,,ii  #aag? ,,congress  #a/ ,session    
,s4 #efj  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #c1 #bjba,ms4     
,/ab5[ introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to improve cov]age 
( mat]nal oral heal? c>e1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,oral ,heal? = ,moms ,act4 
#b4 ,requir+ cov]age ( oral heal?       
s]vices = pregnant & po/p>tum           
individuals  7a7 ,9 g5]al  7#a7 ,m$icaid
 ,section #aije ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 
7,a7 9 subsection 7a77#d7-- 7i7 by /rik+
 2 & 7,d7 & ins]t+ 2 7,d72 &  7ii7 by   
ins]t+ 2 & 7,e7 beg9n+ ,janu>y #a1      
#bjbb1 oral heal? s]vices = pregnant &  
po/p>tum individuals 7z def9$ 9         
subsection 7hh77 aft] subsection 7hh772 
&  7,b7 by add+ at ! end ! foll[+ new   
subsection3  7hh7 ,oral heal? s]vices = 
pregnant & po/p>tum individuals  7#a7 ,9
 g5]al ,= purposes ( ?is title1 ! t]m   
oral heal? s]vices = pregnant & po/p>tum

 individuals means d5tal s]vices        
necess>y to prev5t disease & promote    
oral heal?1 re/ore oral /ructures to    
heal? & function1 & treat em]g5cy       
conditions t are furni%$ to an          
individual dur+ pregnancy 7or dur+ !    
#fj-;day p]iod beg9n+ on ! la/ day ( !  
pregnancy or su* long] p]iod beg9n+ on !
 la/ day ( ! pregnancy z ! ,/ate %all   
elect74  7#b7 ,cov]age requirem5ts ,to  
satisfy ! requirem5t to provide oral    
heal? s]vices = pregnant & po/p>tum     
individuals1 a ,/ate %all1 at a m9imum1 
provide cov]age to prev5t disease &     
promote oral heal?1 re/ore oral         
/ructures to heal? & function1 & treat  
em]g5cy conditions1 consi/5t )          
recomm5dations = p]9atal oral heal? c>e 
& d5tal c>e dur+ pregnancy f ! ,am]ican 
,academy ( ,p$iatric ,d5ti/ry & !       
,am]ican ,college ( ,ob/etricians &     
,gynecologi/s4 ,su* cov]age %all        
include-- 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  7#b7 ,cov]age ( oral 
heal? s]vices = pregnant & po/p>tum     
individuals reg>dless ( eligibility     
pa?way ,section #aijb7;a77#aj7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77 is am5d$ 9 ! matt]     
foll[+ subp>agraph 7,g7-- 7,a7 by /rik+ 
& 7,,xviii7 & ins]t+ 7,,xviii72 &  7,b7 
by /rik+ ! semicolon at ! end & ins]t+ 1
 & 7,,xix7 beg9n+ ,janu>y #a1 #bjbb1    
m$ical assi/ance %all be made available 
= oral heal? s]vices = pregnant &       
po/p>tum individuals = any individual :o
 is eligible = & receiv+ m$ical         
assi/ance "u ! ,/ate plan or "u a waiv] 
( su* plan dur+ su* individual's        
pregnancy & dur+ ! #fj-;day p]iod beg9n+
 on ! la/ day ( ! pregnancy 7or su*     
long] p]iod beg9n+ on ! la/ day ( !     
pregnancy z ! ,/ate %all elect71 not)/&+

