H.R. 1794House117th Congress (2021-2023)In Committee

Foster Youth Dental Act of 2021

Sponsored by Karen BassRep. Karen Bass (D-CA)
Introduced March 11, 2021

AI-Generated Summary

Updated February 8, 2026 at 12:14 AM UTC

The Foster Youth Dental Act of 2021 updates Medicaid to give better dental coverage to young people who have been in foster care. It expands eligibility for certain health services up to age 26, adds dental‑specific information and incentives, and creates outreach and immediate eligibility measures for former foster youth.

Key Provisions

  • Expands EPSDT Medicaid services to foster youth up to age 26, defining them as "specified individuals" for coverage purposes.
  • Requires Medicaid plans to include dental services in information provided to beneficiaries and stress the importance of oral health.
  • Creates a new payment provision that reimburses dentists for services to these youth at a specified average rate and raises the federal matching rate to 100% for those dental expenses.
  • Mandates outreach programs to enroll former foster youth and to encourage dentists to join Medicaid plans.
  • Sets immediate Medicaid eligibility for former foster youth to begin on the date the law is enacted.

Legislative Activity

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2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

March 12, 2021

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HouseIntro Referral

Introduced in House

March 11, 2021

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

March 11, 2021

HouseCommittee

Referred to the Subcommittee on Health.

March 12, 2021

Floor Debate

7 members

What members said about H.R. 1794 on the floor

4 Republicans3 Democrats
Gerald E. Connolly
Rep. Gerald E. ConnollyD-VA-11 · Apr 27, 2022

Mr. Speaker, I move to suspend the rules and pass the bill (S. 812) to direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Apr 27, 2022

Mr. Speaker, I rise in strong support of S. 812, a bill to direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization (WHO), and for…

Daniel Meuser
Rep. Daniel MeuserR-PA-9 · Apr 27, 2022

Mr. Speaker, I yield myself such time as I may consume. I rise in support of S. 812, directing the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health…

Christopher H. Smith
Rep. Christopher H. SmithR-NJ-4 · Apr 27, 2022

Mr. Speaker, I support S. 812, which came to us from the Senate, and which calls for the Administration to develop a strategy for Taiwan to regain observer status at the World Health Organization. As…

Young Kim
Rep. Young KimR-CA-39 · Apr 27, 2022

Mr. Speaker, I thank Representative Meuser for yielding, and I thank Representative Connolly, Chairman Meeks, and Ranking Member McCaul for their leadership on this very important issue. I rise in…

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Brian Schatz
Sen. Brian SchatzD-HI · Aug 5, 2021

Mr. President, I ask unanimous consent that the Senate proceed to the immediate consideration of Calendar No. 110, S. 812. I ask unanimous consent that the bill be considered read a third time and…

Russ Fulcher
Rep. Russ FulcherR-ID-1 · Apr 27, 2022

Mr. Speaker, on that I demand the yeas and nays.

Bill Text

Latest available legislative text

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Introduced in HouseIssued March 11, 2021

I

117th CONGRESS

1st Session

H. R. 1794

IN THE HOUSE OF REPRESENTATIVES

March 11, 2021

Ms. Bass (for herself, Mr. Bacon, Mr. Langevin, Mrs. Lawrence, and Mr. Hastings) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to strengthen coverage under the Medicaid program for certain foster youth individuals.

1.

Short title

This Act may be cited as the Foster Youth Dental Act of 2021.

2.

Strengthening coverage under the Medicaid program for certain foster youth individuals

(a)

Expansion of EPSDT services to certain individuals aged 21–25

(1)

In general

Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended—

(A)

in paragraph (4)(B), by inserting (or, in the case of a specified individual (as defined in the matter at the end of this subsection), under the age of 26) after 21; and

(B)

by adding at the end the following new sentence: For purposes of paragraph (4)(B), the term specified individual means an individual who is in foster care under the responsibility of a State (or was in foster care under the responsibility of the State on the date of attaining 18 years of age or such higher age as the State has elected under section 475(8)(B)(iii) and was enrolled in a State plan under this title or under a waiver of a plan while in such foster care)..

(2)

Provision of information with respect to dental services

Section 1902(a)(43)(A) of the Social Security Act (42 U.S.C. 1396a(a)(43)(A)) is amended—

(A)

by inserting (or, in the case of a specified individual (as defined in the matter at the end of section 1905(a)), under the age of 26) after 21;

(B)

by inserting (including dental services) after treatment services;

(C)

by striking and the need and inserting , the need; and

(D)

by striking the comma at the end and inserting , and the importance of maintaining good oral health,.

