1.Short title; table of
contents
(a)This Act may be cited as the Children’s Dental Health Improvement Act of
2007
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title; table of
contents.
Title I—Improving delivery of pediatric
dental services under medicaid and SCHIP
Sec. 101. Grants to improve the provision
of dental services under medicaid and SCHIP.
Sec. 102. State option to provide
wrap-around SCHIP coverage to children who have other health
coverage.
Title II—Correcting gme payments for dental
residency training programs
Sec. 201. Limitation on the application of
the 1-year lag in the indirect medical education ratio (IME) changes and the
3-year rolling average for counting interns and residents for IME and direct
graduate medical education (D–GME) payments under the medicare
program.
Title III—Improving delivery of pediatric
dental services under community health Centers, public health departments, and
the Indian Health Service.
Sec. 301. Grants to improve the provision
of dental health services through community health centers and public health
departments.
Sec. 302. Dental officer multiyear
retention bonus for the Indian Health Service.
Sec. 303. Demonstration projects to
increase access to pediatric dental services in underserved areas.
Sec. 304. Technical
correction.
Title IV—Improving oral health promotion and
disease prevention programs
Sec. 401. Oral health
initiative.
Sec. 402. CDC reports.
Sec. 403. Early childhood
caries.
Sec. 404. School-based dental sealant
program.
Sec. 405. Basic oral health
promotion.
<enum>I</enum><header>Improving
delivery of pediatric dental services under medicaid and SCHIP</header>
<section id="ID79CB77D6A34D4EC1BDAA54E87FBB5C6B"><enum>101.</enum><header>Grants to
improve the provision of dental services under medicaid and SCHIP</header><text display-inline="no-display-inline">Title V of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/701">42 U.S.C. 701</external-xref> et
seq.) is amended by adding at the end the following:</text>
<quoted-block act-name="Social Security Act" id="IDD5389DCE6F9E47CA8DC1F741347554AD">
<section id="ID6C9C4E64FAE345E29895764841DD611B"><enum>511.</enum><header>Grants to
improve the provision of dental services under medicaid and SCHIP</header>
<subsection id="IDC251379E7A1E48A2B03EA6CD3C3EE574"><enum>(a)</enum><header>Authority to
make grants</header><text>In addition to any other payments made under this
title to a State, the Secretary shall award grants to States that satisfy the
requirements of subsection (b) to improve the provision of dental services to
children who are enrolled in a State plan under title XIX or a State child
health plan under title XXI (in this section, collectively referred to as the
<quote>State plans</quote>).</text>
</subsection><subsection id="ID63F79A7C4F224C7F9F311ED50600F3B4"><enum>(b)</enum><header>Requirements</header><text>In
order to be eligible for a grant under this section, a State shall provide the
Secretary with the following assurances:</text>
<paragraph id="ID1C96A0C843A24D6AB55F293DEBD9A4B9"><enum>(1)</enum><header>Improved
service delivery</header><text>The State shall have a plan to improve the
delivery of dental services to children, including children with special health
care needs, who are enrolled in the State plans, including providing outreach
and administrative case management, improving collection and reporting of
claims data, and providing incentives, in addition to raising reimbursement
rates, to increase provider participation.</text>
</paragraph><paragraph id="ID050C9C7D4E7D47B196C0D4BA00576BA2"><enum>(2)</enum><header>Adequate
payment rates</header><text>The State has provided for payment under the State
plans for dental services for children at levels consistent with the
market-based rates and sufficient enough to enlist providers to treat children
in need of dental services.</text>
</paragraph><paragraph id="ID2AE1130767F647ACAB5944EAE65991AD"><enum>(3)</enum><header>Ensured
access</header><text>The State shall ensure it will make dental services
available to children enrolled in the State plans to the same extent as such
services are available to the general population of the State.</text>
