{
  "legislationId": "118_S_4357",
  "lastUpdate": "2026-02-10T19:49:01.327Z",
  "history": [
    {
      "timestamp": "2026-02-10T19:49:01.327Z",
      "source_url": "https://www.congress.gov/118/bills/s4357/BILLS-118s4357is.htm",
      "model": "gemini-3-pro-preview",
      "prompt_sent": "\nJesteś LEGISLATIVE SURGEON.\nTwoim zadaniem jest audyt i naprawa streszczenia (JSON) pod kątem zgodności z tekstem źródłowym (SOURCE).\nZASADA FUNDAMENTALNA: \"NO NEW INFORMATION\" (żadnych nowych informacji).\nStreszczenie może jedynie transformować informacje zawarte w SOURCE (skracać, tłumaczyć, sumować). 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Użyj terminologii z tekstu.\n\nKATEGORIE RYZYKA (szczególna uwaga):\nDaty (start obowiązywania vs start finansowania).\nLiczby (konkretne kwoty muszą wynikać z tekstu).\nPodmioty (kto co robi).\nZakres (co ustawa obejmuje, a czego nie).\n\nINPUT:\n--- SOURCE_TEXT START ---\n[Congressional Bills 118th Congress] [From the U.S. Government Publishing Office] [S. 4357 Introduced in Senate (IS)] <DOC> 118th CONGRESS 2d Session S. 4357 To improve access to oral health care for vulnerable and underserved populations. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES May 16, 2024 Mr. Sanders (for himself and Mr. Brown) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ A BILL To improve access to oral health care for vulnerable and underserved populations. 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 ``Comprehensive Dental Reform Act of 2024''. (b) Table of Contents.--The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. TITLE I--MEDICARE AND MEDICAID Subtitle A--Medicare Sec. 101. Coverage of dental services under the Medicare program. Subtitle B--Medicaid Sec. 111. Coverage of dental services under the Medicaid program. TITLE II--PUBLIC HEALTH PROGRAMS Subtitle A--National Health Service Corps Sec. 201. National Health Service Corps. Sec. 202. Community based dental residencies. Sec. 203. Community-based training of dental students. Subtitle B--Oral Health Education Sec. 211. Authorization of appropriations for oral health education for medical providers. Sec. 212. Oral health education for other non-health professionals. Sec. 213. Dental education. Sec. 214. Oral health professional student loans. Subtitle C--Other Oral Health Programs Sec. 221. Access points. Sec. 222. Dental clinics in schools. Sec. 223. Emergency department care coordination. Sec. 224. Research funding. Sec. 225. Mobile and portable dental services. Subtitle D--Oral Health Services as an Essential Health Benefit Sec. 231. Oral health services as an essential health benefit. TITLE III--DEPARTMENT OF VETERANS AFFAIRS MATTERS Sec. 301. Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service. Sec. 302. Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities. Sec. 303. Program of education to promote dental health in veterans. Sec. 304. Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs. Sec. 305. Educational and training partnerships for dentists, dental hygienists, and oral surgeons. TITLE IV--FEDERAL BUREAU OF PRISONS Sec. 401. Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons. TITLE V--INDIAN HEALTH SERVICE Sec. 501. Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service. TITLE VI--REPORTS TO CONGRESS Sec. 601. Reports on enrollment in coverage for oral health services. TITLE I--MEDICARE AND MEDICAID Subtitle A--Medicare SEC. 101. COVERAGE OF DENTAL SERVICES UNDER THE MEDICARE PROGRAM. (a) Coverage.--Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended-- (1) in subparagraph (JJ), by inserting ``and'' after the semicolon at the end; and (2) by adding at the end the following new subparagraph: ``(KK) oral health services (as defined in subsection (nnn));''. (b) Oral Health Services Defined.--Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: ``Oral Health Services ``(nnn)(1) The term `oral health services' means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions. ``(2) For purposes of paragraph (1), such term shall include mobile and portable oral health services (as defined by the Secretary) that-- ``(A) are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and ``(B) satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided.''. (c) Payment and Coinsurance.--Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended-- (1) by striking ``and'' before ``(HH)''; and (2) by inserting before the semicolon at the end the following: ``, and (II) with respect to oral health services (as defined in section 1861(nnn)), the amount paid shall be (i) in the case of such services that are preventive, 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848, and (ii) in the case of all other such services, 80 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848''. (d) Payment Under Physician Fee Schedule.--Section 1848(j)(3) of the Social Security Act (42 U.S.C. 1395w-4(j)(3)) is amended by inserting ``(2)(KK),'' after ``risk assessment),''. (e) Dentures.--Section 1861(s)(8) of the Social Security Act (42 U.S.C. 1395x(s)(8)) is amended-- (1) by striking ``(other than dental)'' and inserting ``(including dentures)''; and (2) by striking ``internal body''. (f) Repeal of Ground for Exclusion.--Section 1862(a) of the Social Security Act (42 U.S.C. 1395y) is amended by striking paragraph (12). (g) Effective Date.--The amendments made by this section shall apply to services furnished on or after January 1, 2025. Subtitle B--Medicaid SEC. 111. COVERAGE OF DENTAL SERVICES UNDER THE MEDICAID PROGRAM. (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended-- (1) in subsection (a)(10), by striking ``dental services'' and inserting ``oral health services (as defined in subsection (kk)(1))''; and (2) by adding at the end the following: ``(kk)(1) Subject to paragraphs (2) and (3), for purposes of this title, the term `oral health services' means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions. These services shall include, in the case of pregnant or postpartum women, such services as are necessary to address oral health conditions that exist or are exacerbated by pregnancy or childbirth or which, if left untreated, could adversely affect fetal or child development. ``(2) For purposes of paragraph (1), such term shall include-- ``(A) dentures; and ``(B) mobile and portable oral health services (as defined by the Secretary) that-- ``(i) are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and ``(ii) satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided. ``(3) For purposes of paragraph (1), such term shall not apply to dental care or services provided to individuals under the age of 21 under subsection (r)(3).''. (b) Conforming Amendments.-- (1) State plan requirements.--Section 1902(a) of such Act (42 U.S.C. 1396a(a)) is amended-- (A) in paragraph (10)(A), in the matter preceding clause (i), by inserting ``(10),'' after ``(5),''; (B) in paragraph (86), by striking ``and'' at the end; (C) in paragraph (87), by striking the period at the end and inserting ``; and''; and (D) by inserting after paragraph (87) the following: ``(88) provide for-- ``(A) informing, in writing, all individuals who have been determined to be eligible for medical assistance of the availability of oral health services (as defined in section 1905(kk)); ``(B) conducting targeted outreach to pregnant women who have been determined to be eligible for medical assistance about the availability of medical assistance for such dental services and the importance of receiving dental care while pregnant; and ``(C) establishing and maintaining standards for and certification of mobile and portable oral health services (as described in subsections (r)(3)(C) and (kk)(2)(B) of section 1905).''. (2) Definition of medical assistance.--Section 1905(a)(12) of such Act (42 U.S.C. 1396d(a)(12)) is amended by striking ``, dentures,''. (c) Mobile and Portable Oral Health Services Under EPSDT.--Section 1905(r)(3) of the Social Security Act (42 U.S.C. 1396d(r)(3)) is amended-- (1) in subparagraph (A)(ii), by striking ``; and'' and inserting a semicolon; (2) in subparagraph (B), by striking the period at the end and inserting ``; and''; and (3) by adding at the end the following new subparagraph: ``(C) which shall include mobile and portable oral health services (as defined by the Secretary) that-- ``(i) are provided for the purpose of overcoming mobility, transportation, or access barriers for children; and ``(ii) satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided.''. (d) Increased Federal Funding for Dental Services.-- (1) In general.--Section 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by subsection (a), is further amended-- (A) in subsection (b), in the first sentence, by striking ``and (ii)'' and inserting ``(ii), and (ll)''; and (B) by adding at the end the following new subsection: ``(ll) Increased FMAP for Oral Health Services.-- ``(1) In general.--Notwithstanding subsection (b) and section 1903(a)(7) and subject to the requirements described in paragraphs (3) and (4), with respect to amounts expended on or after January 1, 2025, for covered oral health expenses (as described in paragraph (2)), the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia for such expenses shall be equal to the Federal medical assistance percentage that would otherwise apply to the State for the fiscal year, as determined under subsection (b) or section 1903(a)(7), increased by 15 percentage points. ``(2) Covered oral health expenses.--For purposes of paragraph (1), the term `covered oral health expenses' means the amounts expended for medical assistance for oral health services (as defined in subsection (kk)) and amounts expended for the proper and efficient administration of the provision of such oral health services under the State plan. ``(3) Requirements.--For purposes of paragraph (1), the Federal medical assistance percentage applicable to covered oral health expenses under this subsection shall not apply to a State unless-- ``(A) the State plan for medical assistance provides payment for oral health services (as so defined) furnished by a health care provider at a rate that is not less than 70 percent of the usual and customary fee for such services in the State; and ``(B) the State satisfies such additional requirements as are established by the Secretary, which shall include-- ``(i) streamlining of administrative procedures for purposes of ensuring adequate provider participation and increasing patient utilization of oral health services; and ``(ii) the provision of technical assistance to health care providers designed to reduce the number of missed patient appointments and reduce other barriers to the delivery of oral health services. ``(4) Limitation.--For purposes of amounts expended for covered oral health services, in no case shall any increase under this subsection result in a Federal medical assistance percentage that exceeds 100 percent.''. (2) Conforming amendment.--Section 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) is amended by striking ``section 1919(g)(3)(B)'' and inserting ``sections 1905(ll) and 1919(g)(3)(B)''. (e) Secretarial Responsibilities.-- (1) Technical assistance and outreach.--The Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall provide technical assistance to States and conduct outreach to States for purposes of educating and encouraging States to utilize and provide payment under each State Medicaid program for telehealth-enabled dental services in order to provide dental services to traditionally underserved populations in need of such services. (2) Database and annual report on dental benefits for adult medicaid enrollees.-- (A) Medicaid dental benefits database.--The Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall maintain, as accurately and up-to-date as possible, a database that contains with respect to each State (as defined for purposes of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) information regarding the dental benefits available for adults enrolled in the State Medicaid program, including any limits on such benefits and the amount of reimbursement provided under the State Medicaid program for such benefits. The database also shall include a separate description of the dental benefits, benefit limits, and amount of reimbursement provided under each State Medicaid program for pregnant women, if such benefits are not provided to the woman as part of early and periodic screening, diagnostic, and treatment services (as defined in section 1905(r) of the Social Security Act (42 U.S.C. 1396d(r))), and a description of the use of dental services by children and adults enrolled in the State Medicaid program. (B) Annual report.--The Secretary of Health and Human Services shall make available to the public an annual report regarding the information collected in the database required under subparagraph (A). Each annual report under this subparagraph shall include for each State Medicaid program and with respect to the most recent year for which data are available the yearly dental service utilization rates for children and adults enrolled in the State Medicaid program. (f) Effective Date.-- (1) In general.--Except as provided in paragraph (2), the amendments made by this section shall apply to calendar quarters beginning on or after January 1, 2025, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date. (2) Delay permitted for state plan amendment.--In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature. TITLE II--PUBLIC HEALTH PROGRAMS Subtitle A--National Health Service Corps SEC. 201. NATIONAL HEALTH SERVICE CORPS. (a) In General.--Section 331 of the Public Health Service Act (42 U.S.C. 254d) is amended-- (1) in subsection (a)(3), by adding at the end the following: ``(F) The term `dental therapist' means, with respect to a State or Tribal government that licenses or certifies such dental therapists, a mid-level dental practitioner who-- ``(i)(I) is licensed to practice under the law of the State; or ``(II) is certified to practice under the Community Health Aide Program of the Indian Health Service under section 119 of the Indian Health Care Improvement Act; and ``(ii) provides preventive and restorative services directly to the public, commensurate with the scope of the practice.''; and (2) in subsection (b)-- (A) in paragraph (1), by inserting ``dental therapy programs and'' after ``schools at which''; and (B) in paragraph (2), by inserting ``dental therapists,'' after ``dentists,''. (b) Facilitation of Effective Provision of Corps Services.--Section 336(f)(3) of the Public Health Service Act (42 U.S.C. 254h-1(f)(3)) is amended by inserting ``dental therapists,'' after ``midwives,''. (c) Scholarship Program and Loan Repayment Program.-- (1) Scholarship program.--Section 338A of the Public Health Service Act (42 U.S.C. 254l) is amended-- (A) in subsection (a)(1), by inserting ``dental therapists,'' after ``dentists,''; and (B) in subsection (b)(1), by inserting ``including dental therapy,'' after ``or other health profession,''. (2) Loan repayment program.--Section 338B of the Public Health Service Act (42 U.S.C. 254l-1) is amended-- (A) in subsection (a)(1), by inserting ``dental therapists,'' after ``dentists,''; and (B) in subsection (b)(1)-- (i) in subparagraph (A), by inserting ``dental therapist,'' after ``nurse practitioner,''; (ii) in subparagraph (B), by inserting ``dental therapy,'' after ``mental health,''; and (iii) in subparagraph (C)(ii), by inserting ``, including dental therapy'' after ``health profession''. (3) Authorization of appropriations.--Section 338H of the Public Health Service Act (42 U.S.C. 254q) is amended-- (A) in subsection (a), by striking ``this section'' and inserting ``this subpart''; and (B) by adding at the end the following: ``(d) Authorization of Appropriations With Respect to Oral Health Professionals.--To carry out this subpart with respect to dentists, dental therapists, and dental hygienists, in addition to the amounts authorized under subsection (a), there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028, which shall be used to provide an emergency expansion for scholarships to, and loan repayments on behalf of, such oral health professionals.''. SEC. 202. COMMUNITY BASED DENTAL RESIDENCIES. Section 340H of the Public Health Service Act (42 U.S.C. 256h) is amended by adding at the ending the following: ``(k) Additional Funding.--For the purpose of expanding dental residencies at teaching health centers that operate graduate medical education programs, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028''. SEC. 203. COMMUNITY-BASED TRAINING OF DENTAL STUDENTS. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall establish a pilot program under which the Secretary awards grants to eligible entities for the purpose of supporting the community-based training of dental students. Such grants shall be for a 5-year period, beginning in fiscal year 2025. (b) Eligible Entities.--To be eligible to receive a grant under this section, an entity shall-- (1) be a Federally-qualified health center, rural health center, or Tribal health facility; and (2) submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (c) Selection of Awardees.-- (1) In general.--The Secretary shall award 6 grants under this section to eligible entities described in subsection (b). In making such awards, the Secretary shall ensure that each entity receiving a grant operates in a different State (including each of the several States and the District of Columbia), territory, or Tribal territory. (2) Priority.--In awarding grants under this section, the Secretary shall give priority to eligible entities that-- (A) have a focus on training students in rural and underserved areas; (B) partner with dental professional schools and programs associated with a historically Black college or university (as defined by the term ``part B institution'' in section 322 of the Higher Education Act of 1965 (20 U.S.C. 1061)) or minority-serving institutions (as described in section 371 of such Act (20 U.S.C. 1067q)); or (C) are located in a State or geographic area without a dental school. (d) Use of Funds.--An eligible entity receiving a grant under this section-- (1) shall use such funds to establish a training program for dental, dental hygienist, dental therapy, and dental assistant students in a community-based, outpatient setting; (2) may use such funds-- (A) to support faculty and preceptor wages and living stipends for trainees; (B) to purchase equipment, education tools, and make renovations or alterations to a training site; and (C) to provide supportive services such as child care, transportation, and food assistance to enable students to persist in and complete a training program; and (3) may use up to 5 percent of the grant amount for planning and development, data collection and reporting, other administrative purposes. (e) Reporting.-- (1) Reports from eligible entities.--Each eligible entity receiving a grant under this section shall submit such reports on the program supported by the grant as the Secretary may require. (2) Reports to congress.--Not later than 1 year after the date on which the program under this section terminates under subsection (f), the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the program. (f) Sunset.--The grant program under this section shall terminate on September 30, 2029. (g) Appropriations.--To carry out this section, there is appropriated, out of amounts in the Treasury not otherwise appropriated, $4,500,000 for fiscal year 2025, to remain available through the end of fiscal year 2029. Subtitle B--Oral Health Education SEC. 211. AUTHORIZATION OF APPROPRIATIONS FOR ORAL HEALTH EDUCATION FOR MEDICAL PROVIDERS. Section 747(c) of the Public Health Service Act (42 U.S.C. 293k(c)) is amended by adding at the end the following: ``(4) Oral health education.--In addition to other amounts authorized under this subsection for purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028 for the purpose of educating nondental medical professionals (including physicians, nurses, nurse practitioners, physician assistants, and pharmacists and particularly such professionals who provide care to children and pregnant and postpartum women) about oral health, including issues such as oral hygiene instruction, topical application of fluoride, and oral health screenings, with the goal of integrating oral health care into overall health care.''. SEC. 212. ORAL HEALTH EDUCATION FOR OTHER NON-HEALTH PROFESSIONALS. Subpart I of part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by inserting after section 748 the following: ``SEC. 748A. ORAL HEALTH EDUCATION FOR OTHER NON-ORAL HEALTH PROFESSIONALS. ``(a) In General.--The Secretary may make grants to, or enter into contracts with, an accredited public or nonprofit private hospital, educational institutions, or public or private nonprofit entities that the Secretary has determined to be capable of carrying out such grant or contract to educate individuals, such as community health workers, social workers, nutritionists, health educators, occupational therapists, and psychologists, to promote oral health education and literacy and to provide support for behavior change and assistance with care coordination with respect to oral health. ``(b) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028.''. SEC. 213. DENTAL EDUCATION. Section 748 of the Public Health Service Act (42 U.S.C. 293k-2) is amended-- (1) in subsection (a)(1)(H), by striking ``pediatric training programs'' and inserting ``pediatric dental training programs''; and (2) in subsection (c)-- (A) by striking the subsection heading and inserting ``Requirements for Award.--''; (B) by amending the matter preceding paragraph (1) to read as follows: ``With respect to training provided for under this section, the Secretary shall award grants or contracts only to eligible entities that meet at least 7 of the following criteria:''; (C) in paragraph (2), by striking ``have a record of training the greatest percentage of providers, or that have demonstrated significant improvements in the percentage of providers, who enter and'' and inserting ``train significant numbers of providers who''; (D) in paragraph (3)-- (i) by striking ``have a record of training'' and inserting ``intend to train''; and (ii) by striking the period at the end and inserting ``and have faculty with experience in treating underserved populations.''; (E) in paragraph (8), by inserting ``or have established'' after ``establish''; and (F) by adding at the end the following: ``(9) Qualified applicants that require not less than 200 hours of community-based education rotations.''. SEC. 214. ORAL HEALTH PROFESSIONAL STUDENT LOANS. Subpart 3 of part E of title VII of the Public Health Service Act (42 U.S.C. 295f et seq.) is amended by adding at the end the following: ``SEC. 779. ORAL HEALTH PROFESSIONAL STUDENT LOANS. ``(a) In General.--The Secretary shall establish and operate a student loan fund for oral health professional students, including dental hygienists, dental therapists, and dentists. ``(b) Content.--The Secretary shall establish and operate the student loan fund program under subsection (a) in the same manner and subject to the same terms as the loan fund program established with schools of nursing under section 835. ``(c) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028.''. Subtitle C--Other Oral Health Programs SEC. 221. ACCESS POINTS. Subpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.) is amended by adding at the end the following: ``SEC. 340G-2. FUNDING FOR ORAL HEALTH SERVICES. ``(a) In General.--The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a program to award grants to eligible entities to provide oral health services, or to contract with private dental practices to provide comprehensive oral health services, to low-income individuals and individuals who are underserved with respect to oral health care. ``(b) Technical Assistance.--The Secretary shall provide technical assistance to entities receiving grants under subsection (a) to provide technical assistance to such entities in order to-- ``(1) with respect to oral health care services, increase utilization and efficiency and minimize missed appointments, contract with offsite providers, recruit providers (including oral health specialists), and operate programs outside the physical facilities to take advantage of new systems to improve access to oral health services; ``(2) address barriers to access to such services and conduct targeted outreach to special populations such as pregnant women, individuals with disabilities, individuals with chronic conditions such as diabetes, and individuals residing in long-term care facilities; or ``(3) contract with private dental practices that will provide oral health services other than preventive oral health care, including restoration and maintenance of oral health, in order to meet the need for oral health services in the community. ``(c) Eligible Entities.--To be eligible to receive a grant under subsection (a), an entity shall-- ``(1) be-- ``(A) a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act); ``(B) a safety net clinic or a free clinic (as defined by the Secretary); ``(C) a health care clinic that provides services to Tribal organizations or urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act); or ``(D) any other interested public or private sector health care provider or organization that the Secretary determines has a demonstrated history of serving a high number of uninsured and or low-income individuals or those who lack ready access to oral health services; and ``(2) demonstrate a clear need to expand oral health care services beyond preventive oral health care. ``(d) Allocation for Hiring Oral Health Care Specialists.--A portion of the funds available under this section shall be allocated toward hiring oral health care specialists, such as oral surgeons and endodontists, at entities receiving grants under this section. ``(e) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028.''. SEC. 222. DENTAL CLINICS IN SCHOOLS. Part Q of title III of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by adding at the end the following: ``SEC. 399Z-3. DENTAL CLINICS IN SCHOOLS. ``(a) In General.--The Secretary shall award grants to qualified entities for the purpose of funding the building, operation, or expansion of dental clinics in schools. ``(b) Qualified Entities.--To receive a grant under this section, a qualified entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. ``(c) Requirements.--An entity receiving a grant under this section shall-- ``(1) provide comprehensive oral health services at a dental clinic based at a school, including oral health education, oral screening, fluoride application, prophylaxis, sealants, and basic restorative services; ``(2) develop a coordinated system of care by referring patients to an available qualified oral health provider in the community for any required oral health services not provided in the dental clinic in the school, including restorative services, to ensure that all the oral health needs of students are met; and ``(3) maintain clinic hours that extend beyond school hours. ``(d) Authorization of Appropriations.--For purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028.''. SEC. 223. EMERGENCY DEPARTMENT CARE COORDINATION. Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following: ``SEC. 399V-8. EMERGENCY DEPARTMENT CARE COORDINATION WITH RESPECT TO DENTAL CARE. ``(a) In General.--The Secretary shall establish a grant program to facilitate individuals receiving dental care at facilities other than hospital emergency departments, under which the Secretary awards grants to eligible entities to cover costs related to construction and renovation, equipment, staff, outreach and education, and any other allowable uses, with respect to the entity's facilities, as the Secretary determines appropriate. ``(b) Eligible Entities.--To be eligible to receive a grant under this section an entity shall-- ``(1) be-- ``(A) a Federally qualified health center (as defined in paragraph (4) of section 1861(aa) of the Social Security Act) or rural health clinic (as defined in paragraph (2) of such section); ``(B) a private dental practice; or ``(C) any other interested public or private sector health care provider or organization, such as a dental school, that the Secretary determines has the capacity to serve in a coordinated, cost-effective manner, a high number of individuals who lack access to oral health services; and ``(2) partner with a hospital or urgent care center. ``(c) Oral Health Education for Primary Care and ED Health Care Providers.--The Secretary shall allocate a portion of the amounts appropriated under subsection (e) toward medical education for primary care and emergency department physicians, nurses, nurse practitioners, and physician assistants to be trained in oral health. ``(d) Report.--Not later than January 1, 2028, the Secretary shall submit to Congress a report on the best practices determined by the program established under this section to address oral health needs of individuals who go to emergency departments in need of oral health care. ``(e) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028.''. SEC. 224. RESEARCH FUNDING. (a) In General.--For the period of fiscal years 2025 through 2027, there is authorized to be appropriated for the Secretary of Health and Human Services (referred to in this section as the ``Secretary'') such sums as may be necessary to conduct, in consultation with the heads of agencies and offices of the Department of Health and Human Services, including the Director of the Centers for Disease Control and Prevention, the Director of the Agency for Healthcare Research and Quality, the Director of the National Institutes of Health, and the Administrator of the Health Resources and Services Administration-- (1) research on-- (A) the prevention of oral disease; (B) oral disease management; (C) evidence-based strategies to prevent tooth decay; (D) rigorous, multidisciplinary research-based approaches to overcome disparities in oral health; (E) perinatal, postnatal, and childhood oral health issues, including the integration of dental providers in settings where pediatricians practice; (F) access, quality, and outcomes with respect to oral health services; and (G) other topics as the Secretary determines appropriate; and (2) an evaluation of oral health service delivery to underserved and vulnerable populations, including an evaluation of workforce models to enhance oral health service delivery. (b) Supplement Not Supplant.--Funds appropriated under this section shall be used to supplement, and not supplant, other Federal, State, and local public funds provided for activities described in subsection (a). SEC. 225. MOBILE AND PORTABLE DENTAL SERVICES. Subpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.), as amended by section 221, is further amended by adding at the end the following: ``SEC. 340G-3. MOBILE AND PORTABLE DENTAL SERVICES. ``(a) In General.--The Secretary shall award grants to Federally qualified health centers (as defined in paragraph (4) of section 1861(aa) of the Social Security Act), rural health clinics (as defined in paragraph (2) of such section), nonprofit dental clinics, and dental schools to provide mobile and portable, comprehensive dental services that provide for the restoration or maintenance of oral health and function (including dental services provided by licensed providers through telehealth-enabled collaboration and supervision) and outreach for dental services to underserved populations. ``(b) Eligible Entities.--To be eligible to receive a grant under this section, an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including information to demonstrate that the entity is capable of providing coordinated care and continuity of care to patients. ``(c) Use of Funds.