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Bill > S03566


NY S03566

NY S03566
Includes implants, replacement dental prosthetic appliances, crowns and root canals as medically necessary dental care and services for coverage under the Medicaid program if a qualified dentist authorizes the procedures.


summary

Introduced
01/28/2025
In Committee
01/07/2026
Crossed Over
06/10/2025
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to including dental implants, replacement dental prosthetic appliances, crowns and root canals as medically necessary dental care and services for coverage under the Medicaid program

AI Summary

This bill proposes to amend the New York State social services law to expand Medicaid dental coverage by explicitly including dental implants, implant-related services, dental prosthetic appliances (including replacements), crowns, and root canals for both posterior and anterior teeth, as well as crown lengthening procedures when associated with a covered crown or root canal. The key requirement is that these dental procedures must be authorized by a qualified dentist to be considered medically necessary and eligible for Medicaid coverage. Currently, many of these advanced dental procedures are not automatically covered by Medicaid, so this bill would significantly broaden the range of dental services available to Medicaid recipients. The bill would take effect 90 days after becoming law, which means patients could potentially access these additional dental services through Medicaid starting approximately three months after the bill's enactment.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (3)

Last Action

REFERRED TO HEALTH (on 01/07/2026)

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