Ensuring Kids Have Access to Medically Necessary Dental Care Act

Section 2103(c)(6) of the Social Security Act (42 U.S.C. 1397cc(c)(6)) is amended—

(1) in subparagraph (A), by inserting, subject to subparagraph (D), after shall include;

(2) in subparagraph (B), by striking A State and inserting Subject to subparagraph (D), a State; and

(3) by adding at the end the following new subparagraph:

A State shall not establish lifetime or annual limits on the dollar value of benefits for dental services provided under the State child health plan to a targeted low-income child, and, in the case that the State elects to provide pregnancy-related assistance pursuant to section 2112, to a targeted low-income pregnant woman (as defined in section 2112(d)), including benefits for such services that are provided through dental coverage that is otherwise equivalent to a benchmark dental package described in subparagraph (C).

The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.

Section 2110(b)(5) of the Social Security Act (42 U.S.C. 1397jj(b)(5)) is amended—

(1) in the paragraph header, by striking Option and inserting Requirement;

(2) in subparagraph (A), by striking may waive and inserting shall waive; and

(3) by amending subparagraph (C) to read as follows:

A State that provides dental-only supplemental coverage under this paragraph may not provide more favorable dental coverage or cost-sharing protection for dental coverage to children provided dental-only supplemental coverage under this paragraph than the dental coverage and cost-sharing protection for dental coverage provided to targeted low-income children who are eligible for the full range of child health assistance provided under the State child health plan.

The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.