--Eligible entities receiving a grant under this section shall deliver the dental services described in subsection (a) at locations such as senior centers, nursing homes, assisted living facilities, schools, licensed child care centers that serve eligible individuals who receive benefits under the State Children's Health Insurance Program under title XXI of the Social Security Act or the Medicaid program under title XIX of the Social Security Act, and facilities that provide services under the Special Supplemental Nutrition Program for Women, Infants, and Children established by section 17 of the Child Nutrition Act of 1966 or under the Head Start Act. ``(d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary.''. Subtitle D--Oral Health Services as an Essential Health Benefit SEC. 231. ORAL HEALTH SERVICES AS AN ESSENTIAL HEALTH BENEFIT. Section 1302(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 18022(b)) is amended-- (1) in paragraph (1)-- (A) in subparagraph (J), by striking ``oral and''; and (B) by adding at the end the following: ``(K) Oral health services for children and adults.''; and (2) by adding at the end the following: ``(6) Oral health services.--For purposes of paragraph (1)(K), the term `oral health services' means services (as defined by the Secretary), that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions.''. TITLE III--DEPARTMENT OF VETERANS AFFAIRS MATTERS SEC. 301. REQUIREMENT THAT SECRETARY OF VETERANS AFFAIRS FURNISH DENTAL CARE IN THE SAME MANNER AS ANY OTHER MEDICAL SERVICE. (a) In General.--Title 38, United States Code, is amended-- (1) in section 1701(6)(B), by striking ``as described in sections 1710 and 1712 of this title''; (2) in section 1710(c), by striking the second sentence; (3) in section 1712-- (A) by striking subsections (a) and (b); (B) by redesignating subsections (c), (d), and (e) as subsections (a), (b), and (c), respectively; and (C) in subsection (a), as redesignated by subparagraph (B)-- (i) by striking ``Dental appliances'' and inserting ``The Secretary may furnish dentures, dental appliances''; and (ii) by striking ``to be furnished by the Secretary under this section may be procured by the Secretary'' and inserting ``under this section and may procure such appliances''; (4) in section 1712C(h)-- (A) by striking ``section 1712 of this title'' and inserting ``this chapter''; and (B) by striking ``outpatient dental services and treatment, and related dental appliances, under such section 1712'' and inserting ``dental services and appliances under this chapter''; and (5) by striking section 2062. (b) Conforming Amendment.--Section 1525(a) of such title is amended by striking ``medicines under section 1712(d)'' and inserting ``medicines under section 1712(b)''. (c) Clerical Amendments.--Such title is further amended-- (1) in section 1712, in the heading for such section, by striking ``Dental care'' and inserting ``Appliances''; (2) in the table of sections at the beginning of chapter 17, by striking the item relating to section 1712 and inserting the following new item: ``1712. Appliances; drugs and medicines for certain disabled veterans; vaccines.''; and (3) in the table of sections at the beginning of chapter 20, by striking the item relating to section 2062. SEC. 302. DEMONSTRATION PROGRAM ON TRAINING AND EMPLOYMENT OF ALTERNATIVE DENTAL HEALTH CARE PROVIDERS FOR DENTAL HEALTH CARE SERVICES FOR VETERANS IN RURAL AND OTHER UNDERSERVED COMMUNITIES. (a) Demonstration Program Authorized.--The Secretary of Veterans Affairs may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health care services for veterans who are entitled to such services from the Department of Veterans Affairs and reside in rural and other underserved communities. (b) Telehealth.--For purposes of alternative dental health care providers and other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when appropriate and feasible. (c) Alternative Dental Health Care Providers Defined.--In this section, the term ``alternative dental health care providers'' has the meaning given that term in section 340G-1(a)(2) of the Public Health Service Act (42 U.S.C. 256g-1(a)(2)). (d) Authorization of Appropriations.--There are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. SEC. 303. PROGRAM OF EDUCATION TO PROMOTE DENTAL HEALTH IN VETERANS. (a) Program Required.--The Secretary of Veterans Affairs shall carry out a program of education to promote dental health for veterans who are enrolled in the system of annual patient enrollment of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code. (b) Elements.--The program required by subsection (a) shall provide education for veterans on the following: (1) The association between dental health and overall health and well-being. (2) Proper techniques for dental care. (3) Signs and symptoms of commonly occurring dental conditions. (4) Treatment options for commonly occurring dental issues. (5) Options for obtaining access to dental care, including information on eligibility for dental care through the Department. (6) Available and accessible options for obtaining low or no-cost dental care, including through dental schools and Federally Qualified Health Centers. (7) Such other matters relating to dental health as the Secretary considers appropriate. (c) Delivery of Educational Materials.-- (1) In general.--The Secretary shall provide educational materials to veterans under the program required by subsection (a) through a variety of mechanisms, including the following: (A) The availability and distribution of print materials at facilities of the Department (including at medical centers, clinics, Vet Centers, and readjustment counseling centers) and to providers (including members of Patient Aligned Care Teams). (B) The availability and distribution of materials over the Internet, including through webinars, My HealtheVet, and VA.gov. (C) Presentations by the dental program office of the Department of information, including both small group and large group presentations, and distribution of such information to all locations in which the program is being carried out. (2) Selection of mechanisms.--In selecting mechanisms under paragraph (1), the Secretary shall select mechanisms designed to maximize the number of veterans who receive education under the program. (d) Construction.--Nothing in this section shall be construed to alter or revise the eligibility of any veteran for dental care under the laws administered by the Secretary. (e) Definitions.--In this section: (1) Federally qualified health center.--The term ``Federally Qualified Health Center'' means a Federally- qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B)). (2) Vet center.--The term ``Vet Center'' has the meaning given that term in section 1712A(h) of title 38, United States Code. (f) Effective Date.--This section shall take effect on the date that is one year after the date of the enactment of this Act. SEC. 304. STUDENT LOAN REPAYMENT PROGRAM TO INCENTIVIZE DENTAL TRAINING AND ENSURE THE DENTAL WORKFORCE OF THE DEPARTMENT OF VETERANS AFFAIRS. (a) Program Required.--The Secretary of Veterans Affairs, to ensure that the Department of Veterans Affairs has sufficient staff to provide dental services to veterans, shall implement a loan reimbursement program for qualified dentists, dental hygienists, and oral surgeons who agree-- (1) to be appointed by the Secretary as a dentist, dental hygienist, or oral surgeon, as the case may be, under section 7401 of title 38, United States Code; and (2) to serve as a dentist, dental hygienist, or oral surgeon, as the case may be, of the Department pursuant to such appointment at a dental clinic of the Department for a period of not less than five years. (b) Maximum Amount.--The Secretary may reimburse not more than-- (1) $75,000 for each dentist participating in the program under subsection (a); (2) $10,000 for each dental hygienist participating in such program; and (3) $20,000 for each oral surgeon participating in such program. (c) Selection of Locations.--The Secretary shall monitor demand among veterans for dental care and require participants in the program under subsection (a) to choose from dental clinics of the Department with the greatest need for dentists, dental hygienists, or oral surgeons, as the case may be, according to facility enrollment and patient demand. SEC. 305. EDUCATIONAL AND TRAINING PARTNERSHIPS FOR DENTISTS, DENTAL HYGIENISTS, AND ORAL SURGEONS. The Secretary of Veterans Affairs shall enter into educational and training partnerships with dental schools, including dental programs within a community college, to provide training and employment opportunities for dentists, dental hygienists, and oral surgeons. TITLE IV--FEDERAL BUREAU OF PRISONS SEC. 401. DEMONSTRATION PROGRAM ON TRAINING AND EMPLOYMENT OF ALTERNATIVE DENTAL HEALTH CARE PROVIDERS FOR DENTAL HEALTH CARE SERVICES FOR PRISONERS WITHIN THE CUSTODY OF THE BUREAU OF PRISONS. (a) Demonstration Program Authorized.--The Attorney General, acting through the Director of the Bureau of Prisons, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health services for prisoners within the custody of the Bureau of Prisons. (b) Telehealth.--For purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible. (c) Alternative Dental Health Care Providers Defined.--In this section, the term ``alternative dental health care providers'' has the meaning given that term in section 340G-1 of the Public Health Service Act (42 U.S.C. 256g-1). (d) Authorization Of Appropriations.--There are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. TITLE V--INDIAN HEALTH SERVICE SEC. 501. DEMONSTRATION PROGRAM ON TRAINING AND EMPLOYMENT OF ALTERNATIVE DENTAL HEALTH CARE PROVIDERS FOR DENTAL HEALTH CARE SERVICES UNDER THE INDIAN HEALTH SERVICE. (a) Demonstration Program Authorized.--The Secretary of Health and Human Services, acting through the Indian Health Service, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to help eliminate oral health disparities and increase access to dental services through health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)). (b) Telehealth.--For purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible. (c) Alternative Dental Health Care Providers Defined.--In this section, the term ``alternative dental health care providers'' has the meaning given that term in section 340G-1(a)(2) of the Public Health Service Act (42 U.S.C. 256g-1(a)(2)). (d) Authorization of Appropriations.--There are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. TITLE VI--REPORTS TO CONGRESS SEC. 601. REPORTS ON ENROLLMENT IN COVERAGE FOR ORAL HEALTH SERVICES. (a) Secretary of Health and Human Services.--The Secretary of Health and Human Services shall submit to Congress the following reports: (1) Cost-benefit analysis.--Not later than October 1, 2028, a report that provides a comprehensive cost-benefit analysis regarding the expansion of coverage for dental services pursuant to this Act, including whether the provision of such services resulted in a reduction in total health care costs for individuals under the Medicare and Medicaid programs. (2) Annual report on enrollment, utilization, and expenditures in dental insurance plans.--Not later than 1 year after the date of the enactment of this Act, and annually thereafter, an annual report containing detailed information on-- (A) enrollment in private insurance plans providing pediatric and adult dental coverage, whether such coverage is provided through a qualified health plan (as defined in section 1301(a) of the Patient Protection and Affordable Care Act (Public Law 111- 148)) or a stand-alone dental plan; (B) the utilization of oral health services by children and adults who receive dental coverage under a qualified health plan or a stand-alone dental plan; and (C) expenditures related to oral health services by individuals and families who receive dental coverage in a qualified health plan or stand-alone dental plan. (b) Comptroller General.-- (1) Medicaid and medicare.--Not later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the implementation and utilization of the expanded coverage for dental services pursuant to this Act for individuals enrolled in the Medicare and Medicaid programs. (2) Demonstration programs.--Not later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the demonstration programs described in sections 302, 401, and 501, including-- (A) the extent to which the programs improved access to oral health care and increased utilization of oral health services; and (B) an examination of the training provided under the programs to alternative dental health care providers and the quality of care provided by such providers. <all>\n--- SOURCE_TEXT END ---\n\n--- FLAGGED_JSON START ---\n{\n  \"pl_ai_title\": \"Kompleksowa reforma opieki dentystycznej: Pełna ochrona dla Medicare i Medicaid.\",\n  \"pl_summary\": \"Ustawa znacząco rozszerza dostęp do opieki dentystycznej dla milionów Amerykanów, włączając kompleksowe usługi stomatologiczne (w tym protezy) do programu Medicare od 2025 roku. Wprowadza również obowiązek zapewnienia pełnej opieki dentystycznej dorosłym w ramach Medicaid oraz czyni opiekę dentystyczną podstawowym świadczeniem zdrowotnym w planach ubezpieczeniowych ACA. Ponadto, ustawa zwiększa liczbę dentystów i higienistów w obszarach wiejskich i dla weteranów poprzez nowe programy szkoleniowe i spłaty pożyczek.\",\n  \"pl_key_points\": [\n    \"Osoby objęte programem Medicare (seniorzy) uzyskają pełne pokrycie kosztów usług dentystycznych, w tym profilaktyki, leczenia i protez, od 1 stycznia 2025 r.\",\n    \"Program Medicaid będzie musiał zapewniać kompleksową opiekę dentystyczną dorosłym, a stany otrzymają wyższe fundusze federalne, jeśli poprawią stawki płatności dla dentystów.\",\n    \"Znacznie rozszerza się dostęp do opieki dentystycznej dla weteranów, traktując ją na równi z innymi usługami medycznymi świadczonymi przez Departament Spraw Weteranów (VA).\",\n    \"Wprowadzane są programy grantowe na tworzenie mobilnych klinik, gabinetów dentystycznych w szkołach oraz szkolenie nowych specjalistów (terapeutów dentystycznych) w celu obsługi obszarów deficytowych.\"\n  ],\n  \"eng_ai_title\": \"Major Dental Coverage Expansion: Medicare, Medicaid, Veterans, and ACA Plans.\",\n  \"eng_summary\": \"This Act significantly expands access to dental care for millions of Americans by adding comprehensive oral health services (including dentures) to Medicare coverage starting in 2025. It mandates full adult dental coverage under Medicaid and makes adult dental care an Essential Health Benefit in ACA plans. Furthermore, the bill boosts the dental workforce in rural areas and for veterans through new training and loan repayment programs.\",\n  \"eng_key_points\": [\n    \"Medicare beneficiaries (seniors) will receive comprehensive dental coverage, including prevention, treatment, and dentures, starting January 1, 2025.\",\n    \"Medicaid must provide comprehensive adult dental care, with states receiving increased federal funding if they improve provider payment rates.\",\n    \"Dental care access for veterans is significantly expanded, treating it the same as any other medical service provided by the VA.\",\n    \"New grant programs are established to fund mobile clinics, school-based dental offices, and train new professionals (dental therapists) to serve underserved communities.\"\n  ],\n  \"de_ai_title\": \"Umfassende Zahnreform: Neue Leistungen für Medicare, Medicaid und Veteranen.\",\n  \"de_summary\": \"Dieses Gesetz erweitert den Zugang zur zahnärztlichen Versorgung für Millionen von Amerikanern erheblich, indem es umfassende Mundgesundheitsdienste (einschließlich Zahnersatz) ab 2025 in die Medicare-Leistungen aufnimmt. Es schreibt eine vollständige zahnärztliche Versorgung für Erwachsene unter Medicaid vor und macht diese zu einer wesentlichen Gesundheitsleistung in ACA-Plänen. Darüber hinaus stärkt das Gesetz das zahnmedizinische Personal in ländlichen Gebieten und für Veteranen durch neue Ausbildungs- und Darlehensrückzahlungsprogramme.\",\n  \"de_key_points\": [\n    \"Medicare-Empfänger (Senioren) erhalten ab dem 1. Januar 2025 eine umfassende zahnärztliche Versorgung, einschließlich Prävention, Behandlung und Zahnersatz.\",\n    \"Medicaid muss eine umfassende zahnärztliche Versorgung für Erwachsene bereitstellen, wobei die Bundesstaaten erhöhte Bundesmittel erhalten, wenn sie die Vergütungssätze für Anbieter verbessern.\",\n    \"Der Zugang zur zahnärztlichen Versorgung für Veteranen wird erheblich erweitert und wie jede andere medizinische Leistung der VA behandelt.\",\n    \"Neue Zuschussprogramme werden eingerichtet, um mobile Kliniken und schulbasierte Zahnarztpraxen zu finanzieren und neues Personal (Zahntherapeuten) für unterversorgte Gemeinden auszubilden.\"\n  ],\n  \"fr_ai_title\": \"Réforme Dentaire Majeure: Couverture étendue pour Medicare, Medicaid et Vétérans.\",\n  \"fr_summary\": \"Cette loi élargit considérablement l'accès aux soins dentaires pour des millions d'Américains en ajoutant des services de santé bucco-dentaire complets (y compris les prothèses dentaires) à la couverture Medicare à partir de 2025. Elle rend obligatoire la couverture dentaire complète pour les adultes sous Medicaid et fait des soins dentaires pour adultes un avantage essentiel dans les plans ACA. De plus, le projet de loi renforce le personnel dentaire dans les zones rurales et pour les vétérans grâce à de nouveaux programmes de formation et de remboursement de prêts.\",\n  \"fr_key_points\": [\n    \"Les bénéficiaires de Medicare (personnes âgées) recevront une couverture dentaire complète, y compris la prévention, le traitement et les prothèses, à compter du 1er janvier 2025.\",\n    \"Medicaid devra fournir des soins dentaires complets aux adultes, et les États recevront un financement fédéral accru s'ils améliorent les taux de paiement des prestataires.\",\n    \"L'accès aux soins dentaires pour les vétérans est considérablement élargi, étant traité de la même manière que tout autre service médical fourni par le VA.\",\n    \"De nouveaux programmes de subventions sont établis pour financer des cliniques mobiles, des cabinets dentaires scolaires et former de nouveaux professionnels (thérapeutes dentaires) pour servir les communautés mal desservies.\"\n  ],\n  \"es_ai_title\": \"Gran Expansión Dental: Cobertura para Medicare, Medicaid, Veteranos y Planes ACA.\",\n  \"es_summary\": \"Esta Ley amplía significativamente el acceso a la atención dental para millones de estadounidenses al agregar servicios integrales de salud bucal (incluidas las dentaduras postizas) a la cobertura de Medicare a partir de 2025. Exige una cobertura dental completa para adultos bajo Medicaid y convierte la atención dental para adultos en un Beneficio de Salud Esencial en los planes ACA. Además, el proyecto de ley impulsa la fuerza laboral dental en áreas rurales y para veteranos a través de nuevos programas de capacitación y reembolso de préstamos.\",\n  \"es_key_points\": [\n    \"Los beneficiarios de Medicare (personas mayores) recibirán cobertura dental integral, incluyendo prevención, tratamiento y dentaduras postizas, a partir del 1 de enero de 2025.\",\n    \"Medicaid deberá proporcionar atención dental integral para adultos, y los estados recibirán mayor financiación federal si mejoran las tarifas de pago a los proveedores.\",\n    \"El acceso a la atención dental para los veteranos se amplía significativamente, tratándose de la misma manera que cualquier otro servicio médico proporcionado por el VA.\",\n    \"Se establecen nuevos programas de subvenciones para financiar clínicas móviles, consultorios dentales escolares y capacitar a nuevos profesionales (terapeutas dentales) para atender a comunidades desatendidas.\"\n  ],\n  \"it_ai_title\": \"Riforma Dentale Completa: Copertura Estesa per Medicare, Medicaid e Veterani.\",\n  \"it_summary\": \"Questa legge espande significativamente l'accesso alle cure dentali per milioni di americani, aggiungendo servizi sanitari orali completi (incluse le protesi) alla copertura Medicare a partire dal 2025. Rende obbligatoria la copertura dentale completa per gli adulti sotto Medicaid e rende le cure dentali per adulti un Beneficio Sanitario Essenziale nei piani ACA. Inoltre, il disegno di legge potenzia la forza lavoro dentale nelle aree rurali e per i veterani attraverso nuovi programmi di formazione e rimborso dei prestiti.\",\n  \"it_key_points\": [\n    \"I beneficiari di Medicare (anziani) riceveranno una copertura dentale completa, inclusa prevenzione, trattamento e protesi, a partire dal 1° gennaio 2025.\",\n    \"Medicaid dovrà fornire cure dentali complete per gli adulti, con gli Stati che riceveranno maggiori finanziamenti federali se migliorano le tariffe di pagamento per i fornitori.\",\n    \"L'accesso alle cure dentali per i veterani è notevolmente ampliato, trattandolo come qualsiasi altro servizio medico fornito dal VA.\",\n    \"Vengono istituiti nuovi programmi di sovvenzione per finanziare cliniche mobili, studi dentistici scolastici e formare nuovi professionisti (terapisti dentali) per servire le comunità meno servite.\"\n  ],\n  \"nl_ai_title\": \"Uitgebreide Tandheelkundige Hervorming: Dekking voor Medicare, Medicaid en Veteranen.\",\n  \"nl_summary\": \"Deze wet breidt de toegang tot tandheelkundige zorg voor miljoenen Amerikanen aanzienlijk uit door uitgebreide mondzorgdiensten (inclusief kunstgebitten) toe te voegen aan de Medicare-dekking vanaf 2025. Het verplicht volledige tandheelkundige dekking voor volwassenen onder Medicaid en maakt tandheelkundige zorg voor volwassenen een Essentiële Gezondheidsuitkering in ACA-plannen. Bovendien stimuleert het wetsvoorstel het tandheelkundig personeel in plattelandsgebieden en voor veteranen via nieuwe opleidings- en leningterugbetalingsprogramma's.\",\n  \"nl_key_points\": [\n    \"Medicare-begunstigden (ouderen) krijgen vanaf 1 januari 2025 een uitgebreide tandheelkundige dekking, inclusief preventie, behandeling en kunstgebitten.\",\n    \"Medicaid moet uitgebreide tandheelkundige zorg voor volwassenen bieden, waarbij staten verhoogde federale financiering ontvangen als ze de betalingstarieven voor zorgaanbieders verbeteren.\",\n    \"De toegang tot tandheelkundige zorg voor veteranen wordt aanzienlijk uitgebreid en wordt behandeld als elke andere medische dienst die door de VA wordt geleverd.\",\n    \"Er worden nieuwe subsidieprogramma's opgezet om mobiele klinieken, tandartspraktijken op scholen te financieren en nieuwe professionals (tandtherapeuten) op te leiden om achtergestelde gemeenschappen te bedienen.\"\n  ],\n  \"pt_ai_title\": \"Grande Expansão Odontológica: Cobertura para Medicare, Medicaid e Veteranos.\",\n  \"pt_summary\": \"Esta Lei expande significativamente o acesso a cuidados dentários para milhões de americanos, adicionando serviços abrangentes de saúde oral (incluindo próteses dentárias) à cobertura do Medicare a partir de 2025. Torna obrigatória a cobertura dentária completa para adultos no Medicaid e transforma os cuidados dentários para adultos num Benefício Essencial de Saúde nos planos ACA. Além disso, o projeto de lei impulsiona a força de trabalho dentária em áreas rurais e para veteranos através de novos programas de formação e reembolso de empréstimos.\",\n  \"pt_key_points\": [\n    \"Os beneficiários do Medicare (idosos) receberão cobertura dentária abrangente, incluindo prevenção, tratamento e próteses, a partir de 1 de janeiro de 2025.\",\n    \"O Medicaid terá de fornecer cuidados dentários abrangentes para adultos, com os estados a receberem financiamento federal acrescido se melhorarem as taxas de pagamento aos prestadores.\",\n    \"O acesso a cuidados dentários para veteranos é significativamente expandido, sendo tratado da mesma forma que qualquer outro serviço médico fornecido pelo VA.\",\n    \"São estabelecidos novos programas de subsídios para financiar clínicas móveis, consultórios dentários escolares e formar novos profissionais (terapeutas dentários) para servir comunidades carenciadas.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Benefits\"\n  ]\n}\n--- FLAGGED_JSON END ---\n\nOUTPUT:\nWyłącznie naprawiony obiekt JSON zgodny ze strukturą:\n{\n  \"pl_ai_title\": \"...\", \"pl_summary\": \"...\", \"pl_key_points\": [...],\n  \"eng_ai_title\": \"...\", \"eng_summary\": \"...\", \"eng_key_points\": [...],\n  \"de_ai_title\": \"...\", \"de_summary\": \"...\", \"de_key_points\": [...],\n  \"fr_ai_title\": \"...\", \"fr_summary\": \"...\", \"fr_key_points\": [...],\n  \"es_ai_title\": \"...\", \"es_summary\": \"...\", \"es_key_points\": [...],\n  \"it_ai_title\": \"...\", \"it_summary\": \"...\", \"it_key_points\": [...],\n  \"nl_ai_title\": \"...\", \"nl_summary\": \"...\", \"nl_key_points\": [...],\n  \"pt_ai_title\": \"...\", \"pt_summary\": \"...\", \"pt_key_points\": [...],\n  \"category\": [\"...\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Kompleksowa reforma opieki dentystycznej: Rozszerzenie Medicare i Medicaid\",\n  \"pl_summary\": \"Ustawa ta ma na celu poprawę dostępu do opieki dentystycznej poprzez włączenie usług stomatologicznych (w tym protez) do programu Medicare oraz zdefiniowanie ich jako podstawowego świadczenia zdrowotnego. Projekt przewiduje zwiększone finansowanie federalne dla stanów w ramach Medicaid pod warunkiem spełnienia określonych wymogów oraz ustanawia programy grantowe na szkolenie personelu dentystycznego i rozwój klinik w obszarach niedostatecznie obsługiwanych.\",\n  \"pl_key_points\": [\n    \"Usługi stomatologiczne, w tym protezy, zostaną włączone do programu Medicare (część B) od 1 stycznia 2025 r.\",\n    \"Stany mogą otrzymać zwiększone o 15 punktów procentowych finansowanie federalne (FMAP) na usługi stomatologiczne w Medicaid, jeśli spełnią wymogi dotyczące stawek płatności dla dostawców.\",\n    \"Ustawa nakłada na Sekretarza ds. Weteranów obowiązek zapewnienia opieki dentystycznej weteranom na takich samych zasadach jak inne usługi medyczne.\",\n    \"Wprowadza się nowe fundusze i programy pilotażowe na szkolenie terapeutów dentystycznych oraz tworzenie klinik w szkołach i placówkach mobilnych.\"\n  ],\n  \"eng_ai_title\": \"Comprehensive Dental Reform Act: Medicare and Medicaid Expansion\",\n  \"eng_summary\": \"This bill aims to improve access to oral health care by including dental services (including dentures) under Medicare coverage and defining them as an essential health benefit. It provides increased federal funding for states under Medicaid subject to certain requirements and establishes grant programs for training dental personnel and developing clinics in underserved areas.\",\n  \"eng_key_points\": [\n    \"Oral health services, including dentures, will be covered under Medicare Part B starting January 1, 2025.\",\n    \"States may receive a 15 percentage point increase in the Federal Medical Assistance Percentage (FMAP) for oral health services under Medicaid if they meet provider payment rate requirements.\",\n    \"The Secretary of Veterans Affairs is required to furnish dental care to veterans in the same manner as any other medical service.\",\n    \"New funding and pilot programs are established for training dental therapists and creating clinics in schools and mobile settings.\"\n  ],\n  \"de_ai_title\": \"Umfassende Zahnreform: Erweiterung von Medicare und Medicaid\",\n  \"de_summary\": \"Dieser Gesetzentwurf zielt darauf ab, den Zugang zur zahnärztlichen Versorgung zu verbessern, indem zahnärztliche Leistungen (einschließlich Zahnersatz) in die Medicare-Deckung aufgenommen und als wesentliche Gesundheitsleistung definiert werden. Er sieht eine erhöhte Bundesfinanzierung für Staaten im Rahmen von Medicaid vor, sofern bestimmte Anforderungen erfüllt sind, und richtet Zuschussprogramme für die Ausbildung von zahnmedizinischem Personal und die Entwicklung von Kliniken in unterversorgten Gebieten ein.\",\n  \"de_key_points\": [\n    \"Mundgesundheitsdienste, einschließlich Zahnersatz, werden ab dem 1. Januar 2025 unter Medicare Teil B abgedeckt.\",\n    \"Staaten können eine Erhöhung des Federal Medical Assistance Percentage (FMAP) um 15 Prozentpunkte für Mundgesundheitsdienste unter Medicaid erhalten, wenn sie Anforderungen an die Vergütungssätze für Anbieter erfüllen.\",\n    \"Der Minister für Veteranenangelegenheiten ist verpflichtet, Veteranen zahnärztliche Versorgung in gleicher Weise wie jede andere medizinische Leistung bereitzustellen.\",\n    \"Neue Finanzierungs- und Pilotprogramme werden für die Ausbildung von Zahntherapeuten und die Schaffung von Kliniken in Schulen und mobilen Einrichtungen eingerichtet.\"\n  ],\n  \"fr_ai_title\": \"Loi sur la Réforme Dentaire Complète: Extension de Medicare et Medicaid\",\n  \"fr_summary\": \"Ce projet de loi vise à améliorer l'accès aux soins bucco-dentaires en incluant les services dentaires (y compris les prothèses) dans la couverture Medicare et en les définissant comme une prestation de santé essentielle. Il prévoit un financement fédéral accru pour les États dans le cadre de Medicaid sous réserve de certaines exigences et établit des programmes de subventions pour la formation du personnel dentaire et le développement de cliniques dans les zones mal desservies.\",\n  \"fr_key_points\": [\n    \"Les services de santé bucco-dentaire, y compris les prothèses, seront couverts par la partie B de Medicare à partir du 1er janvier 2025.\",\n    \"Les États peuvent recevoir une augmentation de 15 points de pourcentage du pourcentage d'assistance médicale fédérale (FMAP) pour les services de santé bucco-dentaire dans le cadre de Medicaid s'ils respectent les exigences de taux de paiement des prestataires.\",\n    \"Le secrétaire aux Anciens Combattants est tenu de fournir des soins dentaires aux vétérans de la même manière que tout autre service médical.\",\n    \"De nouveaux financements et programmes pilotes sont établis pour la formation de thérapeutes dentaires et la création de cliniques dans les écoles et les structures mobiles.\"\n  ],\n  \"es_ai_title\": \"Ley de Reforma Dental Integral: Expansión de Medicare y Medicaid\",\n  \"es_summary\": \"Este proyecto de ley tiene como objetivo mejorar el acceso a la atención de salud bucal al incluir servicios dentales (incluidas las dentaduras postizas) bajo la cobertura de Medicare y definirlos como un beneficio de salud esencial. Proporciona una mayor financiación federal para los estados bajo Medicaid sujeta a ciertos requisitos y establece programas de subvenciones para capacitar al personal dental y desarrollar clínicas en áreas desatendidas.\",\n  \"es_key_points\": [\n    \"Los servicios de salud bucal, incluidas las dentaduras postizas, estarán cubiertos por la Parte B de Medicare a partir del 1 de enero de 2025.\",\n    \"Los estados pueden recibir un aumento de 15 puntos porcentuales en el Porcentaje Federal de Asistencia Médica (FMAP) para servicios de salud bucal bajo Medicaid si cumplen con los requisitos de tarifas de pago a proveedores.\",\n    \"Se requiere que el Secretario de Asuntos de Veteranos proporcione atención dental a los veteranos de la misma manera que cualquier otro servicio médico.\",\n    \"Se establecen nuevos fondos y programas piloto para capacitar a terapeutas dentales y crear clínicas en escuelas y entornos móviles.\"\n  ],\n  \"it_ai_title\": \"Legge sulla Riforma Dentale Completa: Espansione di Medicare e Medicaid\",\n  \"it_summary\": \"Questo disegno di legge mira a migliorare l'accesso alle cure per la salute orale includendo i servizi dentistici (comprese le protesi) nella copertura Medicare e definendoli come un beneficio sanitario essenziale. Prevede un aumento dei finanziamenti federali per gli Stati nell'ambito di Medicaid, soggetto a determinati requisiti, e istituisce programmi di sovvenzione per la formazione del personale dentistico e lo sviluppo di cliniche in aree scarsamente servite.\",\n  \"it_key_points\": [\n    \"I servizi di salute orale, comprese le protesi, saranno coperti dalla Parte B di Medicare a partire dal 1° gennaio 2025.\",\n    \"Gli Stati possono ricevere un aumento di 15 punti percentuali nella percentuale di assistenza medica federale (FMAP) per i servizi di salute orale nell'ambito di Medicaid se soddisfano i requisiti sulle tariffe di pagamento dei fornitori.\",\n    \"Il Segretario per gli Affari dei Veterani è tenuto a fornire cure dentistiche ai veterani nello stesso modo di qualsiasi altro servizio medico.\",\n    \"Vengono istituiti nuovi finanziamenti e programmi pilota per la formazione di terapisti dentali e la creazione di cliniche nelle scuole e in strutture mobili.\"\n  ],\n  \"nl_ai_title\": \"Wet op Uitgebreide Tandheelkundige Hervorming: Uitbreiding Medicare en Medicaid\",\n  \"nl_summary\": \"Dit wetsvoorstel heeft tot doel de toegang tot mondzorg te verbeteren door tandheelkundige diensten (inclusief kunstgebitten) op te nemen in de Medicare-dekking en deze te definiëren als een essentiële gezondheidsuitkering. Het voorziet in verhoogde federale financiering voor staten onder Medicaid, onder voorbehoud van bepaalde vereisten, en stelt subsidieprogramma's in voor het opleiden van tandheelkundig personeel en het ontwikkelen van klinieken in achtergestelde gebieden.\",\n  \"nl_key_points\": [\n    \"Mondzorgdiensten, inclusief kunstgebitten, vallen vanaf 1 januari 2025 onder Medicare Part B.\",\n    \"Staten kunnen een verhoging van 15 procentpunten krijgen in het Federal Medical Assistance Percentage (FMAP) voor mondzorgdiensten onder Medicaid als ze voldoen aan de vereisten voor betalingstarieven voor aanbieders.\",\n    \"De minister van Veteranenzaken is verplicht om tandheelkundige zorg aan veteranen te verlenen op dezelfde manier als elke andere medische dienst.\",\n    \"Er worden nieuwe financierings- en proefprogramma's opgezet voor het opleiden van tandtherapeuten en het creëren van klinieken in scholen en mobiele omgevingen.\"\n  ],\n  \"pt_ai_title\": \"Lei de Reforma Dentária Abrangente: Expansão do Medicare e Medicaid\",\n  \"pt_summary\": \"Este projeto de lei visa melhorar o acesso aos cuidados de saúde oral, incluindo serviços dentários (incluindo próteses) na cobertura do Medicare e definindo-os como um benefício essencial de saúde. Prevê um aumento do financiamento federal para os estados no âmbito do Medicaid, sujeito a certos requisitos, e estabelece programas de subsídios para a formação de pessoal dentário e desenvolvimento de clínicas em áreas carenciadas.\",\n  \"pt_key_points\": [\n    \"Os serviços de saúde oral, incluindo próteses, serão cobertos pela Parte B do Medicare a partir de 1 de janeiro de 2025.\",\n    \"Os estados podem receber um aumento de 15 pontos percentuais na Percentagem de Assistência Médica Federal (FMAP) para serviços de saúde oral no âmbito do Medicaid se cumprirem os requisitos de taxas de pagamento aos prestadores.\",\n    \"O Secretário de Assuntos de Veteranos é obrigado a fornecer cuidados dentários aos veteranos da mesma forma que qualquer outro serviço médico.\",\n    \"São estabelecidos novos financiamentos e programas piloto para a formação de terapeutas dentários e criação de clínicas em escolas e ambientes móveis.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Benefits\"\n  ]\n}"
