,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dceg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #af1 #bjbd,mr4    
,s&]s 7= himself & ,mr4 ,br[n7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,a      
,,bill  ,to improve access to oral heal?
 c>e = vuln]able & und]s]v$ populations4
  #a4 ,%ort title2 table ( cont5ts  7a7 
,%ort title ,?is ,act may be cit$ z !   
,compreh5sive ,d5tal ,re=m ,act ( #bjbd4
  7b7 ,table ( cont5ts ,! table (       
cont5ts = ?is ,act is z foll[s3 ,sec4   
#a4 ,%ort title2 table ( cont5ts4,,title
 ,i--,m$ic>e & ,medicaid,subtitle       
,a--,medicare,sec4 #aja4 ,cov]age (     
d5tal s]vices "u ! ,m$ic>e              
program4,subtitle ,b--,medicaid,sec4    
#aaa4 ,cov]age ( d5tal s]vices "u !     
,m$icaid program4,,title ,,ii--,public  
heal? programs,subtitle ,a--,national   
,heal? ,s]vice ,corps,sec4 #bja4        
,national ,heal? ,s]vice ,corps4,sec4   
#bjb4 ,community bas$ d5tal             

resid5cies4,sec4 #bjc4 ,community-bas$  
tra9+ ( d5tal /ud5ts4,subtitle ,b--,oral
 heal? education,sec4 #baa4             
,au?orization ( appropriations = oral   
heal? education = m$ical provid]s4,sec4 
#bab4 ,oral heal? education = o!r       
non-heal? pr(essionals4,sec4 #bac4      
,d5tal education4,sec4 #bad4 ,oral heal?
 pr(essional /ud5t loans4,subtitle      
,c--,o!r oral heal? programs,sec4 #bba4 
,access po9ts4,sec4 #bbb4 ,d5tal cl9ics 
9 s*ools4,sec4 #bbc4 ,em]g5cy dep>tm5t  
c>e coord9ation4,sec4 #bbd4 ,rese>*     
fund+4,sec4 #bbe4 ,mobile & portable    
d5tal s]vices4,subtitle ,d--,oral heal? 
s]vices z an ess5tial heal? benefit,sec4
 #bca4 ,oral heal? s]vices z an ess5tial
 heal? b5efit4,,title ,,iii--,dep>tm5t (
 ,vet]ans ,affairs ,matters,sec4 #cja4  
,requirem5t t ,secret>y ( ,vet]ans      
,affairs furni% d5tal c>e 9 ! same mann]
 z any o!r m$ical s]vice4,sec4 #cjb4    
,demon/ration program on tra9+ &        
employm5t ( alt]native d5tal heal? c>e  
provid]s = d5tal heal? c>e s]vices =    

vet]ans 9 rural & o!r und]s]v$          
communities4,sec4 #cjc4 ,program (      
education to promote d5tal heal? 9      
vet]ans4,sec4 #cjd4 ,/ud5t loan repaym5t
 program to inc5tivize d5tal tra9+ &    
ensure ! d5tal work=ce ( ! ,dep>tm5t (  
,vet]ans ,affairs4,sec4 #cje4           
,educational & tra9+ p>tn]%ips = d5ti/s1
 d5tal hygi5i/s1 & oral surgeons4,,title
 ,,iv--,f$]al ,bureau ( ,prisons,sec4   
#dja4 ,demon/ration program on tra9+ &  
employm5t ( alt]native d5tal heal? c>e  
provid]s = d5tal heal? c>e s]vices =    
prison]s )9 ! cu/ody ( ! ,bureau (      
,prisons4,,title ,v--,indian ,heal?     
,service,sec4 #eja4 ,demon/ration       
program on tra9+ & employm5t (          
alt]native d5tal heal? c>e provid]s =   
d5tal heal? c>e s]vices "u ! ,indian    
,heal? ,s]vice4,,title ,,vi--,reports to
 ,congress,sec4 #fja4 ,reports on       
enrollm5t 9 cov]age = oral heal?        
s]vices4  ,i ,m$ic>e & ,m$icaid  ,a     
,m$ic>e  #aja4 ,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$-- 7#a7 9        
subp>agraph 7,,jj71 by ins]t+ & aft] !  
semicolon at ! end2 &  7#b7 by add+ at !
 end ! foll[+ new subp>agraph3  7,,kk7  
oral heal? s]vices 7z def9$ 9 subsection
 7nnn772  4  7b7 ,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  7nnn7 ,oral heal? s]vices  
7#a7 ,! t]m 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       
conditions4  7#b7 ,= purposes ( p>agraph
 7#a71 su* t]m %all include mobile &    
portable oral heal? s]vices 7z def9$ by 
! ,secret>y7 t-- 7,a7 are provid$ = !   
purpose ( ov]com+ mobility1             
transportation1 & access b>ri]s =       
individuals2 &  7,b7 satisfy ! /&>ds &  
c]tification requirem5ts e/abli%$ "u    

section #aijb7;a77#hh77;,c7 = ! ,/ate 9 
:i* ! s]vices are provid$4  4  7c7      
,paym5t & co9surance ,section           
#ahcc7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7a77#a77 is       
am5d$-- 7#a7 by /rik+ & be=e 7,,hh72 &  
7#b7 by ins]t+ be=e ! semicolon at ! end
 ! foll[+3 1 & 7,,ii7 ) respect to oral 
heal? s]vices 7z def9$ 9 section        
#ahfa7nnn771 ! am\nt paid %all be 7i7 9 
! case ( su* s]vices t are prev5tive1   
#ajj p]c5t ( ! less] ( ! actual *>ge = !
 s]vices or ! am\nt det]m9$ "u ! paym5t 
basis det]m9$ "u section #ahdh1 & 7ii7 9
 ! case ( all o!r su* s]vices1 #hj p]c5t
 ( ! less] ( ! actual *>ge = ! s]vices  
or ! am\nt det]m9$ "u ! paym5t basis    
det]m9$ "u section #ahdh4  7d7 ,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 ins]t+ 7#b77,,kk71 aft] risk   
assessm5t714  7e7 ,d5tures ,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+ d5tures72 &  7#b7 by /rik+     
int]nal body4  7f7 ,repeal ( gr\nd =    
exclusion ,section #ahfb7;a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #aciey7  
is am5d$ by /rik+ p>agraph 7#ab74  7g7  
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjbe4  ,b ,m$icaid
  #aaa4 ,cov]age ( d5tal s]vices "u !   
,m$icaid program  7a7 ,9 g5]al ,section 
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9    
subsection 7a77#aj71 by /rik+ d5tal     
s]vices & ins]t+ oral heal? s]vices 7z  
def9$ 9 subsection 7kk77#a772 &  7#b7 by
 add+ at ! end ! foll[+3  7kk7 7#a7     
,subject to p>agraphs 7#b7 & 7#c71 =    
purposes ( ?is title1 ! t]m 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 conditions4 ,^! s]vices   
%all include1 9 ! case ( pregnant or    

po/p>tum wom51 su* s]vices z are        
necess>y to address oral heal?          
conditions t exi/ or are exac]bat$ by   
pregnancy or *ildbir? or :i*1 if left   
untreat$1 c\ld adv]sely affect fetal or 
*ild developm5t4  7#b7 ,= purposes (    
p>agraph 7#a71 su* t]m %all include--   
7,a7 d5tures2 &  7,b7 mobile & portable 
oral heal? s]vices 7z def9$ by !        
,secret>y7 t-- 7i7 are provid$ = !      
purpose ( ov]com+ mobility1             
transportation1 & access b>ri]s =       
individuals2 &  7ii7 satisfy ! /&>ds &  
c]tification requirem5ts e/abli%$ "u    
section #aijb7;a77#hh77;,c7 = ! ,/ate 9 
:i* ! s]vices are provid$4  7#c7 ,=     
purposes ( p>agraph 7#a71 su* t]m %all n
 apply to d5tal c>e or s]vices provid$  
to individuals "u ! age ( #ba "u        
subsection 7r77#c74  4  7b7 ,con=m+     
am5dm5ts  7#a7 ,/ate plan requirem5ts   
,section #aijb7;a7 ( su* ,act 7#db      
,u4,s4,c4 #acif;a7a77 is am5d$-- 7,a7 9 
p>agraph 7#aj77;,a71 9 ! matt] prec$+   
clause 7i71 by ins]t+ 7#aj71 aft] 7#e712

