S109-118

1. Short title This Act may be cited as the Ensuring Kids Have Access to Medically Necessary Dental Care Act.

2. Prohibition of lifetime or annual limits on dental benefits under the Children's Health Insurance Program Section 2103(c)(6) of the Social Security Act (42 U.S.C. 1397cc(c)(6)) is amended— in subparagraph (A), by inserting , subject to subparagraph (D), after shall include; in subparagraph (B), by striking A State and inserting Subject to subparagraph (D), a State; and by adding at the end the following new subparagraph: A State shall not establish lifetime or annual limits on the dollar value of benefits for dental services provided under the State child health plan to a targeted low-income child, and, in the case that the State elects to provide pregnancy-related assistance pursuant to section 2112, to a targeted low-income pregnant woman (as defined in section 2112(d)), including benefits for such services that are provided through dental coverage that is otherwise equivalent to a benchmark dental package described in subparagraph (C). The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act. (D)No lifetime or annual limits on dental benefitsA State shall not establish lifetime or annual limits on the dollar value of benefits for dental services provided under the State child health plan to a targeted low-income child, and, in the case that the State elects to provide pregnancy-related assistance pursuant to section 2112, to a targeted low-income pregnant woman (as defined in section 2112(d)), including benefits for such services that are provided through dental coverage that is otherwise equivalent to a benchmark dental package described in subparagraph (C)..

3. Requiring wraparound coverage of dental services for certain children under CHIP Section 2110(b)(5) of the Social Security Act (42 U.S.C. 1397jj(b)(5)) is amended— in the paragraph header, by striking Option and inserting Requirement; in subparagraph (A), by striking may waive and inserting shall waive; and in subparagraph (C)— in the subparagraph header, by striking Conditions and inserting Requirements; and by striking may not offer dental-only supplemental coverage under this paragraph unless the State satisfies the following conditions and inserting shall offer dental-only supplemental coverage under this paragraph in accordance with the following requirements. The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.