,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #haah  ,,in ,,the ,,house ,,of  
,,representatives  ,august #bh1         
#bjbj,ms4 ,bass 7for herself1 ,mr4      
,langevin1 ,mrs4 ,lawrence1 ,mr4 ,bacon1
 ,mr4 ,fitzpatrick1 ,ms4 ,clarke of ,new
 ,york1 ,ms4 ,sewell of ,alabama1 ,mr4  
,thompson of ,mississippi1 ,mrs4 ,davis 
of ,california1 ,mr4 ,clay1 ,ms4        
,johnson of ,texas1 ,mr4 ,hastings1 ,mr4
 ,danny ,k4 ,davis of ,illinois1 and    
,ms4 ,pressley7 introduced the following
 bill2 which was referred to the        
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to strengthen    
coverage under the ,medicaid program for
 certain foster youth individuals4  #a4 
,short title ,this ,act may be cited as 
the ,foster ,youth ,dental ,act of      
#bjbj4  #b4 ,strengthening coverage     
under the ,medicaid program for certain 
foster youth individuals  7a7 ,expansion
 of ,,epsdt services to certain         
individuals aged #ba-be  7#a7 ,in       

general ,section #aije7;a7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77 is amended-- 7,a7 in        
paragraph 7#d77;,b71 by inserting 7or1  
in the case of a specified individual   
7as defined in the matter at the end of 
this subsection71 under the age of #bf7 
after #ba2 and  7,b7 by adding at the   
end the following new sentence3 ,for    
purposes of paragraph 7#d77;,b71 the    
term specified individual means an      
individual who is in foster care under  
the responsibility of a ,state 7or was  
in foster care under the responsibility 
of the ,state on the date of attaining  
#ah years of age or such higher age as  
the ,state has elected under section    
#dge7h77;,b77iii7 and was enrolled in a 
,state plan under this title or under a 
waiver of a plan while in such foster   
care744  7#b7 ,provision of information 
with respect to dental services ,section
 #aijb7;a77#dc77;,a7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#dc77;,a77 is amended-- 7,a7 

by inserting 7or1 in the case of a      
specified individual 7as defined in the 
matter at the end of section #aije7;a771
 under the age of #bf7 after #ba2  7,b7 
by inserting 7including dental services7
 after treatment services2  7,c7 by     
striking and the need and inserting 1   
the need2 and  7,d7 by striking the     
comma at the end and inserting 1 and the
 importance of maintaining good oral    
health14  7#c7 ,effective date  7,a7    
,extension of coverage ,the amendments  
made by paragraph 7#a7 shall apply with 
respect to medical assistance furnished 
during calendar quarters beginning on or
 after the date that is #hj days after  
the date of the enactment of this ,act4 
7,b7 ,provision of information ,the     
amendment made by paragraph 7#b7 shall  
apply to information provided under     
section #aijb7;a77#dc77;,a7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#dc77;,a77 beginning with the
 first calendar quarter beginning on or 
after the date that is #hj days after   

the date of the enactment of this ,act4 
7b7 ,incentive for the provision of     
dental services to certain individuals  
7#a7 ,in general ,section #aijb7;a7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7a77 is amended-- 7,a7 
in paragraph 7#ac7-- 7i7 in subparagraph
 7,b71 by striking and at the end2  7ii7
 in subparagraph 7,c71 by adding and at 
the end2 and  7iii7 by adding at the end
 the following new subparagraph3  7,d7  
for payment for dental services         
furnished on or after the first day of  
the first calendar quarter beginning on 
or after the date that is #hj days after
 the date of the enactment of this      
subparagraph by a dentist to a specified
 individual 7as defined in the matter at
 the end of section #aije7;a77 under the
 age of #bf at a rate not less than the 
specified average rate 7as defined in   
subsection 7tt77 for such services4  2  
and  7,b7 by adding at the end the      
following new subsection3  7tt7         
,specified average rate defined  7#a7   

