,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dfej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #aa1 #bjai,ms4
 ,kelly ( ,ill9ois 7= h]self & ,mr4     
,hors=d7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide cov]age = c]ta9 d5tal items &   
s]vices "u "p ,b ( ! ,m$ic>e program4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,m$ic>e ,d5tal ,act ( #bjai4  #b4     
,d5tal & oral heal? c>e  7a7 ,cov]age   
,section #ahfa7s77#b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#b77 is am5d$--  7#a7 9       
subp>agraph 7,,gg71 by /rik+ & aft] !   
semicolon at ! end2  7#b7 9 subp>agraph 
7,,hh71 by /rik+ ! p]iod at ! end & add+
 2 &2 &  7#c7 by add+ at ! end ! foll[+ 

new subp>agraph3  7,,ii7 d5tal & oral   
heal? s]vices 7z def9$ 9 subsection     
7kkk772  4  7b7 ,d5tal & oral heal?     
s]vices def9$ ,section #ahfa ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #aciex7  
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7kkk7 ,d5tal & oral heal?  
s]vices  7#a7 ,9 g5]al ,! t]m d5tal &   
oral heal? s]vices means items & s]vices
 7o!r ?an su* items & s]vices = :i*     
paym5t may be made "u "p ,a z inpati5t  
hospital s]vices7 t are furni%$ dur+    
#bjbb or a subsequ5t ye>1 = :i* cov]age 
0 n provid$ "u "p ,b z ( ! date ( !     
enactm5t ( ?is subsection1 & t are--    
7,a7 ! prev5tive & scre5+ s]vices       
describ$ 9 p>agraph 7#b7 furni%$ by a   
doctor ( d5tal surg]y or ( d5tal m$ic9e 
7z describ$ 9 subsection 7r77#b77 or an 
oral heal? pr(essional 7z def9$ 9       
p>agraph 7#d772 or  7,b7 ! basic        
treatm5ts specifi$ = su* ye> by !       
,secret>y pursuant to p>agraph 7#c77;,a7
 & ! major treatm5ts specifi$ = su* ye> 
by ! ,secret>y pursuant to p>agraph     

7#c77;,b7 furni%$ by su* a doctor or su*
 a pr(essional4  7#b7 ,prev5tive &      
scre5+ s]vices ,! prev5tive & scre5+    
s]vices describ$ 9 ?is p>agraph are !   
foll[+3 7,a7 ,oral exams4  7,b7 ,d5tal  
clean+s4  7,c7 ,d5tal x-rays p]=m$ 9 !  
(fice ( a doctor or pr(essional describ$
 9 p>agraph 7#a77;,a74  7,d7 ,fluoride  
treatm5ts4  7#c7 ,basic & major         
treatm5ts ,= #bjbb & ea* subsequ5t ye>1 
! ,secret>y %all specify--  7,a7 basic  
treatm5ts 7:i* may include basic too?   
re/orations1 basic p]iodontic s]vices1  
too? extractions1 & oral disease        
managem5t s]vices72 &  7,b7 major       
treatm5ts 7:i* may include major too?   
re/orations1 major p]iodontic s]vices1  
bridges1 cr[ns1 d5tal implants1 & root  
canals72  t %all be includ$ z d5tal &   
oral heal? s]vices = su* ye>4  7#d7     
,oral heal? pr(essional ,! t]m oral     
heal? pr(essional means1 ) respect to   
d5tal & oral heal? s]vices1 a heal?     
pr(essional :o is lic5s$ to furni% su*  
s]vices1 act+ )9 ! scope ( su* lic5se1  

by ! ,/ate 9 :i* su* s]vices are        
furni%$4  4  7c7 ,paym5t2 co9surance2 & 
limitations  7#a7 ,9 g5]al ,section     
#ahcc7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7a77#a77 is       
am5d$-- 7,a7 by /rik+ & be=e 7,,cc72 &  
7,b7 by ins]t+ be=e ! semicolon at ! end
 ! foll[+3 1 & 7,,dd7 ) respect to d5tal
 & oral heal? s]vices 7z def9$ 9 section
 #ahfa7kkk771 ! am\nt paid %all be !    
paym5t am\nt specifi$ "u section        
#ahcd7x74  7#b7 ,paym5t & limits        
specifi$ ,section #ahcd ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7x7 ,paym5t & limits =     
d5tal & oral heal? s]vices  7#a7 ,9     
g5]al ,! paym5t am\nt "u ?is "p = d5tal 
& oral heal? s]vices 7z def9$ 9 section 
#ahfa7kkk77 %all be1 subject to p>agraph
 7#c71 ! applicable p]c5t 7specifi$ 9   
p>agraph 7#b77 ( ! less] ( ! actual *>ge
 = ! s]vices or ! am\nt det]m9$ "u !    
paym5t basis det]m9$ "u section #ahdh4  
7#b7 ,applicable p]c5t ,= purposes (    