 any o!r provision ( law 7includ+ ano!r 
provision ( ?is p>agraph7 limit+ su*    
individual's eligibility = m$ical       
assi/ance "u su* plan or waiv] to       
cov]age = a limit$ type ( b5efits &     
s]vices t w\ld n o!rwise include cov]age
 ( oral heal? s]vices = pregnant &      
po/p>tum individuals24  7#c7 ,,*ip  7,a7
 ,9 g5]al ,section #bajc7;c77#f77;,a7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acig;cc7c77#f77;,a77 is am5d$ by ins]t+
 &1 9 ! case t ! ,/ate elects to provide
 pregnancy-relat$ assi/ance pursuant to 
section #baab1 ! pregnancy-relat$       
assi/ance provid$ to a t>get$ l[-income 
pregnant woman aft] t>get$ l[-income    
*ild4  7,b7 ,effective date ,! am5dm5t  
made by ?is section %all take effect on 
,janu>y #a1 #bjbb4  7b7 ,enhanc$ ,,fmap2
 ma9t5ance ( ef=t  7#a7 ,m$icaid        
,section #aije ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d71 z am5d$ by
 subsection 7a77#a71 is fur!r am5d$--   
7,a7 9 subsection 7b71 by /rik+ & 7ff7 &
 ins]t+ 7ff71 & 7ii72 &  7,b7 by add+ at

 ! end ! foll[+3  7ii7 ,increas$ ,,fmap 
= additional exp5ditures = l[-,income   
pregnant p  7#a7 ,9 g5]al ,subject to   
p>agraph 7#b71 = cal5d> qu>t]s beg9n+ on
 or aft] ,janu>y #a1 #bjbb1 not)/&+     
subsection 7b71 ! ,f$]al m$ical         
assi/ance p]c5tage = a ,/ate1 ) respect 
to ! additional am\nts exp5d$ by su*    
,/ate = m$ical assi/ance "u ! ,/ate plan
 "u ?is title or a waiv] ( su* plan t   
are attributable to requirem5ts impos$  
by ! am5dm5ts made by ! ,oral ,heal? =  
,moms ,act 7z det]m9$ by ! ,secret>y71  
%all be equal to #ajj p]c5t4  7#b7      
,ma9t5ance ( ef=t ,p>agraph 7#a7 %all n 
apply ) respect to a ,/ate if1 = any    
cal5d> qu>t] dur+ ! p]iod beg9n+ ) !    
date ( enactm5t ( ?is subsection & end+ 
) ,janu>y #a1 #bjbe1 ! ,/ate-- 7,a7 has 
9 effect "u su* plan eligibility /&>ds1 
me?odologies1 or proc$ures 7includ+ any 
enrollm5t cap or o!r num]ical limitation
 on enrollm5t1 any wait+ li/1 any       
proc$ures design$ to delay !            
consid]ation ( applications = enrollm5t1

 or simil> limitation ) respect to      
enrollm5t7 = individuals describ$ 9     
subsection 7l77#a7 :o are eligible =    
m$ical assi/ance "u ! ,/ate plan or     
waiv] "u subsection                     
7a77#aj77;,a77ii77,,ix7 t are m         
re/rictive ?an ! eligibility /&>ds1     
me?odologies1 or proc$ures1             
respectively1 = su* individuals "u su*  
plan or waiv] t are 9 effect on ! date (
 ! enactm5t ( ?is subsection2 or  7,b7  
provides pregnancy-relat$ assi/ance to  
t>get$ l[-income pregnant wom5 "u !     
,/ate plan "u title ,,xxi 7or a waiv] ( 
su* a plan7 at a level t is less ?an !  
level at :i* ! ,/ate provides su*       
assi/ance to su* wom5 "u su* plan on !  
date ( ! enactm5t ( ?is subsection4  4  
7#b7 ,,*ip ,section #baje ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acig;ee7 
is am5d$-- 7,a7 9 subsection 7b71 by    
add+ at ! end ! foll[+3 ,= cal5d> qu>t]s
 beg9n+ on or aft] ,janu>y #a1 #bjbb1 ! 
enhanc$ ,,fmap = a ,/ate %all1 subject  
to p>agraph 7#b7 ( subsection 7h71 be   