    },
    {
      "timestamp": "2025-12-30T22:17:54.349Z",
      "source_url": "https://www.congress.gov/118/bills/s4357/BILLS-118s4357is.xml",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n118 S4357 IS: Comprehensive Dental Reform Act of 2024 U.S. Senate 2024-05-16 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. II118th CONGRESS2d SessionS. 4357IN THE SENATE OF THE UNITED STATESMay 16, 2024Mr. Sanders (for himself and Mr. Brown) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and PensionsA BILLTo improve access to oral health care for vulnerable and underserved populations. 1.Short title; table of contents(a)Short titleThis Act may be cited as the Comprehensive Dental Reform Act of 2024.(b)Table of contentsThe table of contents for this Act is as follows:Sec. 1. Short title; table of contents.TITLE I—Medicare and MedicaidSubtitle A—MedicareSec. 101. Coverage of dental services under the Medicare program.Subtitle B—MedicaidSec. 111. Coverage of dental services under the Medicaid program.TITLE II—Public health programsSubtitle A—National Health Service CorpsSec. 201. National Health Service Corps.Sec. 202. Community based dental residencies.Sec. 203. Community-based training of dental students.Subtitle B—Oral health educationSec. 211. Authorization of appropriations for oral health education for medical providers.Sec. 212. Oral health education for other non-health professionals.Sec. 213. Dental education.Sec. 214. Oral health professional student loans.Subtitle C—Other oral health programsSec. 221. Access points.Sec. 222. Dental clinics in schools.Sec. 223. Emergency department care coordination.Sec. 224. Research funding.Sec. 225. Mobile and portable dental services.Subtitle D—Oral health services as an essential health benefitSec. 231. Oral health services as an essential health benefit.TITLE III—Department of Veterans Affairs MattersSec. 301. Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service.Sec. 302. Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities.Sec. 303. Program of education to promote dental health in veterans.Sec. 304. Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs.Sec. 305. Educational and training partnerships for dentists, dental hygienists, and oral surgeons.TITLE IV—Federal Bureau of PrisonsSec. 401. Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons.TITLE V—Indian Health ServiceSec. 501. Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service.TITLE VI—Reports to CongressSec. 601. Reports on enrollment in coverage for oral health services.IMedicare and MedicaidAMedicare101.Coverage of dental services under the Medicare program(a)CoverageSection 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended—(1)in subparagraph (JJ), by inserting and after the semicolon at the end; and(2)by adding at the end the following new subparagraph:(KK)oral health services (as defined in subsection (nnn));.(b)Oral health services definedSection 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection:(nnn)Oral health services(1)The term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions.(2)For purposes of paragraph (1), such term shall include mobile and portable oral health services (as defined by the Secretary) that—(A)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(B)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(c)Payment and coinsuranceSection 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended—(1)by striking and before (HH); and(2)by inserting before the semicolon at the end the following: , and (II) with respect to oral health services (as defined in section 1861(nnn)), the amount paid shall be (i) in the case of such services that are preventive, 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848, and (ii) in the case of all other such services, 80 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848.(d)Payment under physician fee scheduleSection 1848(j)(3) of the Social Security Act (42 U.S.C. 1395w–4(j)(3)) is amended by inserting (2)(KK), after risk assessment),.(e)DenturesSection 1861(s)(8) of the Social Security Act (42 U.S.C. 1395x(s)(8)) is amended—(1)by striking (other than dental) and inserting (including dentures); and(2)by striking internal body.(f)Repeal of ground for exclusionSection 1862(a) of the Social Security Act (42 U.S.C. 1395y) is amended by striking paragraph (12).(g)Effective dateThe amendments made by this section shall apply to services furnished on or after January 1, 2025.BMedicaid111.Coverage of dental services under the Medicaid program(a)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—(1)in subsection (a)(10), by striking dental services and inserting oral health services (as defined in subsection (kk)(1)); and(2)by adding at the end the following:(kk)(1)Subject to paragraphs (2) and (3), for purposes of this title, the term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions. These services shall include, in the case of pregnant or postpartum women, such services as are necessary to address oral health conditions that exist or are exacerbated by pregnancy or childbirth or which, if left untreated, could adversely affect fetal or child development.(2)For purposes of paragraph (1), such term shall include—(A)dentures; and(B)mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided.(3)For purposes of paragraph (1), such term shall not apply to dental care or services provided to individuals under the age of 21 under subsection (r)(3)..(b)Conforming amendments(1)State plan requirementsSection 1902(a) of such Act (42 U.S.C. 1396a(a)) is amended—(A)in paragraph (10)(A), in the matter preceding clause (i), by inserting (10), after (5),;(B)in paragraph (86), by striking and at the end;(C)in paragraph (87), by striking the period at the end and inserting ; and; and(D)by inserting after paragraph (87) the following:(88)provide for—(A)informing, in writing, all individuals who have been determined to be eligible for medical assistance of the availability of oral health services (as defined in section 1905(kk));(B)conducting targeted outreach to pregnant women who have been determined to be eligible for medical assistance about the availability of medical assistance for such dental services and the importance of receiving dental care while pregnant; and(C)establishing and maintaining standards for and certification of mobile and portable oral health services (as described in subsections (r)(3)(C) and (kk)(2)(B) of section 1905)..(2)Definition of medical assistanceSection 1905(a)(12) of such Act (42 U.S.C. 1396d(a)(12)) is amended by striking , dentures,.(c)Mobile and portable oral health services under EPSDTSection 1905(r)(3) of the Social Security Act (42 U.S.C. 1396d(r)(3)) is amended—(1)in subparagraph (A)(ii), by striking ; and and inserting a semicolon;(2)in subparagraph (B), by striking the period at the end and inserting ; and; and(3)by adding at the end the following new subparagraph:(C)which shall include mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, or access barriers for children; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(d)Increased federal funding for dental services(1)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by subsection (a), is further amended—(A)in subsection (b), in the first sentence, by striking and (ii) and inserting (ii), and (ll); and(B)by adding at the end the following new subsection:(ll)Increased FMAP for oral health services(1)In generalNotwithstanding subsection (b) and section 1903(a)(7) and subject to the requirements described in paragraphs (3) and (4), with respect to amounts expended on or after January 1, 2025, for covered oral health expenses (as described in paragraph (2)), the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia for such expenses shall be equal to the Federal medical assistance percentage that would otherwise apply to the State for the fiscal year, as determined under subsection (b) or section 1903(a)(7), increased by 15 percentage points.(2)Covered oral health expensesFor purposes of paragraph (1), the term covered oral health expenses means the amounts expended for medical assistance for oral health services (as defined in subsection (kk)) and amounts expended for the proper and efficient administration of the provision of such oral health services under the State plan.(3)RequirementsFor purposes of paragraph (1), the Federal medical assistance percentage applicable to covered oral health expenses under this subsection shall not apply to a State unless—(A)the State plan for medical assistance provides payment for oral health services (as so defined) furnished by a health care provider at a rate that is not less than 70 percent of the usual and customary fee for such services in the State; and(B)the State satisfies such additional requirements as are established by the Secretary, which shall include—(i)streamlining of administrative procedures for purposes of ensuring adequate provider participation and increasing patient utilization of oral health services; and(ii)the provision of technical assistance to health care providers designed to reduce the number of missed patient appointments and reduce other barriers to the delivery of oral health services.(4)LimitationFor purposes of amounts expended for covered oral health services, in no case shall any increase under this subsection result in a Federal medical assistance percentage that exceeds 100 percent..(2)Conforming amendmentSection 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) is amended by striking section 1919(g)(3)(B) and inserting sections 1905(ll) and 1919(g)(3)(B).(e)Secretarial responsibilities(1)Technical assistance and outreachThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall provide technical assistance to States and conduct outreach to States for purposes of educating and encouraging States to utilize and provide payment under each State Medicaid program for telehealth-enabled dental services in order to provide dental services to traditionally underserved populations in need of such services.(2)Database and annual report on dental benefits for adult Medicaid enrollees(A)Medicaid dental benefits databaseThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall maintain, as accurately and up-to-date as possible, a database that contains with respect to each State (as defined for purposes of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) information regarding the dental benefits available for adults enrolled in the State Medicaid program, including any limits on such benefits and the amount of reimbursement provided under the State Medicaid program for such benefits. The database also shall include a separate description of the dental benefits, benefit limits, and amount of reimbursement provided under each State Medicaid program for pregnant women, if such benefits are not provided to the woman as part of early and periodic screening, diagnostic, and treatment services (as defined in section 1905(r) of the Social Security Act (42 U.S.C. 1396d(r))), and a description of the use of dental services by children and adults enrolled in the State Medicaid program.(B)Annual reportThe Secretary of Health and Human Services shall make available to the public an annual report regarding the information collected in the database required under subparagraph (A). Each annual report under this subparagraph shall include for each State Medicaid program and with respect to the most recent year for which data are available the yearly dental service utilization rates for children and adults enrolled in the State Medicaid program.(f)Effective date(1)In generalExcept as provided in paragraph (2), the amendments made by this section shall apply to calendar quarters beginning on or after January 1, 2025, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.(2)Delay permitted for State plan amendmentIn the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.IIPublic health programsANational Health Service Corps201.National Health Service Corps(a)In generalSection 331 of the Public Health Service Act (42 U.S.C. 254d) is amended—(1)in subsection (a)(3), by adding at the end the following:(F)The term dental therapist means, with respect to a State or Tribal government that licenses or certifies such dental therapists, a mid-level dental practitioner who—(i)(I)is licensed to practice under the law of the State; or(II)is certified to practice under the Community Health Aide Program of the Indian Health Service under section 119 of the Indian Health Care Improvement Act; and (ii)provides preventive and restorative services directly to the public, commensurate with the scope of the practice.; and(2)in subsection (b)—(A)in paragraph (1), by inserting dental therapy programs and after schools at which; and(B)in paragraph (2), by inserting dental therapists, after dentists,.(b)Facilitation of effective provision of corps servicesSection 336(f)(3) of the Public Health Service Act (42 U.S.C. 254h–1(f)(3)) is amended by inserting dental therapists, after midwives,.(c)Scholarship program and loan repayment program(1)Scholarship programSection 338A of the Public Health Service Act (42 U.S.C. 254l) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1), by inserting including dental therapy, after or other health profession,.(2)Loan repayment programSection 338B of the Public Health Service Act (42 U.S.C. 254l–1) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1)—(i)in subparagraph (A), by inserting dental therapist, after nurse practitioner,;(ii)in subparagraph (B), by inserting dental therapy, after mental health,; and(iii)in subparagraph (C)(ii), by inserting , including dental therapy after health profession.(3)Authorization of appropriationsSection 338H of the Public Health Service Act (42 U.S.C. 254q) is amended—(A)in subsection (a), by striking this section and inserting this subpart; and(B)by adding at the end the following:(d)Authorization of appropriations with respect to oral health professionalsTo carry out this subpart with respect to dentists, dental therapists, and dental hygienists, in addition to the amounts authorized under subsection (a), there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028, which shall be used to provide an emergency expansion for scholarships to, and loan repayments on behalf of, such oral health professionals..202.Community based dental residenciesSection 340H of the Public Health Service Act (42 U.S.C. 256h) is amended by adding at the ending the following:(k)Additional fundingFor the purpose of expanding dental residencies at teaching health centers that operate graduate medical education programs, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028.203.Community-based training of dental students(a)In generalThe Secretary of Health and Human Services (referred to in this section as the Secretary) shall establish a pilot program under which the Secretary awards grants to eligible entities for the purpose of supporting the community-based training of dental students. Such grants shall be for a 5-year period, beginning in fiscal year 2025. (b)Eligible entitiesTo be eligible to receive a grant under this section, an entity shall—(1)be a Federally-qualified health center, rural health center, or Tribal health facility; and(2)submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)Selection of awardees(1)In generalThe Secretary shall award 6 grants under this section to eligible entities described in subsection (b). In making such awards, the Secretary shall ensure that each entity receiving a grant operates in a different State (including each of the several States and the District of Columbia), territory, or Tribal territory.(2)PriorityIn awarding grants under this section, the Secretary shall give priority to eligible entities that—(A)have a focus on training students in rural and underserved areas;(B)partner with dental professional schools and programs associated with a historically Black college or university (as defined by the term part B institution in section 322 of the Higher Education Act of 1965 (20 U.S.C. 1061)) or minority-serving institutions (as described in section 371 of such Act (20 U.S.C. 1067q)); or(C)are located in a State or geographic area without a dental school. (d)Use of fundsAn eligible entity receiving a grant under this section—(1)shall use such funds to establish a training program for dental, dental hygienist, dental therapy, and dental assistant students in a community-based, outpatient setting; (2)may use such funds—(A)to support faculty and preceptor wages and living stipends for trainees;(B)to purchase equipment, education tools, and make renovations or alterations to a training site; and(C)to provide supportive services such as child care, transportation, and food assistance to enable students to persist in and complete a training program; and(3)may use up to 5 percent of the grant amount for planning and development, data collection and reporting, other administrative purposes.(e)Reporting(1)Reports from eligible entitiesEach eligible entity receiving a grant under this section shall submit such reports on the program supported by the grant as the Secretary may require.(2)Reports to CongressNot later than 1 year after the date on which the program under this section terminates under subsection (f), the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the program.(f)SunsetThe grant program under this section shall terminate on September 30, 2029.(g)AppropriationsTo carry out this section, there is appropriated, out of amounts in the Treasury not otherwise appropriated, $4,500,000 for fiscal year 2025, to remain available through the end of fiscal year 2029. BOral health education211.Authorization of appropriations for oral health education for medical providersSection 747(c) of the Public Health Service Act (42 U.S.C. 293k(c)) is amended by adding at the end the following:(4)Oral health educationIn addition to other amounts authorized under this subsection for purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028 for the purpose of educating nondental medical professionals (including physicians, nurses, nurse practitioners, physician assistants, and pharmacists and particularly such professionals who provide care to children and pregnant and postpartum women) about oral health, including issues such as oral hygiene instruction, topical application of fluoride, and oral health screenings, with the goal of integrating oral health care into overall health care..212.Oral health education for other non-health professionalsSubpart I of part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by inserting after section 748 the following:748A.Oral health education for other non-oral health professionals(a)In generalThe Secretary may make grants to, or enter into contracts with, an accredited public or nonprofit private hospital, educational institutions, or public or private nonprofit entities that the Secretary has determined to be capable of carrying out such grant or contract to educate individuals, such as community health workers, social workers, nutritionists, health educators, occupational therapists, and psychologists, to promote oral health education and literacy and to provide support for behavior change and assistance with care coordination with respect to oral health.(b)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..213.Dental educationSection 748 of the Public Health Service Act (42 U.S.C. 293k–2) is amended—(1)in subsection (a)(1)(H), by striking pediatric training programs and inserting pediatric dental training programs; and(2)in subsection (c)—(A)by striking the subsection heading and inserting Requirements for award.—;(B)by amending the matter preceding paragraph (1) to read as follows: With respect to training provided for under this section, the Secretary shall award grants or contracts only to eligible entities that meet at least 7 of the following criteria:;(C)in paragraph (2), by striking have a record of training the greatest percentage of providers, or that have demonstrated significant improvements in the percentage of providers, who enter and and inserting train significant numbers of providers who;(D)in paragraph (3)—(i)by striking have a record of training and inserting intend to train; and(ii)by striking the period at the end and inserting and have faculty with experience in treating underserved populations.;(E)in paragraph (8), by inserting or have established after establish; and(F)by adding at the end the following:(9)Qualified applicants that require not less than 200 hours of community-based education rotations..214.Oral health professional student loansSubpart 3 of part E of title VII of the Public Health Service Act (42 U.S.C. 295f et seq.) is amended by adding at the end the following:779.Oral health professional student loans(a)In generalThe Secretary shall establish and operate a student loan fund for oral health professional students, including dental hygienists, dental therapists, and dentists.(b)ContentThe Secretary shall establish and operate the student loan fund program under subsection (a) in the same manner and subject to the same terms as the loan fund program established with schools of nursing under section 835.(c)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..COther oral health programs221.Access pointsSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.) is amended by adding at the end the following:340G–2.Funding for oral health services(a)In generalThe Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a program to award grants to eligible entities to provide oral health services, or to contract with private dental practices to provide comprehensive oral health services, to low-income individuals and individuals who are underserved with respect to oral health care.(b)Technical assistanceThe Secretary shall provide technical assistance to entities receiving grants under subsection (a) to provide technical assistance to such entities in order to—(1)with respect to oral health care services, increase utilization and efficiency and minimize missed appointments, contract with offsite providers, recruit providers (including oral health specialists), and operate programs outside the physical facilities to take advantage of new systems to improve access to oral health services;(2)address barriers to access to such services and conduct targeted outreach to special populations such as pregnant women, individuals with disabilities, individuals with chronic conditions such as diabetes, and individuals residing in long-term care facilities; or(3)contract with private dental practices that will provide oral health services other than preventive oral health care, including restoration and maintenance of oral health, in order to meet the need for oral health services in the community.(c)Eligible entitiesTo be eligible to receive a grant under subsection (a), an entity shall—(1)be—(A)a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act);(B)a safety net clinic or a free clinic (as defined by the Secretary);(C)a health care clinic that provides services to Tribal organizations or urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act); or(D)any other interested public or private sector health care provider or organization that the Secretary determines has a demonstrated history of serving a high number of uninsured and or low-income individuals or those who lack ready access to oral health services; and(2)demonstrate a clear need to expand oral health care services beyond preventive oral health care.(d)Allocation for hiring oral health care specialistsA portion of the funds available under this section shall be allocated toward hiring oral health care specialists, such as oral surgeons and endodontists, at entities receiving grants under this section.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028..222.Dental clinics in schoolsPart Q of title III of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by adding at the end the following:399Z–3.Dental clinics in schools(a)In generalThe Secretary shall award grants to qualified entities for the purpose of funding the building, operation, or expansion of dental clinics in schools.(b)Qualified entitiesTo receive a grant under this section, a qualified entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)RequirementsAn entity receiving a grant under this section shall—(1)provide comprehensive oral health services at a dental clinic based at a school, including oral health education, oral screening, fluoride application, prophylaxis, sealants, and basic restorative services;(2)develop a coordinated system of care by referring patients to an available qualified oral health provider in the community for any required oral health services not provided in the dental clinic in the school, including restorative services, to ensure that all the oral health needs of students are met; and(3)maintain clinic hours that extend beyond school hours.(d)Authorization of appropriationsFor purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..223.Emergency department care coordinationPart P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following:399V–8.Emergency department care coordination with respect to dental care(a)In generalThe Secretary shall establish a grant program to facilitate individuals receiving dental care at facilities other than hospital emergency departments, under which the Secretary awards grants to eligible entities to cover costs related to construction and renovation, equipment, staff, outreach and education, and any other allowable uses, with respect to the entity's facilities, as the Secretary determines appropriate.(b)Eligible entitiesTo be eligible to receive a grant under this section an entity shall—(1)be—(A)a Federally qualified health center (as defined in paragraph (4) of section 1861(aa) of the Social Security Act) or rural health clinic (as defined in paragraph (2) of such section);(B)a private dental practice; or(C)any other interested public or private sector health care provider or organization, such as a dental school, that the Secretary determines has the capacity to serve in a coordinated, cost-effective manner, a high number of individuals who lack access to oral health services; and(2)partner with a hospital or urgent care center.(c)Oral health education for primary care and ED health care providersThe Secretary shall allocate a portion of the amounts appropriated under subsection (e) toward medical education for primary care and emergency department physicians, nurses, nurse practitioners, and physician assistants to be trained in oral health.(d)ReportNot later than January 1, 2028, the Secretary shall submit to Congress a report on the best practices determined by the program established under this section to address oral health needs of individuals who go to emergency departments in need of oral health care.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..224.Research funding(a)In generalFor the period of fiscal years 2025 through 2027, there is authorized to be appropriated for the Secretary of Health and Human Services (referred to in this section as the Secretary) such sums as may be necessary to conduct, in consultation with the heads of agencies and offices of the Department of Health and Human Services, including the Director of the Centers for Disease Control and Prevention, the Director of the Agency for Healthcare Research and Quality, the Director of the National Institutes of Health, and the Administrator of the Health Resources and Services Administration—(1)research on—(A)the prevention of oral disease;(B)oral disease management;(C)evidence-based strategies to prevent tooth decay;(D)rigorous, multidisciplinary research-based approaches to overcome disparities in oral health;(E)perinatal, postnatal, and childhood oral health issues, including the integration of dental providers in settings where pediatricians practice; (F)access, quality, and outcomes with respect to oral health services; and(G)other topics as the Secretary determines appropriate; and(2)an evaluation of oral health service delivery to underserved and vulnerable populations, including an evaluation of workforce models to enhance oral health service delivery.(b)Supplement not supplantFunds appropriated under this section shall be used to supplement, and not supplant, other Federal, State, and local public funds provided for activities described in subsection (a). 