S. 5091

Medicaid Dental Benefit Act of 2026

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

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Sec. 5. Oral health outreach and education

Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services shall develop a program, to be implemented through contracts with entities that fund or provide oral health care, to provide—

(1) culturally competent and linguistically appropriate information on the availability and scope of oral health and dental coverage for adults who are eligible for or enrolled under a State plan (or waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.);

(2) assistance in connecting adults and underserved populations enrolled in such a plan (or such a waiver) to oral health care;

(3) education to dental, oral health, and medical professionals to strengthen core competencies in delivering culturally competent oral health care to adults enrolled in such a plan (or such a waiver), including individuals with physical and intellectual disabilities, pregnant and postpartum individuals, Alaskan Native and American Indian populations, and individuals living in urban, rural, and other underserved communities; and

(4) culturally competent and linguistically appropriate interactive oral health education aimed at promoting good oral health practices for adults, including racially and ethnically diverse individuals enrolled under such a plan (or such a waiver).