#ajj p]c5t ) respect to am\nts describ$ 
9 p>agraph 7#a7 ( su* subsection42 &    
7,b7 by add+ at ! end ! foll[+ new      
subsection3  7h7 ,increas$ e,f,m,a,p =  
additional exp5ditures = t>get$         
l[-,income pregnant wom5  7#a7 ,am\nts  
describ$ ,= purposes ( subsection 7b71 !
 am\nts describ$ 9 ?is p>agraph are     
additional am\nts exp5d$ by a ,/ate =   
pregnancy-relat$ assi/ance t is provid$ 
"u ! ,/ate plan "u ?is title or a waiv] 
( su* plan dur+ a cal5d> qu>t] beg9n+ on
 or aft] ,janu>y #a1 #bjbb1 t are       
attributable to ! provision ( d5tal     
cov]age to t>get$ l[-income pregnant    
wom5 7z det]m9$ by ! ,secret>y74  7#b7  
,ma9t5ance ( ef=t ,! f\r? s5t5ce (      
subsection 7b7 %all n apply ) respect to
 a ,/ate if1 = any cal5d> qu>t] dur+ !  
p]iod beg9n+ ) ! date ( enactm5t ( ?is  
subsection & end+ ) ,janu>y #a1 #bjbe1 !
 ,/ate-- 7,a7 has 9 effect "u ! ,/ate   
plan "u title ,,xix 7or a waiv] ( su* a 
plan7 eligibility /&>ds1 me?odologies1  
or proc$ures 7includ+ any enrollm5t cap 

or o!r num]ical limitation on enrollm5t1
 any wait+ li/1 any proc$ures design$ to
 delay ! consid]ation ( applications =  
enrollm5t1 or simil> limitation )       
respect to enrollm5t7 = individuals     
describ$ 9 subsection 7l77#a7 ( section 
#aijb :o are eligible = m$ical assi/ance
 "u su* ,/ate plan or waiv] "u          
subsection 7a77#aj77;,a77ii77,,ix7 ( su*
 section t are m re/rictive ?an !       
eligibility /&>ds1 me?odologies1 or     
proc$ures1 respectively1 = su*          
individuals "u su* plan or waiv] t are 9
 effect on ! date ( ! enactm5t ( ?is    
subsection2 or  7,b7 provides           
pregnancy-relat$ assi/ance to t>get$    
l[-income pregnant wom5 "u ! ,/ate plan 
"u ?is title 7or a waiv] ( su* a plan7  
at a level t is less ?an ! level at :i* 
! ,/ate provides su* assi/ance to su*   
wom5 "u su* plan or waiv] on ! date ( ! 
enactm5t ( ?is subsection4  4  7#c7     
,exclusion ( am\nts attributable to     
increas$ ,,fmap f t]ritorial caps       
,section #aajh ( ! ,social ,security    

,act 7#db ,u4,s4,c4 #acjh7 is am5d$--   
7,a7 9 subsection 7f71 9 ! matt] prec$+ 
p>agraph 7#a71 by /rik+ subsections 7g7 
& 7h7 & ins]t+ subsections 7g71 7h71 &  
7i72 &  7,b7 by add+ at ! end ! foll[+3 
7i7 ,exclusion f caps ( am\nts          
attributable to increas$ ,,fmap =       
cov]age ( oral heal? s]vices = pregnant 
& po/p>tum individuals ,any paym5t made 
to a t]ritory = exp5ditures on m$ical   
assi/ance t are subject to ! ,f$]al     
m$ical assi/ance p]c5tage specifi$ "u   
section #aije7;ii7 %all n be tak5 into  
acc\nt = purposes ( apply+ paym5t limits
 "u subsections 7f7 & 7g7 to ! ext5t t  
su* paym5t exce$s ! am\nt ( ! paym5t t  
w\ld h be5 made to ! t]ritory = su*     
exp5ditures )\t reg>d to su* section4  4
  7#d7 ,adju/m5t ( ,,*ip allotm5ts to   
acc\nt = increas$ e,f,m,a,p ,section    
#bajd ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acig;dd7 is am5d$-- 7,a7 9   
subsection 7c7-- 7i7 9 p>agraph 7#a71 by
 ins]t+ p>agraph 7#e7 & be=e subsections
 7d7 & 7m77#e72 &  7ii7 by add+ at ! end