225.Mobile and portable dental servicesSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.), as amended by section 221, is further amended by adding at the end the following:340G–3.Mobile and portable dental services(a)In generalThe Secretary shall award grants to Federally qualified health centers (as defined in paragraph (4) of section 1861(aa) of the Social Security Act), rural health clinics (as defined in paragraph (2) of such section), nonprofit dental clinics, and dental schools to provide mobile and portable, comprehensive dental services that provide for the restoration or maintenance of oral health and function (including dental services provided by licensed providers through telehealth-enabled collaboration and supervision) and outreach for dental services to underserved populations. (b)Eligible entitiesTo be eligible to receive a grant under this section, an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including information to demonstrate that the entity is capable of providing coordinated care and continuity of care to patients.(c)Use of fundsEligible entities receiving a grant under this section shall deliver the dental services described in subsection (a) at locations such as senior centers, nursing homes, assisted living facilities, schools, licensed child care centers that serve eligible individuals who receive benefits under the State Children's Health Insurance Program under title XXI of the Social Security Act or the Medicaid program under title XIX of the Social Security Act, and facilities that provide services under the Special Supplemental Nutrition Program for Women, Infants, and Children established by section 17 of the Child Nutrition Act of 1966 or under the Head Start Act.(d)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary..DOral health services as an essential health benefit231.Oral health services as an essential health benefitSection 1302(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 18022(b)) is amended—(1)in paragraph (1)—(A)in subparagraph (J), by striking oral and; and(B)by adding at the end the following:(K)Oral health services for children and adults.; and(2)by adding at the end the following:(6)Oral health servicesFor purposes of paragraph (1)(K), the term oral health services means services (as defined by the Secretary), that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions..IIIDepartment of Veterans Affairs Matters301.Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service(a)In generalTitle 38, United States Code, is amended—(1)in section 1701(6)(B), by striking as described in sections 1710 and 1712 of this title;(2)in section 1710(c), by striking the second sentence;(3)in section 1712—(A)by striking subsections (a) and (b);(B)by redesignating subsections (c), (d), and (e) as subsections (a), (b), and (c), respectively; and(C)in subsection (a), as redesignated by subparagraph (B)—(i)by striking Dental appliances and inserting The Secretary may furnish dentures, dental appliances; and(ii)by striking to be furnished by the Secretary under this section may be procured by the Secretary and inserting under this section and may procure such appliances;(4)in section 1712C(h)—(A)by striking section 1712 of this title and inserting this chapter; and(B)by striking outpatient dental services and treatment, and related dental appliances, under such section 1712 and inserting dental services and appliances under this chapter; and(5)by striking section 2062.(b)Conforming amendmentSection 1525(a) of such title is amended by striking medicines under section 1712(d) and inserting medicines under section 1712(b).(c)Clerical amendmentsSuch title is further amended—(1)in section 1712, in the heading for such section, by striking Dental care and inserting Appliances;(2)in the table of sections at the beginning of chapter 17, by striking the item relating to section 1712 and inserting the following new item:1712. Appliances; drugs and medicines for certain disabled veterans; vaccines.;and(3)in the table of sections at the beginning of chapter 20, by striking the item relating to section 2062.302.Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities(a)Demonstration program authorizedThe Secretary of Veterans Affairs may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health care services for veterans who are entitled to such services from the Department of Veterans Affairs and reside in rural and other underserved communities.(b)TelehealthFor purposes of alternative dental health care providers and other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.303.Program of education to promote dental health in veterans(a)Program requiredThe Secretary of Veterans Affairs shall carry out a program of education to promote dental health for veterans who are enrolled in the system of annual patient enrollment of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code.(b)ElementsThe program required by subsection (a) shall provide education for veterans on the following:(1)The association between dental health and overall health and well-being.(2)Proper techniques for dental care.(3)Signs and symptoms of commonly occurring dental conditions.(4)Treatment options for commonly occurring dental issues.(5)Options for obtaining access to dental care, including information on eligibility for dental care through the Department.(6)Available and accessible options for obtaining low or no-cost dental care, including through dental schools and Federally Qualified Health Centers.(7)Such other matters relating to dental health as the Secretary considers appropriate.(c)Delivery of educational materials(1)In generalThe Secretary shall provide educational materials to veterans under the program required by subsection (a) through a variety of mechanisms, including the following:(A)The availability and distribution of print materials at facilities of the Department (including at medical centers, clinics, Vet Centers, and readjustment counseling centers) and to providers (including members of Patient Aligned Care Teams).(B)The availability and distribution of materials over the Internet, including through webinars, My HealtheVet, and VA.gov.(C)Presentations by the dental program office of the Department of information, including both small group and large group presentations, and distribution of such information to all locations in which the program is being carried out.(2)Selection of mechanismsIn selecting mechanisms under paragraph (1), the Secretary shall select mechanisms designed to maximize the number of veterans who receive education under the program.(d)ConstructionNothing in this section shall be construed to alter or revise the eligibility of any veteran for dental care under the laws administered by the Secretary.(e)DefinitionsIn this section:(1)Federally qualified health centerThe term Federally Qualified Health Center means a Federally-qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B)).(2)Vet centerThe term Vet Center has the meaning given that term in section 1712A(h) of title 38, United States Code.(f)Effective dateThis section shall take effect on the date that is one year after the date of the enactment of this Act.304.Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs(a)Program requiredThe Secretary of Veterans Affairs, to ensure that the Department of Veterans Affairs has sufficient staff to provide dental services to veterans, shall implement a loan reimbursement program for qualified dentists, dental hygienists, and oral surgeons who agree—(1)to be appointed by the Secretary as a dentist, dental hygienist, or oral surgeon, as the case may be, under section 7401 of title 38, United States Code; and(2)to serve as a dentist, dental hygienist, or oral surgeon, as the case may be, of the Department pursuant to such appointment at a dental clinic of the Department for a period of not less than five years.(b)Maximum amountThe Secretary may reimburse not more than—(1)$75,000 for each dentist participating in the program under subsection (a);(2)$10,000 for each dental hygienist participating in such program; and(3)$20,000 for each oral surgeon participating in such program.(c)Selection of locationsThe Secretary shall monitor demand among veterans for dental care and require participants in the program under subsection (a) to choose from dental clinics of the Department with the greatest need for dentists, dental hygienists, or oral surgeons, as the case may be, according to facility enrollment and patient demand.305.Educational and training partnerships for dentists, dental hygienists, and oral surgeonsThe Secretary of Veterans Affairs shall enter into educational and training partnerships with dental schools, including dental programs within a community college, to provide training and employment opportunities for dentists, dental hygienists, and oral surgeons. IVFederal Bureau of Prisons401.Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons(a)Demonstration program authorizedThe Attorney General, acting through the Director of the Bureau of Prisons, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health services for prisoners within the custody of the Bureau of Prisons.(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative Dental Health Care Providers DefinedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1 of the Public Health Service Act (42 U.S.C. 256g–1).(d)Authorization Of AppropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.VIndian Health Service501.Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service(a)Demonstration program authorizedThe Secretary of Health and Human Services, acting through the Indian Health Service, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to help eliminate oral health disparities and increase access to dental services through health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)).(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. VIReports to Congress601.Reports on enrollment in coverage for oral health services(a)Secretary of Health and Human ServicesThe Secretary of Health and Human Services shall submit to Congress the following reports:(1)Cost-benefit analysisNot later than October 1, 2028, a report that provides a comprehensive cost-benefit analysis regarding the expansion of coverage for dental services pursuant to this Act, including whether the provision of such services resulted in a reduction in total health care costs for individuals under the Medicare and Medicaid programs.(2)Annual report on enrollment, utilization, and expenditures in dental insurance plansNot later than 1 year after the date of the enactment of this Act, and annually thereafter, an annual report containing detailed information on—(A)enrollment in private insurance plans providing pediatric and adult dental coverage, whether such coverage is provided through a qualified health plan (as defined in section 1301(a) of the Patient Protection and Affordable Care Act (Public Law 111–148)) or a stand-alone dental plan;(B)the utilization of oral health services by children and adults who receive dental coverage under a qualified health plan or a stand-alone dental plan; and(C)expenditures related to oral health services by individuals and families who receive dental coverage in a qualified health plan or stand-alone dental plan.(b)Comptroller General(1)Medicaid and MedicareNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the implementation and utilization of the expanded coverage for dental services pursuant to this Act for individuals enrolled in the Medicare and Medicaid programs.(2)Demonstration programsNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the demonstration programs described in sections 302, 401, and 501, including—(A)the extent to which the programs improved access to oral health care and increased utilization of oral health services; and(B)an examination of the training provided under the programs to alternative dental health care providers and the quality of care provided by such providers.\n\nSUMMARY TO EVALUATE:\nTitle: Major Dental Coverage Expansion: Medicare, Medicaid, Veterans, and ACA Plans.\nSummary: This Act significantly expands access to dental care for millions of Americans by adding comprehensive oral health services (including dentures) to Medicare coverage starting in 2025. It mandates full adult dental coverage under Medicaid and makes adult dental care an Essential Health Benefit in ACA plans. Furthermore, the bill boosts the dental workforce in rural areas and for veterans through new training and loan repayment programs.\nKey Points: Medicare beneficiaries (seniors) will receive comprehensive dental coverage, including prevention, treatment, and dentures, starting January 1, 2025., Medicaid must provide comprehensive adult dental care, with states receiving increased federal funding if they improve provider payment rates., Dental care access for veterans is significantly expanded, treating it the same as any other medical service provided by the VA., New grant programs are established to fund mobile clinics, school-based dental offices, and train new professionals (dental therapists) to serve underserved communities.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": false,\n  \"issue\": \"fabricated_entity\"\n}"
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      "timestamp": "2025-12-30T15:50:09.535Z",
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To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n118 S4357 IS: Comprehensive Dental Reform Act of 2024 U.S. Senate 2024-05-16 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. II118th CONGRESS2d SessionS. 4357IN THE SENATE OF THE UNITED STATESMay 16, 2024Mr. Sanders (for himself and Mr. Brown) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and PensionsA BILLTo improve access to oral health care for vulnerable and underserved populations. 1.Short title; table of contents(a)Short titleThis Act may be cited as the Comprehensive Dental Reform Act of 2024.(b)Table of contentsThe table of contents for this Act is as follows:Sec. 1. Short title; table of contents.TITLE I—Medicare and MedicaidSubtitle A—MedicareSec. 101. Coverage of dental services under the Medicare program.Subtitle B—MedicaidSec. 111. Coverage of dental services under the Medicaid program.TITLE II—Public health programsSubtitle A—National Health Service CorpsSec. 201. National Health Service Corps.Sec. 202. Community based dental residencies.Sec. 203. Community-based training of dental students.Subtitle B—Oral health educationSec. 211. Authorization of appropriations for oral health education for medical providers.Sec. 212. Oral health education for other non-health professionals.Sec. 213. Dental education.Sec. 214. Oral health professional student loans.Subtitle C—Other oral health programsSec. 221. Access points.Sec. 222. Dental clinics in schools.Sec. 223. Emergency department care coordination.Sec. 224. Research funding.Sec. 225. Mobile and portable dental services.Subtitle D—Oral health services as an essential health benefitSec. 231. Oral health services as an essential health benefit.TITLE III—Department of Veterans Affairs MattersSec. 301. Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service.Sec. 302. Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities.Sec. 303. Program of education to promote dental health in veterans.Sec. 304. Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs.Sec. 305. Educational and training partnerships for dentists, dental hygienists, and oral surgeons.TITLE IV—Federal Bureau of PrisonsSec. 401. Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons.TITLE V—Indian Health ServiceSec. 501. Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service.TITLE VI—Reports to CongressSec. 601. Reports on enrollment in coverage for oral health services.IMedicare and MedicaidAMedicare101.Coverage of dental services under the Medicare program(a)CoverageSection 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended—(1)in subparagraph (JJ), by inserting and after the semicolon at the end; and(2)by adding at the end the following new subparagraph:(KK)oral health services (as defined in subsection (nnn));.(b)Oral health services definedSection 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection:(nnn)Oral health services(1)The term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions.(2)For purposes of paragraph (1), such term shall include mobile and portable oral health services (as defined by the Secretary) that—(A)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(B)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(c)Payment and coinsuranceSection 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended—(1)by striking and before (HH); and(2)by inserting before the semicolon at the end the following: , and (II) with respect to oral health services (as defined in section 1861(nnn)), the amount paid shall be (i) in the case of such services that are preventive, 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848, and (ii) in the case of all other such services, 80 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848.(d)Payment under physician fee scheduleSection 1848(j)(3) of the Social Security Act (42 U.S.C. 1395w–4(j)(3)) is amended by inserting (2)(KK), after risk assessment),.(e)DenturesSection 1861(s)(8) of the Social Security Act (42 U.S.C. 1395x(s)(8)) is amended—(1)by striking (other than dental) and inserting (including dentures); and(2)by striking internal body.(f)Repeal of ground for exclusionSection 1862(a) of the Social Security Act (42 U.S.C. 1395y) is amended by striking paragraph (12).(g)Effective dateThe amendments made by this section shall apply to services furnished on or after January 1, 2025.BMedicaid111.Coverage of dental services under the Medicaid program(a)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—(1)in subsection (a)(10), by striking dental services and inserting oral health services (as defined in subsection (kk)(1)); and(2)by adding at the end the following:(kk)(1)Subject to paragraphs (2) and (3), for purposes of this title, the term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions. These services shall include, in the case of pregnant or postpartum women, such services as are necessary to address oral health conditions that exist or are exacerbated by pregnancy or childbirth or which, if left untreated, could adversely affect fetal or child development.(2)For purposes of paragraph (1), such term shall include—(A)dentures; and(B)mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided.(3)For purposes of paragraph (1), such term shall not apply to dental care or services provided to individuals under the age of 21 under subsection (r)(3)..(b)Conforming amendments(1)State plan requirementsSection 1902(a) of such Act (42 U.S.C. 1396a(a)) is amended—(A)in paragraph (10)(A), in the matter preceding clause (i), by inserting (10), after (5),;(B)in paragraph (86), by striking and at the end;(C)in paragraph (87), by striking the period at the end and inserting ; and; and(D)by inserting after paragraph (87) the following:(88)provide for—(A)informing, in writing, all individuals who have been determined to be eligible for medical assistance of the availability of oral health services (as defined in section 1905(kk));(B)conducting targeted outreach to pregnant women who have been determined to be eligible for medical assistance about the availability of medical assistance for such dental services and the importance of receiving dental care while pregnant; and(C)establishing and maintaining standards for and certification of mobile and portable oral health services (as described in subsections (r)(3)(C) and (kk)(2)(B) of section 1905)..(2)Definition of medical assistanceSection 1905(a)(12) of such Act (42 U.S.C. 1396d(a)(12)) is amended by striking , dentures,.(c)Mobile and portable oral health services under EPSDTSection 1905(r)(3) of the Social Security Act (42 U.S.C. 1396d(r)(3)) is amended—(1)in subparagraph (A)(ii), by striking ; and and inserting a semicolon;(2)in subparagraph (B), by striking the period at the end and inserting ; and; and(3)by adding at the end the following new subparagraph:(C)which shall include mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, or access barriers for children; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(d)Increased federal funding for dental services(1)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by subsection (a), is further amended—(A)in subsection (b), in the first sentence, by striking and (ii) and inserting (ii), and (ll); and(B)by adding at the end the following new subsection:(ll)Increased FMAP for oral health services(1)In generalNotwithstanding subsection (b) and section 1903(a)(7) and subject to the requirements described in paragraphs (3) and (4), with respect to amounts expended on or after January 1, 2025, for covered oral health expenses (as described in paragraph (2)), the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia for such expenses shall be equal to the Federal medical assistance percentage that would otherwise apply to the State for the fiscal year, as determined under subsection (b) or section 1903(a)(7), increased by 15 percentage points.(2)Covered oral health expensesFor purposes of paragraph (1), the term covered oral health expenses means the amounts expended for medical assistance for oral health services (as defined in subsection (kk)) and amounts expended for the proper and efficient administration of the provision of such oral health services under the State plan.(3)RequirementsFor purposes of paragraph (1), the Federal medical assistance percentage applicable to covered oral health expenses under this subsection shall not apply to a State unless—(A)the State plan for medical assistance provides payment for oral health services (as so defined) furnished by a health care provider at a rate that is not less than 70 percent of the usual and customary fee for such services in the State; and(B)the State satisfies such additional requirements as are established by the Secretary, which shall include—(i)streamlining of administrative procedures for purposes of ensuring adequate provider participation and increasing patient utilization of oral health services; and(ii)the provision of technical assistance to health care providers designed to reduce the number of missed patient appointments and reduce other barriers to the delivery of oral health services.(4)LimitationFor purposes of amounts expended for covered oral health services, in no case shall any increase under this subsection result in a Federal medical assistance percentage that exceeds 100 percent..(2)Conforming amendmentSection 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) is amended by striking section 1919(g)(3)(B) and inserting sections 1905(ll) and 1919(g)(3)(B).(e)Secretarial responsibilities(1)Technical assistance and outreachThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall provide technical assistance to States and conduct outreach to States for purposes of educating and encouraging States to utilize and provide payment under each State Medicaid program for telehealth-enabled dental services in order to provide dental services to traditionally underserved populations in need of such services.(2)Database and annual report on dental benefits for adult Medicaid enrollees(A)Medicaid dental benefits databaseThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall maintain, as accurately and up-to-date as possible, a database that contains with respect to each State (as defined for purposes of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) information regarding the dental benefits available for adults enrolled in the State Medicaid program, including any limits on such benefits and the amount of reimbursement provided under the State Medicaid program for such benefits. The database also shall include a separate description of the dental benefits, benefit limits, and amount of reimbursement provided under each State Medicaid program for pregnant women, if such benefits are not provided to the woman as part of early and periodic screening, diagnostic, and treatment services (as defined in section 1905(r) of the Social Security Act (42 U.S.C. 1396d(r))), and a description of the use of dental services by children and adults enrolled in the State Medicaid program.(B)Annual reportThe Secretary of Health and Human Services shall make available to the public an annual report regarding the information collected in the database required under subparagraph (A). Each annual report under this subparagraph shall include for each State Medicaid program and with respect to the most recent year for which data are available the yearly dental service utilization rates for children and adults enrolled in the State Medicaid program.(f)Effective date(1)In generalExcept as provided in paragraph (2), the amendments made by this section shall apply to calendar quarters beginning on or after January 1, 2025, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.(2)Delay permitted for State plan amendmentIn the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.IIPublic health programsANational Health Service Corps201.National Health Service Corps(a)In generalSection 331 of the Public Health Service Act (42 U.S.C. 254d) is amended—(1)in subsection (a)(3), by adding at the end the following:(F)The term dental therapist means, with respect to a State or Tribal government that licenses or certifies such dental therapists, a mid-level dental practitioner who—(i)(I)is licensed to practice under the law of the State; or(II)is certified to practice under the Community Health Aide Program of the Indian Health Service under section 119 of the Indian Health Care Improvement Act; and (ii)provides preventive and restorative services directly to the public, commensurate with the scope of the practice.; and(2)in subsection (b)—(A)in paragraph (1), by inserting dental therapy programs and after schools at which; and(B)in paragraph (2), by inserting dental therapists, after dentists,.(b)Facilitation of effective provision of corps servicesSection 336(f)(3) of the Public Health Service Act (42 U.S.C. 254h–1(f)(3)) is amended by inserting dental therapists, after midwives,.(c)Scholarship program and loan repayment program(1)Scholarship programSection 338A of the Public Health Service Act (42 U.S.C. 254l) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1), by inserting including dental therapy, after or other health profession,.(2)Loan repayment programSection 338B of the Public Health Service Act (42 U.S.C. 254l–1) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1)—(i)in subparagraph (A), by inserting dental therapist, after nurse practitioner,;(ii)in subparagraph (B), by inserting dental therapy, after mental health,; and(iii)in subparagraph (C)(ii), by inserting , including dental therapy after health profession.(3)Authorization of appropriationsSection 338H of the Public Health Service Act (42 U.S.C. 254q) is amended—(A)in subsection (a), by striking this section and inserting this subpart; and(B)by adding at the end the following:(d)Authorization of appropriations with respect to oral health professionalsTo carry out this subpart with respect to dentists, dental therapists, and dental hygienists, in addition to the amounts authorized under subsection (a), there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028, which shall be used to provide an emergency expansion for scholarships to, and loan repayments on behalf of, such oral health professionals..202.Community based dental residenciesSection 340H of the Public Health Service Act (42 U.S.C. 256h) is amended by adding at the ending the following:(k)Additional fundingFor the purpose of expanding dental residencies at teaching health centers that operate graduate medical education programs, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028.203.Community-based training of dental students(a)In generalThe Secretary of Health and Human Services (referred to in this section as the Secretary) shall establish a pilot program under which the Secretary awards grants to eligible entities for the purpose of supporting the community-based training of dental students. Such grants shall be for a 5-year period, beginning in fiscal year 2025. (b)Eligible entitiesTo be eligible to receive a grant under this section, an entity shall—(1)be a Federally-qualified health center, rural health center, or Tribal health facility; and(2)submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)Selection of awardees(1)In generalThe Secretary shall award 6 grants under this section to eligible entities described in subsection (b). In making such awards, the Secretary shall ensure that each entity receiving a grant operates in a different State (including each of the several States and the District of Columbia), territory, or Tribal territory.(2)PriorityIn awarding grants under this section, the Secretary shall give priority to eligible entities that—(A)have a focus on training students in rural and underserved areas;(B)partner with dental professional schools and programs associated with a historically Black college or university (as defined by the term part B institution in section 322 of the Higher Education Act of 1965 (20 U.S.C. 1061)) or minority-serving institutions (as described in section 371 of such Act (20 U.S.C. 1067q)); or(C)are located in a State or geographic area without a dental school. (d)Use of fundsAn eligible entity receiving a grant under this section—(1)shall use such funds to establish a training program for dental, dental hygienist, dental therapy, and dental assistant students in a community-based, outpatient setting; (2)may use such funds—(A)to support faculty and preceptor wages and living stipends for trainees;(B)to purchase equipment, education tools, and make renovations or alterations to a training site; and(C)to provide supportive services such as child care, transportation, and food assistance to enable students to persist in and complete a training program; and(3)may use up to 5 percent of the grant amount for planning and development, data collection and reporting, other administrative purposes.(e)Reporting(1)Reports from eligible entitiesEach eligible entity receiving a grant under this section shall submit such reports on the program supported by the grant as the Secretary may require.(2)Reports to CongressNot later than 1 year after the date on which the program under this section terminates under subsection (f), the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the program.(f)SunsetThe grant program under this section shall terminate on September 30, 2029.(g)AppropriationsTo carry out this section, there is appropriated, out of amounts in the Treasury not otherwise appropriated, $4,500,000 for fiscal year 2025, to remain available through the end of fiscal year 2029. BOral health education211.Authorization of appropriations for oral health education for medical providersSection 747(c) of the Public Health Service Act (42 U.S.C. 293k(c)) is amended by adding at the end the following:(4)Oral health educationIn addition to other amounts authorized under this subsection for purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028 for the purpose of educating nondental medical professionals (including physicians, nurses, nurse practitioners, physician assistants, and pharmacists and particularly such professionals who provide care to children and pregnant and postpartum women) about oral health, including issues such as oral hygiene instruction, topical application of fluoride, and oral health screenings, with the goal of integrating oral health care into overall health care..212.Oral health education for other non-health professionalsSubpart I of part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by inserting after section 748 the following:748A.Oral health education for other non-oral health professionals(a)In generalThe Secretary may make grants to, or enter into contracts with, an accredited public or nonprofit private hospital, educational institutions, or public or private nonprofit entities that the Secretary has determined to be capable of carrying out such grant or contract to educate individuals, such as community health workers, social workers, nutritionists, health educators, occupational therapists, and psychologists, to promote oral health education and literacy and to provide support for behavior change and assistance with care coordination with respect to oral health.