HR1397-119

In Committee

Increasing Access to Dental Insurance Act

119th Congress Introduced Feb 18, 2025

Summary

What This Bill Does

The Increasing Access to Dental Insurance Act amends section 1321 of the Affordable Care Act. HHS may not restrict a qualified individual from enrolling in a standalone dental plan offered through a federally established Exchange simply because the individual is not also enrolled in a qualified health plan through that Exchange. The bill separates dental-plan access from medical-plan enrollment, which matters for people who have medical coverage elsewhere but still want Exchange dental coverage.

Who Benefits and How

Consumers needing dental coverage benefit because they can buy standalone Exchange dental plans without buying Exchange medical coverage. Families with employer medical insurance benefit if they can use the Exchange only for pediatric or household dental coverage. Standalone dental insurers benefit because their Exchange customer pool can include people who do not enroll in qualified health plans. Insurance brokers benefit from a clearer option for customers seeking dental-only Exchange coverage.

Who Bears the Burden and How

HHS Exchange administrators must allow dental-only enrollment for qualified individuals. Federally facilitated Exchange systems must adjust eligibility and enrollment logic if it currently links dental plans to medical plans. Qualified health plan issuers may lose some bundled enrollment leverage when dental access stands alone. Dental plan administrators must handle customers who do not have an associated Exchange medical enrollment.

Key Provisions

  • Prohibits HHS from restricting standalone dental-plan enrollment based on lack of Exchange medical-plan enrollment.
  • Amends ACA Exchange implementation authority in section 1321.
  • Expands consumer access to dental-only Exchange coverage.
  • Separates standalone dental plan eligibility from qualified health plan enrollment.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Bars HHS from preventing Exchange customers from enrolling in standalone dental plans solely because they are not also enrolled in an Exchange qualified health plan.

Key Policy Areas

Health Insurance, Dental Care, ACA Exchanges

Primary Purpose

Bars HHS from preventing Exchange customers from enrolling in standalone dental plans solely because they are not also enrolled in an Exchange qualified health plan.

Policy Domains

Health Insurance Dental Care ACA Exchanges

Resolution provisions

Identified Gains
  • Dental coverage consumers
  • Families with employer insurance
  • Standalone dental insurers
  • Insurance brokers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Insurance brokers:
Dental coverage consumers:
Standalone dental insurers:
Families with employer insurance:
Identified Costs
  • HHS Exchange administrators
  • Exchange IT systems
  • Qualified health plan issuers
  • Dental plan administrators
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Exchange IT systems:
Dental plan administrators:
HHS Exchange administrators:
Qualified health plan issuers:

Legislative Progress

In Committee
Introduced Committee Passed
Feb 18, 2025

Mrs. Miller-Meeks (for herself and Mrs. Dingell) introduced the following …

Feb 18, 2025

Referred to the House Committee on Energy and Commerce.

Feb 18, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Financial Services
2 mentions across 1 clause
+1 positive -1 negative

Qualified health plan issuers, Standalone dental insurers

Positive-direction: Standalone dental insurers

Negative-direction: Qualified health plan issuers

Consumers
1 mention across 1 clause
+1 positive

Dental coverage consumers

Government
1 mention across 1 clause
-1 negative

HHS Exchange administrators

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Health Insurance Dental Care ACA Exchanges

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology