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S-5088Senate2026-07-22Health

Ensuring Kids Have Access to Medically Necessary Dental Care Act

YourVoice.Now Summary

Your Money

No dollar caps on kids' CHIP dental care — and add-on dental coverage could not beat what full CHIP kids get.

Your Money

Dental coverage for kids on CHIP — no yearly or lifetime caps

States could not cap the dollar value of dental benefits for a child on CHIP, either in one year or over a lifetime. Today a family pays out of pocket once the cap is hit.

Dental add-on for kids whose plan skips dental — no longer optional

A child who has health insurance without dental could get CHIP dental on top of it. States can say no to that today, and here they would have to offer it.

Dental add-on that beats full CHIP coverage — would be barred

A state offering the dental add-on could not give those children wider dental benefits or lower out-of-pocket costs than children on full CHIP get. This parity rule takes the place of the list of conditions now in the law.

More about this bill

Your child on CHIP could not be cut off from dental care after hitting a dollar cap. CHIP is the health plan for kids in families with modest income. States would no longer be allowed to set yearly or lifetime caps on dental benefits. Today a state can stop paying at its limit, and the family covers the rest. Dental-only coverage would also stop being a state choice. A child whose health plan leaves out dental could get CHIP dental on top of it. But that add-on could not be a better deal than full CHIP. A state could not give those kids wider dental benefits or lower costs than kids on full CHIP get. Both changes would start six months after the bill became law.

Congressional Summary

Ensuring Kids Have Access to Medically Necessary Dental Care Act This bill modifies dental coverage under the Children's Health Insurance Program (CHIP). Specifically, the bill prohibits lifetime or annual limits on CHIP dental coverage. It also requires states to offer dental-only supplemental coverage under CHIP to children who have other health insurance but are otherwise eligible for CHIP (i.e., wraparound coverage); such coverage is currently at the option of the state.

Details

Congress
119th
Chamber
Senate
Status
summarized
Action
Introduced in Senate
Action Date
2026-07-22
Date Added
2026-08-26
Source
Congress.gov →

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