(b)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..213.Dental educationSection 748 of the Public Health Service Act (42 U.S.C. 293k–2) is amended—(1)in subsection (a)(1)(H), by striking pediatric training programs and inserting pediatric dental training programs; and(2)in subsection (c)—(A)by striking the subsection heading and inserting Requirements for award.—;(B)by amending the matter preceding paragraph (1) to read as follows: With respect to training provided for under this section, the Secretary shall award grants or contracts only to eligible entities that meet at least 7 of the following criteria:;(C)in paragraph (2), by striking have a record of training the greatest percentage of providers, or that have demonstrated significant improvements in the percentage of providers, who enter and and inserting train significant numbers of providers who;(D)in paragraph (3)—(i)by striking have a record of training and inserting intend to train; and(ii)by striking the period at the end and inserting and have faculty with experience in treating underserved populations.;(E)in paragraph (8), by inserting or have established after establish; and(F)by adding at the end the following:(9)Qualified applicants that require not less than 200 hours of community-based education rotations..214.Oral health professional student loansSubpart 3 of part E of title VII of the Public Health Service Act (42 U.S.C. 295f et seq.) is amended by adding at the end the following:779.Oral health professional student loans(a)In generalThe Secretary shall establish and operate a student loan fund for oral health professional students, including dental hygienists, dental therapists, and dentists.(b)ContentThe Secretary shall establish and operate the student loan fund program under subsection (a) in the same manner and subject to the same terms as the loan fund program established with schools of nursing under section 835.(c)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..COther oral health programs221.Access pointsSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.) is amended by adding at the end the following:340G–2.Funding for oral health services(a)In generalThe Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a program to award grants to eligible entities to provide oral health services, or to contract with private dental practices to provide comprehensive oral health services, to low-income individuals and individuals who are underserved with respect to oral health care.(b)Technical assistanceThe Secretary shall provide technical assistance to entities receiving grants under subsection (a) to provide technical assistance to such entities in order to—(1)with respect to oral health care services, increase utilization and efficiency and minimize missed appointments, contract with offsite providers, recruit providers (including oral health specialists), and operate programs outside the physical facilities to take advantage of new systems to improve access to oral health services;(2)address barriers to access to such services and conduct targeted outreach to special populations such as pregnant women, individuals with disabilities, individuals with chronic conditions such as diabetes, and individuals residing in long-term care facilities; or(3)contract with private dental practices that will provide oral health services other than preventive oral health care, including restoration and maintenance of oral health, in order to meet the need for oral health services in the community.(c)Eligible entitiesTo be eligible to receive a grant under subsection (a), an entity shall—(1)be—(A)a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act);(B)a safety net clinic or a free clinic (as defined by the Secretary);(C)a health care clinic that provides services to Tribal organizations or urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act); or(D)any other interested public or private sector health care provider or organization that the Secretary determines has a demonstrated history of serving a high number of uninsured and or low-income individuals or those who lack ready access to oral health services; and(2)demonstrate a clear need to expand oral health care services beyond preventive oral health care.(d)Allocation for hiring oral health care specialistsA portion of the funds available under this section shall be allocated toward hiring oral health care specialists, such as oral surgeons and endodontists, at entities receiving grants under this section.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028..222.Dental clinics in schoolsPart Q of title III of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by adding at the end the following:399Z–3.Dental clinics in schools(a)In generalThe Secretary shall award grants to qualified entities for the purpose of funding the building, operation, or expansion of dental clinics in schools.(b)Qualified entitiesTo receive a grant under this section, a qualified entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)RequirementsAn entity receiving a grant under this section shall—(1)provide comprehensive oral health services at a dental clinic based at a school, including oral health education, oral screening, fluoride application, prophylaxis, sealants, and basic restorative services;(2)develop a coordinated system of care by referring patients to an available qualified oral health provider in the community for any required oral health services not provided in the dental clinic in the school, including restorative services, to ensure that all the oral health needs of students are met; and(3)maintain clinic hours that extend beyond school hours.(d)Authorization of appropriationsFor purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..223.Emergency department care coordinationPart P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following:399V–8.Emergency department care coordination with respect to dental care(a)In generalThe Secretary shall establish a grant program to facilitate individuals receiving dental care at facilities other than hospital emergency departments, under which the Secretary awards grants to eligible entities to cover costs related to construction and renovation, equipment, staff, outreach and education, and any other allowable uses, with respect to the entity's facilities, as the Secretary determines appropriate.(b)Eligible entitiesTo be eligible to receive a grant under this section an entity shall—(1)be—(A)a Federally qualified health center (as defined in paragraph (4) of section 1861(aa) of the Social Security Act) or rural health clinic (as defined in paragraph (2) of such section);(B)a private dental practice; or(C)any other interested public or private sector health care provider or organization, such as a dental school, that the Secretary determines has the capacity to serve in a coordinated, cost-effective manner, a high number of individuals who lack access to oral health services; and(2)partner with a hospital or urgent care center.(c)Oral health education for primary care and ED health care providersThe Secretary shall allocate a portion of the amounts appropriated under subsection (e) toward medical education for primary care and emergency department physicians, nurses, nurse practitioners, and physician assistants to be trained in oral health.(d)ReportNot later than January 1, 2028, the Secretary shall submit to Congress a report on the best practices determined by the program established under this section to address oral health needs of individuals who go to emergency departments in need of oral health care.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..224.Research funding(a)In generalFor the period of fiscal years 2025 through 2027, there is authorized to be appropriated for the Secretary of Health and Human Services (referred to in this section as the Secretary) such sums as may be necessary to conduct, in consultation with the heads of agencies and offices of the Department of Health and Human Services, including the Director of the Centers for Disease Control and Prevention, the Director of the Agency for Healthcare Research and Quality, the Director of the National Institutes of Health, and the Administrator of the Health Resources and Services Administration—(1)research on—(A)the prevention of oral disease;(B)oral disease management;(C)evidence-based strategies to prevent tooth decay;(D)rigorous, multidisciplinary research-based approaches to overcome disparities in oral health;(E)perinatal, postnatal, and childhood oral health issues, including the integration of dental providers in settings where pediatricians practice; (F)access, quality, and outcomes with respect to oral health services; and(G)other topics as the Secretary determines appropriate; and(2)an evaluation of oral health service delivery to underserved and vulnerable populations, including an evaluation of workforce models to enhance oral health service delivery.(b)Supplement not supplantFunds appropriated under this section shall be used to supplement, and not supplant, other Federal, State, and local public funds provided for activities described in subsection (a). 225.Mobile and portable dental servicesSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.), as amended by section 221, is further amended by adding at the end the following:340G–3.Mobile and portable dental services(a)In generalThe Secretary shall award grants to Federally qualified health centers (as defined in paragraph (4) of section 1861(aa) of the Social Security Act), rural health clinics (as defined in paragraph (2) of such section), nonprofit dental clinics, and dental schools to provide mobile and portable, comprehensive dental services that provide for the restoration or maintenance of oral health and function (including dental services provided by licensed providers through telehealth-enabled collaboration and supervision) and outreach for dental services to underserved populations. (b)Eligible entitiesTo be eligible to receive a grant under this section, an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including information to demonstrate that the entity is capable of providing coordinated care and continuity of care to patients.(c)Use of fundsEligible entities receiving a grant under this section shall deliver the dental services described in subsection (a) at locations such as senior centers, nursing homes, assisted living facilities, schools, licensed child care centers that serve eligible individuals who receive benefits under the State Children's Health Insurance Program under title XXI of the Social Security Act or the Medicaid program under title XIX of the Social Security Act, and facilities that provide services under the Special Supplemental Nutrition Program for Women, Infants, and Children established by section 17 of the Child Nutrition Act of 1966 or under the Head Start Act.(d)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary..DOral health services as an essential health benefit231.Oral health services as an essential health benefitSection 1302(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 18022(b)) is amended—(1)in paragraph (1)—(A)in subparagraph (J), by striking oral and; and(B)by adding at the end the following:(K)Oral health services for children and adults.; and(2)by adding at the end the following:(6)Oral health servicesFor purposes of paragraph (1)(K), the term oral health services means services (as defined by the Secretary), that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions..IIIDepartment of Veterans Affairs Matters301.Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service(a)In generalTitle 38, United States Code, is amended—(1)in section 1701(6)(B), by striking as described in sections 1710 and 1712 of this title;(2)in section 1710(c), by striking the second sentence;(3)in section 1712—(A)by striking subsections (a) and (b);(B)by redesignating subsections (c), (d), and (e) as subsections (a), (b), and (c), respectively; and(C)in subsection (a), as redesignated by subparagraph (B)—(i)by striking Dental appliances and inserting The Secretary may furnish dentures, dental appliances; and(ii)by striking to be furnished by the Secretary under this section may be procured by the Secretary and inserting under this section and may procure such appliances;(4)in section 1712C(h)—(A)by striking section 1712 of this title and inserting this chapter; and(B)by striking outpatient dental services and treatment, and related dental appliances, under such section 1712 and inserting dental services and appliances under this chapter; and(5)by striking section 2062.(b)Conforming amendmentSection 1525(a) of such title is amended by striking medicines under section 1712(d) and inserting medicines under section 1712(b).(c)Clerical amendmentsSuch title is further amended—(1)in section 1712, in the heading for such section, by striking Dental care and inserting Appliances;(2)in the table of sections at the beginning of chapter 17, by striking the item relating to section 1712 and inserting the following new item:1712. Appliances; drugs and medicines for certain disabled veterans; vaccines.;and(3)in the table of sections at the beginning of chapter 20, by striking the item relating to section 2062.302.Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities(a)Demonstration program authorizedThe Secretary of Veterans Affairs may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health care services for veterans who are entitled to such services from the Department of Veterans Affairs and reside in rural and other underserved communities.(b)TelehealthFor purposes of alternative dental health care providers and other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.303.Program of education to promote dental health in veterans(a)Program requiredThe Secretary of Veterans Affairs shall carry out a program of education to promote dental health for veterans who are enrolled in the system of annual patient enrollment of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code.(b)ElementsThe program required by subsection (a) shall provide education for veterans on the following:(1)The association between dental health and overall health and well-being.(2)Proper techniques for dental care.(3)Signs and symptoms of commonly occurring dental conditions.(4)Treatment options for commonly occurring dental issues.(5)Options for obtaining access to dental care, including information on eligibility for dental care through the Department.(6)Available and accessible options for obtaining low or no-cost dental care, including through dental schools and Federally Qualified Health Centers.(7)Such other matters relating to dental health as the Secretary considers appropriate.(c)Delivery of educational materials(1)In generalThe Secretary shall provide educational materials to veterans under the program required by subsection (a) through a variety of mechanisms, including the following:(A)The availability and distribution of print materials at facilities of the Department (including at medical centers, clinics, Vet Centers, and readjustment counseling centers) and to providers (including members of Patient Aligned Care Teams).(B)The availability and distribution of materials over the Internet, including through webinars, My HealtheVet, and VA.gov.(C)Presentations by the dental program office of the Department of information, including both small group and large group presentations, and distribution of such information to all locations in which the program is being carried out.(2)Selection of mechanismsIn selecting mechanisms under paragraph (1), the Secretary shall select mechanisms designed to maximize the number of veterans who receive education under the program.(d)ConstructionNothing in this section shall be construed to alter or revise the eligibility of any veteran for dental care under the laws administered by the Secretary.(e)DefinitionsIn this section:(1)Federally qualified health centerThe term Federally Qualified Health Center means a Federally-qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B)).(2)Vet centerThe term Vet Center has the meaning given that term in section 1712A(h) of title 38, United States Code.(f)Effective dateThis section shall take effect on the date that is one year after the date of the enactment of this Act.304.Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs(a)Program requiredThe Secretary of Veterans Affairs, to ensure that the Department of Veterans Affairs has sufficient staff to provide dental services to veterans, shall implement a loan reimbursement program for qualified dentists, dental hygienists, and oral surgeons who agree—(1)to be appointed by the Secretary as a dentist, dental hygienist, or oral surgeon, as the case may be, under section 7401 of title 38, United States Code; and(2)to serve as a dentist, dental hygienist, or oral surgeon, as the case may be, of the Department pursuant to such appointment at a dental clinic of the Department for a period of not less than five years.(b)Maximum amountThe Secretary may reimburse not more than—(1)$75,000 for each dentist participating in the program under subsection (a);(2)$10,000 for each dental hygienist participating in such program; and(3)$20,000 for each oral surgeon participating in such program.(c)Selection of locationsThe Secretary shall monitor demand among veterans for dental care and require participants in the program under subsection (a) to choose from dental clinics of the Department with the greatest need for dentists, dental hygienists, or oral surgeons, as the case may be, according to facility enrollment and patient demand.305.Educational and training partnerships for dentists, dental hygienists, and oral surgeonsThe Secretary of Veterans Affairs shall enter into educational and training partnerships with dental schools, including dental programs within a community college, to provide training and employment opportunities for dentists, dental hygienists, and oral surgeons. IVFederal Bureau of Prisons401.Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons(a)Demonstration program authorizedThe Attorney General, acting through the Director of the Bureau of Prisons, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health services for prisoners within the custody of the Bureau of Prisons.(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative Dental Health Care Providers DefinedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1 of the Public Health Service Act (42 U.S.C. 256g–1).(d)Authorization Of AppropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.VIndian Health Service501.Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service(a)Demonstration program authorizedThe Secretary of Health and Human Services, acting through the Indian Health Service, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to help eliminate oral health disparities and increase access to dental services through health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)).(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. VIReports to Congress601.Reports on enrollment in coverage for oral health services(a)Secretary of Health and Human ServicesThe Secretary of Health and Human Services shall submit to Congress the following reports:(1)Cost-benefit analysisNot later than October 1, 2028, a report that provides a comprehensive cost-benefit analysis regarding the expansion of coverage for dental services pursuant to this Act, including whether the provision of such services resulted in a reduction in total health care costs for individuals under the Medicare and Medicaid programs.(2)Annual report on enrollment, utilization, and expenditures in dental insurance plansNot later than 1 year after the date of the enactment of this Act, and annually thereafter, an annual report containing detailed information on—(A)enrollment in private insurance plans providing pediatric and adult dental coverage, whether such coverage is provided through a qualified health plan (as defined in section 1301(a) of the Patient Protection and Affordable Care Act (Public Law 111–148)) or a stand-alone dental plan;(B)the utilization of oral health services by children and adults who receive dental coverage under a qualified health plan or a stand-alone dental plan; and(C)expenditures related to oral health services by individuals and families who receive dental coverage in a qualified health plan or stand-alone dental plan.(b)Comptroller General(1)Medicaid and MedicareNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the implementation and utilization of the expanded coverage for dental services pursuant to this Act for individuals enrolled in the Medicare and Medicaid programs.(2)Demonstration programsNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the demonstration programs described in sections 302, 401, and 501, including—(A)the extent to which the programs improved access to oral health care and increased utilization of oral health services; and(B)an examination of the training provided under the programs to alternative dental health care providers and the quality of care provided by such providers.\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Kompleksowa reforma opieki dentystycznej: Pełna ochrona dla Medicare i Medicaid.\",\n  \"pl_summary\": \"Ustawa znacząco rozszerza dostęp do opieki dentystycznej dla milionów Amerykanów, włączając kompleksowe usługi stomatologiczne (w tym protezy) do programu Medicare od 2025 roku. Wprowadza również obowiązek zapewnienia pełnej opieki dentystycznej dorosłym w ramach Medicaid oraz czyni opiekę dentystyczną podstawowym świadczeniem zdrowotnym w planach ubezpieczeniowych ACA. Ponadto, ustawa zwiększa liczbę dentystów i higienistów w obszarach wiejskich i dla weteranów poprzez nowe programy szkoleniowe i spłaty pożyczek.\",\n  \"pl_key_points\": [\n    \"Osoby objęte programem Medicare (seniorzy) uzyskają pełne pokrycie kosztów usług dentystycznych, w tym profilaktyki, leczenia i protez, od 1 stycznia 2025 r.\",\n    \"Program Medicaid będzie musiał zapewniać kompleksową opiekę dentystyczną dorosłym, a stany otrzymają wyższe fundusze federalne, jeśli poprawią stawki płatności dla dentystów.\",\n    \"Znacznie rozszerza się dostęp do opieki dentystycznej dla weteranów, traktując ją na równi z innymi usługami medycznymi świadczonymi przez Departament Spraw Weteranów (VA).\",\n    \"Wprowadzane są programy grantowe na tworzenie mobilnych klinik, gabinetów dentystycznych w szkołach oraz szkolenie nowych specjalistów (terapeutów dentystycznych) w celu obsługi obszarów deficytowych.\"\n  ],\n  \"eng_ai_title\": \"Major Dental Coverage Expansion: Medicare, Medicaid, Veterans, and ACA Plans.\",\n  \"eng_summary\": \"This Act significantly expands access to dental care for millions of Americans by adding comprehensive oral health services (including dentures) to Medicare coverage starting in 2025. It mandates full adult dental coverage under Medicaid and makes adult dental care an Essential Health Benefit in ACA plans. Furthermore, the bill boosts the dental workforce in rural areas and for veterans through new training and loan repayment programs.\",\n  \"eng_key_points\": [\n    \"Medicare beneficiaries (seniors) will receive comprehensive dental coverage, including prevention, treatment, and dentures, starting January 1, 2025.\",\n    \"Medicaid must provide comprehensive adult dental care, with states receiving increased federal funding if they improve provider payment rates.\",\n    \"Dental care access for veterans is significantly expanded, treating it the same as any other medical service provided by the VA.\",\n    \"New grant programs are established to fund mobile clinics, school-based dental offices, and train new professionals (dental therapists) to serve underserved communities.\"\n  ],\n  \"de_ai_title\": \"Umfassende Zahnreform: Neue Leistungen für Medicare, Medicaid und Veteranen.\",\n  \"de_summary\": \"Dieses Gesetz erweitert den Zugang zur zahnärztlichen Versorgung für Millionen von Amerikanern erheblich, indem es umfassende Mundgesundheitsdienste (einschließlich Zahnersatz) ab 2025 in die Medicare-Leistungen aufnimmt. Es schreibt eine vollständige zahnärztliche Versorgung für Erwachsene unter Medicaid vor und macht diese zu einer wesentlichen Gesundheitsleistung in ACA-Plänen. Darüber hinaus stärkt das Gesetz das zahnmedizinische Personal in ländlichen Gebieten und für Veteranen durch neue Ausbildungs- und Darlehensrückzahlungsprogramme.\",\n  \"de_key_points\": [\n    \"Medicare-Empfänger (Senioren) erhalten ab dem 1. Januar 2025 eine umfassende zahnärztliche Versorgung, einschließlich Prävention, Behandlung und Zahnersatz.\",\n    \"Medicaid muss eine umfassende zahnärztliche Versorgung für Erwachsene bereitstellen, wobei die Bundesstaaten erhöhte Bundesmittel erhalten, wenn sie die Vergütungssätze für Anbieter verbessern.\",\n    \"Der Zugang zur zahnärztlichen Versorgung für Veteranen wird erheblich erweitert und wie jede andere medizinische Leistung der VA behandelt.\",\n    \"Neue Zuschussprogramme werden eingerichtet, um mobile Kliniken und schulbasierte Zahnarztpraxen zu finanzieren und neues Personal (Zahntherapeuten) für unterversorgte Gemeinden auszubilden.\"\n  ],\n  \"fr_ai_title\": \"Réforme Dentaire Majeure: Couverture étendue pour Medicare, Medicaid et Vétérans.\",\n  \"fr_summary\": \"Cette loi élargit considérablement l'accès aux soins dentaires pour des millions d'Américains en ajoutant des services de santé bucco-dentaire complets (y compris les prothèses dentaires) à la couverture Medicare à partir de 2025. Elle rend obligatoire la couverture dentaire complète pour les adultes sous Medicaid et fait des soins dentaires pour adultes un avantage essentiel dans les plans ACA. De plus, le projet de loi renforce le personnel dentaire dans les zones rurales et pour les vétérans grâce à de nouveaux programmes de formation et de remboursement de prêts.\",\n  \"fr_key_points\": [\n    \"Les bénéficiaires de Medicare (personnes âgées) recevront une couverture dentaire complète, y compris la prévention, le traitement et les prothèses, à compter du 1er janvier 2025.\",\n    \"Medicaid devra fournir des soins dentaires complets aux adultes, et les États recevront un financement fédéral accru s'ils améliorent les taux de paiement des prestataires.\",\n    \"L'accès aux soins dentaires pour les vétérans est considérablement élargi, étant traité de la même manière que tout autre service médical fourni par le VA.\",\n    \"De nouveaux programmes de subventions sont établis pour financer des cliniques mobiles, des cabinets dentaires scolaires et former de nouveaux professionnels (thérapeutes dentaires) pour servir les communautés mal desservies.\"\n  ],\n  \"es_ai_title\": \"Gran Expansión Dental: Cobertura para Medicare, Medicaid, Veteranos y Planes ACA.\",\n  \"es_summary\": \"Esta Ley amplía significativamente el acceso a la atención dental para millones de estadounidenses al agregar servicios integrales de salud bucal (incluidas las dentaduras postizas) a la cobertura de Medicare a partir de 2025. Exige una cobertura dental completa para adultos bajo Medicaid y convierte la atención dental para adultos en un Beneficio de Salud Esencial en los planes ACA. Además, el proyecto de ley impulsa la fuerza laboral dental en áreas rurales y para veteranos a través de nuevos programas de capacitación y reembolso de préstamos.\",\n  \"es_key_points\": [\n    \"Los beneficiarios de Medicare (personas mayores) recibirán cobertura dental integral, incluyendo prevención, tratamiento y dentaduras postizas, a partir del 1 de enero de 2025.\",\n    \"Medicaid deberá proporcionar atención dental integral para adultos, y los estados recibirán mayor financiación federal si mejoran las tarifas de pago a los proveedores.\",\n    \"El acceso a la atención dental para los veteranos se amplía significativamente, tratándose de la misma manera que cualquier otro servicio médico proporcionado por el VA.\",\n    \"Se establecen nuevos programas de subvenciones para financiar clínicas móviles, consultorios dentales escolares y capacitar a nuevos profesionales (terapeutas dentales) para atender a comunidades desatendidas.\"\n  ],\n  \"it_ai_title\": \"Riforma Dentale Completa: Copertura Estesa per Medicare, Medicaid e Veterani.\",\n  \"it_summary\": \"Questa legge espande significativamente l'accesso alle cure dentali per milioni di americani, aggiungendo servizi sanitari orali completi (incluse le protesi) alla copertura Medicare a partire dal 2025. Rende obbligatoria la copertura dentale completa per gli adulti sotto Medicaid e rende le cure dentali per adulti un Beneficio Sanitario Essenziale nei piani ACA. Inoltre, il disegno di legge potenzia la forza lavoro dentale nelle aree rurali e per i veterani attraverso nuovi programmi di formazione e rimborso dei prestiti.\",\n  \"it_key_points\": [\n    \"I beneficiari di Medicare (anziani) riceveranno una copertura dentale completa, inclusa prevenzione, trattamento e protesi, a partire dal 1° gennaio 2025.\",\n    \"Medicaid dovrà fornire cure dentali complete per gli adulti, con gli Stati che riceveranno maggiori finanziamenti federali se migliorano le tariffe di pagamento per i fornitori.\",\n    \"L'accesso alle cure dentali per i veterani è notevolmente ampliato, trattandolo come qualsiasi altro servizio medico fornito dal VA.\",\n    \"Vengono istituiti nuovi programmi di sovvenzione per finanziare cliniche mobili, studi dentistici scolastici e formare nuovi professionisti (terapisti dentali) per servire le comunità meno servite.\"\n  ],\n  \"nl_ai_title\": \"Uitgebreide Tandheelkundige Hervorming: Dekking voor Medicare, Medicaid en Veteranen.\",\n  \"nl_summary\": \"Deze wet breidt de toegang tot tandheelkundige zorg voor miljoenen Amerikanen aanzienlijk uit door uitgebreide mondzorgdiensten (inclusief kunstgebitten) toe te voegen aan de Medicare-dekking vanaf 2025. Het verplicht volledige tandheelkundige dekking voor volwassenen onder Medicaid en maakt tandheelkundige zorg voor volwassenen een Essentiële Gezondheidsuitkering in ACA-plannen. Bovendien stimuleert het wetsvoorstel het tandheelkundig personeel in plattelandsgebieden en voor veteranen via nieuwe opleidings- en leningterugbetalingsprogramma's.\",\n  \"nl_key_points\": [\n    \"Medicare-begunstigden (ouderen) krijgen vanaf 1 januari 2025 een uitgebreide tandheelkundige dekking, inclusief preventie, behandeling en kunstgebitten.\",\n    \"Medicaid moet uitgebreide tandheelkundige zorg voor volwassenen bieden, waarbij staten verhoogde federale financiering ontvangen als ze de betalingstarieven voor zorgaanbieders verbeteren.\",\n    \"De toegang tot tandheelkundige zorg voor veteranen wordt aanzienlijk uitgebreid en wordt behandeld als elke andere medische dienst die door de VA wordt geleverd.\",\n    \"Er worden nieuwe subsidieprogramma's opgezet om mobiele klinieken, tandartspraktijken op scholen te financieren en nieuwe professionals (tandtherapeuten) op te leiden om achtergestelde gemeenschappen te bedienen.\"\n  ],\n  \"pt_ai_title\": \"Grande Expansão Odontológica: Cobertura para Medicare, Medicaid e Veteranos.\",\n  \"pt_summary\": \"Esta Lei expande significativamente o acesso a cuidados dentários para milhões de americanos, adicionando serviços abrangentes de saúde oral (incluindo próteses dentárias) à cobertura do Medicare a partir de 2025. Torna obrigatória a cobertura dentária completa para adultos no Medicaid e transforma os cuidados dentários para adultos num Benefício Essencial de Saúde nos planos ACA. Além disso, o projeto de lei impulsiona a força de trabalho dentária em áreas rurais e para veteranos através de novos programas de formação e reembolso de empréstimos.\",\n  \"pt_key_points\": [\n    \"Os beneficiários do Medicare (idosos) receberão cobertura dentária abrangente, incluindo prevenção, tratamento e próteses, a partir de 1 de janeiro de 2025.\",\n    \"O Medicaid terá de fornecer cuidados dentários abrangentes para adultos, com os estados a receberem financiamento federal acrescido se melhorarem as taxas de pagamento aos prestadores.\",\n    \"O acesso a cuidados dentários para veteranos é significativamente expandido, sendo tratado da mesma forma que qualquer outro serviço médico fornecido pelo VA.\",\n    \"São estabelecidos novos programas de subsídios para financiar clínicas móveis, consultórios dentários escolares e formar novos profissionais (terapeutas dentários) para servir comunidades carenciadas.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Benefits\"\n  ]\n}"
