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7 LONG TITLE
8 Committee Note:
9 The Health Reform Task Force recommended this bill.
10 General Description:
11 This bill directs the Department of Health to seek federal waivers authorizing the
12 Medicaid program to provide dental services to blind or disabled adults already eligible
13 for Medicaid.
14 Highlighted Provisions:
15 This bill:
16 ▸ requires the Department of Health to request waivers from federal law necessary for
17 the Medicaid program to provide dental services to blind or disabled adults already
18 eligible for Medicaid;
19 ▸ specifies that within Salt Lake County dental services shall be provided to the extent
20 possible through the University of Utah School of Dentistry;
21 ▸ requires the University of Utah School of Dentistry to annually transfer funds to the
22 Medicaid program to cover the non-federal share of the cost of providing dental
23 services through the school;
24 ▸ specifies an implementation deadline; and
25 ▸ requires indefinite cessation of dental services if the federal share of the cost of
26 providing the services falls below 65%.
27 Money Appropriated in this Bill:
28 None
29 Other Special Clauses:
30 None
31 Utah Code Sections Affected:
32 ENACTS:
33 26-18-411, Utah Code Annotated 1953
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35 Be it enacted by the Legislature of the state of Utah:
36 Section 1. Section 26-18-411 is enacted to read:
37 26-18-411. Medicaid waiver for delivery of adult dental services.
38 (1) No later than June 30, 2016, the department shall ask the United States Secretary of
39 Health and Human Services to grant waivers from federal statutory and regulatory law
40 necessary for the Medicaid program to provide dental services in the manner described in
41 Subsection (2).
42 (2) (a) Services shall be provided to only blind or disabled individuals, as defined in 42
43 U.S.C. Sec. 1382c(a)(1), who are 18 years of age or older and eligible for the program.
44 (b) To the extent possible, services within Salt Lake County shall be provided through
45 the University of Utah School of Dentistry.
46 (c) Each fiscal year, the University of Utah School of Dentistry shall transfer money to
47 the program in an amount equal to the program's non-federal share of the cost of providing
48 services under this section through the school during the fiscal year.
49 (d) During each general session of the Legislature, the department shall report to the
50 Social Services Appropriations Subcommittee whether the University of Utah School of
51 Dentistry will have sufficient funds to make the transfer required by Subsection (2)(c) for the
52 current fiscal year.
53 (e) Where possible, services not provided by the University of Utah School of
54 Dentistry shall be provided through managed care or other risk sharing arrangements.
55 (f) Subject to appropriations by the Legislature, and as determined by the department,
56 the scope, amount, duration, and frequency of services may be limited.
57 (3) The reporting requirements of Section 26-18-3 apply to the waivers requested under
58 Subsection (1).
59 (4) If the waivers requested under Subsection (1) are granted, the Medicaid program
60 shall begin providing dental services in the manner described in Subsection (2) no later than
61 January 1, 2017.
62 (5) If the federal share of the cost of providing dental services under this section will be
63 less than 65% during any portion of the next fiscal year, the Medicaid program shall cease
64 providing dental services under this section indefinitely no later than the end of the current
65 fiscal year.
Legislative Review Note
Office of Legislative Research and General Counsel