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CA SB980
Bill
AI Summary
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Expands Medi-Cal coverage for laboratory-processed crowns to persons 13 years of age or older (previously limited to persons 21 and older on posterior teeth only).
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Adds dental implants as a covered Medi-Cal benefit for persons of any age if tooth extraction is medically necessary or the tooth is missing, subject to prior authorization.
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Conditions dental implant coverage on the absence of other covered functional alternatives for prosthetic replacement and absence of medical conditions that would contraindicate implant surgery.
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Clarifies that crowns and implants coverage does not exclude Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services for beneficiaries under 21 years of age.
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Implementation is contingent upon receipt of necessary federal approvals and availability of federal financial participation.
Legislative Description
The Smile Act.
Last Action
August 15 hearing: Held in committee and under submission.
8/15/2024