    },
    {
      "timestamp": "2025-12-26T19:25:33.238Z",
      "source_url": "https://www.congress.gov/118/bills/s4357/BILLS-118s4357is.xml",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n118 S4357 IS: Comprehensive Dental Reform Act of 2024 U.S. Senate 2024-05-16 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. II118th CONGRESS2d SessionS. 4357IN THE SENATE OF THE UNITED STATESMay 16, 2024Mr. Sanders (for himself and Mr. Brown) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and PensionsA BILLTo improve access to oral health care for vulnerable and underserved populations. 1.Short title; table of contents(a)Short titleThis Act may be cited as the Comprehensive Dental Reform Act of 2024.(b)Table of contentsThe table of contents for this Act is as follows:Sec. 1. Short title; table of contents.TITLE I—Medicare and MedicaidSubtitle A—MedicareSec. 101. Coverage of dental services under the Medicare program.Subtitle B—MedicaidSec. 111. Coverage of dental services under the Medicaid program.TITLE II—Public health programsSubtitle A—National Health Service CorpsSec. 201. National Health Service Corps.Sec. 202. Community based dental residencies.Sec. 203. Community-based training of dental students.Subtitle B—Oral health educationSec. 211. Authorization of appropriations for oral health education for medical providers.Sec. 212. Oral health education for other non-health professionals.Sec. 213. Dental education.Sec. 214. Oral health professional student loans.Subtitle C—Other oral health programsSec. 221. Access points.Sec. 222. Dental clinics in schools.Sec. 223. Emergency department care coordination.Sec. 224. Research funding.Sec. 225. Mobile and portable dental services.Subtitle D—Oral health services as an essential health benefitSec. 231. Oral health services as an essential health benefit.TITLE III—Department of Veterans Affairs MattersSec. 301. Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service.Sec. 302. Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities.Sec. 303. Program of education to promote dental health in veterans.Sec. 304. Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs.Sec. 305. Educational and training partnerships for dentists, dental hygienists, and oral surgeons.TITLE IV—Federal Bureau of PrisonsSec. 401. Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons.TITLE V—Indian Health ServiceSec. 501. Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service.TITLE VI—Reports to CongressSec. 601. Reports on enrollment in coverage for oral health services.IMedicare and MedicaidAMedicare101.Coverage of dental services under the Medicare program(a)CoverageSection 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended—(1)in subparagraph (JJ), by inserting and after the semicolon at the end; and(2)by adding at the end the following new subparagraph:(KK)oral health services (as defined in subsection (nnn));.(b)Oral health services definedSection 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection:(nnn)Oral health services(1)The term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions.(2)For purposes of paragraph (1), such term shall include mobile and portable oral health services (as defined by the Secretary) that—(A)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(B)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(c)Payment and coinsuranceSection 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended—(1)by striking and before (HH); and(2)by inserting before the semicolon at the end the following: , and (II) with respect to oral health services (as defined in section 1861(nnn)), the amount paid shall be (i) in the case of such services that are preventive, 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848, and (ii) in the case of all other such services, 80 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848.(d)Payment under physician fee scheduleSection 1848(j)(3) of the Social Security Act (42 U.S.C. 1395w–4(j)(3)) is amended by inserting (2)(KK), after risk assessment),.(e)DenturesSection 1861(s)(8) of the Social Security Act (42 U.S.C. 1395x(s)(8)) is amended—(1)by striking (other than dental) and inserting (including dentures); and(2)by striking internal body.(f)Repeal of ground for exclusionSection 1862(a) of the Social Security Act (42 U.S.C. 1395y) is amended by striking paragraph (12).(g)Effective dateThe amendments made by this section shall apply to services furnished on or after January 1, 2025.BMedicaid111.Coverage of dental services under the Medicaid program(a)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—(1)in subsection (a)(10), by striking dental services and inserting oral health services (as defined in subsection (kk)(1)); and(2)by adding at the end the following:(kk)(1)Subject to paragraphs (2) and (3), for purposes of this title, the term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions. These services shall include, in the case of pregnant or postpartum women, such services as are necessary to address oral health conditions that exist or are exacerbated by pregnancy or childbirth or which, if left untreated, could adversely affect fetal or child development.(2)For purposes of paragraph (1), such term shall include—(A)dentures; and(B)mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided.(3)For purposes of paragraph (1), such term shall not apply to dental care or services provided to individuals under the age of 21 under subsection (r)(3)..(b)Conforming amendments(1)State plan requirementsSection 1902(a) of such Act (42 U.S.C. 1396a(a)) is amended—(A)in paragraph (10)(A), in the matter preceding clause (i), by inserting (10), after (5),;(B)in paragraph (86), by striking and at the end;(C)in paragraph (87), by striking the period at the end and inserting ; and; and(D)by inserting after paragraph (87) the following:(88)provide for—(A)informing, in writing, all individuals who have been determined to be eligible for medical assistance of the availability of oral health services (as defined in section 1905(kk));(B)conducting targeted outreach to pregnant women who have been determined to be eligible for medical assistance about the availability of medical assistance for such dental services and the importance of receiving dental care while pregnant; and(C)establishing and maintaining standards for and certification of mobile and portable oral health services (as described in subsections (r)(3)(C) and (kk)(2)(B) of section 1905)..(2)Definition of medical assistanceSection 1905(a)(12) of such Act (42 U.S.C. 1396d(a)(12)) is amended by striking , dentures,.(c)Mobile and portable oral health services under EPSDTSection 1905(r)(3) of the Social Security Act (42 U.S.C. 1396d(r)(3)) is amended—(1)in subparagraph (A)(ii), by striking ; and and inserting a semicolon;(2)in subparagraph (B), by striking the period at the end and inserting ; and; and(3)by adding at the end the following new subparagraph:(C)which shall include mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, or access barriers for children; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(d)Increased federal funding for dental services(1)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by subsection (a), is further amended—(A)in subsection (b), in the first sentence, by striking and (ii) and inserting (ii), and (ll); and(B)by adding at the end the following new subsection:(ll)Increased FMAP for oral health services(1)In generalNotwithstanding subsection (b) and section 1903(a)(7) and subject to the requirements described in paragraphs (3) and (4), with respect to amounts expended on or after January 1, 2025, for covered oral health expenses (as described in paragraph (2)), the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia for such expenses shall be equal to the Federal medical assistance percentage that would otherwise apply to the State for the fiscal year, as determined under subsection (b) or section 1903(a)(7), increased by 15 percentage points.(2)Covered oral health expensesFor purposes of paragraph (1), the term covered oral health expenses means the amounts expended for medical assistance for oral health services (as defined in subsection (kk)) and amounts expended for the proper and efficient administration of the provision of such oral health services under the State plan.(3)RequirementsFor purposes of paragraph (1), the Federal medical assistance percentage applicable to covered oral health expenses under this subsection shall not apply to a State unless—(A)the State plan for medical assistance provides payment for oral health services (as so defined) furnished by a health care provider at a rate that is not less than 70 percent of the usual and customary fee for such services in the State; and(B)the State satisfies such additional requirements as are established by the Secretary, which shall include—(i)streamlining of administrative procedures for purposes of ensuring adequate provider participation and increasing patient utilization of oral health services; and(ii)the provision of technical assistance to health care providers designed to reduce the number of missed patient appointments and reduce other barriers to the delivery of oral health services.(4)LimitationFor purposes of amounts expended for covered oral health services, in no case shall any increase under this subsection result in a Federal medical assistance percentage that exceeds 100 percent..(2)Conforming amendmentSection 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) is amended by striking section 1919(g)(3)(B) and inserting sections 1905(ll) and 1919(g)(3)(B).(e)Secretarial responsibilities(1)Technical assistance and outreachThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall provide technical assistance to States and conduct outreach to States for purposes of educating and encouraging States to utilize and provide payment under each State Medicaid program for telehealth-enabled dental services in order to provide dental services to traditionally underserved populations in need of such services.(2)Database and annual report on dental benefits for adult Medicaid enrollees(A)Medicaid dental benefits databaseThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall maintain, as accurately and up-to-date as possible, a database that contains with respect to each State (as defined for purposes of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) information regarding the dental benefits available for adults enrolled in the State Medicaid program, including any limits on such benefits and the amount of reimbursement provided under the State Medicaid program for such benefits. The database also shall include a separate description of the dental benefits, benefit limits, and amount of reimbursement provided under each State Medicaid program for pregnant women, if such benefits are not provided to the woman as part of early and periodic screening, diagnostic, and treatment services (as defined in section 1905(r) of the Social Security Act (42 U.S.C. 1396d(r))), and a description of the use of dental services by children and adults enrolled in the State Medicaid program.(B)Annual reportThe Secretary of Health and Human Services shall make available to the public an annual report regarding the information collected in the database required under subparagraph (A). Each annual report under this subparagraph shall include for each State Medicaid program and with respect to the most recent year for which data are available the yearly dental service utilization rates for children and adults enrolled in the State Medicaid program.(f)Effective date(1)In generalExcept as provided in paragraph (2), the amendments made by this section shall apply to calendar quarters beginning on or after January 1, 2025, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.(2)Delay permitted for State plan amendmentIn the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.IIPublic health programsANational Health Service Corps201.National Health Service Corps(a)In generalSection 331 of the Public Health Service Act (42 U.S.C. 254d) is amended—(1)in subsection (a)(3), by adding at the end the following:(F)The term dental therapist means, with respect to a State or Tribal government that licenses or certifies such dental therapists, a mid-level dental practitioner who—(i)(I)is licensed to practice under the law of the State; or(II)is certified to practice under the Community Health Aide Program of the Indian Health Service under section 119 of the Indian Health Care Improvement Act; and (ii)provides preventive and restorative services directly to the public, commensurate with the scope of the practice.; and(2)in subsection (b)—(A)in paragraph (1), by inserting dental therapy programs and after schools at which; and(B)in paragraph (2), by inserting dental therapists, after dentists,.(b)Facilitation of effective provision of corps servicesSection 336(f)(3) of the Public Health Service Act (42 U.S.C. 254h–1(f)(3)) is amended by inserting dental therapists, after midwives,.(c)Scholarship program and loan repayment program(1)Scholarship programSection 338A of the Public Health Service Act (42 U.S.C. 254l) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1), by inserting including dental therapy, after or other health profession,.(2)Loan repayment programSection 338B of the Public Health Service Act (42 U.S.C. 254l–1) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1)—(i)in subparagraph (A), by inserting dental therapist, after nurse practitioner,;(ii)in subparagraph (B), by inserting dental therapy, after mental health,; and(iii)in subparagraph (C)(ii), by inserting , including dental therapy after health profession.(3)Authorization of appropriationsSection 338H of the Public Health Service Act (42 U.S.C. 254q) is amended—(A)in subsection (a), by striking this section and inserting this subpart; and(B)by adding at the end the following:(d)Authorization of appropriations with respect to oral health professionalsTo carry out this subpart with respect to dentists, dental therapists, and dental hygienists, in addition to the amounts authorized under subsection (a), there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028, which shall be used to provide an emergency expansion for scholarships to, and loan repayments on behalf of, such oral health professionals..202.Community based dental residenciesSection 340H of the Public Health Service Act (42 U.S.C. 256h) is amended by adding at the ending the following:(k)Additional fundingFor the purpose of expanding dental residencies at teaching health centers that operate graduate medical education programs, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028.203.Community-based training of dental students(a)In generalThe Secretary of Health and Human Services (referred to in this section as the Secretary) shall establish a pilot program under which the Secretary awards grants to eligible entities for the purpose of supporting the community-based training of dental students. Such grants shall be for a 5-year period, beginning in fiscal year 2025. (b)Eligible entitiesTo be eligible to receive a grant under this section, an entity shall—(1)be a Federally-qualified health center, rural health center, or Tribal health facility; and(2)submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)Selection of awardees(1)In generalThe Secretary shall award 6 grants under this section to eligible entities described in subsection (b). In making such awards, the Secretary shall ensure that each entity receiving a grant operates in a different State (including each of the several States and the District of Columbia), territory, or Tribal territory.(2)PriorityIn awarding grants under this section, the Secretary shall give priority to eligible entities that—(A)have a focus on training students in rural and underserved areas;(B)partner with dental professional schools and programs associated with a historically Black college or university (as defined by the term part B institution in section 322 of the Higher Education Act of 1965 (20 U.S.C. 1061)) or minority-serving institutions (as described in section 371 of such Act (20 U.S.C. 1067q)); or(C)are located in a State or geographic area without a dental school. (d)Use of fundsAn eligible entity receiving a grant under this section—(1)shall use such funds to establish a training program for dental, dental hygienist, dental therapy, and dental assistant students in a community-based, outpatient setting; (2)may use such funds—(A)to support faculty and preceptor wages and living stipends for trainees;(B)to purchase equipment, education tools, and make renovations or alterations to a training site; and(C)to provide supportive services such as child care, transportation, and food assistance to enable students to persist in and complete a training program; and(3)may use up to 5 percent of the grant amount for planning and development, data collection and reporting, other administrative purposes.(e)Reporting(1)Reports from eligible entitiesEach eligible entity receiving a grant under this section shall submit such reports on the program supported by the grant as the Secretary may require.(2)Reports to CongressNot later than 1 year after the date on which the program under this section terminates under subsection (f), the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the program.(f)SunsetThe grant program under this section shall terminate on September 30, 2029.(g)AppropriationsTo carry out this section, there is appropriated, out of amounts in the Treasury not otherwise appropriated, $4,500,000 for fiscal year 2025, to remain available through the end of fiscal year 2029. BOral health education211.Authorization of appropriations for oral health education for medical providersSection 747(c) of the Public Health Service Act (42 U.S.C. 293k(c)) is amended by adding at the end the following:(4)Oral health educationIn addition to other amounts authorized under this subsection for purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028 for the purpose of educating nondental medical professionals (including physicians, nurses, nurse practitioners, physician assistants, and pharmacists and particularly such professionals who provide care to children and pregnant and postpartum women) about oral health, including issues such as oral hygiene instruction, topical application of fluoride, and oral health screenings, with the goal of integrating oral health care into overall health care..212.Oral health education for other non-health professionalsSubpart I of part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by inserting after section 748 the following:748A.Oral health education for other non-oral health professionals(a)In generalThe Secretary may make grants to, or enter into contracts with, an accredited public or nonprofit private hospital, educational institutions, or public or private nonprofit entities that the Secretary has determined to be capable of carrying out such grant or contract to educate individuals, such as community health workers, social workers, nutritionists, health educators, occupational therapists, and psychologists, to promote oral health education and literacy and to provide support for behavior change and assistance with care coordination with respect to oral health.(b)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..213.Dental educationSection 748 of the Public Health Service Act (42 U.S.C. 293k–2) is amended—(1)in subsection (a)(1)(H), by striking pediatric training programs and inserting pediatric dental training programs; and(2)in subsection (c)—(A)by striking the subsection heading and inserting Requirements for award.—;(B)by amending the matter preceding paragraph (1) to read as follows: With respect to training provided for under this section, the Secretary shall award grants or contracts only to eligible entities that meet at least 7 of the following criteria:;(C)in paragraph (2), by striking have a record of training the greatest percentage of providers, or that have demonstrated significant improvements in the percentage of providers, who enter and and inserting train significant numbers of providers who;(D)in paragraph (3)—(i)by striking have a record of training and inserting intend to train; and(ii)by striking the period at the end and inserting and have faculty with experience in treating underserved populations.;(E)in paragraph (8), by inserting or have established after establish; and(F)by adding at the end the following:(9)Qualified applicants that require not less than 200 hours of community-based education rotations..214.Oral health professional student loansSubpart 3 of part E of title VII of the Public Health Service Act (42 U.S.C. 295f et seq.) is amended by adding at the end the following:779.Oral health professional student loans(a)In generalThe Secretary shall establish and operate a student loan fund for oral health professional students, including dental hygienists, dental therapists, and dentists.(b)ContentThe Secretary shall establish and operate the student loan fund program under subsection (a) in the same manner and subject to the same terms as the loan fund program established with schools of nursing under section 835.(c)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..COther oral health programs221.Access pointsSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.) is amended by adding at the end the following:340G–2.Funding for oral health services(a)In generalThe Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a program to award grants to eligible entities to provide oral health services, or to contract with private dental practices to provide comprehensive oral health services, to low-income individuals and individuals who are underserved with respect to oral health care.(b)Technical assistanceThe Secretary shall provide technical assistance to entities receiving grants under subsection (a) to provide technical assistance to such entities in order to—(1)with respect to oral health care services, increase utilization and efficiency and minimize missed appointments, contract with offsite providers, recruit providers (including oral health specialists), and operate programs outside the physical facilities to take advantage of new systems to improve access to oral health services;(2)address barriers to access to such services and conduct targeted outreach to special populations such as pregnant women, individuals with disabilities, individuals with chronic conditions such as diabetes, and individuals residing in long-term care facilities; or(3)contract with private dental practices that will provide oral health services other than preventive oral health care, including restoration and maintenance of oral health, in order to meet the need for oral health services in the community.(c)Eligible entitiesTo be eligible to receive a grant under subsection (a), an entity shall—(1)be—(A)a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act);(B)a safety net clinic or a free clinic (as defined by the Secretary);(C)a health care clinic that provides services to Tribal organizations or urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act); or(D)any other interested public or private sector health care provider or organization that the Secretary determines has a demonstrated history of serving a high number of uninsured and or low-income individuals or those who lack ready access to oral health services; and(2)demonstrate a clear need to expand oral health care services beyond preventive oral health care.(d)Allocation for hiring oral health care specialistsA portion of the funds available under this section shall be allocated toward hiring oral health care specialists, such as oral surgeons and endodontists, at entities receiving grants under this section.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028..222.Dental clinics in schoolsPart Q of title III of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by adding at the end the following:399Z–3.Dental clinics in schools(a)In generalThe Secretary shall award grants to qualified entities for the purpose of funding the building, operation, or expansion of dental clinics in schools.(b)Qualified entitiesTo receive a grant under this section, a qualified entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)RequirementsAn entity receiving a grant under this section shall—(1)provide comprehensive oral health services at a dental clinic based at a school, including oral health education, oral screening, fluoride application, prophylaxis, sealants, and basic restorative services;(2)develop a coordinated system of care by referring patients to an available qualified oral health provider in the community for any required oral health services not provided in the dental clinic in the school, including restorative services, to ensure that all the oral health needs of students are met; and(3)maintain clinic hours that extend beyond school hours.(d)Authorization of appropriationsFor purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..223.Emergency department care coordinationPart P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following:399V–8.Emergency department care coordination with respect to dental care(a)In generalThe Secretary shall establish a grant program to facilitate individuals receiving dental care at facilities other than hospital emergency departments, under which the Secretary awards grants to eligible entities to cover costs related to construction and renovation, equipment, staff, outreach and education, and any other allowable uses, with respect to the entity's facilities, as the Secretary determines appropriate.(b)Eligible entitiesTo be eligible to receive a grant under this section an entity shall—(1)be—(A)a Federally qualified health center (as defined in paragraph (4) of section 1861(aa) of the Social Security Act) or rural health clinic (as defined in paragraph (2) of such section);(B)a private dental practice; or(C)any other interested public or private sector health care provider or organization, such as a dental school, that the Secretary determines has the capacity to serve in a coordinated, cost-effective manner, a high number of individuals who lack access to oral health services; and(2)partner with a hospital or urgent care center.(c)Oral health education for primary care and ED health care providersThe Secretary shall allocate a portion of the amounts appropriated under subsection (e) toward medical education for primary care and emergency department physicians, nurses, nurse practitioners, and physician assistants to be trained in oral health.(d)ReportNot later than January 1, 2028, the Secretary shall submit to Congress a report on the best practices determined by the program established under this section to address oral health needs of individuals who go to emergency departments in need of oral health care.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..224.Research funding(a)In generalFor the period of fiscal years 2025 through 2027, there is authorized to be appropriated for the Secretary of Health and Human Services (referred to in this section as the Secretary) such sums as may be necessary to conduct, in consultation with the heads of agencies and offices of the Department of Health and Human Services, including the Director of the Centers for Disease Control and Prevention, the Director of the Agency for Healthcare Research and Quality, the Director of the National Institutes of Health, and the Administrator of the Health Resources and Services Administration—(1)research on—(A)the prevention of oral disease;(B)oral disease management;(C)evidence-based strategies to prevent tooth decay;(D)rigorous, multidisciplinary research-based approaches to overcome disparities in oral health;(E)perinatal, postnatal, and childhood oral health issues, including the integration of dental providers in settings where pediatricians practice; (F)access, quality, and outcomes with respect to oral health services; and(G)other topics as the Secretary determines appropriate; and(2)an evaluation of oral health service delivery to underserved and vulnerable populations, including an evaluation of workforce models to enhance oral health service delivery.(b)Supplement not supplantFunds appropriated under this section shall be used to supplement, and not supplant, other Federal, State, and local public funds provided for activities described in subsection (a). 225.Mobile and portable dental servicesSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.), as amended by section 221, is further amended by adding at the end the following:340G–3.Mobile and portable dental services(a)In generalThe Secretary shall award grants to Federally qualified health centers (as defined in paragraph (4) of section 1861(aa) of the Social Security Act), rural health clinics (as defined in paragraph (2) of such section), nonprofit dental clinics, and dental schools to provide mobile and portable, comprehensive dental services that provide for the restoration or maintenance of oral health and function (including dental services provided by licensed providers through telehealth-enabled collaboration and supervision) and outreach for dental services to underserved populations. (b)Eligible entitiesTo be eligible to receive a grant under this section, an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including information to demonstrate that the entity is capable of providing coordinated care and continuity of care to patients.(c)Use of fundsEligible entities receiving a grant under this section shall deliver the dental services described in subsection (a) at locations such as senior centers, nursing homes, assisted living facilities, schools, licensed child care centers that serve eligible individuals who receive benefits under the State Children's Health Insurance Program under title XXI of the Social Security Act or the Medicaid program under title XIX of the Social Security Act, and facilities that provide services under the Special Supplemental Nutrition Program for Women, Infants, and Children established by section 17 of the Child Nutrition Act of 1966 or under the Head Start Act.(d)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary..DOral health services as an essential health benefit231.Oral health services as an essential health benefitSection 1302(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 18022(b)) is amended—(1)in paragraph (1)—(A)in subparagraph (J), by striking oral and; and(B)by adding at the end the following:(K)Oral health services for children and adults.; and(2)by adding at the end the following:(6)Oral health servicesFor purposes of paragraph (1)(K), the term oral health services means services (as defined by the Secretary), that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions..IIIDepartment of Veterans Affairs Matters301.Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service(a)In generalTitle 38, United States Code, is amended—(1)in section 1701(6)(B), by striking as described in sections 1710 and 1712 of this title;(2)in section 1710(c), by striking the second sentence;(3)in section 1712—(A)by striking subsections (a) and (b);(B)by redesignating subsections (c), (d), and (e) as subsections (a), (b), and (c), respectively; and(C)in subsection (a), as redesignated by subparagraph (B)—(i)by striking Dental appliances and inserting The Secretary may furnish dentures, dental appliances; and(ii)by striking to be furnished by the Secretary under this section may be procured by the Secretary and inserting under this section and may procure such appliances;(4)in section 1712C(h)—(A)by striking section 1712 of this title and inserting this chapter; and(B)by striking outpatient dental services and treatment, and related dental appliances, under such section 1712 and inserting dental services and appliances under this chapter; and(5)by striking section 2062.(b)Conforming amendmentSection 1525(a) of such title is amended by striking medicines under section 1712(d) and inserting medicines under section 1712(b).(c)Clerical amendmentsSuch title is further amended—(1)in section 1712, in the heading for such section, by striking Dental care and inserting Appliances;(2)in the table of sections at the beginning of chapter 17, by striking the item relating to section 1712 and inserting the following new item:1712. Appliances; drugs and medicines for certain disabled veterans; vaccines.;and(3)in the table of sections at the beginning of chapter 20, by striking the item relating to section 2062.302.Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities(a)Demonstration program authorizedThe Secretary of Veterans Affairs may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health care services for veterans who are entitled to such services from the Department of Veterans Affairs and reside in rural and other underserved communities.(b)TelehealthFor purposes of alternative dental health care providers and other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.303.Program of education to promote dental health in veterans(a)Program requiredThe Secretary of Veterans Affairs shall carry out a program of education to promote dental health for veterans who are enrolled in the system of annual patient enrollment of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code.(b)ElementsThe program required by subsection (a) shall provide education for veterans on the following:(1)The association between dental health and overall health and well-being.(2)Proper techniques for dental care.(3)Signs and symptoms of commonly occurring dental conditions.(4)Treatment options for commonly occurring dental issues.(5)Options for obtaining access to dental care, including information on eligibility for dental care through the Department.(6)Available and accessible options for obtaining low or no-cost dental care, including through dental schools and Federally Qualified Health Centers.(7)Such other matters relating to dental health as the Secretary considers appropriate.(c)Delivery of educational materials(1)In generalThe Secretary shall provide educational materials to veterans under the program required by subsection (a) through a variety of mechanisms, including the following:(A)The availability and distribution of print materials at facilities of the Department (including at medical centers, clinics, Vet Centers, and readjustment counseling centers) and to providers (including members of Patient Aligned Care Teams).(B)The availability and distribution of materials over the Internet, including through webinars, My HealtheVet, and VA.gov.(C)Presentations by the dental program office of the Department of information, including both small group and large group presentations, and distribution of such information to all locations in which the program is being carried out.(2)Selection of mechanismsIn selecting mechanisms under paragraph (1), the Secretary shall select mechanisms designed to maximize the number of veterans who receive education under the program.(d)ConstructionNothing in this section shall be construed to alter or revise the eligibility of any veteran for dental care under the laws administered by the Secretary.(e)DefinitionsIn this section:(1)Federally qualified health centerThe term Federally Qualified Health Center means a Federally-qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B)).(2)Vet centerThe term Vet Center has the meaning given that term in section 1712A(h) of title 38, United States Code.(f)Effective dateThis section shall take effect on the date that is one year after the date of the enactment of this Act.304.Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs(a)Program requiredThe Secretary of Veterans Affairs, to ensure that the Department of Veterans Affairs has sufficient staff to provide dental services to veterans, shall implement a loan reimbursement program for qualified dentists, dental hygienists, and oral surgeons who agree—(1)to be appointed by the Secretary as a dentist, dental hygienist, or oral surgeon, as the case may be, under section 7401 of title 38, United States Code; and(2)to serve as a dentist, dental hygienist, or oral surgeon, as the case may be, of the Department pursuant to such appointment at a dental clinic of the Department for a period of not less than five years.(b)Maximum amountThe Secretary may reimburse not more than—(1)$75,000 for each dentist participating in the program under subsection (a);(2)$10,000 for each dental hygienist participating in such program; and(3)$20,000 for each oral surgeon participating in such program.(c)Selection of locationsThe Secretary shall monitor demand among veterans for dental care and require participants in the program under subsection (a) to choose from dental clinics of the Department with the greatest need for dentists, dental hygienists, or oral surgeons, as the case may be, according to facility enrollment and patient demand.305.Educational and training partnerships for dentists, dental hygienists, and oral surgeonsThe Secretary of Veterans Affairs shall enter into educational and training partnerships with dental schools, including dental programs within a community college, to provide training and employment opportunities for dentists, dental hygienists, and oral surgeons. IVFederal Bureau of Prisons401.Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons(a)Demonstration program authorizedThe Attorney General, acting through the Director of the Bureau of Prisons, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health services for prisoners within the custody of the Bureau of Prisons.(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative Dental Health Care Providers DefinedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1 of the Public Health Service Act (42 U.S.C. 256g–1).(d)Authorization Of AppropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.VIndian Health Service501.Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service(a)Demonstration program authorizedThe Secretary of Health and Human Services, acting through the Indian Health Service, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to help eliminate oral health disparities and increase access to dental services through health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)).(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. VIReports to Congress601.Reports on enrollment in coverage for oral health services(a)Secretary of Health and Human ServicesThe Secretary of Health and Human Services shall submit to Congress the following reports:(1)Cost-benefit analysisNot later than October 1, 2028, a report that provides a comprehensive cost-benefit analysis regarding the expansion of coverage for dental services pursuant to this Act, including whether the provision of such services resulted in a reduction in total health care costs for individuals under the Medicare and Medicaid programs.(2)Annual report on enrollment, utilization, and expenditures in dental insurance plansNot later than 1 year after the date of the enactment of this Act, and annually thereafter, an annual report containing detailed information on—(A)enrollment in private insurance plans providing pediatric and adult dental coverage, whether such coverage is provided through a qualified health plan (as defined in section 1301(a) of the Patient Protection and Affordable Care Act (Public Law 111–148)) or a stand-alone dental plan;(B)the utilization of oral health services by children and adults who receive dental coverage under a qualified health plan or a stand-alone dental plan; and(C)expenditures related to oral health services by individuals and families who receive dental coverage in a qualified health plan or stand-alone dental plan.(b)Comptroller General(1)Medicaid and MedicareNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the implementation and utilization of the expanded coverage for dental services pursuant to this Act for individuals enrolled in the Medicare and Medicaid programs.(2)Demonstration programsNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the demonstration programs described in sections 302, 401, and 501, including—(A)the extent to which the programs improved access to oral health care and increased utilization of oral health services; and(B)an examination of the training provided under the programs to alternative dental health care providers and the quality of care provided by such providers.\n\nSUMMARY TO EVALUATE:\nTitle: Major Dental Coverage Expansion for Medicare, Medicaid, and Veterans.\nSummary: This Act significantly expands access to dental care for millions of Americans. Starting in 2025, Medicare and Medicaid must cover comprehensive dental services, including dentures, for adults. Furthermore, veterans will receive full dental care treated as any other medical service, and dental care will become a required Essential Health Benefit under the Affordable Care Act (ACA). The bill also funds programs to boost the dental workforce in underserved areas.\nKey Points: Medicare: Full coverage for preventive dental services and 80% coverage for restorative and emergency dental care (including dentures) starting January 1, 2025., Medicaid: Mandatory comprehensive dental benefits for all adults, including pregnant women, with increased federal funding for states., Veterans: Eligibility restrictions removed; dental care at the VA will be treated like any other medical service., Workforce Boost: New scholarship and loan repayment programs for dental professionals serving underserved communities, and funding for school-based dental clinics.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": false,\n  \"issue\": \"fabricated_entity\"\n}"
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    {
      "timestamp": "2025-12-23T04:46:54.902Z",
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      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i konsekwencjach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub konsekwencje (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii.\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n118 S4357 IS: Comprehensive Dental Reform Act of 2024 U.S. Senate 2024-05-16 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. II118th CONGRESS2d SessionS. 4357IN THE SENATE OF THE UNITED STATESMay 16, 2024Mr. Sanders (for himself and Mr. Brown) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and PensionsA BILLTo improve access to oral health care for vulnerable and underserved populations. 1.Short title; table of contents(a)Short titleThis Act may be cited as the Comprehensive Dental Reform Act of 2024.(b)Table of contentsThe table of contents for this Act is as follows:Sec. 1. Short title; table of contents.TITLE I—Medicare and MedicaidSubtitle A—MedicareSec. 101. Coverage of dental services under the Medicare program.Subtitle B—MedicaidSec. 111. Coverage of dental services under the Medicaid program.TITLE II—Public health programsSubtitle A—National Health Service CorpsSec. 201. National Health Service Corps.Sec. 202. Community based dental residencies.Sec. 203. Community-based training of dental students.Subtitle B—Oral health educationSec. 211. Authorization of appropriations for oral health education for medical providers.Sec. 212. Oral health education for other non-health professionals.Sec. 213. Dental education.Sec. 214. Oral health professional student loans.Subtitle C—Other oral health programsSec. 221. Access points.Sec. 222. Dental clinics in schools.Sec. 223. Emergency department care coordination.Sec. 224. Research funding.Sec. 225. Mobile and portable dental services.Subtitle D—Oral health services as an essential health benefitSec. 231. Oral health services as an essential health benefit.TITLE III—Department of Veterans Affairs MattersSec. 301. Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service.Sec. 302. Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities.Sec. 303. Program of education to promote dental health in veterans.Sec. 304. Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs.Sec. 305. Educational and training partnerships for dentists, dental hygienists, and oral surgeons.TITLE IV—Federal Bureau of PrisonsSec. 401. Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons.TITLE V—Indian Health ServiceSec. 501. Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service.TITLE VI—Reports to CongressSec. 601. Reports on enrollment in coverage for oral health services.IMedicare and MedicaidAMedicare101.Coverage of dental services under the Medicare program(a)CoverageSection 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended—(1)in subparagraph (JJ), by inserting and after the semicolon at the end; and(2)by adding at the end the following new subparagraph:(KK)oral health services (as defined in subsection (nnn));.(b)Oral health services definedSection 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection:(nnn)Oral health services(1)The term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions.(2)For purposes of paragraph (1), such term shall include mobile and portable oral health services (as defined by the Secretary) that—(A)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(B)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(c)Payment and coinsuranceSection 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended—(1)by striking and before (HH); and(2)by inserting before the semicolon at the end the following: , and (II) with respect to oral health services (as defined in section 1861(nnn)), the amount paid shall be (i) in the case of such services that are preventive, 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848, and (ii) in the case of all other such services, 80 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848.(d)Payment under physician fee scheduleSection 1848(j)(3) of the Social Security Act (42 U.S.C. 1395w–4(j)(3)) is amended by inserting (2)(KK), after risk assessment),.(e)DenturesSection 1861(s)(8) of the Social Security Act (42 U.S.C. 1395x(s)(8)) is amended—(1)by striking (other than dental) and inserting (including dentures); and(2)by striking internal body.(f)Repeal of ground for exclusionSection 1862(a) of the Social Security Act (42 U.S.C. 1395y) is amended by striking paragraph (12).(g)Effective dateThe amendments made by this section shall apply to services furnished on or after January 1, 2025.BMedicaid111.Coverage of dental services under the Medicaid program(a)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—(1)in subsection (a)(10), by striking dental services and inserting oral health services (as defined in subsection (kk)(1)); and(2)by adding at the end the following:(kk)(1)Subject to paragraphs (2) and (3), for purposes of this title, the term oral health services means services (as defined by the Secretary) that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions. These services shall include, in the case of pregnant or postpartum women, such services as are necessary to address oral health conditions that exist or are exacerbated by pregnancy or childbirth or which, if left untreated, could adversely affect fetal or child development.(2)For purposes of paragraph (1), such term shall include—(A)dentures; and(B)mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, and access barriers for individuals; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided.(3)For purposes of paragraph (1), such term shall not apply to dental care or services provided to individuals under the age of 21 under subsection (r)(3)..(b)Conforming amendments(1)State plan requirementsSection 1902(a) of such Act (42 U.S.C. 1396a(a)) is amended—(A)in paragraph (10)(A), in the matter preceding clause (i), by inserting (10), after (5),;(B)in paragraph (86), by striking and at the end;(C)in paragraph (87), by striking the period at the end and inserting ; and; and(D)by inserting after paragraph (87) the following:(88)provide for—(A)informing, in writing, all individuals who have been determined to be eligible for medical assistance of the availability of oral health services (as defined in section 1905(kk));(B)conducting targeted outreach to pregnant women who have been determined to be eligible for medical assistance about the availability of medical assistance for such dental services and the importance of receiving dental care while pregnant; and(C)establishing and maintaining standards for and certification of mobile and portable oral health services (as described in subsections (r)(3)(C) and (kk)(2)(B) of section 1905)..(2)Definition of medical assistanceSection 1905(a)(12) of such Act (42 U.S.C. 1396d(a)(12)) is amended by striking , dentures,.(c)Mobile and portable oral health services under EPSDTSection 1905(r)(3) of the Social Security Act (42 U.S.C. 1396d(r)(3)) is amended—(1)in subparagraph (A)(ii), by striking ; and and inserting a semicolon;(2)in subparagraph (B), by striking the period at the end and inserting ; and; and(3)by adding at the end the following new subparagraph:(C)which shall include mobile and portable oral health services (as defined by the Secretary) that—(i)are provided for the purpose of overcoming mobility, transportation, or access barriers for children; and(ii)satisfy the standards and certification requirements established under section 1902(a)(88)(C) for the State in which the services are provided..(d)Increased federal funding for dental services(1)In generalSection 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by subsection (a), is further amended—(A)in subsection (b), in the first sentence, by striking and (ii) and inserting (ii), and (ll); and(B)by adding at the end the following new subsection:(ll)Increased FMAP for oral health services(1)In generalNotwithstanding subsection (b) and section 1903(a)(7) and subject to the requirements described in paragraphs (3) and (4), with respect to amounts expended on or after January 1, 2025, for covered oral health expenses (as described in paragraph (2)), the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia for such expenses shall be equal to the Federal medical assistance percentage that would otherwise apply to the State for the fiscal year, as determined under subsection (b) or section 1903(a)(7), increased by 15 percentage points.(2)Covered oral health expensesFor purposes of paragraph (1), the term covered oral health expenses means the amounts expended for medical assistance for oral health services (as defined in subsection (kk)) and amounts expended for the proper and efficient administration of the provision of such oral health services under the State plan.(3)RequirementsFor purposes of paragraph (1), the Federal medical assistance percentage applicable to covered oral health expenses under this subsection shall not apply to a State unless—(A)the State plan for medical assistance provides payment for oral health services (as so defined) furnished by a health care provider at a rate that is not less than 70 percent of the usual and customary fee for such services in the State; and(B)the State satisfies such additional requirements as are established by the Secretary, which shall include—(i)streamlining of administrative procedures for purposes of ensuring adequate provider participation and increasing patient utilization of oral health services; and(ii)the provision of technical assistance to health care providers designed to reduce the number of missed patient appointments and reduce other barriers to the delivery of oral health services.(4)LimitationFor purposes of amounts expended for covered oral health services, in no case shall any increase under this subsection result in a Federal medical assistance percentage that exceeds 100 percent..(2)Conforming amendmentSection 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) is amended by striking section 1919(g)(3)(B) and inserting sections 1905(ll) and 1919(g)(3)(B).(e)Secretarial responsibilities(1)Technical assistance and outreachThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall provide technical assistance to States and conduct outreach to States for purposes of educating and encouraging States to utilize and provide payment under each State Medicaid program for telehealth-enabled dental services in order to provide dental services to traditionally underserved populations in need of such services.(2)Database and annual report on dental benefits for adult Medicaid enrollees(A)Medicaid dental benefits databaseThe Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall maintain, as accurately and up-to-date as possible, a database that contains with respect to each State (as defined for purposes of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) information regarding the dental benefits available for adults enrolled in the State Medicaid program, including any limits on such benefits and the amount of reimbursement provided under the State Medicaid program for such benefits. The database also shall include a separate description of the dental benefits, benefit limits, and amount of reimbursement provided under each State Medicaid program for pregnant women, if such benefits are not provided to the woman as part of early and periodic screening, diagnostic, and treatment services (as defined in section 1905(r) of the Social Security Act (42 U.S.C. 1396d(r))), and a description of the use of dental services by children and adults enrolled in the State Medicaid program.(B)Annual reportThe Secretary of Health and Human Services shall make available to the public an annual report regarding the information collected in the database required under subparagraph (A). Each annual report under this subparagraph shall include for each State Medicaid program and with respect to the most recent year for which data are available the yearly dental service utilization rates for children and adults enrolled in the State Medicaid program.(f)Effective date(1)In generalExcept as provided in paragraph (2), the amendments made by this section shall apply to calendar quarters beginning on or after January 1, 2025, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.(2)Delay permitted for State plan amendmentIn the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.IIPublic health programsANational Health Service Corps201.National Health Service Corps(a)In generalSection 331 of the Public Health Service Act (42 U.S.C. 254d) is amended—(1)in subsection (a)(3), by adding at the end the following:(F)The term dental therapist means, with respect to a State or Tribal government that licenses or certifies such dental therapists, a mid-level dental practitioner who—(i)(I)is licensed to practice under the law of the State; or(II)is certified to practice under the Community Health Aide Program of the Indian Health Service under section 119 of the Indian Health Care Improvement Act; and (ii)provides preventive and restorative services directly to the public, commensurate with the scope of the practice.; and(2)in subsection (b)—(A)in paragraph (1), by inserting dental therapy programs and after schools at which; and(B)in paragraph (2), by inserting dental therapists, after dentists,.(b)Facilitation of effective provision of corps servicesSection 336(f)(3) of the Public Health Service Act (42 U.S.C. 254h–1(f)(3)) is amended by inserting dental therapists, after midwives,.(c)Scholarship program and loan repayment program(1)Scholarship programSection 338A of the Public Health Service Act (42 U.S.C. 254l) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1), by inserting including dental therapy, after or other health profession,.(2)Loan repayment programSection 338B of the Public Health Service Act (42 U.S.C. 254l–1) is amended—(A)in subsection (a)(1), by inserting dental therapists, after dentists,; and(B)in subsection (b)(1)—(i)in subparagraph (A), by inserting dental therapist, after nurse practitioner,;(ii)in subparagraph (B), by inserting dental therapy, after mental health,; and(iii)in subparagraph (C)(ii), by inserting , including dental therapy after health profession.(3)Authorization of appropriationsSection 338H of the Public Health Service Act (42 U.S.C. 254q) is amended—(A)in subsection (a), by striking this section and inserting this subpart; and(B)by adding at the end the following:(d)Authorization of appropriations with respect to oral health professionalsTo carry out this subpart with respect to dentists, dental therapists, and dental hygienists, in addition to the amounts authorized under subsection (a), there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028, which shall be used to provide an emergency expansion for scholarships to, and loan repayments on behalf of, such oral health professionals..202.Community based dental residenciesSection 340H of the Public Health Service Act (42 U.S.C. 256h) is amended by adding at the ending the following:(k)Additional fundingFor the purpose of expanding dental residencies at teaching health centers that operate graduate medical education programs, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028.203.Community-based training of dental students(a)In generalThe Secretary of Health and Human Services (referred to in this section as the Secretary) shall establish a pilot program under which the Secretary awards grants to eligible entities for the purpose of supporting the community-based training of dental students. Such grants shall be for a 5-year period, beginning in fiscal year 2025. (b)Eligible entitiesTo be eligible to receive a grant under this section, an entity shall—(1)be a Federally-qualified health center, rural health center, or Tribal health facility; and(2)submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)Selection of awardees(1)In generalThe Secretary shall award 6 grants under this section to eligible entities described in subsection (b). In making such awards, the Secretary shall ensure that each entity receiving a grant operates in a different State (including each of the several States and the District of Columbia), territory, or Tribal territory.(2)PriorityIn awarding grants under this section, the Secretary shall give priority to eligible entities that—(A)have a focus on training students in rural and underserved areas;(B)partner with dental professional schools and programs associated with a historically Black college or university (as defined by the term part B institution in section 322 of the Higher Education Act of 1965 (20 U.S.C. 1061)) or minority-serving institutions (as described in section 371 of such Act (20 U.S.C. 1067q)); or(C)are located in a State or geographic area without a dental school. (d)Use of fundsAn eligible entity receiving a grant under this section—(1)shall use such funds to establish a training program for dental, dental hygienist, dental therapy, and dental assistant students in a community-based, outpatient setting; (2)may use such funds—(A)to support faculty and preceptor wages and living stipends for trainees;(B)to purchase equipment, education tools, and make renovations or alterations to a training site; and(C)to provide supportive services such as child care, transportation, and food assistance to enable students to persist in and complete a training program; and(3)may use up to 5 percent of the grant amount for planning and development, data collection and reporting, other administrative purposes.(e)Reporting(1)Reports from eligible entitiesEach eligible entity receiving a grant under this section shall submit such reports on the program supported by the grant as the Secretary may require.(2)Reports to CongressNot later than 1 year after the date on which the program under this section terminates under subsection (f), the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the program.(f)SunsetThe grant program under this section shall terminate on September 30, 2029.(g)AppropriationsTo carry out this section, there is appropriated, out of amounts in the Treasury not otherwise appropriated, $4,500,000 for fiscal year 2025, to remain available through the end of fiscal year 2029. BOral health education211.Authorization of appropriations for oral health education for medical providersSection 747(c) of the Public Health Service Act (42 U.S.C. 293k(c)) is amended by adding at the end the following:(4)Oral health educationIn addition to other amounts authorized under this subsection for purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028 for the purpose of educating nondental medical professionals (including physicians, nurses, nurse practitioners, physician assistants, and pharmacists and particularly such professionals who provide care to children and pregnant and postpartum women) about oral health, including issues such as oral hygiene instruction, topical application of fluoride, and oral health screenings, with the goal of integrating oral health care into overall health care..212.Oral health education for other non-health professionalsSubpart I of part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by inserting after section 748 the following:748A.Oral health education for other non-oral health professionals(a)In generalThe Secretary may make grants to, or enter into contracts with, an accredited public or nonprofit private hospital, educational institutions, or public or private nonprofit entities that the Secretary has determined to be capable of carrying out such grant or contract to educate individuals, such as community health workers, social workers, nutritionists, health educators, occupational therapists, and psychologists, to promote oral health education and literacy and to provide support for behavior change and assistance with care coordination with respect to oral health.(b)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..213.Dental educationSection 748 of the Public Health Service Act (42 U.S.C. 293k–2) is amended—(1)in subsection (a)(1)(H), by striking pediatric training programs and inserting pediatric dental training programs; and(2)in subsection (c)—(A)by striking the subsection heading and inserting Requirements for award.—;(B)by amending the matter preceding paragraph (1) to read as follows: With respect to training provided for under this section, the Secretary shall award grants or contracts only to eligible entities that meet at least 7 of the following criteria:;(C)in paragraph (2), by striking have a record of training the greatest percentage of providers, or that have demonstrated significant improvements in the percentage of providers, who enter and and inserting train significant numbers of providers who;(D)in paragraph (3)—(i)by striking have a record of training and inserting intend to train; and(ii)by striking the period at the end and inserting and have faculty with experience in treating underserved populations.;(E)in paragraph (8), by inserting or have established after establish; and(F)by adding at the end the following:(9)Qualified applicants that require not less than 200 hours of community-based education rotations..214.Oral health professional student loansSubpart 3 of part E of title VII of the Public Health Service Act (42 U.S.C. 295f et seq.) is amended by adding at the end the following:779.Oral health professional student loans(a)In generalThe Secretary shall establish and operate a student loan fund for oral health professional students, including dental hygienists, dental therapists, and dentists.