p>agraph 7#a71 ! applicable p]c5t       
specifi$ 9 ?is p>agraph is1 ) respect to
 d5tal & oral heal? s]vices 7z def9$ 9  
section #ahfa7kkk77 furni%$ 9 a ye>--   
7,a7 t are prev5tive & scre5+ s]vices   
describ$ 9 p>agraph 7#b7 or basic       
treatm5ts specifi$ = su* ye> pursuant to
 p>agraph 7#c77;,a7 ( su* section1 #hj  
p]c5t2 &  7,b7 t are major treatm5ts    
specifi$ = su* ye> pursuant to p>agraph 
7#c77;,b7 ( su* section-- 7i7 9 ! case  
su* s]vices are furni%$ dur+ #bjbb1 #aj 
p]c5t2  7ii7 9 ! case su* s]vices are   
furni%$ dur+ #bjbc or a subsequ5t ye>   
be=e #bjbf1 ! applicable p]c5t specifi$ 
"u ?is subp>agraph = ! previ\s ye>1     
increas$ by #aj p]c5tage po9ts2 &  7iii7
 9 ! case su* s]vices are furni%$ dur+  
#bjbf or a subsequ5t ye>1 #ej p]c5t4    
7#c7 ,limitations ,) respect to d5tal & 
oral heal? s]vices t are--  7,a7 oral   
exams1 paym5t may be made "u ?is "p = n 
m ?an two su* exams dur+ a #ab-mon?     
p]iod2  7,b7 d5tal clean+s1 paym5t may  
be made "u ?is "p = n m ?an two su*     

clean+s dur+ a #ab-mon? p]iod2 &  7,c7 n
 describ$ 9 subp>agraph 7,a7 or 7,b71   
paym5t may be made "u ?is "p only at su*
 frequ5cies & "u su* circum/ances       
det]m9$ appropriate by ! ,secret>y4  4  
7d7 ,paym5t "u physician fee s*$ule     
7#a7 ,9 g5]al ,section #ahdh7;j77#c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#d7;j77#c77 is am5d$ by ins]t+   
7#b77;,,ii71 be=e 7#c74  7#b7 ,budget   
neutrality ,section                     
#ahdh7;c77#b77;,b77iv7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acie-w7c77#b77;,b77iv77 is am5d$--     
7,a7 9 subclause 7,,iii71 by /rik+ & at 
! end2  7,b7 9 subclause 7,,iv71 by     
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+ new      
subclause3  7,v7 ! am5dm5t made by      
section #b7;d77#a7 ( ! ,m$ic>e ,d5tal   
,act ( #bjai %all n be tak5 into acc\nt 
9 apply+ clause 7ii77,,ii7 = #bjbb &    
#bjbc4  4  7#c7 ,exclusion f ,,mips     
,section #ahdh7q77#a77;,c77ii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   

#aciew-#d7q77#a77;,c77ii77 is am5d$--   
7,a7 9 subclause 7,,ii71 by /rik+ or at 
! end2  7,b7 9 subclause 7,,iii71 by    
/rik+ ! p]iod at ! end & ins]t+ 2 or2 & 
7,c7 by add+ at ! end ! foll[+ new      
subclause3  7,,iv7 ) respect to #bjbb & 
ea* subsequ5t ye>1 is a doctor ( d5tal  
surg]y or ( d5tal m$ic9e 7z describ$ 9  
section #ahfa7r77#b77 or is an oral     
heal? pr(essional 7z def9$ 9 section    
#ahfa7kkk77#d774  4  7#d7 ,inclusion (  
oral heal? pr(essionals z c]ta9         
practition]s ,section                   
#ahdb7;b77#ah77;,c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acieu7b77#ah77;,c77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7vii7 ,)   
respect to #bjbb & ea* subsequ5t ye>1 an
 oral heal? pr(essional 7z def9$ 9      
section #ahfa7kkk77#d774  4  7e7        
,d5tures  7#a7 ,9 g5]al ,section        
#ahfa7s77#h7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#h77 is am5d$--
 7,a7 by /rik+ 7o!r ?an d5tal72 &  7,b7 
by ins]t+ & exclud+ d5tal1 except = a   

