S. 5089

Medicare Dental Benefit Act of 2026

Official summary

Written by the Congressional Research Service.

Medicare Dental Benefit Act of 2026

This bill provides for Medicare coverage of dental and oral health services, including routine diagnostic and preventive services, basic and major dental services, and emergency care; dental prostheses are also covered. Currently, such services are excluded from Medicare coverage.

Text of the bill

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Sec. 3. Increased FMAP for additional expenditures for medicare cost-sharing for dental and oral health services

Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—

(1) in subsection (b), by striking and (ii) and inserting (ii), and (ll); and

(2) by adding at the end the following new subsection:

Text this section adds to the law

(ll) Increased FMAP for additional expenditures for medicare cost-Sharing for dental and oral health services. Notwithstanding subsection (b), with respect to the portion of the amounts expended by a State for medical assistance for medicare cost-sharing (as defined in subsection (p)(3)) for qualified medicare beneficiaries described in subsection (p)(1) that is attributable to the coverage under part B of title XVIII of dental and oral health services (as defined in section 1861(ooo)), as determined by the Secretary, the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia shall be equal to 100 percent.