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Bill

SB 2628

Relating to the provision and evaluation of Medicaid reimbursement for dental services provided to certain Medicaid recipients.

89th Legislature (2025) Introduced by César Blanco

Texas bill modifies Medicaid dental reimbursement rates and creates evaluation framework for assessing coverage adequacy for eligible beneficiaries.

Referred to Health & Human Services
#dentalservices(s8594) #health&humanservicescommission(v0177) #humanservices--medicalassistance(i0905) #legislativebudgetboard(v0161) #medicaid(s4885)
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Bill Summary · SB 2628

Legislative bill overview

SB 2628 addresses how Texas Medicaid reimburses dental service providers and establishes evaluation mechanisms for those reimbursement rates. The bill targets specific Medicaid recipient populations, though the full scope of which populations and what evaluation criteria apply would be detailed in the bill's text.

Why is this important

Dental care access is a significant gap in Medicaid programs, and reimbursement rates directly affect whether dentists accept Medicaid patients. Changes to reimbursement structures or evaluation methods could expand or restrict dental coverage for vulnerable Medicaid recipients and influence provider participation in the program.

Potential points of contention

  • Reimbursement rate levels – Whether proposed rates adequately compensate providers or if they're insufficient to incentivize dental provider participation in Medicaid
  • Scope of covered services – Which specific dental services and recipient groups qualify, and whether exclusions limit access for vulnerable populations
  • Evaluation methodology – How the state measures reimbursement adequacy and effectiveness, and who determines whether adjustments are needed
  • Fiscal impact – Budget implications for Texas Medicaid expansion or restructuring of dental benefits versus other state priorities

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

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