full or p>tial set ( d5tures furni%$ on 
or aft] ,janu>y #a1 #bjbb aft] colo/omy 
c>e4  7#b7 ,special paym5t rules  7,a7  
,limitations ,section #ahcd7;h7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7h77 is am5d$ by add+ at ! end !  
foll[+ new p>agraph3  7#f7 ,special     
paym5t rule = d5tures ,paym5t may be    
made "u ?is "p ) respect to an          
individual = d5tures-- 7,a7 n m ?an once
 dur+ any #e-ye> p]iod 7except 9 ! case 
t a doctor or pr(essional describ$ 9    
section #ahfa7kkk77#a77;,a7 det]m9es su*
 d5tures d n fit ! individual72 &  7,b7 
only to ! ext5t t su* d5tures are       
furni%$ pursuant to a writt5 ord] ( su* 
a doctor or pr(essional4  4  7,b7       
,application ( competitive acquisition  
7i7 ,9 g5]al ,section #ahcd7;h77#a77;,h7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7h77#a77;,h77 is am5d$--
 7,i7 9 ! subp>agraph head+1 by ins]t+ 1
 d5tures aft] or?otics2  7,,ii7 by      
ins]t+ & ( d5tures describ$ 9 p>agraph  
7#b77;,d7 ( su* section1 aft] #bjji12 & 

7,,iii7 9 clause 7i71 by ins]t+ or su*  
d5tures aft] or?otics4  7ii7 ,con=m+    
am5dm5t ,section #ahdg7;a77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#c7;a77#b77 is am5d$ by add+ at !
 end ! foll[+ new subp>agraph3  7,d7    
,d5tures ,d5tures = :i* paym5t w\ld     
o!rwise be made "u section #ahcd7;h74  4
  7iii7 ,exemption ( c]ta9 items f      
competitive acquisition ,section        
#ahdg7;a77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#c7;a77#g77 is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,c7 ,c]ta9 d5tures ,^?   
items & s]vices describ$ 9 p>agraph     
7#b77;,d7 if furni%$ by a physician or  
o!r practition] 7z def9$ by ! ,secret>y7
 to ! physician's or practition]'s own  
pati5ts z "p ( ! physician's or         
practition]'s pr(essional s]vice4  4    
7f7 ,exclusion modifications ,section   
#ahfb7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciey7a77 is am5d$--    
7#a7 9 p>agraph 7#a7--  7,a7 9          
subp>agraph 7,o71 by /rik+ & at ! end2  

7,b7 9 subp>agraph 7,p71 by /rik+ !     
semicolon at ! end & ins]t+ 1 &2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,q7 9 ! case ( d5tal &   
oral heal? s]vices 7z def9$ 9 section   
#ahfa7kkk77 t are prev5tive & scre5+    
s]vices describ$ 9 p>agraph 7#b7 ( su*  
section1 :i* are furni%$ m frequ5tly ?an
 provid$ "u section #ahcd7x77#c72  2 &  
7#b7 9 p>agraph 7#ab71 by ins]t+ be=e ! 
semicolon at ! end ! foll[+3 & except t 
paym5t may be made "u "p ,b = d5tal &   
oral heal? s]vices t are cov]$ "u       
section #ahfa7s77#b77;,,ii74  #c4       
,implem5tation fund+ ,! ,secret>y (     
,heal? & ,human ,s]vices %all provide = 
! transf] f ! ,f$]al ,supplem5t>y       
,m$ical ,insurance ,tru/ ,fund "u       
section #ahda ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciet7 to ! ,c5t]s =   
,m$ic>e  ,m$icaid ,s]vices ,program     
,managem5t ,acc\nt = ! p]iod ( #bjbj    
?r\gh #bjbd ( su* sums z may be necess>y
 = purposes ( implem5t+ ! am5dm5ts made 
by section #b4