S. 109Senate118th Congress (2023-2025)In Committee

Ensuring Kids Have Access to Medically Necessary Dental Care Act

Introduced January 26, 2023

AI-Generated Summary

Updated January 20, 2026 at 2:32 AM UTC

The Ensuring Kids Have Access to Medically Necessary Dental Care Act amends the Social Security Act to improve dental coverage for children in the Children’s Health Insurance Program (CHIP). It bars states from placing lifetime or annual dollar limits on dental benefits for low‑income children (and pregnant women) and makes certain dental‑only supplemental coverage mandatory. The changes apply to state CHIP plans and take effect six months after the law is enacted.

Key Provisions

  • Prohibits any state‑set lifetime or annual limits on the dollar value of dental benefits for targeted low‑income children (and pregnant women) under CHIP.
  • Requires states to provide dental‑only supplemental coverage under CHIP according to specified requirements, changing the language from optional to mandatory.
  • Both provisions become effective six months after the act’s enactment.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

January 26, 2023

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SenateIntro Referral

Introduced in Senate

January 26, 2023

SenateIntro Referral

Read twice and referred to the Committee on Finance.

January 26, 2023

Floor Debate

1 member

What members said about S. 109 on the floor

1 Democrat
Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Feb 16, 2023

Mr. President, I rise today to talk about Black History Month, which has its roots with Carter G. Woodson as early as 1915 and has been officially recognized since 1976. Black History Month is an…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued January 26, 2023

II

118th CONGRESS

1st Session

S. 109

IN THE SENATE OF THE UNITED STATES

January 26, 2023

Mr. Cardin (for himself and Ms. Stabenow) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XXI of the Social Security Act to prohibit lifetime or annual limits on dental coverage under the Children's Health Insurance Program, and to require wraparound coverage of dental services for certain children under such program.

1.

Short title

This Act may be cited as the Ensuring Kids Have Access to Medically Necessary Dental Care Act.

2.

Prohibition of lifetime or annual limits on dental benefits under the Children's Health Insurance Program

(a)

In general

Section 2103(c)(6) of the Social Security Act (42 U.S.C. 1397cc(c)(6)) is amended—

(1)

in subparagraph (A), by inserting , subject to subparagraph (D), after shall include;

(2)

in subparagraph (B), by striking A State and inserting Subject to subparagraph (D), a State; and

(3)

by adding at the end the following new subparagraph:

(D)

No lifetime or annual limits on dental benefits

A State shall not establish lifetime or annual limits on the dollar value of benefits for dental services provided under the State child health plan to a targeted low-income child, and, in the case that the State elects to provide pregnancy-related assistance pursuant to section 2112, to a targeted low-income pregnant woman (as defined in section 2112(d)), including benefits for such services that are provided through dental coverage that is otherwise equivalent to a benchmark dental package described in subparagraph (C).

.

(b)

Effective date

The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.

3.

Requiring wraparound coverage of dental services for certain children under CHIP

(a)

In general

Section 2110(b)(5) of the Social Security Act (42 U.S.C. 1397jj(b)(5)) is amended—

(1)

in the paragraph header, by striking Option and inserting Requirement;

(2)

in subparagraph (A), by striking may waive and inserting shall waive; and

(3)

in subparagraph (C)—

(A)

in the subparagraph header, by striking Conditions and inserting Requirements; and

(B)

by striking may not offer dental-only supplemental coverage under this paragraph unless the State satisfies the following conditions and inserting shall offer dental-only supplemental coverage under this paragraph in accordance with the following requirements.

(b)

Effective date

The amendments made by this section shall take effect on the date that is 6 months after the date of enactment of this Act.