1     
MEDICAID COVERAGE FOR ADULT DENTAL SERVICES

2     
2016 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Stephen H. Urquhart

5     
House Sponsor: Paul Ray

6     

7     LONG TITLE
8     General Description:
9          This bill directs the Department of Health to seek federal waivers authorizing the
10     Medicaid program to provide dental services to blind or disabled adults already eligible
11     for Medicaid.
12     Highlighted Provisions:
13          This bill:
14          ▸     requires the Department of Health to request waivers from federal law necessary for
15     the Medicaid program to provide dental services to blind or disabled adults already
16     eligible for Medicaid;
17           ▸     specifies that within Salt Lake County dental services shall be provided to the extent
18     possible through the University of Utah School of Dentistry;
19          ▸     requires the University of Utah School of Dentistry to annually transfer funds to the
20     Medicaid program to cover the non-federal share of the cost of providing dental
21     services through the school;
22          ▸     specifies an implementation deadline; and
23          ▸     requires indefinite cessation of dental services if the federal share of the cost of
24     providing the services falls below 65%.
25     Money Appropriated in this Bill:
26          None
27     Other Special Clauses:
28          None
29     Utah Code Sections Affected:

30     ENACTS:
31          26-18-411, Utah Code Annotated 1953
32     

33     Be it enacted by the Legislature of the state of Utah:
34          Section 1. Section 26-18-411 is enacted to read:
35          26-18-411. Medicaid waiver for delivery of adult dental services.
36          (1) No later than June 30, 2016, the department shall ask the United States Secretary of
37     Health and Human Services to grant waivers from federal statutory and regulatory law
38     necessary for the Medicaid program to provide dental services in the manner described in
39     Subsection (2).
40          (2) (a) To the extent funded, services shall be provided to only blind or disabled
41     individuals, as defined in 42 U.S.C. Sec. 1382c(a)(1), who are 18 years of age or older and
42     eligible for the program.
43          (b) To the extent possible, services within Salt Lake County shall be provided through
44     the University of Utah School of Dentistry.
45          (c) Each fiscal year, the University of Utah School of Dentistry shall transfer money to
46     the program in an amount equal to the program's non-federal share of the cost of providing
47     services under this section through the school during the fiscal year.
48          (d) During each general session of the Legislature, the department shall report to the
49     Social Services Appropriations Subcommittee whether the University of Utah School of
50     Dentistry will have sufficient funds to make the transfer required by Subsection (2)(c) for the
51     current fiscal year.
52          (e) Where possible, services not provided by the University of Utah School of
53     Dentistry shall be provided through managed care or other risk sharing arrangements.
54          (f) Subject to appropriations by the Legislature, and as determined by the department,
55     the scope, amount, duration, and frequency of services may be limited.
56          (3) The reporting requirements of Section 26-18-3 apply to the waivers requested under
57     Subsection (1).

58          (4) If the waivers requested under Subsection (1) are granted, the Medicaid program
59     shall begin providing dental services in the manner described in Subsection (2) no later than
60     May 1, 2017.
61          (5) If the federal share of the cost of providing dental services under this section will be
62     less than 65% during any portion of the next fiscal year, the Medicaid program shall cease
63     providing dental services under this section indefinitely no later than the end of the current
64     fiscal year.