for Dental Health Act of 2017 . 2. Volunteer dental projects and action for dental health program Section 317M of the Public Health Service Act ( 42 U.S.C. 247b–14 ) is amended— (1) by redesignating subsections (e) and (f) as subsections (f) and (g), respectively; (2) by inserting after subsection (d) the following new subsection: (e) Action for dental health program (1) In general The Secretary, in consultation with the Director of the Centers for Disease Control and Prevention and the Administrator of the Health Resources and Service Administration, may award grants to or enter into contracts with eligible entities to collaborate with State, county, or local public officials and other stakeholders to develop and implement initiatives to accomplish any of the following goals: (A) To improve oral health education and dental disease prevention, including through community-wide prevention programs, through the use of dental sealants and fluoride varnish, and by increasing oral health literacy. (B) To reduce geographic barriers, language barriers, cultural barriers, and other similar barriers to the provision of dental services. (2) Eligible entity In this subsection, the term eligible entity means an entity that is— (A) a State or local dental association; (B) a State oral health program; (C) a dental education, dental hygiene, or postdoctoral dental education program accredited by the Commission on Dental Accreditation; or (D) a community-based organization that— (i) partners with an academic institution; (ii) is exempt from tax under section 501(c) of the Internal Revenue Code of 1986; and (iii) partners with public and private stakeholders to facilitate the provision of dental services for underserved populations. ; and (3) in subsection (g), as redesignated by paragraph (1), by striking such sums as may be necessary for each of the fiscal years 2001 through 2005 and inserting $18,000,000 for each of the fiscal years 2018 through 2022 . 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 of dental homes for children and adults, including for the aged, blind, and disabled populations; (E) the establishment of initiatives to reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; and (F) the provision of dental care to nursing home residents; ; 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 2018 through 2022 .

September 25, 2017 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

tv_txt: IB 115th CONGRESS 2d Session H. R. 2422 IN THE HOUSE OF REPRESENTATIVES 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.

1. Short title This Act may be cited as the Action for Dental Health Act of 2017 . 2. Volunteer dental projects and action for dental health program Section 317M of the Public Health Service Act ( 42 U.S.C. 247b–14 ) is amended— (1) by redesignating subsections (e) and (f) as subsections (f) and (g), respectively; (2) by inserting after subsection (d) the following new subsection: (e) Action for dental health program (1) In general The Secretary, in consultation with the Director of the Centers for Disease Control and Prevention and the Administrator of the Health Resources and Service Administration, may award grants to or enter into contracts with eligible entities to collaborate with State, county, or local public officials and other stakeholders to develop and implement initiatives to accomplish any of the following goals: (A) To improve oral health education and dental disease prevention, including through community-wide prevention programs, through the use of dental sealants and fluoride varnish, and by increasing oral health literacy. (B) To reduce geographic barriers, language barriers, cultural barriers, and other similar barriers to the provision of dental services. (2) Eligible entity In this subsection, the term eligible entity means an entity that is— (A) a State or local dental association; (B) a State oral health program; (C) a dental education, dental hygiene, or postdoctoral dental education program accredited by the Commission on Dental Accreditation; or (D) a community-based organization that— (i) partners with an academic institution; (ii) is exempt from tax under section 501(c) of the Internal Revenue Code of 1986; and (iii) partners with public and private stakeholders to facilitate the provision of dental services for underserved populations. ; and (3) in subsection (g), as redesignated by paragraph (1), by striking such sums as may be necessary for each of the fiscal years 2001 through 2005 and inserting $18,000,000 for each of the fiscal years 2018 through 2022 . 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 of dental homes for children and adults, including for the aged, blind, and disabled populations; (E) the establishment of initiatives to reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; and (F) the provision of dental care to nursing home residents; ; 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 2018 through 2022 .

Passed the House of Representatives February 26, 2018. Karen L. Haas, Clerk.

tv_txt: IIB 115th CONGRESS 2d Session H. R. 2422 IN THE SENATE OF THE UNITED STATES February 27, 2018 Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions 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.

