summary
Introduced
02/24/2025
02/24/2025
In Committee
03/02/2025
03/02/2025
Crossed Over
Passed
Dead
06/16/2025
06/16/2025
Introduced Session
2025 Regular Session
Bill Summary
An act relating to coverage of dental services under the Medicaid program; amending s. 409.906, F.S.; removing provisions relating to optional services rendered by providers in mobile units to Medicaid recipients; adjustments in the Medicaid program due to availability of moneys, limitations, and certain directions; and the removal of certain Medicaid service; revising adult dental services that are paid by the Agency for Health Care Administration as optional Medicaid services; requiring the agency to reimburse Medicaid providers at a specified rate for covered adult dental services; requiring the agency to seek federal approval; amending s. 409.973, F.S.; requiring the agency to implement a statewide Medicaid prepaid dental health program for children and adults; providing requirements for the benefits under the program; removing obsolete language; providing an effective date.
AI Summary
This bill modifies the coverage of dental services under Florida's Medicaid program by implementing a statewide prepaid dental health program for both children and adults. Effective July 1, 2025, the Agency for Health Care Administration will be required to reimburse Medicaid providers for adult dental services at a rate equivalent to 80 percent of the 50th percentile of 2024 Usual, Customary, and Reasonable fees. The bill expands dental service coverage for adults to include preventive care, diagnostic services, basic and major dental procedures, emergency dental care, and other oral health services. For children under 21, the program must continue to provide all dental benefits required under federal early and periodic screening, diagnostic, and treatment services guidelines. The bill removes previous restrictions on mobile dental units and requires the agency to seek federal approval for the new reimbursement structure. Providers will be required to offer recipients a choice of at least two licensed dental Medicaid providers, and the program aims to improve access to comprehensive dental care for Medicaid recipients across different age groups.
Committee Categories
Health and Social Services
Sponsors (3)
Last Action
Died in Health Care Facilities & Systems Subcommittee (on 06/16/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.flsenate.gov/Session/Bill/2025/975 |
| BillText | https://www.flsenate.gov/Session/Bill/2025/975/BillText/Filed/PDF |
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