 ! foll[+ new p>agraph3  7#e7 ,adju/+   
allotm5ts to acc\nt = increas$ ,f$]al   
paym5ts = cov]age ( d5tal s]vices =     
pregnant p ,if a commonweal? or t]ritory
 describ$ 9 p>agraph 7#c7 receives      
paym5t = a fiscal ye> "u subsection 7a7 
( section #baje = exp5ditures t are     
subject to ! enhanc$ ,,fmap specifi$ "u 
subsection 7h7 ( su* section1 ! am\nt ( 
! allotm5t det]m9$ = su* commonweal? or 
t]ritory "u ?is subsection %all be      
increas$ by ! am\nt by :i*-- 7,a7 !     
am\nt ( ! paym5t receiv$ by !           
commonweal? or t]ritory = su*           
exp5ditures = ! fiscal ye>2 exce$s  7,b7
 ! am\nt ( ! paym5t t ! commonweal? or  
t]ritory w\ld h receiv$ = su*           
exp5ditures = ! fiscal ye> )\t reg>d to 
su* subsection 7h74  2 &  7,b7 9        
subsection 7m7-- 7i7 9 p>agraph         
7#b77;,b71 9 ! matt] prec$+ clause 7i71 
by /rik+ p>agraphs 7#e7 & 7#g7 & ins]t+ 
p>agraphs 7#e71 7#g71 & 7#ab72 &  7ii7  
by add+ at ! end ! foll[+ new p>agraph3 
7#ab7 ,adju/+ allotm5ts to acc\nt =     

increas$ ,f$]al paym5ts = cov]age (     
d5tal s]vices = pregnant p ,if a ,/ate  
receives paym5t = a fiscal ye> "u       
subsection 7a7 ( section #baje =        
exp5ditures t are subject to ! enhanc$  
,,fmap specifi$ "u subsection 7h7 ( su* 
section1 ! am\nt ( ! allotm5t det]m9$ = 
! ,/ate & fiscal ye> "u ?is subsection  
%all be increas$ by ! am\nt by :i*--    
7,a7 ! am\nt ( ! paym5t receiv$ by !    
,/ate = su* exp5ditures = ! fiscal ye>2 
exce$s  7,b7 ! am\nt ( ! paym5t t !     
,/ate w\ld h receiv$ = su* exp5ditures =
 ! fiscal ye> )\t reg>d to su*          
subsection 7h74  4  #c4 ,mat]nal oral   
heal? quality measures ,title ,,xi ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acja et seq47 is am5d$ by ins]t+ aft]  
section #aaci;,b ! foll[+ new section3  
#aaci;,c4 ,mat]nal oral heal? quality   
measures  7a7 ,developm5t ( core set (  
mat]nal oral heal? c>e quality measures 
7#a7 ,9 g5]al ,! ,secret>y %all id5tify 
& publi% a recomm5d$ core set ( heal?   
quality measures = enroll$ pregnant     

individuals 9 ! same mann] z ! ,secret>y
 id5tifies & publi%es a core set ( *ild 
heal? quality measures "u section       
#aaci;,a1 includ+ ) respect to id5tify+ 
& publi%+ exi/+ mat]nal oral heal?      
quality measures = su* individuals t are
 9 use "u public & privately sponsor$   
heal? c>e cov]age arrangem5ts1 or t are 
"p ( report+ sy/ems t measure bo? !     
pres5ce & duration ( heal? insurance    
cov]age ov] "t1 t may be applicable to  
enroll$ pregnant individuals4  7#b7     
,alignm5t ) exi/+ core set ,9 id5tify+ &
 publi%+ ! recomm5d$ core set ( mat]nal 
oral heal? quality measures requir$ "u  
p>agraph 7#a71 ! ,secret>y %all ensure  
t1 to ! ext5t possible1 su* measures    
align ) & d n duplicate ! core set (    
adult heal? quality measures id5tifi$1  
publi%$1 & revis$ "u section #aaci;,b4  
7#c7 ,process = mat]nal oral heal?      
quality measures program ,9 id5tify+    
gaps 9 exi/+ mat]nal oral heal? quality 
measures & e/abli%+ priorities = !      
developm5t & advancem5t ( su* measures1 