1. Short title This Act may be cited as the Action for Dental Health Act of 2017 . 2. Volunteer dental projects and action for dental health program Section 317M of the Public Health Service Act ( 42 U.S.C. 247b–14 ) is amended— (1) by redesignating subsections (e) and (f) as subsections (f) and (g), respectively; (2) by inserting after subsection (d) the following new subsection: (e) Action for dental health program (1) In general The Secretary, in consultation with the Director of the Centers for Disease Control and Prevention and the Administrator of the Health Resources and Service Administration, may award grants to or enter into contracts with eligible entities to collaborate with State, county, or local public officials and other stakeholders to develop and implement initiatives to accomplish any of the following goals: (A) To improve oral health education and dental disease prevention, including through community-wide prevention programs, through the use of dental sealants and fluoride varnish, and by increasing oral health literacy. (B) To reduce geographic barriers, language barriers, cultural barriers, and other similar barriers to the provision of dental services. (2) Eligible entity In this subsection, the term eligible entity means an entity that is— (A) a State or local dental association; (B) a State oral health program; (C) a dental education, dental hygiene, or postdoctoral dental education program accredited by the Commission on Dental Accreditation; or (D) a community-based organization that— (i) partners with an academic institution; (ii) is exempt from tax under section 501(c) of the Internal Revenue Code of 1986; and (iii) partners with public and private stakeholders to facilitate the provision of dental services for underserved populations. ; and (3) in subsection (g), as redesignated by paragraph (1), by striking such sums as may be necessary for each of the fiscal years 2001 through 2005 and inserting $18,000,000 for each of the fiscal years 2018 through 2022 . 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 of dental homes for children and adults, including for the aged, blind, and disabled populations; (E) the establishment of initiatives to reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; and (F) the provision of dental care to nursing home residents; ; 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 2018 through 2022 .

Passed the House of Representatives February 26, 2018. Karen L. Haas, Clerk.

tv_txt: 115th CONGRESS 2d Session H.R. 2422 In the Senate of the United States, October 11, 2018. Amendment:

That the bill from the House of Representatives (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 Strike all after the enacting clause and insert the following: 1. Short title This Act may be cited as the Action for Dental Health Act of 2018 . 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)— (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 focused 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 consultation with the Director of the Centers for Disease Control 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 public health officials, tribal health officials, oral health professional organizations, and others, as appropriate, to develop and implement initiatives to improve oral health, including activities to prevent dental disease and reduce barriers to the provision of dental services, including— (A) through community-wide dental disease prevention programs; and (B) by increasing public awareness and education related to oral health and dental disease prevention. (2) Eligible entities To be eligible to receive 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 program; or (D) a non-profit community-based organization that partners with public and private non-profit entities, such as an academic institution, 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 (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 effectiveness 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). 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, including for the elderly, blind, individuals with disabilities, and individuals living in long-term care facilities; and (E) the establishment of initiatives to reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; ; 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 .

Secretary

tv_txt: IB One Hundred Fifteenth Congress of the United States of America At the Second Session Begun and held at the City of Washington on Wednesday, the third day of January, two thousand and eighteen H. R. 2422 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.

1. Short title This Act may be cited as the Action for Dental Health Act of 2018 . 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)— (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 focused 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 consultation with the Director of the Centers for Disease Control 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 public health officials, tribal health officials, oral health professional organizations, and others, as appropriate, to develop and implement initiatives to improve oral health, including activities to prevent dental disease and reduce barriers to the provision of dental services, including— (A) through community-wide dental disease prevention programs; and (B) by increasing public awareness and education related to oral health and dental disease prevention. (2) Eligible entities To be eligible to receive 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 program; or (D) a non-profit community-based organization that partners with public and private non-profit entities, such as an academic institution, 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 (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 effectiveness 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). 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, including for the elderly, blind, individuals with disabilities, and individuals living in long-term care facilities; and (E) the establishment of initiatives to reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; ; 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 .

Speaker of the House of Representatives. Vice President of the United States and President of the Senate.