text: SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
  
      (a) Short Title.--This Act may be cited as the ``Essential Oral 
  Health Care Act of 2009''.
      (b) Table of Contents.--The table of contents of this Act is as 
  follows:
  
  Sec. 1. Short title; table of contents.
     TITLE I--PUBLIC-PRIVATE PARTNERSHIP TO IMPROVE ORAL HEALTH ACCESS
  
  Sec. 101. Grants to support volunteer dental projects.
    TITLE II--STATE OPTION FOR IMPROVING MEDICAID DENTAL SERVICES ACCESS
  
  Sec. 201. Support for ensuring individuals enrolled in Medicaid have 
                              dental services access equal to the 
                              population of the State.
  
     TITLE I--PUBLIC-PRIVATE PARTNERSHIP TO IMPROVE ORAL HEALTH ACCESS
  
  SEC. 101. GRANTS TO SUPPORT VOLUNTEER DENTAL PROJECTS.
  
      Title V of the Social Security Act (42 U.S.C. 701 et seq.) is 
  amended by adding at the end the following new section:
  
  ``SEC. 511. GRANTS TO SUPPORT VOLUNTEER DENTAL PROJECTS.
  
      ``(a) Authority To Make Grants.--In addition to any other payments 
  made under this title to a State, the Secretary shall award grants to 
  eligible entities as defined in subsection (b) to purchase portable or 
  mobile dental equipment and to pay for appropriate operational costs, 
  including direct health care or service delivery costs, for the 
  provision of free dental services to underserved populations that are 
  delivered in a manner consistent with State licensing laws.
      ``(b) Eligible Entity.--An eligible entity under this subsection is 
  an organization, such as a State or local dental association, or a 
  dental education, dental hygiene education or postdoctoral dental 
  education program accredited by the Commission on Dental Accreditation, 
  or a community-based organization that partners with an academic 
  institution, that is exempt from tax under section 501(c) of the 
  Internal Revenue Code of 1986 and that offers a free dental services 
  program for underserved populations.
      ``(c) Application.--An institution desiring a grant under this 
  section shall submit an application to the Secretary in such manner as 
  the Secretary may require.
      ``(d) Authorization of Appropriations.--There are authorized to be 
  appropriated to make grants under this section $3,000,000 for each of 
  fiscal years 2010 through 2014.''.
  
    TITLE II--STATE OPTION FOR IMPROVING MEDICAID DENTAL SERVICES ACCESS
  
  SEC. 201. SUPPORT FOR ENSURING INDIVIDUALS ENROLLED IN MEDICAID HAVE 
                DENTAL SERVICES ACCESS EQUAL TO THE POPULATION OF THE 
                STATE.
  
      (a) In General.--Section 1903 of the Social Security Act (42 U.S.C. 
  1396b) is amended by adding at the end the following new subsection:
      ``(aa) Equal Access to Oral Health Care Plan.--
              ``(1) Increase in fmap for states implementing approved 
          equal access requirements.--In order to ensure adequate 
          provider participation in the plan under this title and to 
          ensure that individuals covered by the plan have access to oral 
          health care services to the same extent as such services are 
          available to the population of the State, subject to paragraph 
          (3), in the case of a State that obtains the Secretary's 
          approval for its plan under this title to incorporate, and to 
          implement, the requirements specified in paragraph (2), 
          notwithstanding section 1905(b), the Federal medical assistance 
          percentage applied under the plan with respect to expenditures 
          for dental and oral health services for individuals covered 
          under the plan shall be increased by 25 percentage points, but 
          not to exceed 90 percent, at the time the approved plan is 
          implemented.
              ``(2) Provider participation and access requirements.--The 
          requirements specified in this paragraph for a State are that 
          the State provides the Secretary with assurances regarding each 
          of the following:
                      ``(A) Individuals covered by the State plan have 
                  access to oral health care services to the same extent 
                  as such services are available to the population of the 
                  State.
                      ``(B) Payment for dental services for individuals 
                  covered by the State plan is made at levels consistent 
                  with market-based rates.
                      ``(C) No fewer than 35 percent of the practicing 
                  dentists (including a reasonable mix of general 
                  dentists, pediatric dentists, and oral and 
                  maxillofacial surgeons) in the State participate 
                  (whether directly or through a plan providing dental 
                  services) under the State plan and there is reasonable 
                  distribution of such dentists serving the covered 
                  population.
                      ``(D) Administrative barriers under this title are 
                  addressed to facilitate such provider participation, 
                  including improving eligibility verification, ensuring 
                  that any licensed dentist may participate in a publicly 
                  funded plan without also having to participate in any 
                  other plan, simplifying claims forms processing, 
                  assigning a single plan administrator for the dental 
                  program, and employing case managers to reduce the 
                  number of missed appointments.
                      ``(E) Demand for services barriers under this title 
                  is addressed, such as educating caregivers regarding 
                  the need to seek dental services and addressing oral 
                  health care literacy issues.
              ``(3) 3-year review.--Beginning 3 years after the date of 
          the enactment of this section and every 3 years thereafter the 
          Secretary shall evaluate the impact of the increase in the 
          Federal medical assistance percentage under this subsection on 
          the rate of participation of dentists and the use of dental 
          services under the State plan. If the Secretary determines that 
          the increase in such percentage has not resulted in a 
          commensurate increase in such participation and use rate, as 
          determined in consultation with the State involved, paragraph 
          (1) shall no longer apply in such State.''
      (b) Effective Date.--The amendment made by this section shall apply 
  to expenditures in calendar quarters beginning on or after October 1, 
  2009.
target: Essential Oral Health Care Act of 2009 - Amends title V (Maternal and Child Health Services) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services to award grants to eligible entities to purchase portable or mobile dental equipment and to pay for appropriate operational costs, including direct health care or service delivery costs, for the provision of free dental services to underserved populations that are delivered in a manner consistent with state licensing laws.
  
  Amends SSA title XIX (Medicaid) to increase the federal medical assistance percentage (FMAP) for states implementing equal access requirements that ensure that individuals enrolled in the state Medicaid plan have access to oral health care services to the same extent as such services are available to the population of the state.
feat_title: To amend titles V and XIX of the Social Security Act to improve essential oral health care for lower-income individuals under the Maternal and Child Health Program and the Medicaid Program.