  7,b7 9 p>agraph 7#hf71 by /rik+ & at !
 end2  7,c7 9 p>agraph 7#hg71 by /rik+ !
 p]iod at ! end & ins]t+ 2 &2 &  7,d7 by
 ins]t+ aft] p>agraph 7#hg7 ! foll[+3   
7#hh7 provide =-- 7,a7 in=m+1 9 writ+1  
all individuals :o h be5 det]m9$ to be  
eligible = m$ical assi/ance ( !         
availability ( oral heal? s]vices 7z    
def9$ 9 section #aije7kk772  7,b7       
conduct+ t>get$ outrea* to pregnant wom5
 :o h be5 det]m9$ to be eligible =      
m$ical assi/ance ab\t ! availability (  
m$ical assi/ance = su* d5tal s]vices & !
 importance ( receiv+ d5tal c>e :ile    
pregnant2 &  7,c7 e/abli%+ & ma9ta9+    
/&>ds = & c]tification ( mobile &       
portable oral heal? s]vices 7z describ$ 
9 subsections 7r77#c77;,c7 &            
7kk77#b77;,b7 ( section #aije74  4  7#b7
 ,def9ition ( m$ical assi/ance ,section 
#aije7;a77#ab7 ( su* ,act 7#db ,u4,s4,c4
 #acif;d7a77#ab77 is am5d$ by /rik+ 1   
d5tures14  7c7 ,mobile & portable oral  
heal? s]vices "u ,,epsdt ,section       
#aije7r77#c7 ( ! ,social ,security ,act 

7#db ,u4,s4,c4 #acif;d7r77#c77 is       
am5d$-- 7#a7 9 subp>agraph 7,a77ii71 by 
/rik+ 2 & & ins]t+ a semicolon2  7#b7 9 
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,c7 :i* 
%all include mobile & portable oral     
heal? s]vices 7z def9$ by ! ,secret>y7  
t-- 7i7 are provid$ = ! purpose (       
ov]com+ mobility1 transportation1 or    
access b>ri]s = *ildr52 &  7ii7 satisfy 
! /&>ds & c]tification requirem5ts      
e/abli%$ "u section #aijb7;a77#hh77;,c7 
= ! ,/ate 9 :i* ! s]vices are provid$4  
4  7d7 ,increas$ f$]al fund+ = d5tal    
s]vices  7#a7 ,9 g5]al ,section #aije ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;d71 z am5d$ by subsection 7a71 is 
fur!r am5d$-- 7,a7 9 subsection 7b71 9 !
 fir/ s5t5ce1 by /rik+ & 7ii7 & ins]t+  
7ii71 & 7ll72 &  7,b7 by add+ at ! end !
 foll[+ new subsection3  7ll7 ,increas$ 
,,fmap = oral heal? s]vices  7#a7 ,9    
g5]al ,not)/&+ subsection 7b7 & section 
#aijc7;a77#g7 & subject to ! requirem5ts

 describ$ 9 p>agraphs 7#c7 & 7#d71 )    
respect to am\nts exp5d$ on or aft]     
,janu>y #a1 #bjbe1 = cov]$ oral heal?   
exp5ses 7z describ$ 9 p>agraph 7#b771 ! 
,f$]al m$ical assi/ance p]c5tage = a    
,/ate t is "o ( ! #ej ,/ates or !       
,di/rict ( ,columbia = su* exp5ses %all 
be equal to ! ,f$]al m$ical assi/ance   
p]c5tage t w\ld o!rwise apply to ! ,/ate
 = ! fiscal ye>1 z det]m9$ "u subsection
 7b7 or section #aijc7;a77#g71 increas$ 
by #ae p]c5tage po9ts4  7#b7 ,cov]$ oral
 heal? exp5ses ,= purposes ( p>agraph   
7#a71 ! t]m cov]$ oral heal? exp5ses    
means ! am\nts exp5d$ = m$ical assi/ance
 = oral heal? s]vices 7z def9$ 9        
subsection 7kk77 & am\nts exp5d$ = !    
prop] & effici5t adm9i/ration ( !       
provision ( su* oral heal? s]vices "u ! 
,/ate plan4  7#c7 ,requirem5ts ,=       
purposes ( p>agraph 7#a71 ! ,f$]al      
m$ical assi/ance p]c5tage applicable to 
cov]$ oral heal? exp5ses "u ?is         
subsection %all n apply to a ,/ate      
unless-- 7,a7 ! ,/ate plan = m$ical     

assi/ance provides paym5t = oral heal?  
s]vices 7z s def9$7 furni%$ by a heal?  
c>e provid] at a rate t is n less ?an   
#gj p]c5t ( ! usual & cu/om>y fee = su* 
s]vices 9 ! ,/ate2 &  7,b7 ! ,/ate      
satisfies su* additional requirem5ts z  
are e/abli%$ by ! ,secret>y1 :i* %all   
include-- 7i7 /reaml9+ ( adm9i/rative   
proc$ures = purposes ( ensur+ adequate  
provid] p>ticipation & increas+ pati5t  
utilization ( oral heal? s]vices2 &     
7ii7 ! provision ( te*nical assi/ance to
 heal? c>e provid]s design$ to r$uce !  
numb] ( miss$ pati5t appo9tm5ts & r$uce 
o!r b>ri]s to ! deliv]y ( oral heal?    
s]vices4  7#d7 ,limitation ,= purposes (
 am\nts exp5d$ = cov]$ oral heal?       
s]vices1 9 no case %all any increase "u 
?is subsection result 9 a ,f$]al m$ical 
assi/ance p]c5tage t exce$s #ajj p]c5t4 
4  7#b7 ,con=m+ am5dm5t ,section        
#aijc7;a77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;b7a77#g77 is am5d$
 by /rik+ section #aiai7;g77#c77;,b7 &  
ins]t+ sections #aije7ll7 &             

