summary
Introduced
02/04/2025
02/04/2025
In Committee
02/06/2025
02/06/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Session
Bill Summary
AN ACT TO MODERNIZE MEDICAID DENTAL RATES. Whereas, good oral health is vital to good overall health, and untreated oral health conditions negatively affect overall health and have associations with chronic disease, including diabetes, heart disease, kidney disease, Alzheimer's disease, and even mental illness; and Whereas, the failure to adjust reimbursement rates to account for increasing inflation and costs over the last fifteen years has resulted in reduced dental provider participation in Medicaid; and Whereas, regular preventative dental care is the most cost effective method available to prevent minor oral conditions from developing into more complex oral and physical health conditions that would eventually require emergency and palliative care; and Whereas, in order to improve overall health and access to quality care, increase provider participation in Medicaid, and prevent future health conditions caused by overall health problems, it is in the best interest of the State to raise Medicaid reimbursement rates paid to dental care providers from 35% to 46% of the average dentist charges in 2023 in order to provide rates that are comparable with the Medicaid rates of surrounding states; Now, therefore,
AI Summary
This bill aims to modernize Medicaid dental rates by appropriating $52 million in state recurring funds and matching it with $95 million in federal recurring funds during the 2025-2027 fiscal biennium to increase reimbursement rates for dental services. The bill seeks to raise Medicaid dental reimbursement rates from 35% to 46% of the average dentist charges in 2023, which is intended to improve dental provider participation in Medicaid and make the state's rates more comparable to those of surrounding states. The rate increases are to be implemented as soon as practicable after July 1, 2025, with the entire act becoming effective on that date. The underlying motivation for this legislation is to address the negative impacts of low dental reimbursement rates, which have historically discouraged dental providers from participating in Medicaid and potentially contribute to untreated oral health conditions that can lead to more serious health problems such as diabetes, heart disease, and other chronic conditions.
Committee Categories
Budget and Finance
Sponsors (59)
Brian Biggs (R)*,
Patricia Cotham (R)*,
Donny Lambeth (R)*,
Larry Potts (R)*,
Jonathan Almond (R),
Amber Baker (D),
Cynthia Ball (D),
Mary Belk (D),
Hugh Blackwell (R),
Kanika Brown (D),
Terry Brown (D),
Deb Butler (D),
Grant Campbell (R),
Becky Carney (D),
Richard Carver (R),
Maria Cervania (D),
Mike Clampitt (R),
Tracy Clark (D),
Bryan Cohn (D),
Mike Colvin (D),
Sarah Crawford (D),
Carla Cunningham (I),
Julia Greenfield (D),
Pricey Harrison (D),
Frances Jackson (D),
Neal Jackson (R),
Ray Jeffers (D),
Monika Johnson-Hostler (D),
Ya Liu (D),
Donnie Loftis (R),
Brandon Lofton (D),
Carolyn Logan (D),
Tim Longest (D),
Jordan Lopez (D),
Nasif Majeed (I),
Jeff McNeely (R),
Marcia Morey (D),
Ben Moss (R),
Howard Penny (R),
Ray Pickett (R),
Garland Pierce (D),
Rodney Pierce (D),
Lindsey Prather (D),
Renée Price (D),
Amos Quick (D),
Tim Reeder (R),
Robert Reives (D),
Heather Rhyne (R),
James Roberson (D),
Stephen Ross (R),
Phil Rubin (D),
Mike Schietzelt (R),
Charles Smith (D),
Steve Tyson (R),
Bill Ward (R),
Harry Warren (R),
Donna White (R),
Shelly Willingham (D),
Matthew Winslow (R),
Last Action
Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (on 02/06/2025)
Bill Topics
Health
- ‐ Health Insurance Reform
- ‐ Regulation of Health-Related Occupations and Services
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.ncleg.gov/BillLookUp/2025/H60 | 02/04/2025 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H60v1.pdf | 02/06/2025 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H60v0.pdf | 02/04/2025 |
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