Essential Oral Health Care Act of 2007 - Amends title V (Maternal and Child Health Services) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services to award grants to up to six entities to participate as pilot sites for the Community Dental Health Coordinator model developed as a new mid-level allied dental professional who will work in underserved communities where residents have no or limited access to oral health care.
Requires the Secretary also to award grants to eligible entities to: (1) purchase portable or mobile dental equipment; and (2) pay for appropriate operational costs for the provision of free dental services to underserved populations.
Amends SSA title XIX (Medicaid) and title XXI (State Children's Health Insurance Program (SCHIP)) to provide for an increase in the federal medical assistance percentage (FMAP) for states implementing requirements that ensure that children enrolled in the state Medicaid plan and/or SCHIP have access to oral health care services to the same extent as such services are available to the pediatric population of the state.
Amends the Internal Revenue Code to allow a tax credit for the donation of qualified dental services to qualified low income individuals.
[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2472 Introduced in House (IH)]
110th CONGRESS
1st Session
H. R. 2472
To amend titles V and XIX of the Social Security Act to improve
essential oral health care for lower-income individuals under the
Maternal and Child Health Program and the Medicaid Program and to amend
the Internal Revenue Code of 1986 to provide a tax credit to dentists
for dental services provided to low-income individuals.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 24, 2007
Mr. Wynn (for himself, Mr. Simpson, Ms. Norton, and Ms. Kilpatrick)
introduced the following bill; which was referred to the Committee on
Energy and Commerce, and in addition to the Committee on Ways and
Means, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend titles V and XIX of the Social Security Act to improve
essential oral health care for lower-income individuals under the
Maternal and Child Health Program and the Medicaid Program and to amend
the Internal Revenue Code of 1986 to provide a tax credit to dentists
for dental services provided to low-income individuals.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Essential Oral
Health Care Act of 2007''.
(b) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--PUBLIC-PRIVATE PARTNERSHIP TO IMPROVE ORAL HEALTH ACCESS
Sec. 101. Grants to develop and implement pilot community dental health
coordinator (CDHC) training programs and to
support volunteer dental projects.
TITLE II--STATE OPTION FOR IMPROVING MEDICAID AND SCHIP DENTAL SERVICES
ACCESS
Sec. 201. Support for ensuring children enrolled in Medicaid and SCHIP
have dental services access equal to the
pediatric population of the State.
TITLE III--TAX CREDIT FOR DONATED DENTAL SERVICES
Sec. 301. Tax credit for donation of certain dental services.
TITLE I--PUBLIC-PRIVATE PARTNERSHIP TO IMPROVE ORAL HEALTH ACCESS
SEC. 101. GRANTS TO DEVELOP AND IMPLEMENT PILOT COMMUNITY DENTAL HEALTH
COORDINATOR (CDHC) TRAINING PROGRAMS AND TO SUPPORT
VOLUNTEER DENTAL PROJECTS.
Title V of the Social Security Act (42 U.S.C. 701, et seq.) is
amended by adding at the end the following new sections:
``SEC. 511. GRANTS TO DEVELOP AND IMPLEMENT PILOT COMMUNITY DENTAL
HEALTH COORDINATOR (CDHC) TRAINING PROGRAMS.
``(a) Authority To Make Grants.--In addition to any other payments
made under this title to a State, the Secretary shall award grants to
no more than six entities that satisfy the requirements of subsection
(b) to participate as a pilot site for the Community Dental Health
Coordinator (in this section referred to as the `CDHC') model developed
as a new mid-level allied dental professional who will work in
underserved communities where residents have no or limited access to
oral health care. Under such a grant each CDHC--
``(1) will be employed by a federally-qualified health
center, Indian Health Service facility, State or county public
health clinic, private practitioner serving dentally
underserved populations, or similar entity; and
``(2) will work under the supervision of a licensed dentist
in collaboration with health organizations, community
organizations, schools, or other similar organizations, to
provide community-focused oral health promotion and
coordination of dental care.
``(b) Requirements.--In order to be eligible for a grant under this
section, an entity shall provide the Secretary with the following
assurances:
``(1) The entity will recruit and train no fewer than 12
CDHCs in a 3-year period.
``(2) The entity will work with a State-specific
coordinating committee that includes representatives of
agencies such as the State board of dentistry, dental
associations, and dental academic institutions where the pilot
projects are conducted, as well as the American Dental
Association's Workforce Models National Coordinating and
Development Committee (NCDC).
``(3) The entity will provide information required in
conducting the evaluation under subsection (d).
``(c) Application.--An entity desiring a grant under this section
shall submit an application to the Secretary in such manner as the
Secretary may require.
``(d) Evaluation.--The Secretary shall provide for an evaluation
over a 2-year period of the overall success of the grants provided
under this section to be conducted by a national evaluation team and
coordinated by the American Dental Association's Workforce Models
National Coordinating and Development Committee (NCDC).
``(e) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as are necessary for
each of fiscal years 2008 through 2012.
``SEC. 512. GRANTS TO SUPPORT VOLUNTEER DENTAL PROJECTS.
``(a) Authority To Make Grants.--In addition to any other payments
made under this title to a State, the Secretary shall award grants to
eligible entities as defined in subsection (b) to purchase portable or
mobile dental equipment and to pay for appropriate operational costs,
including direct health care or service delivery costs, for the
provision of free (or subsidized) dental services to underserved
populations.
``(b) Eligible Entity.--An eligible entity under this subsection is
an organization, such as a State or local dental association, dental
school, a hospital with a postdoctoral dental education program, or a
community-based organization that partners with an academic
institution, that is exempt from tax under section 501(c) of the
Internal Revenue Code of 1986 and that offers a free dental services
program for underserved populations.