#aiai7;g77#c77;,b74  7e7 ,secret>ial    
responsibilities  7#a7 ,te*nical        
assi/ance & outrea* ,! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 %all provide te*nical
 assi/ance to ,/ates & conduct outrea*  
to ,/ates = purposes ( educat+ &        
enc\rag+ ,/ates to utilize & provide    
paym5t "u ea* ,/ate ,m$icaid program =  
teleheal?-enabl$ d5tal s]vices 9 ord] to
 provide d5tal s]vices to traditionally 
und]s]v$ populations 9 ne$ ( su*        
s]vices4  7#b7 ,database & annual report
 on d5tal b5efits = adult ,m$icaid      
enrollees  7,a7 ,m$icaid d5tal b5efits  
database ,! ,secret>y ( ,heal? & ,human 
,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1    
%all ma9ta91 z accurately & up-to-date z
 possible1 a database t conta9s )       
respect to ea* ,/ate 7z def9$ = purposes
 ( title ,,xix ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif et seq477     
in=mation reg>d+ ! d5tal b5efits        

available = adults enroll$ 9 ! ,/ate    
,m$icaid program1 includ+ any limits on 
su* b5efits & ! am\nt ( reimbursem5t    
provid$ "u ! ,/ate ,m$icaid program =   
su* b5efits4 ,! database also %all      
include a sep>ate description ( ! d5tal 
b5efits1 b5efit limits1 & am\nt (       
reimbursem5t provid$ "u ea* ,/ate       
,m$icaid program = pregnant wom51 if su*
 b5efits are n provid$ to ! woman z "p (
 e>ly & p]iodic scre5+1 diagno/ic1 &    
treatm5t s]vices 7z def9$ 9 section     
#aije7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7r7771 & a description
 ( ! use ( d5tal s]vices by *ildr5 &    
adults enroll$ 9 ! ,/ate ,m$icaid       
program4  7,b7 ,annual report ,!        
,secret>y ( ,heal? & ,human ,s]vices    
%all make available to ! public an      
annual report reg>d+ ! in=mation        
collect$ 9 ! database requir$ "u        
subp>agraph 7,a74 ,ea* annual report "u 
?is subp>agraph %all include = ea* ,/ate
 ,m$icaid program & ) respect to ! mo/  
rec5t ye> = :i* data are available !    

ye>ly d5tal s]vice utilization rates =  
*ildr5 & adults enroll$ 9 ! ,/ate       
,m$icaid program4  7f7 ,effective date  
7#a7 ,9 g5]al ,except z provid$ 9       
p>agraph 7#b71 ! am5dm5ts made by ?is   
section %all apply to cal5d> qu>t]s     
beg9n+ on or aft] ,janu>y #a1 #bjbe1 )\t
 reg>d to :e!r or n f9al regulations to 
c>ry out su* am5dm5ts h be5 promulgat$  
by su* date4  7#b7 ,delay p]mitt$ =     
,/ate plan am5dm5t ,9 ! case ( a ,/ate  
plan = m$ical assi/ance "u title ,,xix (
 ! ,social ,security ,act :i* !         
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ?is section1 ! ,/ate plan %all n be    
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           

legislature t beg9s aft] ! date (       
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  ,,ii ,public heal?        
programs  ,a ,national ,heal? ,s]vice   
,corps  #bja4 ,national ,heal? ,s]vice  
,corps  7a7 ,9 g5]al ,section #cca ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;d7 is am5d$-- 7#a7 9     
subsection 7a77#c71 by add+ at ! end !  
foll[+3  7,f7 ,! t]m d5tal !rapi/ means1
 ) respect to a ,/ate or ,tribal        
gov]nm5t t lic5ses or c]tifies su* d5tal
 !rapi/s1 a mid-level d5tal practition] 
:o-- 7i7 7,i7 is lic5s$ to practice "u !
 law ( ! ,/ate2 or  7,,ii7 is c]tifi$ to
 practice "u ! ,community ,heal? ,aide  
,program ( ! ,indian ,heal? ,s]vice "u  
section #aai ( ! ,indian ,heal? ,c>e    
,improvem5t ,act2 &  7ii7 provides      
prev5tive & re/orative s]vices directly 
to ! public1 comm5surate ) ! scope ( !  

practice4  2 &  7#b7 9 subsection 7b7-- 
7,a7 9 p>agraph 7#a71 by ins]t+ d5tal   
!rapy programs & aft] s*ools at :i*2 &  
7,b7 9 p>agraph 7#b71 by ins]t+ d5tal   
!rapi/s1 aft] d5ti/s14  7b7             
,facilitation ( effective provision (   
corps s]vices ,section #ccf7;f77#c7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;h-#a7;f77#c77 is am5d$ by
 ins]t+ d5tal !rapi/s1 aft] midwives14  
7c7 ,s*ol>%ip program & loan repaym5t   
program  7#a7 ,s*ol>%ip program ,section
 #cch;,a ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bedl7 is am5d$-- 7,a7 9
 subsection 7a77#a71 by ins]t+ d5tal    
!rapi/s1 aft] d5ti/s12 &  7,b7 9        
subsection 7b77#a71 by ins]t+ includ+   
d5tal !rapy1 aft] or o!r heal?          
pr(ession14  7#b7 ,loan repaym5t program
 ,section #cch;,b ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7 is
 am5d$-- 7,a7 9 subsection 7a77#a71 by  
ins]t+ d5tal !rapi/s1 aft] d5ti/s12 &   
7,b7 9 subsection 7b77#a7-- 7i7 9       
subp>agraph 7,a71 by ins]t+ d5tal       

!rapi/1 aft] nurse practition]12  7ii7 9
 subp>agraph 7,b71 by ins]t+ d5tal      
!rapy1 aft] m5tal heal?12 &  7iii7 9    
subp>agraph 7,c77ii71 by ins]t+ 1       
includ+ d5tal !rapy aft] heal?          
pr(ession4  7#c7 ,au?orization (        
appropriations ,section #cch;,h ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedq7 is am5d$-- 7,a7 9      
subsection 7a71 by /rik+ ?is section &  
ins]t+ ?is subp>t2 &  7,b7 by add+ at ! 
end ! foll[+3  7d7 ,au?orization (      
appropriations ) respect to oral heal?  
pr(essionals ,to c>ry out ?is subp>t )  
respect to d5ti/s1 d5tal !rapi/s1 &     
d5tal hygi5i/s1 9 addition to ! am\nts  
au?oriz$ "u subsection 7a71 !re is      
au?oriz$ to be appropriat$ su* sums z   
may be necess>y = fiscal ye>s #bjbe     
?r\gh #bjbh1 :i* %all be us$ to provide 
an em]g5cy expansion = s*ol>%ips to1 &  
loan repaym5ts on behalf (1 su* oral    
heal? pr(essionals4  4  #bjb4 ,community
 bas$ d5tal resid5cies ,section #cdj;,h 
( ! ,public ,heal? ,s]vice ,act 7#db    

,u4,s4,c4 #bef;h7 is am5d$ by add+ at ! 
end+ ! foll[+3  7k7 ,additional fund+ ,=
 ! purpose ( exp&+ d5tal resid5cies at  
tea*+ heal? c5t]s t op]ate graduate     
m$ical education programs1 !re is       
au?oriz$ to be appropriat$ su* sums z   
may be necess>y = ea* ( fiscal ye>s     
#bjbe ?r\gh #bjbh  4  #bjc4             
,community-bas$ tra9+ ( d5tal /ud5ts    
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y7 %all e/abli% a pilot    
program "u :i* ! ,secret>y aw>ds grants 
to eligible entities = ! purpose (      
support+ ! community-bas$ tra9+ ( d5tal 
/ud5ts4 ,su* grants %all be = a #e-ye>  
p]iod1 beg9n+ 9 fiscal ye> #bjbe4  7b7  
,eligible entities ,to be eligible to   
receive a grant "u ?is section1 an      
entity %all-- 7#a7 be a                 
,f$]ally-qualifi$ heal? c5t]1 rural     
heal? c5t]1 or ,tribal heal? facility2 &
  7#b7 submit an application to !       
,secret>y at su* "t1 9 su* mann]1 &     
conta9+ su* in=mation z ! ,secret>y may 

