An Act To Expand Adult Dental Health Insurance Coverage
Sec. A-1. 22 MRSA §3174-F, as amended by PL 1997, c. 159, §§1 and 2 and PL 2003, c. 689, Pt. B, §6, is further amended to read:
§ 3174-F. Coverage for adult dental services
By January 15, 1992, the department shall report to the joint standing committee of the Legislature having jurisdiction over health matters regarding the progress of its efforts under this subsection. The report must outline the department's progress and recommend further action required in pursuit of any demonstration project under this subsection.
Sec. A-2. Department of Health and Human Services to apply for approval. Before January 1, 2020, the Department of Health and Human Services may apply to the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services for any necessary waivers or state plan amendments to reimburse for comprehensive dental services as required in the Maine Revised Statutes, Title 22, section 3174-F.
Sec. B-1. 24 MRSA §2317-B, sub-§20, as amended by PL 2013, c. 575, §3, is further amended to read:
Sec. B-2. 24 MRSA §2317-B, sub-§21, as enacted by PL 2013, c. 575, §4 and affected by §10, is further amended to read:
Sec. B-3. 24 MRSA §2317-B, sub-§22 is enacted to read:
Sec. B-4. 24-A MRSA §4320-L is enacted to read:
§ 4320-L. Coverage for comprehensive dental services
Sec. C-1. 32 MRSA §18353 is enacted to read:
§ 18353. Charity care or financial assistance to persons without access to comprehensive dental services
Beginning on or after January 1, 2020, as a condition of renewal of a license to practice, a dentist must demonstrate that the dentist has adopted a policy to provide charity care or financial assistance to a person without access to comprehensive dental services under the MaineCare program or health or dental insurance. The board may prescribe by rule reasonable guidelines for policies to be adopted and implemented by a dentist with respect to the provision of comprehensive dental services through charity care or financial assistance activities. Rules adopted pursuant to this section are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.
This bill expands the availability of coverage for comprehensive dental services.
Part A of the bill broadens the scope of required coverage under the MaineCare program for adults. Under current law, coverage for adults over age 21 is limited to certain services.
Part B of the bill requires health insurance carriers to provide coverage for comprehensive dental services. Part B applies to policies and contracts issued or renewed on or after January 1, 2020.
Part C of the bill requires dentists as a condition of license renewal to adopt and implement policies to provide comprehensive dental services through charity care or financial assistance to persons without MaineCare coverage or private health insurance. Part C also authorizes the Board of Dental Practice to adopt rules relating to this requirement.