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Medicaid Dental Coverage for Adults

Posted on June 6, 2019

Medicaid Dental Coverage for Adults

An act to amend Title 31 of the Delaware Code relating to dental care for adult Medicaid recipients.

Synopsis:

Update (8/6/19): Gov. Carney signed S.S. 1 for S.B. 92 into law.

Update (6/27/19): S.S. 1 for S.B. 92 passed the House of Representatives by a vote of 33–7 and now awaits action by Gov. Carney.

Update (6/6/19): S.S. 1 for S.B. 92 passed the Senate by a vote of 21–0 and now goes to the House of Representatives.

S.S. 1 for S.B. 92 expands Medicaid coverage of routine dental care to individuals of all ages. Before Gov. Carney signed the bill into law, Delaware was one of three states – along with Alabama and Tennessee – that did not offer adults receiving Medicaid benefits any form of dental coverage. The bill sets the copay for a dental visit at $3 and covers an individual’s first $1,000 of expenses per year. It also gives the Department of Health and Social Services the option to authorize an extra $1,500 on a case-by-case basis for dental emergencies. Based on CDS research, more than 40 percent of Delawareans with disabilities who have delayed receiving dental care say they do so because the cost is too high. Poor oral health can contribute to negative social interactions, communication difficulties and oral disease. It may also increase an individual’s risk of heart disease, clogged arteries, strokes and, in pregnant women, premature birth and low birthweight. While many lawmakers and advocacy organizations have expressed support for the concept of adding adult dental coverage to Medicaid, there remains concern about the price, estimated to be about $5.2 million per year.

Delaware Sen. Bryan Townsend
Sen. Bryan Townsend
S.S. 1 for S.B. 92 lead sponsor

Supporters:

Sens. Townsend (D), Ennis (D), Hansen (D), Lockman (D), McBride (D), McDowell (D), Paradee (D), Poore (D), Sturgeon (D); Reps. Baumbach (D), Bentz (D), Brady (D), Dorsey Walker (D), Heffernan (D), K. Johnson (D), Kowalko (D), Lynn (D), Minor-Brown (D), Mitchell (D); Delaware Developmental Disabilities Council, Governor’s Advisory Council for Exceptional Citizens, League of Women Voters of Delaware, State Council for Persons with Disabilities.

Opponents:

Reps. Collins (R), Gray (R), Morris (R), Postles (R), Ramone (R), D. Short (R), Vanderwende (R).

Links to Additional Resources:

  • S.S. 1 for S.B. 92
  • Center for Disabilities Studies Oral Health Project
  • CDS director to Delaware lawmakers: Medicaid coverage for adult dental care would improve health outcomes, lower costs
  • League of Women Voters letter in support of S.B. 92
  • WDDE: Lack of dental coverage for low-income adults in Delaware can have serious costs
  • WDDE: Expansion of low income dental services takes first legislative step

This entry was posted in and tagged 92, Delaware Legislature, dental, legislation, Legislative Hall, Medicaid, Oral Health, sb 92, sb92.

Center for Disabilities Studies

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Newark, DE 19716

Phone: 302-831-6974

TDD: 302-831-4689

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