require4  7c7 ,selection ( aw>dees  7#a7
 ,9 g5]al ,! ,secret>y %all aw>d #f     
grants "u ?is section to eligible       
entities describ$ 9 subsection 7b74 ,9  
mak+ su* aw>ds1 ! ,secret>y %all ensure 
t ea* entity receiv+ a grant op]ates 9 a
 diff]5t ,/ate 7includ+ ea* ( ! sev]al  
,/ates & ! ,di/rict ( ,columbia71       
t]ritory1 or ,tribal t]ritory4  7#b7    
,priority ,9 aw>d+ grants "u ?is        
section1 ! ,secret>y %all give priority 
to eligible entities t-- 7,a7 h a focus 
on tra9+ /ud5ts 9 rural & und]s]v$      
areas2  7,b7 p>tn] ) d5tal pr(essional  
s*ools & programs associat$ ) a         
hi/orically ,black college or univ]sity 
7z def9$ by ! t]m "p ,b in/itution 9    
section #cbb ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajfa77 or       
m9ority-s]v+ in/itutions 7z describ$ 9  
section #cga ( su* ,act 7#bj ,u4,s4,c4  
#ajfgq772 or  7,c7 are locat$ 9 a ,/ate 
or geographic area )\t a d5tal s*ool4   
7d7 ,use ( funds ,an eligible entity    
receiv+ a grant "u ?is section-- 7#a7   

%all use su* funds to e/abli% a tra9+   
program = d5tal1 d5tal hygi5i/1 d5tal   
!rapy1 & d5tal assi/ant /ud5ts 9 a      
community-bas$1 outpati5t sett+2  7#b7  
may use su* funds-- 7,a7 to support     
faculty & preceptor wages & liv+ /ip5ds 
= tra9ees2  7,b7 to pur*ase equipm5t1   
education tools1 & make r5ovations or   
alt]ations to a tra9+ site2 &  7,c7 to  
provide supportive s]vices su* z *ild   
c>e1 transportation1 & food assi/ance to
 enable /ud5ts to p]si/ 9 & complete a  
tra9+ program2 &  7#c7 may use up to #e 
p]c5t ( ! grant am\nt = plann+ &        
developm5t1 data collection & report+1  
o!r adm9i/rative purposes4  7e7 ,report+
  7#a7 ,reports f eligible entities ,ea*
 eligible entity receiv+ a grant "u ?is 
section %all submit su* reports on !    
program support$ by ! grant z !         
,secret>y may require4  7#b7 ,reports to
 ,congress ,n lat] ?an #a ye> aft] !    
date on :i* ! program "u ?is section    
t]m9ates "u subsection 7f71 ! ,secret>y 
%all submit to ! ,committee on ,heal?1  

,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report on ! program4  7f7 ,sunset ,!    
grant program "u ?is section %all       
t]m9ate on ,septemb] #cj1 #bjbi4  7g7   
,appropriations ,to c>ry out ?is        
section1 !re is appropriat$1 out (      
am\nts 9 ! ,treasury n o!rwise          
appropriat$1 #d1ejj1jjj = fiscal ye>    
#bjbe1 to rema9 available ?r\gh ! end ( 
fiscal ye> #bjbi4  ,b ,oral heal?       
education  #baa4 ,au?orization (        
appropriations = oral heal? education = 
m$ical provid]s ,section #gdg7;c7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bick7c77 is am5d$ by add+ at 
! end ! foll[+3  7#d7 ,oral heal?       
education ,9 addition to o!r am\nts     
au?oriz$ "u ?is subsection = purposes ( 
c>ry+ out ?is section1 !re is au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = fiscal ye>s #bjbe ?r\gh #bjbh
 = ! purpose ( educat+ nond5tal m$ical  
pr(essionals 7includ+ physicians1       

nurses1 nurse practition]s1 physician   
assi/ants1 & ph>maci/s & p>ticul>ly su* 
pr(essionals :o provide c>e to *ildr5 & 
pregnant & po/p>tum wom57 ab\t oral     
heal?1 includ+ issues su* z oral hygi5e 
in/ruction1 topical application (       
fluoride1 & oral heal? scre5+s1 ) ! goal
 ( integrat+ oral heal? c>e into ov]all 
heal? c>e4  4  #bab4 ,oral heal?        
education = o!r non-heal? pr(essionals  
,subp>t ,i ( "p ,c ( title ,,vii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bick et seq47 is am5d$ by    
ins]t+ aft] section #gdh ! foll[+3      
#gdh;,a4 ,oral heal? education = o!r    
non-oral heal? pr(essionals  7a7 ,9     
g5]al ,! ,secret>y may make grants to1  
or ent] into contracts )1 an accr$it$   
public or nonpr(it private hospital1    
educational in/itutions1 or public or   
private nonpr(it entities t ! ,secret>y 
has det]m9$ to be capable ( c>ry+ out   
su* grant or contract to educate        
individuals1 su* z community heal?      
work]s1 social work]s1 nutritioni/s1    

heal? educators1 occupational !rapi/s1 &
 psy*ologi/s1 to promote oral heal?     
education & lit]acy & to provide support
 = behavior *ange & assi/ance ) c>e     
coord9ation ) respect to oral heal?4    
7b7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ su* sums z may be       
necess>y = fiscal ye>s #bjbe ?r\gh      
#bjbh4  4  #bac4 ,d5tal education       
,section #gdh ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bick-#b7 is       
am5d$-- 7#a7 9 subsection 7a77#a77;,h71 
by /rik+ p$iatric tra9+ programs &      
ins]t+ p$iatric d5tal tra9+ programs2 & 
7#b7 9 subsection 7c7-- 7,a7 by /rik+ ! 
subsection head+ & ins]t+ ,requirem5ts =
 aw>d4--2  7,b7 by am5d+ ! matt] prec$+ 
p>agraph 7#a7 to read z foll[s3 ,)      
respect to tra9+ provid$ = "u ?is       
section1 ! ,secret>y %all aw>d grants or
 contracts only to eligible entities t  
meet at lea/ #g ( ! foll[+ crit]ia32    
7,c7 9 p>agraph 7#b71 by /rik+ h a      
record ( tra9+ ! greate/ p]c5tage (     

provid]s1 or t h demon/rat$ significant 
improvem5ts 9 ! p]c5tage ( provid]s1 :o 
ent] & & ins]t+ tra9 significant numb]s 
( provid]s :o2  7,d7 9 p>agraph 7#c7--  
7i7 by /rik+ h a record ( tra9+ & ins]t+
 int5d to tra92 &  7ii7 by /rik+ ! p]iod
 at ! end & ins]t+ & h faculty )        
exp]i5ce 9 treat+ und]s]v$ populations42
  7,e7 9 p>agraph 7#h71 by ins]t+ or h  
e/abli%$ aft] e/abli%2 &  7,f7 by add+  
at ! end ! foll[+3  7#i7 ,qualifi$      
applicants t require n less ?an #bjj    
h\rs ( community-bas$ education         
rotations4  4  #bad4 ,oral heal?        
pr(essional /ud5t loans ,subp>t #c ( "p 
,e ( title ,,vii ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bie;f et   
seq47 is am5d$ by add+ at ! end !       
foll[+3  #ggi4 ,oral heal? pr(essional  
/ud5t loans  7a7 ,9 g5]al ,! ,secret>y  
%all e/abli% & op]ate a /ud5t loan fund 
= oral heal? pr(essional /ud5ts1 includ+
 d5tal hygi5i/s1 d5tal !rapi/s1 &       
d5ti/s4  7b7 ,cont5t ,! ,secret>y %all  
e/abli% & op]ate ! /ud5t loan fund      

