S. 5088Senate119th Congress (2025-2027)In Committee

Ensuring Kids Have Access to Medically Necessary Dental Care Act

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.

Introduced July 22, 2026

AI-Generated Summary

Updated July 30, 2026 at 1:52 AM UTC

The bill changes the Social Security Act to make sure children in the Children’s Health Insurance Program (CHIP) can get unlimited dental coverage. It stops states from setting lifetime or yearly caps on dental benefits for low‑income children (and pregnant women if the state offers pregnancy assistance) and requires that any dental‑only supplemental coverage be no better than the dental coverage given to children who receive the full range of CHIP benefits.

Key Provisions

  • States may not place lifetime or annual dollar limits on dental benefits for targeted low‑income children (and pregnant women when applicable).
  • States must waive any option to waive this prohibition, ensuring the rule applies universally.
  • If a state offers dental‑only supplemental coverage, it cannot provide more favorable dental benefits or cost‑sharing protection than those offered to children who receive the full CHIP health plan.
  • All changes become effective six months after the law is enacted.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

July 22, 2026

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SenateIntro Referral

Introduced in Senate

July 22, 2026

SenateIntro Referral

Read twice and referred to the Committee on Finance.

July 22, 2026

Bill Text

Latest available legislative text

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Latest
Introduced in SenateIssued July 22, 2026

II

119th CONGRESS

2d Session

S. 5088

IN THE SENATE OF THE UNITED STATES

July 22, 2026

Ms. Alsobrooks 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)

by amending subparagraph (C) to read as follows:

(C)

Requirement for no more favorable treatment

A State that provides dental-only supplemental coverage under this paragraph may not provide more favorable dental coverage or cost-sharing protection for dental coverage to children provided dental-only supplemental coverage under this paragraph than the dental coverage and cost-sharing protection for dental coverage provided to targeted low-income children who are eligible for the full range of child health assistance provided under the State child health plan.

.

(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.