,in general ,for purposes of subsection 
7a77#ac77;,d71 the term specified       
average rate means1 with respect to a   
dental service furnished in a ,state1   
the average of the contracted rates 7as 
defined in paragraph 7#b77 in effect    
during the #e-year period ending on the 
date such service is so furnished-- 7,a7
 for such service furnished in such     
,state 7as determined by the ,state72 or
  7,b7 for such service furnished in the
 ,united ,states 7as determined by the  
,secretary72  as selected by such       
,state4  7#b7 ,contracted rate defined  
7,a7 ,in general ,for purposes of       
paragraph 7#a71 the term contracted rate
 means1 with respect to a dental        
service1 a rate in effect between a     
health insurance issuer offering group  
or individual health insurance coverage 
or a group health plan 7as such terms   
are defined in section #bgia of the     
,public ,health ,service ,act7 and a    
dentist with a contractual relationship 
in effect with such issuer or plan 7as  

applicable7 for furnishing such service 
under such coverage or plan 7as         
applicable7 that represents the total   
amount payable 7including cost sharing7 
under such coverage or plan 7as         
applicable7 for such service so         
furnished4  7,b7 ,exclusion of          
self-insured group health plan rates    
,for purposes of subparagraph 7,a71 the 
term contracted rate shall not include a
 rate described in such subparagraph    
that is in effect between a self-insured
 group health plan and a dentist4  4    
7#b7 ,medicaid managed care plans       
,section #aicb7;f7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acifu-#b7;f77 is amended-- 7,a7 in the 
header1 by striking primary care        
services and inserting certain services2
  7,b7 by inserting or dental services  
after primary care services2  7,c7 by   
striking section #aijb7;a77#ac77;,c7 and
 inserting subparagraph 7,c7 or 7,d71   
respectively1 of section #aijb7;a77#ac72
 and  7,d7 by striking such section and 

inserting such subparagraph 7,c7 or     
7,d71 as applicable4  7#c7 ,increased   
,,fmap for increased expenses ,section  
#aije of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7 is amended by adding
 at the end the following new           
subsection3  7gg7 ,increased ,,fmap for 
additional expenditures for dental      
services ,notwithstanding subsection    
7b71 with respect to the portion of the 
amounts expended for medical assistance 
for services described in section       
#aijb7;a77#ac77;,d7 furnished on or     
after the first day of the first        
calendar quarter beginning on or after  
the date that is #hj days after the date
 of the enactment of this subsection    
furnished to an individual described in 
such section by a dentist that is       
attributable to the amount by which the 
minimum payment rate required under such
 section 7or1 by application1 section   
#aicb7;f77 exceeds the payment rate     
applicable to such services under the   
,state plan as of ,july #a1 #bjbj1 the  

,federal medical assistance percentage  
for a ,state that is one of the #ej     
,states or the ,district of ,columbia   
shall be equal to #ajj percent4 ,the    
preceding sentence does not prohibit the
 payment of ,federal financial          
participation based on the ,federal     
medical assistance percentage for       
amounts in excess of those specified in 
such sentence4  4  7c7 ,outreach efforts
 for enrollment of former foster        
children ,section #aijb7;a7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77 is amended-- 7#a7 in        
paragraph 7#he71 by striking 2 and and  
inserting a semicolon2  7#b7 in         
paragraph 7#hf71 by striking the period 
at the end and inserting 2 and2 and     
7#c7 by inserting after paragraph 7#hf7 
the following new paragraph3  7#hg7 not 
later than #f months after the date of  
the enactment of this paragraph-- 7,a7  
establish an outreach and enrollment    
program1 in coordination with the ,state
 agency responsible for administering   

the ,state plan under part ,e of title  
,,iv and any other appropriate or       
interested agencies1 designed to        
increase the enrollment of individuals  
who are eligible for medical assistance 
under the ,state plan under paragraph   
7#aj77;,a77i77,,ix7 in accordance with  
best practices established by the       
,secretary2 and  7,b7 establish an      
outreach program to dentists practicing 
in such ,state to encourage enrollment  
by such dentists in such plan as        
participating providers under such plan4
  4  7d7 ,providing for immediate       
eligibility for former foster youth     
,section #ajjb7;a77#b7 of the ,,support 
for ,patients and ,communities ,act     
7,public ,law #aae-bga7 is amended by   
striking ,january #a1 #bjbc and         
inserting the date of enactment of the  
,foster ,youth ,dental ,act of #bjbj4