program "u subsection 7a7 9 ! same mann]
 & subject to ! same t]ms z ! loan fund 
program e/abli%$ ) s*ools ( nurs+ "u    
section #hce4  7c7 ,au?orization (      
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = fiscal ye>s    
#bjbe ?r\gh #bjbh4  4  ,c ,o!r oral     
heal? programs  #bba4 ,access po9ts     
,subp>t ,x ( "p ,d ( title ,,iii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;f et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cdj;,g-#b4    
,fund+ = oral heal? s]vices  7a7 ,9     
g5]al ,! ,secret>y1 act+ ?r\gh !        
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all e/abli% a  
program to aw>d grants to eligible      
entities to provide oral heal? s]vices1 
or to contract ) private d5tal practices
 to provide compreh5sive oral heal?     
s]vices1 to l[-income individuals &     
individuals :o are und]s]v$ ) respect to
 oral heal? c>e4  7b7 ,te*nical         
assi/ance ,! ,secret>y %all provide     

te*nical assi/ance to entities receiv+  
grants "u subsection 7a7 to provide     
te*nical assi/ance to su* entities 9    
ord] to-- 7#a7 ) respect to oral heal?  
c>e s]vices1 increase utilization &     
effici5cy & m9imize miss$ appo9tm5ts1   
contract ) (fsite provid]s1 recruit     
provid]s 7includ+ oral heal?            
speciali/s71 & op]ate programs outside !
 physical facilities to take advantage (
 new sy/ems to improve access to oral   
heal? s]vices2  7#b7 address b>ri]s to  
access to su* s]vices & conduct t>get$  
outrea* to special populations su* z    
pregnant wom51 individuals )            
disabilities1 individuals ) *ronic      
conditions su* z diabetes1 & individuals
 resid+ 9 long-t]m c>e facilities2 or   
7#c7 contract ) private d5tal practices 
t w provide oral heal? s]vices o!r ?an  
prev5tive oral heal? c>e1 includ+       
re/oration & ma9t5ance ( oral heal?1 9  
ord] to meet ! ne$ = oral heal? s]vices 
9 ! community4  7c7 ,eligible entities  
,to be eligible to receive a grant "u   

subsection 7a71 an entity %all-- 7#a7   
be-- 7,a7 a ,f$]ally qualifi$ heal? c5t]
 7z def9$ 9 section #ahfa7;aa7 ( !      
,social ,security ,act72  7,b7 a safety 
net cl9ic or a free cl9ic 7z def9$ by ! 
,secret>y72  7,c7 a heal? c>e cl9ic t   
provides s]vices to ,tribal             
organizations or urban ,indian          
organizations 7z su* t]ms are def9$ 9   
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act72 or  7,d7 any o!r     
int]e/$ public or private sector heal?  
c>e provid] or organization t !         
,secret>y det]m9es has a demon/rat$     
hi/ory ( s]v+ a high numb] ( un9sur$ &  
or l[-income individuals or ^? :o lack  
ready access to oral heal? s]vices2 &   
7#b7 demon/rate a cle> ne$ to exp& oral 
heal? c>e s]vices beyond prev5tive oral 
heal? c>e4  7d7 ,allocation = hir+ oral 
heal? c>e speciali/s ,a portion ( !     
funds available "u ?is section %all be  
allocat$ t[>d hir+ oral heal? c>e       
speciali/s1 su* z oral surgeons &       
endodonti/s1 at entities receiv+ grants 

"u ?is section4  7e7 ,au?orization (    
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$ su*  
sums z may be necess>y = ea* ( fiscal   
ye>s #bjbe ?r\gh #bjbh4  4  #bbb4 ,d5tal
 cl9ics 9 s*ools ,"p ,q ( title ,,iii ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bhj;h et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cii,z-#c4     
,d5tal cl9ics 9 s*ools  7a7 ,9 g5]al ,! 
,secret>y %all aw>d grants to qualifi$  
entities = ! purpose ( fund+ ! build+1  
op]ation1 or expansion ( d5tal cl9ics 9 
s*ools4  7b7 ,qualifi$ entities ,to     
receive a grant "u ?is section1 a       
qualifi$ entity %all submit an          
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,requirem5ts
 ,an entity receiv+ a grant "u ?is      
section %all-- 7#a7 provide compreh5sive
 oral heal? s]vices at a d5tal cl9ic    
bas$ at a s*ool1 includ+ oral heal?     
education1 oral scre5+1 fluoride        
application1 prophylaxis1 sealants1 &   

basic re/orative s]vices2  7#b7 develop 
a coord9at$ sy/em ( c>e by ref]r+       
pati5ts to an available qualifi$ oral   
heal? provid] 9 ! community = any       
requir$ oral heal? s]vices n provid$ 9 !
 d5tal cl9ic 9 ! s*ool1 includ+         
re/orative s]vices1 to ensure t all !   
oral heal? ne$s ( /ud5ts are met2 &     
7#c7 ma9ta9 cl9ic h\rs t ext5d beyond   
s*ool h\rs4  7d7 ,au?orization (        
appropriations ,= purposes ( c>ry+ out  
?is section1 !re is au?oriz$ to be      
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjbe ?r\gh #bjbh4  4      
#bbc4 ,em]g5cy dep>tm5t c>e coord9ation 
,"p ,p ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cii,v-#h4 ,em]g5cy dep>tm5t   
c>e coord9ation ) respect to d5tal c>e  
7a7 ,9 g5]al ,! ,secret>y %all e/abli% a
 grant program to facilitate individuals
 receiv+ d5tal c>e at facilities o!r ?an
 hospital em]g5cy dep>tm5ts1 "u :i* !   
,secret>y aw>ds grants to eligible      

entities to cov] co/s relat$ to         
con/ruction & r5ovation1 equipm5t1 /aff1
 outrea* & education1 & any o!r all[able
 uses1 ) respect to ! entity's          
facilities1 z ! ,secret>y det]m9es      
appropriate4  7b7 ,eligible entities ,to
 be eligible to receive a grant "u ?is  
section an entity %all-- 7#a7 be-- 7,a7 
a ,f$]ally qualifi$ heal? c5t] 7z def9$ 
9 p>agraph 7#d7 ( section #ahfa7;aa7 ( !
 ,social ,security ,act7 or rural heal? 
cl9ic 7z def9$ 9 p>agraph 7#b7 ( su*    
section72  7,b7 a private d5tal         
practice2 or  7,c7 any o!r int]e/$      
public or private sector heal? c>e      
provid] or organization1 su* z a d5tal  
s*ool1 t ! ,secret>y det]m9es has !     
capacity to s]ve 9 a coord9at$1         
co/-effective mann]1 a high numb] (     
individuals :o lack access to oral heal?
 s]vices2 &  7#b7 p>tn] ) a hospital or 
urg5t c>e c5t]4  7c7 ,oral heal?        
education = prim>y c>e & ,,ed heal? c>e 
provid]s ,! ,secret>y %all allocate a   
portion ( ! am\nts appropriat$ "u       

subsection 7e7 t[>d m$ical education =  
prim>y c>e & em]g5cy dep>tm5t           
physicians1 nurses1 nurse practition]s1 
& physician assi/ants to be tra9$ 9 oral
 heal?4  7d7 ,report ,n lat] ?an ,janu>y
 #a1 #bjbh1 ! ,secret>y %all submit to  
,congress a report on ! be/ practices   
det]m9$ by ! program e/abli%$ "u ?is    
section to address oral heal? ne$s (    
individuals :o g to em]g5cy dep>tm5ts 9 
ne$ ( oral heal? c>e4  7e7 ,au?orization
 ( appropriations ,to c>ry out ?is      
section1 !re is au?oriz$ to be          
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjbe ?r\gh #bjbh4  4      
#bbd4 ,rese>* fund+  7a7 ,9 g5]al ,= !  
p]iod ( fiscal ye>s #bjbe ?r\gh #bjbg1  
!re is au?oriz$ to be appropriat$ = !   
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y7 
su* sums z may be necess>y to conduct1 9
 consultation ) ! heads ( ag5cies &     
(fices ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices1 includ+ ! ,director ( ! ,c5t]s
 = ,disease ,control & ,prev5tion1 !    