(b)ContentThe Secretary shall establish and operate the student loan fund program under subsection (a) in the same manner and subject to the same terms as the loan fund program established with schools of nursing under section 835.(c)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..COther oral health programs221.Access pointsSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.) is amended by adding at the end the following:340G–2.Funding for oral health services(a)In generalThe Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a program to award grants to eligible entities to provide oral health services, or to contract with private dental practices to provide comprehensive oral health services, to low-income individuals and individuals who are underserved with respect to oral health care.(b)Technical assistanceThe Secretary shall provide technical assistance to entities receiving grants under subsection (a) to provide technical assistance to such entities in order to—(1)with respect to oral health care services, increase utilization and efficiency and minimize missed appointments, contract with offsite providers, recruit providers (including oral health specialists), and operate programs outside the physical facilities to take advantage of new systems to improve access to oral health services;(2)address barriers to access to such services and conduct targeted outreach to special populations such as pregnant women, individuals with disabilities, individuals with chronic conditions such as diabetes, and individuals residing in long-term care facilities; or(3)contract with private dental practices that will provide oral health services other than preventive oral health care, including restoration and maintenance of oral health, in order to meet the need for oral health services in the community.(c)Eligible entitiesTo be eligible to receive a grant under subsection (a), an entity shall—(1)be—(A)a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act);(B)a safety net clinic or a free clinic (as defined by the Secretary);(C)a health care clinic that provides services to Tribal organizations or urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act); or(D)any other interested public or private sector health care provider or organization that the Secretary determines has a demonstrated history of serving a high number of uninsured and or low-income individuals or those who lack ready access to oral health services; and(2)demonstrate a clear need to expand oral health care services beyond preventive oral health care.(d)Allocation for hiring oral health care specialistsA portion of the funds available under this section shall be allocated toward hiring oral health care specialists, such as oral surgeons and endodontists, at entities receiving grants under this section.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for each of fiscal years 2025 through 2028..222.Dental clinics in schoolsPart Q of title III of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by adding at the end the following:399Z–3.Dental clinics in schools(a)In generalThe Secretary shall award grants to qualified entities for the purpose of funding the building, operation, or expansion of dental clinics in schools.(b)Qualified entitiesTo receive a grant under this section, a qualified entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.(c)RequirementsAn entity receiving a grant under this section shall—(1)provide comprehensive oral health services at a dental clinic based at a school, including oral health education, oral screening, fluoride application, prophylaxis, sealants, and basic restorative services;(2)develop a coordinated system of care by referring patients to an available qualified oral health provider in the community for any required oral health services not provided in the dental clinic in the school, including restorative services, to ensure that all the oral health needs of students are met; and(3)maintain clinic hours that extend beyond school hours.(d)Authorization of appropriationsFor purposes of carrying out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..223.Emergency department care coordinationPart P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following:399V–8.Emergency department care coordination with respect to dental care(a)In generalThe Secretary shall establish a grant program to facilitate individuals receiving dental care at facilities other than hospital emergency departments, under which the Secretary awards grants to eligible entities to cover costs related to construction and renovation, equipment, staff, outreach and education, and any other allowable uses, with respect to the entity's facilities, as the Secretary determines appropriate.(b)Eligible entitiesTo be eligible to receive a grant under this section an entity shall—(1)be—(A)a Federally qualified health center (as defined in paragraph (4) of section 1861(aa) of the Social Security Act) or rural health clinic (as defined in paragraph (2) of such section);(B)a private dental practice; or(C)any other interested public or private sector health care provider or organization, such as a dental school, that the Secretary determines has the capacity to serve in a coordinated, cost-effective manner, a high number of individuals who lack access to oral health services; and(2)partner with a hospital or urgent care center.(c)Oral health education for primary care and ED health care providersThe Secretary shall allocate a portion of the amounts appropriated under subsection (e) toward medical education for primary care and emergency department physicians, nurses, nurse practitioners, and physician assistants to be trained in oral health.(d)ReportNot later than January 1, 2028, the Secretary shall submit to Congress a report on the best practices determined by the program established under this section to address oral health needs of individuals who go to emergency departments in need of oral health care.(e)Authorization of appropriationsTo carry out this section, there is authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2028..224.Research funding(a)In generalFor the period of fiscal years 2025 through 2027, there is authorized to be appropriated for the Secretary of Health and Human Services (referred to in this section as the Secretary) such sums as may be necessary to conduct, in consultation with the heads of agencies and offices of the Department of Health and Human Services, including the Director of the Centers for Disease Control and Prevention, the Director of the Agency for Healthcare Research and Quality, the Director of the National Institutes of Health, and the Administrator of the Health Resources and Services Administration—(1)research on—(A)the prevention of oral disease;(B)oral disease management;(C)evidence-based strategies to prevent tooth decay;(D)rigorous, multidisciplinary research-based approaches to overcome disparities in oral health;(E)perinatal, postnatal, and childhood oral health issues, including the integration of dental providers in settings where pediatricians practice; (F)access, quality, and outcomes with respect to oral health services; and(G)other topics as the Secretary determines appropriate; and(2)an evaluation of oral health service delivery to underserved and vulnerable populations, including an evaluation of workforce models to enhance oral health service delivery.(b)Supplement not supplantFunds appropriated under this section shall be used to supplement, and not supplant, other Federal, State, and local public funds provided for activities described in subsection (a). 225.Mobile and portable dental servicesSubpart X of part D of title III of the Public Health Service Act (42 U.S.C. 256f et seq.), as amended by section 221, is further amended by adding at the end the following:340G–3.Mobile and portable dental services(a)In generalThe Secretary shall award grants to Federally qualified health centers (as defined in paragraph (4) of section 1861(aa) of the Social Security Act), rural health clinics (as defined in paragraph (2) of such section), nonprofit dental clinics, and dental schools to provide mobile and portable, comprehensive dental services that provide for the restoration or maintenance of oral health and function (including dental services provided by licensed providers through telehealth-enabled collaboration and supervision) and outreach for dental services to underserved populations. (b)Eligible entitiesTo be eligible to receive a grant under this section, an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including information to demonstrate that the entity is capable of providing coordinated care and continuity of care to patients.(c)Use of fundsEligible entities receiving a grant under this section shall deliver the dental services described in subsection (a) at locations such as senior centers, nursing homes, assisted living facilities, schools, licensed child care centers that serve eligible individuals who receive benefits under the State Children's Health Insurance Program under title XXI of the Social Security Act or the Medicaid program under title XIX of the Social Security Act, and facilities that provide services under the Special Supplemental Nutrition Program for Women, Infants, and Children established by section 17 of the Child Nutrition Act of 1966 or under the Head Start Act.(d)Authorization of appropriationsTo carry out this section, there are authorized to be appropriated such sums as may be necessary..DOral health services as an essential health benefit231.Oral health services as an essential health benefitSection 1302(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 18022(b)) is amended—(1)in paragraph (1)—(A)in subparagraph (J), by striking oral and; and(B)by adding at the end the following:(K)Oral health services for children and adults.; and(2)by adding at the end the following:(6)Oral health servicesFor purposes of paragraph (1)(K), the term oral health services means services (as defined by the Secretary), that are necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions..IIIDepartment of Veterans Affairs Matters301.Requirement that Secretary of Veterans Affairs furnish dental care in the same manner as any other medical service(a)In generalTitle 38, United States Code, is amended—(1)in section 1701(6)(B), by striking as described in sections 1710 and 1712 of this title;(2)in section 1710(c), by striking the second sentence;(3)in section 1712—(A)by striking subsections (a) and (b);(B)by redesignating subsections (c), (d), and (e) as subsections (a), (b), and (c), respectively; and(C)in subsection (a), as redesignated by subparagraph (B)—(i)by striking Dental appliances and inserting The Secretary may furnish dentures, dental appliances; and(ii)by striking to be furnished by the Secretary under this section may be procured by the Secretary and inserting under this section and may procure such appliances;(4)in section 1712C(h)—(A)by striking section 1712 of this title and inserting this chapter; and(B)by striking outpatient dental services and treatment, and related dental appliances, under such section 1712 and inserting dental services and appliances under this chapter; and(5)by striking section 2062.(b)Conforming amendmentSection 1525(a) of such title is amended by striking medicines under section 1712(d) and inserting medicines under section 1712(b).(c)Clerical amendmentsSuch title is further amended—(1)in section 1712, in the heading for such section, by striking Dental care and inserting Appliances;(2)in the table of sections at the beginning of chapter 17, by striking the item relating to section 1712 and inserting the following new item:1712. Appliances; drugs and medicines for certain disabled veterans; vaccines.;and(3)in the table of sections at the beginning of chapter 20, by striking the item relating to section 2062.302.Demonstration program on training and employment of alternative dental health care providers for dental health care services for veterans in rural and other underserved communities(a)Demonstration program authorizedThe Secretary of Veterans Affairs may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health care services for veterans who are entitled to such services from the Department of Veterans Affairs and reside in rural and other underserved communities.(b)TelehealthFor purposes of alternative dental health care providers and other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.303.Program of education to promote dental health in veterans(a)Program requiredThe Secretary of Veterans Affairs shall carry out a program of education to promote dental health for veterans who are enrolled in the system of annual patient enrollment of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code.(b)ElementsThe program required by subsection (a) shall provide education for veterans on the following:(1)The association between dental health and overall health and well-being.(2)Proper techniques for dental care.(3)Signs and symptoms of commonly occurring dental conditions.(4)Treatment options for commonly occurring dental issues.(5)Options for obtaining access to dental care, including information on eligibility for dental care through the Department.(6)Available and accessible options for obtaining low or no-cost dental care, including through dental schools and Federally Qualified Health Centers.(7)Such other matters relating to dental health as the Secretary considers appropriate.(c)Delivery of educational materials(1)In generalThe Secretary shall provide educational materials to veterans under the program required by subsection (a) through a variety of mechanisms, including the following:(A)The availability and distribution of print materials at facilities of the Department (including at medical centers, clinics, Vet Centers, and readjustment counseling centers) and to providers (including members of Patient Aligned Care Teams).(B)The availability and distribution of materials over the Internet, including through webinars, My HealtheVet, and VA.gov.(C)Presentations by the dental program office of the Department of information, including both small group and large group presentations, and distribution of such information to all locations in which the program is being carried out.(2)Selection of mechanismsIn selecting mechanisms under paragraph (1), the Secretary shall select mechanisms designed to maximize the number of veterans who receive education under the program.(d)ConstructionNothing in this section shall be construed to alter or revise the eligibility of any veteran for dental care under the laws administered by the Secretary.(e)DefinitionsIn this section:(1)Federally qualified health centerThe term Federally Qualified Health Center means a Federally-qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B)).(2)Vet centerThe term Vet Center has the meaning given that term in section 1712A(h) of title 38, United States Code.(f)Effective dateThis section shall take effect on the date that is one year after the date of the enactment of this Act.304.Student loan repayment program to incentivize dental training and ensure the dental workforce of the Department of Veterans Affairs(a)Program requiredThe Secretary of Veterans Affairs, to ensure that the Department of Veterans Affairs has sufficient staff to provide dental services to veterans, shall implement a loan reimbursement program for qualified dentists, dental hygienists, and oral surgeons who agree—(1)to be appointed by the Secretary as a dentist, dental hygienist, or oral surgeon, as the case may be, under section 7401 of title 38, United States Code; and(2)to serve as a dentist, dental hygienist, or oral surgeon, as the case may be, of the Department pursuant to such appointment at a dental clinic of the Department for a period of not less than five years.(b)Maximum amountThe Secretary may reimburse not more than—(1)$75,000 for each dentist participating in the program under subsection (a);(2)$10,000 for each dental hygienist participating in such program; and(3)$20,000 for each oral surgeon participating in such program.(c)Selection of locationsThe Secretary shall monitor demand among veterans for dental care and require participants in the program under subsection (a) to choose from dental clinics of the Department with the greatest need for dentists, dental hygienists, or oral surgeons, as the case may be, according to facility enrollment and patient demand.305.Educational and training partnerships for dentists, dental hygienists, and oral surgeonsThe Secretary of Veterans Affairs shall enter into educational and training partnerships with dental schools, including dental programs within a community college, to provide training and employment opportunities for dentists, dental hygienists, and oral surgeons. IVFederal Bureau of Prisons401.Demonstration program on training and employment of alternative dental health care providers for dental health care services for prisoners within the custody of the Bureau of Prisons(a)Demonstration program authorizedThe Attorney General, acting through the Director of the Bureau of Prisons, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to increase access to dental health services for prisoners within the custody of the Bureau of Prisons.(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative Dental Health Care Providers DefinedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1 of the Public Health Service Act (42 U.S.C. 256g–1).(d)Authorization Of AppropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section.VIndian Health Service501.Demonstration program on training and employment of alternative dental health care providers for dental health care services under the Indian Health Service(a)Demonstration program authorizedThe Secretary of Health and Human Services, acting through the Indian Health Service, may carry out a demonstration program to establish programs to train and employ alternative dental health care providers in order to help eliminate oral health disparities and increase access to dental services through health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)).(b)TelehealthFor purposes of alternative dental health care providers and any other dental care providers who are licensed to provide clinical care, dental services provided under the demonstration program under this section may be administered by such providers through telehealth-enabled collaboration and supervision when deemed appropriate and feasible.(c)Alternative dental health care providers definedIn this section, the term alternative dental health care providers has the meaning given that term in section 340G–1(a)(2) of the Public Health Service Act (42 U.S.C. 256g–1(a)(2)).(d)Authorization of appropriationsThere are authorized to be appropriated such sums as are necessary to carry out the demonstration program under this section. VIReports to Congress601.Reports on enrollment in coverage for oral health services(a)Secretary of Health and Human ServicesThe Secretary of Health and Human Services shall submit to Congress the following reports:(1)Cost-benefit analysisNot later than October 1, 2028, a report that provides a comprehensive cost-benefit analysis regarding the expansion of coverage for dental services pursuant to this Act, including whether the provision of such services resulted in a reduction in total health care costs for individuals under the Medicare and Medicaid programs.(2)Annual report on enrollment, utilization, and expenditures in dental insurance plansNot later than 1 year after the date of the enactment of this Act, and annually thereafter, an annual report containing detailed information on—(A)enrollment in private insurance plans providing pediatric and adult dental coverage, whether such coverage is provided through a qualified health plan (as defined in section 1301(a) of the Patient Protection and Affordable Care Act (Public Law 111–148)) or a stand-alone dental plan;(B)the utilization of oral health services by children and adults who receive dental coverage under a qualified health plan or a stand-alone dental plan; and(C)expenditures related to oral health services by individuals and families who receive dental coverage in a qualified health plan or stand-alone dental plan.(b)Comptroller General(1)Medicaid and MedicareNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the implementation and utilization of the expanded coverage for dental services pursuant to this Act for individuals enrolled in the Medicare and Medicaid programs.(2)Demonstration programsNot later than January 1, 2028, the Comptroller General of the United States shall submit to Congress a report that provides a comprehensive analysis and evaluation of the demonstration programs described in sections 302, 401, and 501, including—(A)the extent to which the programs improved access to oral health care and increased utilization of oral health services; and(B)an examination of the training provided under the programs to alternative dental health care providers and the quality of care provided by such providers.\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Kompleksowa reforma dentystyczna: Pełna opieka dla Medicare, Medicaid i Weteranów.\",\n  \"pl_summary\": \"Ustawa znacząco rozszerza dostęp do opieki dentystycznej dla milionów Amerykanów. Od 2025 roku Medicare i Medicaid będą musiały pokrywać kompleksowe usługi dentystyczne, w tym protezy, dla dorosłych. Ponadto, weterani otrzymają pełną opiekę dentystyczną na takich samych zasadach jak inne usługi medyczne, a ubezpieczenia zdrowotne (ACA) będą musiały traktować opiekę dentystyczną jako podstawowe świadczenie. Wprowadzane są też programy mające na celu zwiększenie liczby dentystów w obszarach o ograniczonym dostępie.\",\n  \"pl_key_points\": [\n    \"Medicare: Pełne pokrycie kosztów profilaktyki i 80% kosztów leczenia stomatologicznego (w tym protez) dla seniorów od 1 stycznia 2025 r.\",\n    \"Medicaid: Obowiązkowe, kompleksowe świadczenia dentystyczne dla wszystkich dorosłych, w tym kobiet w ciąży, z dodatkowym finansowaniem federalnym dla stanów.\",\n    \"Weterani: Zniesienie ograniczeń – opieka dentystyczna w VA będzie traktowana jak każda inna usługa medyczna.\",\n    \"Wzrost liczby dentystów: Programy stypendialne i spłaty pożyczek dla dentystów, higienistek i terapeutów pracujących w obszarach o ograniczonym dostępie, oraz fundusze na kliniki dentystyczne w szkołach.\"\n  ],\n  \"eng_ai_title\": \"Major Dental Coverage Expansion for Medicare, Medicaid, and Veterans.\",\n  \"eng_summary\": \"This Act significantly expands access to dental care for millions of Americans. Starting in 2025, Medicare and Medicaid must cover comprehensive dental services, including dentures, for adults. Furthermore, veterans will receive full dental care treated as any other medical service, and dental care will become a required Essential Health Benefit under the Affordable Care Act (ACA). The bill also funds programs to boost the dental workforce in underserved areas.\",\n  \"eng_key_points\": [\n    \"Medicare: Full coverage for preventive dental services and 80% coverage for restorative and emergency dental care (including dentures) starting January 1, 2025.\",\n    \"Medicaid: Mandatory comprehensive dental benefits for all adults, including pregnant women, with increased federal funding for states.\",\n    \"Veterans: Eligibility restrictions removed; dental care at the VA will be treated like any other medical service.\",\n    \"Workforce Boost: New scholarship and loan repayment programs for dental professionals serving underserved communities, and funding for school-based dental clinics.\"\n  ],\n  \"de_ai_title\": \"Umfassende Zahnreform: Erweiterte Deckung für Medicare, Medicaid und Veteranen.\",\n  \"de_summary\": \"Dieses Gesetz erweitert den Zugang zur zahnärztlichen Versorgung für Millionen von Amerikanern erheblich. Ab 2025 müssen Medicare und Medicaid umfassende zahnärztliche Leistungen, einschließlich Zahnersatz, für Erwachsene abdecken. Darüber hinaus erhalten Veteranen die volle zahnärztliche Versorgung wie jede andere medizinische Leistung, und die zahnärztliche Versorgung wird zu einer vorgeschriebenen wesentlichen Gesundheitsleistung (EHB) im Rahmen des ACA. Es werden auch Programme zur Stärkung des zahnärztlichen Personals in unterversorgten Gebieten finanziert.\",\n  \"de_key_points\": [\n    \"Medicare: Volle Deckung für präventive zahnärztliche Leistungen und 80% Deckung für restaurative und Notfallbehandlungen (einschließlich Zahnersatz) ab dem 1. Januar 2025.\",\n    \"Medicaid: Obligatorische, umfassende zahnärztliche Leistungen für alle Erwachsenen, einschließlich schwangerer Frauen, mit erhöhter Bundesfinanzierung für die Bundesstaaten.\",\n    \"Veteranen: Beseitigung von Zugangsbeschränkungen; zahnärztliche Versorgung wird wie jede andere medizinische Leistung behandelt.\",\n    \"Arbeitskräfte: Neue Stipendien- und Darlehensrückzahlungsprogramme für Zahnärzte und Dentaltherapeuten in unterversorgten Gebieten.\"\n  ],\n  \"fr_ai_title\": \"Expansion majeure de la couverture dentaire pour Medicare, Medicaid et les Vétérans.\",\n  \"fr_summary\": \"Cette loi élargit considérablement l'accès aux soins dentaires pour des millions d'Américains. À partir de 2025, Medicare et Medicaid devront couvrir des services dentaires complets, y compris les prothèses, pour les adultes. De plus, les vétérans recevront des soins dentaires complets traités comme tout autre service médical, et les soins dentaires deviendront une prestation de santé essentielle obligatoire (EHB) dans le cadre de l'ACA. Des fonds sont également prévus pour augmenter le personnel dentaire dans les zones mal desservies.\",\n  \"fr_key_points\": [\n    \"Medicare: Couverture complète des services dentaires préventifs et 80% des soins de restauration et d'urgence (y compris les prothèses) à partir du 1er janvier 2025.\",\n    \"Medicaid: Prestations dentaires complètes obligatoires pour tous les adultes, y compris les femmes enceintes, avec un financement fédéral accru pour les États.\",\n    \"Vétérans: Suppression des restrictions d'éligibilité; les soins dentaires seront traités comme tout autre service médical par le VA.\",\n    \"Formation: Nouveaux programmes de bourses et de remboursement de prêts pour les professionnels dentaires servant les communautés mal desservies.\"\n  ],\n  \"es_ai_title\": \"Gran Expansión de Cobertura Dental para Medicare, Medicaid y Veteranos.\",\n  \"es_summary\": \"Esta Ley amplía significativamente el acceso a la atención dental para millones de estadounidenses. A partir de 2025, Medicare y Medicaid deberán cubrir servicios dentales integrales, incluidas las dentaduras postizas, para adultos. Además, los veteranos recibirán atención dental completa tratada como cualquier otro servicio médico, y la atención dental se convertirá en un Beneficio de Salud Esencial (EHB) obligatorio bajo la Ley ACA. También se financian programas para aumentar el personal dental en áreas desatendidas.\",\n  \"es_key_points\": [\n    \"Medicare: Cobertura total para servicios dentales preventivos y 80% para atención restaurativa y de emergencia (incluidas dentaduras postizas) a partir del 1 de enero de 2025.\",\n    \"Medicaid: Beneficios dentales integrales obligatorios para todos los adultos, incluidas las mujeres embarazadas, con mayor financiación federal para los estados.\",\n    \"Veteranos: Eliminación de restricciones; la atención dental en el VA será tratada como cualquier otro servicio médico.\",\n    \"Fuerza Laboral: Nuevos programas de becas y reembolso de préstamos para profesionales dentales que trabajen en áreas desatendidas.\"\n  ],\n  \"it_ai_title\": \"Espansione della Copertura Dentale per Medicare, Medicaid e Veterani.\",\n  \"it_summary\": \"Questa legge espande significativamente l'accesso alle cure dentali per milioni di americani. A partire dal 2025, Medicare e Medicaid dovranno coprire servizi dentali completi, comprese le protesi, per gli adulti. Inoltre, i veterani riceveranno cure dentali complete trattate come qualsiasi altro servizio medico, e l'assistenza dentale diventerà un Beneficio Sanitario Essenziale (EHB) obbligatorio ai sensi dell'ACA. Vengono anche finanziati programmi per aumentare il personale dentale nelle aree svantaggiate.\",\n  \"it_key_points\": [\n    \"Medicare: Copertura totale per i servizi dentali preventivi e 80% per le cure restaurative e di emergenza (incluse le protesi) a partire dal 1° gennaio 2025.\",\n    \"Medicaid: Prestazioni dentali complete obbligatorie per tutti gli adulti, comprese le donne in gravidanza, con un aumento dei fondi federali per gli Stati.\",\n    \"Veterani: Rimozione delle restrizioni di idoneità; l'assistenza dentale presso il VA sarà trattata come qualsiasi altro servizio medico.\",\n    \"Personale Sanitario: Nuovi programmi di borse di studio e rimborso prestiti per professionisti dentali che servono comunità svantaggiate.\"\n  ],\n  \"nl_ai_title\": \"Grote Uitbreiding Tandheelkundige Zorg voor Medicare, Medicaid en Veteranen.\",\n  \"nl_summary\": \"Deze wet breidt de toegang tot tandheelkundige zorg voor miljoenen Amerikanen aanzienlijk uit. Vanaf 2025 moeten Medicare en Medicaid uitgebreide tandheelkundige diensten, inclusief kunstgebitten, voor volwassenen dekken. Bovendien ontvangen veteranen volledige tandheelkundige zorg die als elke andere medische dienst wordt behandeld, en wordt tandheelkundige zorg een verplichte Essentiële Gezondheidsuitkering (EHB) onder de ACA. Er worden ook programma's gefinancierd om het tandheelkundig personeel in onderbediende gebieden te versterken.\",\n  \"nl_key_points\": [\n    \"Medicare: Volledige dekking voor preventieve tandheelkundige diensten en 80% dekking voor herstellende en spoedeisende zorg (inclusief kunstgebitten) vanaf 1 januari 2025.\",\n    \"Medicaid: Verplichte, uitgebreide tandheelkundige voordelen voor alle volwassenen, inclusief zwangere vrouwen, met verhoogde federale financiering voor staten.\",\n    \"Veteranen: Beperkingen op de geschiktheid opgeheven; tandheelkundige zorg bij de VA wordt behandeld als elke andere medische dienst.\",\n    \"Personeel: Nieuwe beurs- en leningterugbetalingsprogramma's voor tandheelkundige professionals die onderbediende gemeenschappen bedienen.\"\n  ],\n  \"pt_ai_title\": \"Expansão Abrangente da Cobertura Dentária para Medicare, Medicaid e Veteranos.\",\n  \"pt_summary\": \"Este Ato expande significativamente o acesso a cuidados de saúde oral para milhões de americanos. A partir de 2025, o Medicare e o Medicaid terão de cobrir serviços dentários abrangentes, incluindo próteses, para adultos. Além disso, os veteranos receberão cuidados dentários completos tratados como qualquer outro serviço médico, e os cuidados dentários tornar-se-ão um Benefício Essencial de Saúde (EHB) obrigatório sob o ACA. O projeto também financia programas para aumentar a força de trabalho dentária em áreas carenciadas.\",\n  \"pt_key_points\": [\n    \"Medicare: Cobertura total para serviços dentários preventivos e 80% para cuidados restauradores e de emergência (incluindo próteses) a partir de 1 de janeiro de 2025.\",\n    \"Medicaid: Benefícios dentários abrangentes obrigatórios para todos os adultos, incluindo mulheres grávidas, com aumento do financiamento federal para os estados.\",\n    \"Veteranos: Restrições de elegibilidade removidas; os cuidados dentários no VA serão tratados como qualquer outro serviço médico.\",\n    \"Força de Trabalho: Novos programas de bolsas e reembolso de empréstimos para profissionais dentários que sirvam comunidades carenciadas.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Benefits\",\n    \"Education\"\n  ]\n}"
    }
  ]
}