! ,secret>y %all consult )-- 7,a7       
,/ates2  7,b7 heal? c>e provid]s1       
includ+ physicians 9 ! fields ( g5]al   
ob/etrics1 mat]nal-fetal m$ic9e1 family 
m$ic9e1 neonatology1 & p$iatrics2  7,c7 
d5tal pr(essionals2 &  7,d7 national    
organizations ) exp]tise 9 mat]nal oral 
heal? quality measurem5t4  7#d7         
,def9ition ( enroll$ pregnant individual
 ,! t]m enroll$ pregnant individual     
means an individual :o-- 7,a7 is        
pregnant or is 9 ! #fj-;day p]iod beg9n+
 on ! la/ day ( ! individual's          
pregnancy2 &  7,b7 is enroll$ = m$ical  
assi/ance1 *ild heal? assi/ance1 or     
pregnancy-relat$ assi/ance 7z           
applicable7 "u a ,/ate plan "u title    
,,xix or ,,xxi 7or a waiv] ( su* a      
plan74  7b7 ,deadl9es  7#a7 ,recomm5d$  
measures ,n lat] ?an ,janu>y #a1 #bjbc1 
! ,secret>y %all id5tify & publi% =     
comm5t a recomm5d$ core set ( mat]nal   
oral heal? quality measures t includes !
 foll[+3 7,a7 ,measures ( utilization ( 
oral heal? & d5tal s]vices dur+         

pregnancy across heal? c>e sett+s4  7,b7
 ,measures t address ! availability (   
oral evaluations dur+ or foll[+ m$ical  
visits = enroll$ pregnant individuals4  
7,c7 ,measures t address ! incid5ce (   
em]g5cy dep>tm5t visits = non-traumatic 
d5tal conditions dur+ pregnancy4  7,d7  
,measures t address ! availability (    
foll[-up d5tal c>e aft] em]g5cy dep>tm5t
 visits = non-traumatic d5tal conditions
 dur+ pregnancy4  7,e7 ,measures t      
address ! availability ( c\nsel+ (      
enroll$ pregnant individuals & po/p>tum 
individuals aim$ at improv+ ! oral heal?
 ( enroll$ pregnant individuals &       
infants4  7,f7 ,measures t address      
scre5+ & evaluation = c>ies risk &      
p]iodontitis & treatm5t = c>ies risk &  
p]iodontitis1 includ+ ! foll[+3 7i7 ,!  
p]c5tage ( enroll$ pregnant individuals 
:o h c>ies risk docum5t$ 9 ! report+ ye>
 involv$4  7ii7 ,! p]c5tage ( enroll$   
pregnant individuals :o receiv$ a       
topical fluoride application or sealants
 bas$ on an oral heal? risk assessm5t   

demon/rat+ ! ne$ = su* application or   
sealants dur+ ! report+ ye> involv$4    
7iii7 ,! p]c5tage ( enroll$ pregnant    
individuals :o receiv$ a compreh5sive or
 p]iodic oral evaluation or a           
compreh5sive p]iodontal evaluation dur+ 
! report+ ye> involv$4  7iv7 ,! p]c5tage
 ( enroll$ pregnant individuals ) a     
hi/ory ( p]iodontitis :o receiv$ an oral
 prophylaxis1 scal+ or root plan+1 or   
p]iodontal ma9t5ance visit at lea/ #b   
times dur+ ! report+ ye> involv$4  7#b7 
,dissem9ation ,n lat] ?an ,janu>y #a1   
#bjbd1 ! ,secret>y %all publi% an       
initial core set ( mat]nal oral heal?   
quality measures t are applicable to    
enroll$ pregnant individuals4  7#c7     
,/&>diz$ report+ ,n lat] ?an ,janu>y #a1
 #bjbe1 ! ,secret>y1 9 consultation )   
,/ates1 %all develop a /&>diz$ =mat =   
report+ in=mation bas$ on ! initial core
 set ( mat]nal oral heal? quality       
measures 7/ratifi$ by race1 e?nicity1   
prim>y language1 & disability /atus7 &  
create proc$ures to enc\rage ,/ates to  

