86R10865 JG-D
By: West S.B. No. 1263
A BILL TO BE ENTITLED
AN ACT
relating to Medicaid reimbursement for dental services provided to
certain Medicaid recipients.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 32.054, Human Resources Code, is amended
by adding Subsections (f) and (g) to read as follows:
(f) In addition to any emergency dental services already
covered under the medical assistance program, the commission shall
provide medical assistance reimbursement in an annual amount of not
more than $750 for preventive dental services, including diagnostic
services, tooth extractions, fillings, and annual cleanings, for
recipients who are 21 years of age or older.
(g) The commission shall provide medical assistance
reimbursement for the medically necessary use of anesthesia during
a dental service, as determined by the dentist performing the
service, for a recipient with a disability or a recipient who is
receiving treatment by an oral surgeon. The use of anesthesia is
excluded from the annual maximum benefit amount under Subsection
(f).
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect September 1, 2019.