,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bb  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,janu>y #c1 #bjai ,mr4 ,c>d9  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = cov]age ( d5tal s]vices "u !  
,m$ic>e program4  #a4 ,%ort title  ,?is 
,act may be cit$ z ! ,m$ic>e ,d5tal     
,b5efit ,act ( #bjai4  #b4 ,cov]age (   
d5tal s]vices "u ! ,m$ic>e program  7a7 
,cov]age ,section #ahfa7s77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is am5d$-- 7#a7 9        
subp>agraph 7,,gg71 by /rik+ & at ! end2
  7#b7 9 subp>agraph 7,,hh71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+ new subp>agraph3 
7,,ii7 d5tal & oral heal? s]vices 7z    
def9$ 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 ,!  
t]m d5tal & oral heal? s]vices means    
s]vices 7z def9$ by ! ,secret>y7 t are  
necess>y to prev5t disease & promote    
oral heal?1 re/ore oral /ructures to    
heal? & function1 & treat em]g5cy       
conditions1 includ+--  7#a7 r\t9e       
diagno/ic & prev5tive c>e su* z d5tal   
clean+s1 exams1 & x-rays2  7#b7 basic   
d5tal s]vices su* z fill+s &            
extractions2  7#c7 major d5tal s]vices  
su* z root canals1 cr[ns1 & d5tures2    
7#d7 em]g5cy d5tal c>e2 &  7#e7 o!r     
necess>y s]vices relat$ to d5tal & oral 
heal? 7z def9$ by ! ,secret>y74  4  7c7 
,cov]age ( r\t9e diagno/ic & prev5tive  
c>e z a prev5tive s]vice ,section       
#ahfa7;ddd77#c7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7ddd77#c77 is 
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,d7 ,d5tal & oral heal?  
s]vices describ$ 9 p>agraph 7#a7 (      
subsection 7kkk71 relat+ to r\t9e       
diagno/ic & prev5tive c>e4  4  7d7      
,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 #ahfa7kkk71 o!r ?an  
^? s]vices describ$ 9 p>agraph 7#a7 (   
su* section71 ! am\nt paid %all be !    
paym5t am\nt specifi$ "u section        
#ahcd7v74  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  7v7 ,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 
#ahfa7kkk71 o!r ?an ^? s]vices describ$ 
9 p>agraph 7#a7 ( su* section7 %all be1 
subject to p>agraph 7#c71 ! applicable  
p]c5tage 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]c5tage ,= purposes ( p>agraph 7#a71 ! 
applicable p]c5tage specifi$ 9 ?is      
p>agraph is-- 7,a7 = ! fir/ ye> beg9n+  
at lea/ #f mon?s aft] ! date ( !        
enactm5t ( ?is subsection1 #j p]c5t2    
7,b7 = ! ye> foll[+ ! ye> specifi$ 9    
subp>agraph 7,a7 & ea* subsequ5t ye>    
?r\gh ! sev5? ye> foll[+ ! ye> specifi$ 
9 subp>agraph 7,a71 ! applicable p]c5t  
specifi$ 9 ?is p>agraph = ! previ\s ye> 
increas$ by #aj p]c5tage po9ts2 &  7,c7 
= ! eigh? ye> foll[+ ! ye> specifi$ 9   
subp>agraph 7,a7 & ea* subsequ5t ye>1   
#hj p]c5t4  7#c7 ,limitations &         
,secret>ial au?ority  7,a7 ,frequ5cy ,) 
respect to d5tal & oral heal? s]vices t 
are-- 7i7 r\t9e d5tal clean+s1 paym5t   
may be made "u ?is "p = only two su*    
clean+s dur+ a #ab-mon? p]iod2 &  7ii7  
r\t9e exams1 paym5t may be made "u ?is  
"p = only two su* exams dur+ a #ab-mon? 
p]iod4  7,b7 ,secret>ial au?ority  7i7  
,au?ority to apply additional           
limitations ,! ,secret>y may apply su*  
o!r reasonable limitations on ! ext5t to

