Bill Text: DE SB148 | 2015-2016 | 148th General Assembly | Draft

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Bill Title: An Act To Amend Title 31 Of The Delaware Code Relating To Urgent And Preventative Dental Care For Pregnant Medicaid Recipients.

Spectrum: Moderate Partisan Bill (Democrat 7-2)

Status: (Introduced - Dead) 2015-06-24 - Reported Out of Committee (HEALTH & SOCIAL SERVICES) in Senate with 5 On Its Merits [SB148 Detail]

Download: Delaware-2015-SB148-Draft.html

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SPONSOR:	Sen. Hall-Long
	Sens. Blevins, Henry; Reps. Bolden, Jaques, Keeley, Kowalko, Miro

DELAWARE STATE SENATE

148th GENERAL ASSEMBLY

SENATE BILL NO. 148

AN ACT TO AMEND TITLE 31 OF THE DELAWARE CODE RELATING TO URGENT AND PREVENTATIVE DENTAL CARE FOR PREGNANT MEDICAID RECIPIENTS.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:

Section 1.Amend Chapter 5, Title 31 of the Delaware Code by making insertions as shown by underlining and deletions as shown by strikethrough as follows:

§502 Definitions.

(2) "Assistance" means assistance to or on behalf of eligible needy persons or eligible families to enable them to improve their standard of living, including money payments, child care, job training, education, other support services, medical or surgical care, urgent or preventative dental care for pregnant recipients, nursing, burial, board and care in a private institution, adult foster care, rest residential facility for adults, public medical institution as a patient, or such other aid as may be deemed necessary.

(11) "Urgent dental care for pregnant recipients" means examinations, diagnostic radiographs, treatment of pain or infections, including tooth extractions, incisions and drainage, and any other dental care and treatment which the Department of Health and Socials Services shall authorize by regulation, provided on an emergency basis to eligible Medicaid recipients who are pregnant or who become pregnant while receiving assistance.

(12)"Preventative dental care for pregnant recipients" meansexaminations, diagnostic radiographs, dental prophylaxis, non-surgical periodontal therapy, and any other dental care and treatment which the Department of Health and Social Services shall authorize by regulation, provided to eligible Medicaid recipients who are pregnant or who become pregnant while receiving assistance.

§503 Eligibility for assistance; amount; method of payment.

(b) Medicaid -- Medical assistance, including urgent or preventative dental care for pregnant recipients, may be granted to medically and financially eligible persons in accordance with Titles IV-A, IV-E, XVI, and XIX of the Social Security Act [42 U.S.C. §§601 et seq., 670 et seq., 1381 et seq., and 1396 et seq.], federally approved waivers of these sections of the act, and rules and regulations established by the Department of Health and Social Services. Eligibility for and payment of medical assistance shall be determined under policies and regulations established by the Department of Health and Social Services. Eligibility standards, recipient copay and provider reimbursement shall be set in accordance with state and federal mandates, state and federal funding levels, approved waivers and rules and regulations established by the Department. The amount of assistance in each case of medical care shall not duplicate any other coverage or payment made or available for the costs of such health services and supplies.

§505 Categories of Assistance.

(3) Medicaid assistance; assistance granted in the form of medical care, including urgent or preventative dental care for pregnant recipients, to individuals eligible in accordance with Title IV-A, XVI, XIX of the Social Security Act [42 U.S.C. §§601 et seq., 1381 et seq., and 1396 et seq.], federally approved waivers, and rules and regulations established by the Department of Health and Social Services.

§512 Administration.

(7) Guarantee that assistance provided as medical or dental care when paid to providers of such medical or dental care shall be on a prompt basis, usually not later than 30 days from the report of services by a physician, pharmacist or other professional health care provider, or 20 days from the report of services by a hospital or skilled nursing facility; provided, however, that should financial advances from the Department of Finance be necessary to carry out this chapter, they shall be permitted upon the concurrence of the Secretary of the Department of Finance and the Secretary of the Department of Health and Social Services.

Section 2.This Act shall become effective upon the publication in the Register of Regulations of a notice that an appropriation was made.The Controller General shall provide notice to the Registrar of Regulations that the appropriation was made.

SYNOPSIS

This Bill expands Delaware's Public Assistance Code to provide urgent and preventive dental care for eligible Medicaid recipients who are pregnant or become pregnant while receiving assistance.

Author: Senator Hall-Long