,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality1 ! ,director ( ! ,national  
,in/itutes ( ,heal?1 & ! ,adm9i/rator ( 
! ,heal? ,res\rces & ,s]vices           
,adm9i/ration-- 7#a7 rese>* on-- 7,a7 ! 
prev5tion ( oral disease2  7,b7 oral    
disease managem5t2  7,c7 evid5ce-bas$   
/rategies to prev5t too? decay2  7,d7   
rigor\s1 multidiscipl9>y rese>*-bas$    
approa*es to ov]come disp>ities 9 oral  
heal?2  7,e7 p]9atal1 po/natal1 &       
*ildhood oral heal? issues1 includ+ !   
integration ( d5tal provid]s 9 sett+s   
:]e p$iatricians practice2  7,f7 access1
 quality1 & outcomes ) respect to oral  
heal? s]vices2 &  7,g7 o!r topics z !   
,secret>y det]m9es appropriate2 &  7#b7 
an evaluation ( oral heal? s]vice       
deliv]y to und]s]v$ & vuln]able         
populations1 includ+ an evaluation (    
work=ce models to enhance oral heal?    
s]vice deliv]y4  7b7 ,supplem5t n       
supplant ,funds appropriat$ "u ?is      
section %all be us$ to supplem5t1 & n   
supplant1 o!r ,f$]al1 ,/ate1 & local    

public funds provid$ = activities       
describ$ 9 subsection 7a74  #bbe4       
,mobile & portable d5tal s]vices ,subp>t
 ,x ( "p ,d ( title ,,iii ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;f et seq471 z am5d$ by section     
#bba1 is fur!r am5d$ by add+ at ! end ! 
foll[+3  #cdj;,g-#c4 ,mobile & portable 
d5tal s]vices  7a7 ,9 g5]al ,! ,secret>y
 %all aw>d grants to ,f$]ally qualifi$  
heal? c5t]s 7z def9$ 9 p>agraph 7#d7 (  
section #ahfa7;aa7 ( ! ,social ,security
 ,act71 rural heal? cl9ics 7z def9$ 9   
p>agraph 7#b7 ( su* section71 nonpr(it  
d5tal cl9ics1 & d5tal s*ools to provide 
mobile & portable1 compreh5sive d5tal   
s]vices t provide = ! re/oration or     
ma9t5ance ( oral heal? & function       
7includ+ d5tal s]vices provid$ by lic5s$
 provid]s ?r\gh teleheal?-enabl$        
collaboration & sup]vision7 & outrea* = 
d5tal s]vices to und]s]v$ populations4  
7b7 ,eligible entities ,to be eligible  
to receive a grant "u ?is section1 an   
eligible entity %all submit an          

application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ in=mation
 to demon/rate t ! entity is capable (  
provid+ coord9at$ c>e & cont9uity ( c>e 
to pati5ts4  7c7 ,use ( funds ,eligible 
entities receiv+ a grant "u ?is section 
%all deliv] ! d5tal s]vices describ$ 9  
subsection 7a7 at locations su* z s5ior 
c5t]s1 nurs+ homes1 assi/$ liv+         
facilities1 s*ools1 lic5s$ *ild c>e     
c5t]s t s]ve eligible individuals :o    
receive b5efits "u ! ,/ate ,*ildr5's    
,heal? ,insurance ,program "u title     
,,xxi ( ! ,social ,security ,act or !   
,m$icaid program "u title ,,xix ( !     
,social ,security ,act1 & facilities t  
provide s]vices "u ! ,special           
,supplem5tal ,nutrition ,program =      
,wom51 ,infants1 & ,*ildr5 e/abli%$ by  
section #ag ( ! ,*ild ,nutrition ,act ( 
#aiff or "u ! ,head ,/>t ,act4  7d7     
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y4 

4  ,d ,oral heal? s]vices z an ess5tial 
heal? b5efit  #bca4 ,oral heal? s]vices 
z an ess5tial heal? b5efit ,section     
#acjb7;b7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjbb7;b77 is am5d$-- 7#a7 9 p>agraph  
7#a7-- 7,a7 9 subp>agraph 7,j71 by /rik+
 oral &2 &  7,b7 by add+ at ! end !     
foll[+3  7,k7 ,oral heal? s]vices =     
*ildr5 & adults4  2 &  7#b7 by add+ at !
 end ! foll[+3  7#f7 ,oral heal? s]vices
 ,= purposes ( p>agraph 7#a77,k71 ! t]m 
oral heal? s]vices means s]vices 7z     
def9$ by ! ,secret>y71 t are necess>y to
 prev5t disease & promote oral heal?1   
re/ore oral /ructures to heal? &        
function1 & treat em]g5cy conditions4  4
  ,,iii ,dep>tm5t ( ,vet]ans ,affairs   
,matt]s  #cja4 ,requirem5t t ,secret>y (
 ,vet]ans ,affairs furni% d5tal c>e 9 ! 
same mann] z any o!r m$ical s]vice  7a7 
,9 g5]al ,title #ch1 ,unit$ ,/ates      
,code1 is am5d$-- 7#a7 9 section        
#agja7f77;,b71 by /rik+ z describ$ 9    
sections #agaj & #agab ( ?is title2     

7#b7 9 section #agaj7;c71 by /rik+ !    
second s5t5ce2  7#c7 9 section #agab--  
7,a7 by /rik+ subsections 7a7 & 7b72    
7,b7 by r$esignat+ subsections 7c71 7d71
 & 7e7 z subsections 7a71 7b71 & 7c71   
respectively2 &  7,c7 9 subsection 7a71 
z r$esignat$ by subp>agraph 7,b7-- 7i7  
by /rik+ ,d5tal appliances & ins]t+ ,!  
,secret>y may furni% d5tures1 d5tal     
appliances2 &  7ii7 by /rik+ to be      
furni%$ by ! ,secret>y "u ?is section   
may be procur$ by ! ,secret>y & ins]t+  
"u ?is section & may procure su*        
appliances2  7#d7 9 section             
#agab;,c7h7-- 7,a7 by /rik+ section     
#agab ( ?is title & ins]t+ ?is *apt]2 & 
7,b7 by /rik+ outpati5t d5tal s]vices & 
treatm5t1 & relat$ d5tal appliances1 "u 
su* section #agab & ins]t+ d5tal s]vices
 & appliances "u ?is *apt]2 &  7#e7 by  
/rik+ section #bjfb4  7b7 ,con=m+       
am5dm5t ,section #aebe7;a7 ( su* title  
is am5d$ by /rik+ m$ic9es "u section    
#agab7;d7 & ins]t+ m$ic9es "u section   
#agab7;b74  7c7 ,cl]ical am5dm5ts ,su*  