use su* measures to volunt>ily report   
in=mation reg>d+ ! quality ( oral heal? 
c>e = enroll$ pregnant individuals4     
7#d7 ,reports to ,congress ,n lat] ?an  
,janu>y #a1 #bjbf1 & e #c ye>s !reaft]1 
! ,secret>y %all include 9 ! report to  
,congress requir$ "u section            
#aaci;,a7a77#f7 in=mation simil> to !   
in=mation requir$ "u t section ) respect
 to ! measures e/abli%$ "u ?is section4 
7c7 ,annual ,/ate reports reg>d+        
,/ate-,specific mat]nal oral heal?      
quality measures appli$ "u ,m$icaid or  
,,*ip  7#a7 ,9 g5]al ,ea* ,/ate ) a plan
 or waiv] approv$ "u title ,,xix or     
,,xxi %all annually report 7sep>ately or
 z "p ( ! annual report requir$ "u      
section #aaci;,a7c77 to ! ,secret>y on--
 7,a7 ! ,/ate-specific mat]nal oral     
heal? quality measures appli$ by ! ,/ate
 "u su* a plan or waiv]1 includ+        
measures describ$ 9 subsection 7b77#a72 
7,b7 ! ,/ate-specific in=mation on !    
quality ( oral heal? c>e furni%$ to     
enroll$ pregnant individuals "u su* a   

plan or waiv]1 includ+ in=mation        
collect$ ?r\gh ext]nal quality reviews (
 manag$ c>e organizations "u section    
#aicb & b5*m>k plans "u section #aicg2 &
  7,c7 ! ,/ate-specific in=mation reg>d+
 ! d5tal b5efits available to enroll$   
pregnant individuals "u su* a plan or   
waiv]1 includ+ any limits on su* b5efits
 & ! am\nt ( reimbursem5t provid$ "u su*
 plan or waiv] = su* b5efits4  7#b7     
,publication ,n lat] ?an ,septemb] #cj1 
#bjbf1 & annually !reaft]1 ! ,secret>y  
%all collect1 analyze1 & make publicly  
available ! in=mation report$ by ,/ates 
"u p>agraph 7#a74  7d7 ,au?orization (  
appropriations ,!re are au?oriz$ to be  
appropriat$ #aj1jjj1jjj to c>ry out ?is 
section4 ,funds appropriat$ "u ?is      
subsection %all rema9 available until   
exp5d$4  4  #d4 ,inclusion ( oral heal? 
s]vices = pregnant & po/p>tum           
individuals z an ess5tial heal? b5efit  
7a7 ,9 g5]al ,section #acjb7;b7 ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjbb7;b77 is      

am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at
 ! end ! foll[+3  7,k7 ,oral heal?      
s]vices = pregnant & po/p>tum           
individuals4  2 &  7#b7 9 p>agraph      
7#d77;,f7-- 7,a7 by /rik+ section       
#acaa7;b77#b77;,b77ii7 & ins]t+ section 
#acaa7;d77#b77;,b77ii72 &  7,b7 by      
ins]t+ or 7#a77,k7 aft] p>agraph        
7#a77;,j74  7b7 ,/ate ,ex*ange          
requirem5ts ,section                    
#acaa7;d77#b77;,b77ii7 ( ! ,pati5t      
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjca7;d77#b77;,b77ii77 is   
am5d$ by ins]t+ or oral heal? b5efits   
meet+ ! requirem5ts ( section           
#acjb7;d77#a77,k7 be=e ! p]iod4  7c7    
,premium assi/ance cr$it am\nt ,section 
#cf;,b7b77#c77;,e7 ( ! ,int]nal ,rev5ue 
,code ( #aihf is am5d$-- 7#a7 by /rik+  
section #acaa7;d77#b77;,b77ii77,i7 &    
ins]t+ section #acaa7;d77#b77;,b77ii72 &
  7#b7 by /rik+ section                 
#acjb7;b77#a77;,j7 & ins]t+ subp>agraph 
7,j7 or 7,k7 ( section #acjb7;b77#a74   
7d7 ,con=m+ am5dm5t ,section            