``(c) Application.--An institution desiring a grant under this
section shall submit an application to the Secretary in such manner as
the Secretary may require.
``(d) Authorization of Appropriations.--There are authorized to be
appropriated to make grants under this section $3,000,000 for each of
fiscal years 2008 through 2012.''.
TITLE II--STATE OPTION FOR IMPROVING MEDICAID AND SCHIP DENTAL SERVICES
ACCESS
SEC. 201. SUPPORT FOR ENSURING CHILDREN ENROLLED IN MEDICAID AND SCHIP
HAVE DENTAL SERVICES ACCESS EQUAL TO THE PEDIATRIC
POPULATION OF THE STATE.
(a) Medicaid.--Section 1903 of the Social Security Act (42 U.S.C.
1396b) is amended by adding at the end the following new subsection:
``(aa) Equal Access to Oral Health Care for Pediatric Population
Plan.--
``(1) Increase in fmap for states implementing equal access
requirements.--In order to ensure adequate provider
participation in the plan under this title and to ensure that
children enrolled in the plan have access to oral health care
services to the same extent as such services are available to
the pediatric population of the State, subject to paragraph
(3), in the case of a State that amends its plan under this
title to incorporate, and to implement, the requirements
specified in paragraph (2), notwithstanding section 1905(b),
the Federal medical assistance percentage applied under the
plan with respect to expenditures for dental and oral health
services for children shall be increased by 25 percentage
points, but not to exceed 90 percent.
``(2) Provider participation and access requirements.--The
requirements specified in this paragraph for a State are that
the State provides the Secretary with assurances regarding each
of the following:
``(A) Children enrolled in the State plan have
access to oral health care services to the same extent
as such services are available to the pediatric
population of the State.
``(B) Payment for dental services for children
under the State plan is made at levels consistent with
the market-based rates.
``(C) No fewer than 35 percent of the practicing
dentists (including a reasonable mix of general
dentists, pediatric dentists, and oral and
maxillofacial surgeons) in the State participate
(whether directly or through a plan providing dental
services) under the State plan and there is reasonable
distribution of such dentists serving the covered
population.
``(D) Administrative barriers under this title are
addressed to facilitate such provider participation,
including improving eligibility verification, ensuring
that any licensed dentist may participate in a publicly
funded plan without also having to participate in any
other plan, simplifying claims forms processing,
assigning a single plan administrator for the dental
program, and employing case managers to reduce the
number of missed appointments.
``(E) Demand for services barriers under this title
are addressed, such as educating caregivers regarding
the need to seek dental services and addressing oral
health care literacy issues.
``(3) 3 year review.--Every 3 years the Secretary shall
evaluate the impact of the increase in the FMAP under paragraph
(1) on the rate of participation of dentists and the use of
dental services under the State plan. If the Secretary
determines that such increase in the FMAP has not resulted in a
commensurate increase in such participation and use rate, as
determined in consultation with the State involved, paragraph
(1) shall no longer apply in such State.''.
(b) Application to SCHIP.--Section 2105(b) of such Act (42 U.S.C.
1397ee(b)) is amended by adding at the end the following:
``Notwithstanding the previous sentence, the provisions of section
1903(aa) shall apply with respect to the enhanced FMAP and the State
plan under this title in the same manner as such provisions apply with
respect to the Federal medical assistance percentage and the State plan
under title XIX.''.
(c) Effective Date.--The amendments made by this section shall
apply to expenditures in calendar quarters beginning on or after
October 1, 2007.
TITLE III--TAX CREDIT FOR DONATED DENTAL SERVICES
SEC. 301. TAX CREDIT FOR DONATION OF CERTAIN DENTAL SERVICES.
(a) In General.--Subpart D of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 (relating to business related
credits) is amended by inserting after section 45N the following new
section:
``SEC. 45O. DONATION OF CERTAIN DENTAL SERVICES.
``(a) In General.--For purposes of section 38, the qualified dental
services credit determined under this subsection for any taxable year
is an amount equal to 30 percent of the sum of the discounted amounts
with respect to qualified dental services provided by the taxpayer
during the taxable year to qualified low income individuals.
``(b) Limitation.--The credit determined under subsection (a) with
respect to any taxpayer for any taxable year shall not exceed $5,000.
``(c) Discounted Amounts.--For purposes of the this section--
``(1) In general.--The term `discounted amount' means, with
respect to any qualified dental service, the excess of--
``(A) the usual amount charged by the taxpayer to
an uninsured individual for such service, over
``(B) any amount charged or received by the
taxpayer for such service.
``(2) Discount must be at least 90 percent.--Such term
shall not include any amount with respect to any qualified
dental service if the amount described in paragraph (1)(B) with
respect to such service exceeds 10 percent of the amount
described in paragraph (1)(A) with respect to such service.
``(d) Qualified Low Income Individuals.--For purposes of this
section, the term `qualified low income individual' means any
individual whose family income does not exceed 200 percent of the
poverty line (as defined by the Office of Management and Budget).
``(e) Qualified Dental Services.--For purposes of this section, the
term ``qualified dental services'' means any dental service which is
necessary to prevent disease or promote oral health, restore oral
structure to health and function, or to treat an emergency
condition.''.
(b) Conforming Amendments.--
(1) Section 38(b) of such Code is amended by striking
``plus'' at the end of paragraph (30), by striking the period
at the end of paragraph (31) and inserting ``, plus'', and by
adding at the end the following:
``(32) the qualified dental services credit determined
under section 45O(a).''.
(2) The table of sections of such subpart is amended by
inserting after the item relating to section 45N the following
new item:
``Sec. 45O. Donation of certain dental services.''.
(c) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 2006.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
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