title is fur!r am5d$-- 7#a7 9 section   
#agab1 9 ! head+ = su* section1 by /rik+
 ,d5tal c>e & ins]t+ ,appliances2  7#b7 
9 ! table ( sections at ! beg9n+ ( *apt]
 #ag1 by /rik+ ! item relat+ to section 
#agab & ins]t+ ! foll[+ new item3       
#agab4 ,appliances2 drugs & m$ic9es =   
c]ta9 disabl$ vet]ans2 vacc9es4  2  &   
7#c7 9 ! table ( sections at ! beg9n+ ( 
*apt] #bj1 by /rik+ ! item relat+ to    
section #bjfb4  #cjb4 ,demon/ration     
program on tra9+ & employm5t (          
alt]native d5tal heal? c>e provid]s =   
d5tal heal? c>e s]vices = vet]ans 9     
rural & o!r und]s]v$ communities  7a7   
,demon/ration program au?oriz$ ,!       
,secret>y ( ,vet]ans ,affairs may c>ry  
out a demon/ration program to e/abli%   
programs to tra9 & employ alt]native    
d5tal heal? c>e provid]s 9 ord] to      
increase access to d5tal heal? c>e      
s]vices = vet]ans :o are entitl$ to su* 
s]vices f ! ,dep>tm5t ( ,vet]ans        
,affairs & reside 9 rural & o!r und]s]v$
 communities4  7b7 ,teleheal? ,=        

purposes ( alt]native d5tal heal? c>e   
provid]s & o!r d5tal c>e provid]s :o are
 lic5s$ to provide cl9ical c>e1 d5tal   
s]vices provid$ "u ! demon/ration       
program "u ?is section may be adm9i/]$  
by su* provid]s ?r\gh teleheal?-enabl$  
collaboration & sup]vision :5           
appropriate & feasible4  7c7 ,alt]native
 d5tal heal? c>e provid]s def9$ ,9 ?is  
section1 ! t]m alt]native d5tal heal?   
c>e provid]s has ! mean+ giv5 t t]m 9   
section #cdj;,g-#a7;a77#b7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;g-#a7;a77#b774  7d7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ su* sums z are necess>y to  
c>ry out ! demon/ration program "u ?is  
section4  #cjc4 ,program ( education to 
promote d5tal heal? 9 vet]ans  7a7      
,program requir$ ,! ,secret>y ( ,vet]ans
 ,affairs %all c>ry out a program (     
education to promote d5tal heal? =      
vet]ans :o are enroll$ 9 ! sy/em (      
annual pati5t enrollm5t ( ! ,dep>tm5t ( 
,vet]ans ,affairs e/abli%$ & op]at$ "u  

section #agje7;a7 ( title #ch1 ,unit$   
,/ates ,code4  7b7 ,elem5ts ,! program  
requir$ by subsection 7a7 %all provide  
education = vet]ans on ! foll[+3 7#a7 ,!
 association betwe5 d5tal heal? & ov]all
 heal? & well-be+4  7#b7 ,prop]         
te*niques = d5tal c>e4  7#c7 ,signs &   
symptoms ( commonly occurr+ d5tal       
conditions4  7#d7 ,treatm5t options =   
commonly occurr+ d5tal issues4  7#e7    
,options = obta9+ access to d5tal c>e1  
includ+ in=mation on eligibility = d5tal
 c>e ?r\gh ! ,dep>tm5t4  7#f7 ,available
 & accessible options = obta9+ l[ or    
no-co/ d5tal c>e1 includ+ ?r\gh d5tal   
s*ools & ,f$]ally ,qualifi$ ,heal?      
,c5t]s4  7#g7 ,su* o!r matt]s relat+ to 
d5tal heal? z ! ,secret>y consid]s      
appropriate4  7c7 ,deliv]y ( educational
 mat]ials  7#a7 ,9 g5]al ,! ,secret>y   
%all provide educational mat]ials to    
vet]ans "u ! program requir$ by         
subsection 7a7 ?r\gh a v>iety (         
me*anisms1 includ+ ! foll[+3 7,a7 ,!    
availability & di/ribution ( pr9t       

mat]ials at facilities ( ! ,dep>tm5t    
7includ+ at m$ical c5t]s1 cl9ics1 ,vet  
,c5t]s1 & readju/m5t c\nsel+ c5t]s7 & to
 provid]s 7includ+ memb]s ( ,pati5t     
,align$ ,c>e ,teams74  7,b7 ,!          
availability & di/ribution ( mat]ials   
ov] ! ,int]net1 includ+ ?r\gh web9>s1   
,my ,healthe,vet1 & ,,va4gov4  7,c7     
,pres5tations by ! d5tal program (fice (
 ! ,dep>tm5t ( in=mation1 includ+ bo?   
small gr\p & l>ge gr\p pres5tations1 &  
di/ribution ( su* in=mation to all      
locations 9 :i* ! program is be+ c>ri$  
out4  7#b7 ,selection ( me*anisms ,9    
select+ me*anisms "u p>agraph 7#a71 !   
,secret>y %all select me*anisms design$ 
to maximize ! numb] ( vet]ans :o receive
 education "u ! program4  7d7           
,con/ruction ,no?+ 9 ?is section %all be
 con/ru$ to alt] or revise ! eligibility
 ( any vet]an = d5tal c>e "u ! laws     
adm9i/]$ by ! ,secret>y4  7e7           
,def9itions ,9 ?is section3 7#a7        
,f$]ally qualifi$ heal? c5t] ,! t]m     
,f$]ally ,qualifi$ ,heal? ,c5t] means a 

,f$]ally-qualifi$ heal? c5t] z def9$ 9  
section #aije7l77#b77;,b7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;d7l77#b77;,b774  7#b7 ,vet c5t] ,!
 t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9
 section #agab;,a7h7 ( title #ch1 ,unit$
 ,/ates ,code4  7f7 ,effective date ,?is
 section %all take effect on ! date t is
 "o ye> aft] ! date ( ! enactm5t ( ?is  
,act4  #cjd4 ,/ud5t loan repaym5t       
program to inc5tivize d5tal tra9+ &     
ensure ! d5tal work=ce ( ! ,dep>tm5t (  
,vet]ans ,affairs  7a7 ,program requir$ 
,! ,secret>y ( ,vet]ans ,affairs1 to    
ensure t ! ,dep>tm5t ( ,vet]ans ,affairs
 has suffici5t /aff to provide d5tal    
s]vices to vet]ans1 %all implem5t a loan
 reimbursem5t program = qualifi$ d5ti/s1
 d5tal hygi5i/s1 & oral surgeons :o     
agree-- 7#a7 to be appo9t$ by !         
,secret>y z a d5ti/1 d5tal hygi5i/1 or  
oral surgeon1 z ! case may be1 "u       
section #gdja ( title #ch1 ,unit$ ,/ates
 ,code2 &  7#b7 to s]ve z a d5ti/1 d5tal
 hygi5i/1 or oral surgeon1 z ! case may 