#bgae7;b77#c77;,b77i7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#cjj;gg-#ae7;b77#c77;,b77i77 is am5d$ by
 /rik+ ?r\gh 7,j7 & ins]t+ ?r\gh 7,k74  
#e4 ,f$]ally qualifi$ heal? c5t] grant  
program  7a7 ,9 g5]al ,n lat] ?an #a ye>
 aft] ! date ( enactm5t ( ?is ,act1 !   
,secret>y ( ,heal? & ,human ,s]vices 79 
?is ,act ref]r$ to z ! ,secret>y7 %all  
e/abli% a grant program "u :i* !        
,secret>y %all aw>d grants to ,f$]ally  
qualifi$ heal? c5t]s 7z def9$ 9 section 
#ahfa7;aa77#d7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7aa77#d777 to 
ent] into arrangem5ts ) private d5tal   
provid]s to provide d5tal s]vices to    
eligible individuals4  7b7 ,au?orization
 ( appropriations ,!re are au?oriz$ to  
be appropriat$ to ! ,secret>y su* sums z
 are necess>y to c>ry out ?is section4  
#f4 ,mat]nal oral heal? c>e report ,n   
lat] ?an #b ye>s aft] ! date ( enactm5t 
( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t &
 ,access ,commission %all issue a report
 on issues relat$ to mat]nal oral heal? 

across ! #ej ,/ates & ! t]ritories1     
includ+-- 7#a7 ! availability ( mat]nal 
oral heal? cov]age1 & enrollm5t 9 su*   
cov]age2  7#b7 a survey ( oral heal?    
/atus among l[-income wom5 ( *ildbe>+   
age2  7#c7 b>ri]s to access+ mat]nal    
oral heal? c>e2  7#d7 innovations &     
pot5tial solutions to problems ( access 
to mat]nal oral heal? c>e1 includ+      
innovations t w\ld exp& access to su*   
c>e beyond d5tal (fices2 &  7#e7 !      
impact ( ! requirem5t 7impos$ by !      
am5dm5ts made by section #b7 t ,/ate    
,m$icaid programs cov] oral heal?       
s]vices = pregnant & po/p>tum           
individuals on provid]s ( mat]nal heal? 
c>e s]vices1 & su* recomm5dations =     
improv+ reimbursem5t rates = su*        
provid]s z ! ,commission deems          
appropriate4  #g4 ,indian ,heal? ,s]vice
 mat]nal oral heal? initiative  7a7 ,9  
g5]al ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is ,act1 ! ,secret>y %all   
develop & implem5t1 9 consultation )    
,indian tribes & tribal organizations 7z

 ^? t]ms are def9$ 9 section #d ( !     
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afjc771 a =mal          
initiative to improve ! oral heal? /atus
 ( pregnant individuals1 po/p>tum       
individuals1 & infants & address b>ri]s 
to oral heal? c>e dur+ pregnancy =      
,am]ican ,indian & ,alaska ,native      
populations4 ,?is initiative %all       
include /rategies to-- 7#a7 r$uce !     
preval5ce & sev]ity ( oral disease among
 pregnant individuals1 po/p>tum         
individuals1 & _! infants2  7#b7 improve
 access to oral heal? c>e dur+ pregnancy
 & ! po/p>tum p]iod2  7#c7 e/abli% a    
data collection sy/em to monitor        
preval5ce ( oral disease & access to    
c>e2  7#d7 educate heal? & d5tal        
provid]s on ! importance ( oral heal?   
c>e dur+ pregnancy & ! po/p>tum p]iod & 
build compet5cies 9 ! deliv]y ( su* c>e2
  7#e7 increase rates ( pati5t ref]ral  
to oral heal? c>e by non-d5tal provid]s2
 &  7#f7 e/abli% me*anisms = outrea* &  
education ( pregnant individuals &      

