Ensuring Kids Have Access to Medically Necessary Dental Care Act
Legislative Progress
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Ensuring Kids Have Access to Medically Necessary Dental Care Act This bill modifies dental coverage under the Children's Health Insurance Program (CHIP). Specifically, the bill prohibits lifetime or annual limits on CHIP dental coverage. It also requires states to offer dental-only supplemental coverage under CHIP to children who have other health insurance but are otherwise eligible for CHIP (i.e., wraparound coverage); such coverage is currently at the option of the state.
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Filing registrants (3)
2026 · third_quarter · Insurance
Medicare Advantage supplemental dental benefits, including benefit transparency, encounter data, marketing, beneficiary understanding of coverage, alignment of advertised benefits with actual coverage, consumer protections, surprise billing, provider directory accuracy, and oversight of dental benefit administration. CMS Notice of Benefit and Payment Parameters for 2027 and CMS RFI on the essential health benefits framework and typical employer standard, including pediatric oral health EHB, adult dental coverage, stand-alone dental plans, riders, carve-outs, and state flexibility. ERISA preemption and dental benefit plan accountability, including noncovered services, network leasing, assignment of benefits, virtual credit cards, prior authorization, retroactive denials, downcoding, prompt payment, and application of state dental insurance reforms to self-funded plans. H.R. 1521, Dental and Optometric Care (DOC) Access Act S. 1677/H.R. 3277, Ensuring Lasting Smiles Act (ELSA) S. 1164/H.R. 1397, Increasing Access to Dental Insurance Act H.R. 7931, Improving Dental Administration Act S. 2355/H.R. 5582, Patients Deserve Price Tags Act H.R. 9117, Clear Healthcare Expense Cost Knowledge Act of 2026 H.R. 9397, Premium Transparency Act H.R. 9396, Prior Authorization Accountability Act S. 5088/H.R.9833, Ensuring Kids Have Access to Medically Necessary Dental Care Act Senate Finance Committee submission to improve coverage across the individual, employer and public insurance markets
Referred to the House Committee on Energy and Commerce.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $210,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Health Issues
H.R. 1397/S. 1164 - Increasing Access to Dental Insurance Act; H.R. 1521: Dental and Optometric Care (DOC) Access Act; S. 5089 Medicare Dental Benefit Act of 2026; S. 891: Bipartisan Health Care Act; S. 2084: Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2025; H.R. 9833/S. 5088: Ensuring Kids Have Access to Medically Necessary Dental Care Act; H.R. 3277/S. 1677: Ensuring Lasting Smiles Act; H.R. 3069/S. 1506: Medicare for All Act; H.R. 2045/S. 939: Medicare Dental, Hearing, and Vision Expansion Act of 2025; H.R. 2041: Hidden Fee Disclosure Act of 2025; H.R. 1768: Lower Costs for Everyday Americans Act; H.R. 1219: Oral Health Products Inclusion Act; H.R. 1160: Health Care Provider Shortage Minimization Act of 2025; H.R. 935: Health Care Workforce Innovation Act of 2025; H.R. 210: Dental Care for Veterans Act; H.R. 9831 Medicaid Dental Benefit Act of 2026; H.R. 4556 Protect Our TEETH Act; H.R. 2001: Action for Dental Health Act; Issues pertaining to the Affordable Care Act (ACA) Enhanced Subsidies (no specific bills); Issues pertaining to Adult Dental Essential Health Benefits (EHB) (no specific bills); Issues pertaining to Medicare (no specific bills); Issues pertaining to Medicaid (no specific bills); Issues pertaining to Letter to Issuers (no specific bills); Issues pertaining to ERISA (no specific bills).
Client expense: $60,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Medicare/Medicaid
-Support for the Patients First Act (HR 9693), which would provide long term reform to the Medicare physician payment system. -Support for H.R. 8500, the Timely Access to Coverage Decisions Act of 2026, which would help to ensure that patients have access to medically necessary items and services by making the Medicare local coverage determination (LCD) process more predictable and meaningful. -Support for the Ensuring Kids Have Access to Medically Necessary Dental Care Act (S 5088/HR 9833), which would strengthen dental coverage under the Childrens Health Insurance Program (CHIP) by prohibiting lifetime and annual dollar limits on dental benefits and requiring dental-only wraparound coverage for certain children.
Client expense: $20,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
| Democratic |
| PA |
| Danny K. Davis | Democratic | IL |
| Deborah K. Ross | Democratic | NC |
| Eleanor Holmes Norton | Democratic | DC |
| Emily Randall | Democratic | WA |
| Frederica S. Wilson | Democratic | FL |
| Jesús G. "Chuy" García | Democratic | IL |
| Judy Chu | Democratic | CA |
| Lloyd Doggett | Democratic | TX |
| Rashida Tlaib | Democratic | MI |
| Salud O. Carbajal | Democratic | CA |
| Sarah McBride | Democratic | DE |
| Shri Thanedar | Democratic | MI |
| Steve Cohen | Democratic | TN |