be1 ( ! ,dep>tm5t pursuant to su*       
appo9tm5t at a d5tal cl9ic ( ! ,dep>tm5t
 = a p]iod ( n less ?an five ye>s4  7b7 
,maximum am\nt ,! ,secret>y may         
reimburse n m ?an-- 7#a7 #ge1jjj = ea*  
d5ti/ p>ticipat+ 9 ! program "u         
subsection 7a72  7#b7 #aj1jjj = ea*     
d5tal hygi5i/ p>ticipat+ 9 su* program2 
&  7#c7 #bj1jjj = ea* oral surgeon      
p>ticipat+ 9 su* program4  7c7          
,selection ( locations ,! ,secret>y %all
 monitor dem& among vet]ans = d5tal c>e 
& require p>ticipants 9 ! program "u    
subsection 7a7 to *oose f d5tal cl9ics (
 ! ,dep>tm5t ) ! greate/ ne$ = d5ti/s1  
d5tal hygi5i/s1 or oral surgeons1 z !   
case may be1 accord+ to facility        
enrollm5t & pati5t dem&4  #cje4         
,educational & tra9+ p>tn]%ips = d5ti/s1
 d5tal hygi5i/s1 & oral surgeons ,!     
,secret>y ( ,vet]ans ,affairs %all ent] 
into educational & tra9+ p>tn]%ips )    
d5tal s*ools1 includ+ d5tal programs )9 
a community college1 to provide tra9+ & 
employm5t opportunities = d5ti/s1 d5tal 

hygi5i/s1 & oral surgeons4  ,,iv ,f$]al 
,bureau ( ,prisons  #dja4 ,demon/ration 
program on tra9+ & employm5t (          
alt]native d5tal heal? c>e provid]s =   
d5tal heal? c>e s]vices = prison]s )9 ! 
cu/ody ( ! ,bureau ( ,prisons  7a7      
,demon/ration program au?oriz$ ,!       
,attorney ,g5]al1 act+ ?r\gh ! ,director
 ( ! ,bureau ( ,prisons1 may c>ry out a 
demon/ration program to e/abli% programs
 to tra9 & employ alt]native d5tal heal?
 c>e provid]s 9 ord] to increase access 
to d5tal heal? s]vices = prison]s )9 !  
cu/ody ( ! ,bureau ( ,prisons4  7b7     
,teleheal? ,= purposes ( alt]native     
d5tal heal? c>e provid]s & any o!r d5tal
 c>e provid]s :o are lic5s$ to provide  
cl9ical c>e1 d5tal s]vices provid$ "u ! 
demon/ration program "u ?is section may 
be adm9i/]$ by su* provid]s ?r\gh       
teleheal?-enabl$ collaboration &        
sup]vision :5 deem$ appropriate &       
feasible4  7c7 ,alt]native ,d5tal ,heal?
 ,c>e ,provid]s ,def9$ ,9 ?is section1 !
 t]m alt]native d5tal heal? c>e provid]s

 has ! mean+ giv5 t t]m 9 section       
#cdj;,g-#a ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bef;g-#a74  7d7    
,au?orization ,( ,appropriations ,!re   
are au?oriz$ to be appropriat$ su* sums 
z are necess>y to c>ry out !            
demon/ration program "u ?is section4  ,v
 ,indian ,heal? ,s]vice  #eja4          
,demon/ration program on tra9+ &        
employm5t ( alt]native d5tal heal? c>e  
provid]s = d5tal heal? c>e s]vices "u ! 
,indian ,heal? ,s]vice  7a7             
,demon/ration program au?oriz$ ,!       
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,indian ,heal? ,s]vice1 may
 c>ry out a demon/ration program to     
e/abli% programs to tra9 & employ       
alt]native d5tal heal? c>e provid]s 9   
ord] to help elim9ate oral heal?        
disp>ities & increase access to d5tal   
s]vices ?r\gh heal? programs op]at$ by !
 ,indian ,heal? ,s]vice1 ,indian tribes1
 tribal organizations1 & urban ,indian  
organizations 7z ^? t]ms are def9$ 9    
section #d ( ! ,indian ,heal? ,c>e      

,improvem5t ,act 7#be ,u4,s4,c4 #afjc774
  7b7 ,teleheal? ,= purposes (          
alt]native d5tal heal? c>e provid]s &   
any o!r d5tal c>e provid]s :o are lic5s$
 to provide cl9ical c>e1 d5tal s]vices  
provid$ "u ! demon/ration program "u ?is
 section may be adm9i/]$ by su* provid]s
 ?r\gh teleheal?-enabl$ collaboration & 
sup]vision :5 deem$ appropriate &       
feasible4  7c7 ,alt]native d5tal heal?  
c>e provid]s def9$ ,9 ?is section1 ! t]m
 alt]native d5tal heal? c>e provid]s has
 ! mean+ giv5 t t]m 9 section           
#cdj;,g-#a7;a77#b7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bef;g-#a7;a77#b774  7d7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ su* sums z are necess>y to  
c>ry out ! demon/ration program "u ?is  
section4  ,,vi ,reports to ,congress    
#fja4 ,reports on enrollm5t 9 cov]age = 
oral heal? s]vices  7a7 ,secret>y (     
,heal? & ,human ,s]vices ,! ,secret>y ( 
,heal? & ,human ,s]vices %all submit to 
,congress ! foll[+ reports3 7#a7        

,co/-b5efit analysis ,n lat] ?an ,octob]
 #a1 #bjbh1 a report t provides a       
compreh5sive co/-b5efit analysis reg>d+ 
! expansion ( cov]age = d5tal s]vices   
pursuant to ?is ,act1 includ+ :e!r !    
provision ( su* s]vices result$ 9 a     
r$uction 9 total heal? c>e co/s =       
individuals "u ! ,m$ic>e & ,m$icaid     
programs4  7#b7 ,annual report on       
enrollm5t1 utilization1 & exp5ditures 9 
d5tal insurance plans ,n lat] ?an #a ye>
 aft] ! date ( ! enactm5t ( ?is ,act1 & 
annually !reaft]1 an annual report      
conta9+ detail$ in=mation on-- 7,a7     
enrollm5t 9 private insurance plans     
provid+ p$iatric & adult d5tal cov]age1 
:e!r su* cov]age is provid$ ?r\gh a     
qualifi$ heal? plan 7z def9$ 9 section  
#acja7;a7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh77 or a /&-alone d5tal plan2    
7,b7 ! utilization ( oral heal? s]vices 
by *ildr5 & adults :o receive d5tal     
cov]age "u a qualifi$ heal? plan or a   
/&-alone d5tal plan2 &  7,c7 exp5ditures

 relat$ to oral heal? s]vices by        
individuals & families :o receive d5tal 
cov]age 9 a qualifi$ heal? plan or      
/&-alone d5tal plan4  7b7 ,comptroll]   
,g5]al  7#a7 ,m$icaid & ,m$ic>e ,n lat] 
?an ,janu>y #a1 #bjbh1 ! ,comptroll]    
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report t provides a         
compreh5sive analysis & evaluation ( !  
implem5tation & utilization ( ! exp&$   
cov]age = d5tal s]vices pursuant to ?is 
,act = individuals enroll$ 9 ! ,m$ic>e &
 ,m$icaid programs4  7#b7 ,demon/ration 
programs ,n lat] ?an ,janu>y #a1 #bjbh1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all submit to ,congress a report t     
provides a compreh5sive analysis &      
evaluation ( ! demon/ration programs    
describ$ 9 sections #cjb1 #dja1 & #eja1 
includ+-- 7,a7 ! ext5t to :i* ! programs
 improv$ access to oral heal? c>e &     
increas$ utilization ( oral heal?       
s]vices2 &  7,b7 an exam9ation ( ! tra9+
 provid$ "u ! programs to alt]native    
d5tal heal? c>e provid]s & ! quality (  

c>e provid$ by su* provid]s4