po/p>tum individuals = ! purposes (     
improv+ oral heal? practices & access to
 c>e4  7b7 ,au?orization (              
appropriations ,!re are au?oriz$ to be  
appropriat$ to ! ,secret>y su* sums z   
are necess>y to c>ry out ?is section4   
#h4 ,p]9atal oral heal? outrea* &       
education ,n lat] ?an #a ye> aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y %all
 develop a program1 to be implem5t$ by  
entities t fund or provide mat]nal heal?
 c>e1 oral heal? c>e1 & mat]nal & infant
 support s]vices1 to provide-- 7#a7     
int]active oral heal? education aim$ at 
promot+ good oral heal? practices =     
pregnant individuals & po/p>tum         
individuals :o are eligible = or enroll$
 9 ! ,m$icaid program "u title ,,xix ( !
 ,social ,security ,act or ! ,*ildr5's  
,heal? ,insurance ,program "u title     
,,xxi ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq41 #acig;aa et    
seq472  7#b7 in=mation on oral heal? &  
d5tal cov]age = pregnant individuals1   
po/p>tum individuals1 & *ildr52 &  7#c7 

assi/ance 9 connect+ pregnant           
individuals1 po/p>tum individuals1 &    
*ildr5 to oral heal? c>e4  #i4 ,mat]nal 
oral heal? tra9+  7a7 ,9 g5]al ,n lat]  
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,secret>y1 act+ ?r\gh !         
,associate ,adm9i/rator ( ! ,mat]nal &  
,*ild ,heal? ,bureau ( ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration1 %all
 e/abli% a grant program "u :i* !       
,secret>y %all aw>d grants to eligible  
entities = ! purpose (-- 7#a7 integrat+ 
oral heal? c>e into mat]nal heal? c>e   
sett+s2  7#b7 improv+ oral heal?        
outcomes dur+ pregnancy & ! po/p>tum    
p]iod2  7#c7 develop+ core compet5cies 9
 oral heal? among mat]nal heal?         
provid]s1 includ+                       
ob/etrician-gynecologi/s & c]tifi$      
nurse-midwives1 & non-cl9ical p]9atal   
heal? work]s1 includ+ community heal?   
work]s & d\las2 &  7#d7 improv+ access  
to oral heal? c>e dur+ pregnancy & clos+
 ref]ral gaps4  7b7 ,eligible entities  
,! ,secret>y may make grants "u ?is     

section to1 or ent] into contracts )    
,/ate heal? dep>tm5ts or o!r ,/ate heal?
 ag5cies1 academic in/itutions1 s*ools (
 m$ic9e or d5ti/ry1 nonpr(it hospitals1 
nonpr(it accr$it$ bir? c5t]s1 or public 
or private nonpr(it entities :i* !      
,secret>y has det]m9$ are capable (     
c>ry+ out su* a grant or contract to--  
7#a7 plan1 develop1 & provide tra9+ (   
mat]nal heal? provid]s to e/abli% core  
compet5cies 9 oral heal? dur+ pregnancy 
& ! po/p>tum p]iod2  7#b7 provide       
in=mation to mat]nal heal? provid]s1    
includ+ in=mation on p]iodontal disease1
 d5tal c>ies1 oral heal? scre5+ & risk  
assessm5t1 b5eficial oral heal?         
practices = pregnant individuals &      
infants2 &  7#c7 provide tools &        
res\rces aim$ at facilitat+ !           
integration ( oral heal? c>e & ref]ral  
to d5tal c>e into mat]nity c>e sett+s4  
7c7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to !     
,secret>y su* sums z are necess>y to    
c>ry out ?is section4