S. 5091
Medicaid Dental Benefit Act of 2026
Sponsor: Angela D. Alsobrooks · 0 cosponsors
Official summary
Written by the Congressional Research Service.
Medicaid Dental Benefit Act of 2026
This bill requires state Medicaid programs to cover dental and oral health services for adults. It also increases the Federal Medical Assistance Percentage (i.e., federal matching rate) for such services.
The Centers for Medicare & Medicaid Services must develop oral health quality and equity measures and conduct outreach relating to such coverage. Additionally, the Medicaid and Children's Health Insurance Program (CHIP) Payment and Access Commission must report on specified information relating to adult oral health care.
Text of the bill
Not later than 2 years after the date of enactment of this Act, the Medicaid and CHIP Payment and Access Commission shall submit to Congress a report on issues related to adult oral health across the 50 States, tribes, and the territories, including—
(1) the availability of adult oral health coverage, and enrollment in such coverage;
(2) a survey of adult oral health status among low-income women of childbearing age;
(3) barriers to accessing adult oral health care, including for racially diverse, ethnically diverse, and limited English-proficient communities;
(4) innovations and potential solutions to problems of access (including disparities in access) to adult oral health care, including innovations that would expand access to such care beyond dental offices; and
(5) the impact of the amendments made by section 2 of this Act and recommendations for improving reimbursement rates for providers of dental and oral health services under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.).