HI HB2249

Appropriates general revenue funds for fiscal year 2020-2021 to restore diagnostic, preventive, and restorative dental benefits to adult Medicaid enrollees in Hawaii, with the Department of Human Services required to obtain maximum available federal matching funds.

Addresses the elimination of adult preventative and restorative dental services in 2009, which led to increased emergency room visits costing $17 million in 2016 and disproportionately affecting low-income, rural, and vulnerable populations.

Establishes that expanding dental coverage would reduce preventable emergency dental visits, improve chronic disease management for diabetic beneficiaries (potentially saving $118,000 to $1.7 million in medical costs), and improve pregnancy outcomes.

Notes that approximately 180,000 adult Medicaid beneficiaries currently lack dental coverage despite Hawaii receiving failing grades on oral health report cards, while 34 states already offer comprehensive or limited dental benefits to adult Medicaid populations.

Takes effect on December 31, 2059.