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Bill

A 1931

Relates to including dental implants, replacement dental prosthetic appliances, crowns and root canals as medically necessary dental care and services for coverage under the Medicaid program

2025 Regular Session Introduced by William Colton and 11 co-sponsors

Bill A 1931 expands Medicaid coverage to include dental implants, crowns, and root canals, improving access to essential dental care for recipients.

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Bill Summary · A 1931

Summary of Bill A 1931

Bill Information

  • Bill Number: A 1931
  • Title: Relates to including dental implants, replacement dental prosthetic appliances, crowns, and root canals as medically necessary dental care and services for coverage under the Medicaid program
  • Status: REPORTED REFERRED TO WAYS AND MEANS
  • Introduced: January 14, 2025
  • Classification: Bill

Purpose and Intent

Bill A 1931 aims to expand the scope of dental care services covered under the Medicaid program. Specifically, it seeks to classify dental implants, replacement dental prosthetic appliances, crowns, and root canals as medically necessary services. This change is intended to improve access to essential dental care for Medicaid recipients, thereby enhancing their overall health and well-being.

Key Provisions

  • Inclusion of Services: The bill proposes that the following dental services be recognized as medically necessary under Medicaid:
    • Dental implants
    • Replacement dental prosthetic appliances
    • Crowns
    • Root canals
  • Coverage Expansion: By including these services, the bill aims to ensure that Medicaid beneficiaries can receive necessary dental treatments without incurring prohibitive out-of-pocket costs.

Affected Parties

  • Medicaid Recipients: The primary beneficiaries of this bill would be individuals enrolled in the Medicaid program who require dental care services that are currently not covered.
  • Dental Care Providers: Dentists and dental specialists may see an increase in patients seeking covered services, potentially leading to changes in practice operations and revenue.

Procedural Aspects

  • Legislative Timeline:
    • January 14, 2025: The bill was introduced and referred to the Health Committee.
    • February 24, 2025: The bill was reported and referred to the Ways and Means Committee for further consideration.

Related Legislation

  • A 8983: A prior-session bill that may have addressed similar issues related to dental care coverage.
  • S 3566: A companion bill in the Senate that aligns with the objectives of A 1931.

Conclusion

Bill A 1931 represents a significant step towards improving dental care access for Medicaid recipients by expanding the types of services covered under the program. If enacted, it could lead to better health outcomes for individuals who require these essential dental procedures. The bill is currently under review by the Ways and Means Committee, and its progress will be closely monitored by stakeholders in the healthcare and dental sectors.

Compiled from official sources — confirm details with the bill’s official record.

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