 :i* d5tal & oral s]vices are cov]$ "u  
?is "p1 includ+ ?r\gh application ( a   
prior au?orization requirem5t4  7ii7    
,au?ority to modify cov]age ,not)/&+ any
 o!r provision ( ?is title1 if !        
,secret>y det]m9es appropriate1 !       
,secret>y may modify ! cov]age "u ?is "p
 ( d5tal & oral heal? s]vices to ! ext5t
 t su* modification is consi/5t ) !     
recomm5dations ( ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce4  4  7e7 
,paym5t "u physician fee s*$ule ,section
 #ahdh7;j77#c7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#d7;j77#c77  
is am5d$ by /rik+ risk assessm5t7 1 &   
ins]t+ risk assessm5t71 7#b77;,,ii714   
7f7 ,d5tal pro/heses  7#a7 ,9 g5]al     
,section #ahfa7s77#h7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#h77 is am5d$--  7,a7 by /rik+
 7o!r ?an d5tal7 & ins]t+ 7includ+      
d5tal72 &  7,b7 by /rik+ int]nal body4  
7#b7 ,special paym5t rules ,section     
#ahcd7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciem7a77 is am5d$ by   

add+ at ! end ! foll[+ new p>agraph3    
7#bc7 ,paym5t & limits = d5tal pro/heses
  7,a7 ,9 g5]al ,! paym5t am\nt "u ?is  
"p = d5tal pro/heses %all be1 subject to
 subp>agraph 7,c71 ! applicable p]c5t   
7specifi$ 9 subp>agraph 7,b77 ( ! am\nt 
o!rwise payable = su* d5tal pro/heses "u
 ?is section4  7,b7 ,applicable p]c5t ,=
 purposes ( subp>agraph 7,a71 !         
applicable p]c5t specifi$ 9 ?is         
subp>agraph is-- 7i7 = ! fir/ ye> beg9n+
 at lea/ #f mon?s aft] ! date ( !       
enactm5t ( ?is p>agraph1 #j p]c5t2  7ii7
 = ! ye> foll[+ ! ye> specifi$ 9 clause 
7i7 & ea* subsequ5t ye> ?r\gh ! sev5?   
ye> foll[+ ! ye> specifi$ 9 clause 7i71 
! applicable p]c5t specifi$ 9 ?is       
subp>agraph = ! previ\s ye> increas$ by 
#aj p]c5tage po9ts2 &  7iii7 = ! eigh?  
ye> foll[+ ! ye> specifi$ 9 clause 7i7 &
 ea* subsequ5t ye>1 #hj p]c5t4  7,c7    
,limitations & ,secret>ial au?ority  7i7
 ,9 g5]al ,paym5t may be made "u ?is "p 
= an individual =-- 7,i7 n m ?an "o full
 upp] & "o full l[] d5tal pro/heses once

 e five ye>s2 &  7,,ii7 n m ?an "o      
p>tial upp] d5tal pro/heses & "o p>tial 
l[] d5tal pro/heses once e five ye>s4   
7ii7 ,secret>ial au?ority  7,i7         
,au?ority to apply additional           
limitations ,! ,secret>y may apply su*  
o!r reasonable limitations on ! ext5t to
 :i* d5tal pro/heses are cov]$ "u ?is   
"p1 includ+ ?r\gh application ( a prior 
au?orization requirem5t4  7,,ii7        
,au?ority to modify cov]age ,not)/&+ any
 o!r provision ( ?is title1 if !        
,secret>y det]m9es appropriate1 !       
,secret>y may modify ! cov]age "u ?is "p
 ( d5tal pro/heses to ! ext5t t su*     
modification is consi/5t ) !            
recomm5dations ( ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce4  4  7g7 
,repeal ( gr\nd = exclusion ,section    
#ahfb7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciey7 is am5d$ by /rik+
 p>agraph 7#ab74  7h7 ,effective date ,!
 am5dm5ts made by ?is section %all apply
 to s]vices furni%$ on or aft] ,janu>y  
#a1 #bjbj4