(3)

Effective date

(A)

Extension of coverage

The amendments made by paragraph (1) shall apply with respect to medical assistance furnished during calendar quarters beginning on or after the date that is 80 days after the date of the enactment of this Act.

(B)

Provision of information

The amendment made by paragraph (2) shall apply to information provided under section 1902(a)(43)(A) of the Social Security Act (42 U.S.C. 1396a(a)(43)(A)) beginning with the first calendar quarter beginning on or after the date that is 80 days after the date of the enactment of this Act.

(b)

Incentive for the provision of dental services to certain individuals

(1)

In general

Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—

(A)

in paragraph (13)—

(i)

in subparagraph (B), by striking and at the end;

(ii)

in subparagraph (C), by adding and at the end; and

(iii)

by adding at the end the following new subparagraph:

(D)

for payment for dental services furnished on or after the first day of the first calendar quarter beginning on or after the date that is 80 days after the date of the enactment of this subparagraph by a dentist to a specified individual (as defined in the matter at the end of section 1905(a)) under the age of 26 at a rate not less than the specified average rate (as defined in subsection (tt)) for such services.

; and

(B)

by adding at the end the following new subsection:

(tt)

Specified average rate defined

(1)

In general

For purposes of subsection (a)(13)(D), the term specified average rate means, with respect to a dental service furnished in a State, the average of the contracted rates (as defined in paragraph (2)) in effect during the 5-year period ending on the date such service is so furnished—

(A)

for such service furnished in such State (as determined by the State); or

(B)

for such service furnished in the United States (as determined by the Secretary);

as selected by such State.
(2)

Contracted rate defined

(A)

In general

For purposes of paragraph (1), the term contracted rate means, with respect to a dental service, a rate in effect between a health insurance issuer offering group or individual health insurance coverage or a group health plan (as such terms are defined in section 2791 of the Public Health Service Act) and a dentist with a contractual relationship in effect with such issuer or plan (as applicable) for furnishing such service under such coverage or plan (as applicable) that represents the total amount payable (including cost sharing) under such coverage or plan (as applicable) for such service so furnished.

(B)

Exclusion of self-insured group health plan rates

For purposes of subparagraph (A), the term contracted rate shall not include a rate described in such subparagraph that is in effect between a self-insured group health plan and a dentist.

.

(2)

Medicaid managed care plans

Section 1932(f) of the Social Security Act (42 U.S.C. 1396u–2(f)) is amended—

(A)

in the header, by striking primary care services and inserting certain services;

(B)

by inserting or dental services after primary care services;

(C)

by striking section 1902(a)(13)(C) and inserting subparagraph (C) or (D), respectively, of section 1902(a)(13); and

(D)

by striking such section and inserting such subparagraph (C) or (D), as applicable.

(3)

Increased FMAP for increased expenses

Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by adding at the end the following new subsection:

(gg)

Increased FMAP for additional expenditures for dental services

Notwithstanding subsection (b), with respect to the portion of the amounts expended for medical assistance for services described in section 1902(a)(13)(D) furnished on or after the first day of the first calendar quarter beginning on or after the date that is 80 days after the date of the enactment of this subsection furnished to an individual described in such section by a dentist that is attributable to the amount by which the minimum payment rate required under such section (or, by application, section 1932(f)) exceeds the payment rate applicable to such services under the State plan as of January 1, 2021, the Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia shall be equal to 100 percent. The preceding sentence does not prohibit the payment of Federal financial participation based on the Federal medical assistance percentage for amounts in excess of those specified in such sentence.

.

(c)

Outreach efforts for enrollment of former foster children

Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—

(1)

in paragraph (85), by striking ; and and inserting a semicolon;

(2)

in paragraph (86), by striking the period at the end and inserting ; and; and

(3)

by inserting after paragraph (86) the following new paragraph:

(87)

not later than 6 months after the date of the enactment of this paragraph—

(A)

establish an outreach and enrollment program, in coordination with the State agency responsible for administering the State plan under part E of title IV and any other appropriate or interested agencies, designed to increase the enrollment of individuals who are eligible for medical assistance under the State plan under paragraph (10)(A)(i)(IX) in accordance with best practices established by the Secretary; and

(B)

establish an outreach program to dentists practicing in such State to encourage enrollment by such dentists in such plan as participating providers under such plan.

.

(d)

Providing for immediate eligibility for former foster youth

Section 1002(a)(2) of the SUPPORT for Patients and Communities Act (Public Law 115–271) is amended by striking January 1, 2023 and inserting the date of enactment of the Foster Youth Dental Act of 2021.