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FL H0975
Bill
Status
Failed
6/16/2025
Primary Sponsor
Angela Nixon
Click for details
AI Summary
- Expands adult Medicaid dental coverage from emergency-only procedures (extractions, abscess drainage) to comprehensive services including routine preventive care, cleanings, exams, X-rays, fillings, root canals, crowns, dentures, and other dental prostheses for recipients aged 21 and older
- Requires the Agency for Health Care Administration to reimburse Medicaid providers for adult dental services at 80 percent of the 50th percentile of 2024 Usual, Customary, and Reasonable fees as determined by the American Dental Association, effective July 1, 2025
- Directs the agency to implement a statewide Medicaid prepaid dental health program covering both children and adults, with a choice of at least two licensed dental Medicaid providers meeting agency standards
- Requires the agency to seek federal approval through a state plan amendment or Medicaid waiver as necessary to implement the expanded adult dental benefits and reimbursement rates
- Removes obsolete provisions related to the 2016 OPPAGA report findings, prior procurement timelines, and existing contract extension deadlines that governed the prepaid dental health program structure
Legislative Description
Coverage of Dental Services under the Medicaid Program
Last Action
Died in Health Care Facilities & Systems Subcommittee
6/16/2025
Committee Referrals
Health Care Facilities & Systems Subcommittee3/2/2025
Full Bill Text
No bill text available