</paragraph></subsection><subsection id="IDB883D6A5FF8B46C2BB4E284EAF4CFCC0"><enum>(c)</enum><header>Use of
funds</header>
<paragraph id="IDEEEB26869FCD4089BB14E5024BF19E82"><enum>(1)</enum><header>In
general</header><text>Funds provided under this section may be used to provide
administrative resources (such as program development, provider training, data
collection and analysis, and research-related tasks) to assist States in
providing and assessing services that include preventive and therapeutic dental
care regimens.</text>
</paragraph><paragraph id="ID8AD35097610344A5817DA653D4B26CB2"><enum>(2)</enum><header>Limitation</header><text>Funds
provided under this section may not be used for payment of direct dental,
medical, or other services or to obtain Federal matching funds under any
Federal program.</text>
</paragraph></subsection><subsection id="ID576CD210F58C457580AD535D7D38703D"><enum>(d)</enum><header>Application</header><text>A
State shall submit an application to the Secretary for a grant under this
section in such form and manner and containing such information as the
Secretary may require.</text>
</subsection><subsection id="IDCEEBDBC10A5943F891B385747EED7287"><enum>(e)</enum><header>Authorization
of appropriations</header><text>There are authorized to be appropriated to make
grants under this section $50,000,000 for fiscal year 2008 and each fiscal year
thereafter.</text>
</subsection><subsection id="ID8ADB668D0B1047F7A8A000599D27EB44"><enum>(f)</enum><header>Application of
other provisions of title</header>
<paragraph id="ID0D93D5C5E9274A7FA8CBEB66438007E0"><enum>(1)</enum><header>In
general</header><text>Except as provided in paragraph (2), the other provisions
of this title shall not apply to a grant made under this section.</text>
</paragraph><paragraph id="ID86F0594172E84CF79196DAAF1DEBA6E1"><enum>(2)</enum><header>Exceptions</header><text>The
following provisions of this title shall apply to a grant made under subsection
(a) to the same extent and in the same manner as such provisions apply to
allotments made under section 502(c):</text>
<subparagraph id="ID80427C66DAC7435C8142F37FD13C926D"><enum>(A)</enum><text>Section 504(b)(6)
(relating to prohibition on payments to excluded individuals and
entities).</text>
</subparagraph><subparagraph id="ID6FA2B132F652465FADC97C2F4D619902"><enum>(B)</enum><text>Section 504(c)
(relating to the use of funds for the purchase of technical assistance).</text>
</subparagraph><subparagraph id="ID1BA4F88F2D074AEFB03524562E3F3B04"><enum>(C)</enum><text>Section 504(d)
(relating to a limitation on administrative expenditures).</text>
</subparagraph><subparagraph id="ID999BC11931B1412B95B0413494E905C3"><enum>(D)</enum><text>Section 506
(relating to reports and audits), but only to the extent determined by the
Secretary to be appropriate for grants made under this section.</text>
</subparagraph><subparagraph id="ID1B5E9F36E042475D97B20598E9C3C03D"><enum>(E)</enum><text>Section 507
(relating to penalties for false statements).</text>
</subparagraph><subparagraph id="ID2A59C3EF520746718D3CB3A0949F102B"><enum>(F)</enum><text>Section 508
(relating to nondiscrimination).</text>
</subparagraph><subparagraph id="ID38A8A586C6364371A356EFC085003740"><enum>(G)</enum><text>Section 509
(relating to the administration of the grant
program).</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="IDFE1BF3CE827B4D95957E343BFC5B44AE"><enum>102.</enum><header>State option
to provide wrap-around SCHIP coverage to children who have other health
coverage</header>
<subsection id="IDA6F5F64D63E147B9B967E22B97F31C5D"><enum>(a)</enum><header>In
general</header>
<paragraph id="ID7B1B2BB87057435C837CF200D641FDB4"><enum>(1)</enum><header>SCHIP</header>
<subparagraph id="ID66B0A5EA89964B969E76F1F24FD0D9AC"><enum>(A)</enum><header>State option to
provide wrap-around coverage</header><text><external-xref legal-doc="act" parsable-cite="SSA/2110(b)">Section 2110(b)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397jj(b)">42 U.S.C.
1397jj(b)</external-xref>) is amended—</text>
<clause id="ID8BBDD6CCB6214F40AD0603D919872D83"><enum>(i)</enum><text>in
paragraph (1)(C), by inserting <quote>, subject to paragraph (5),</quote> after
<quote>under title XIX or</quote>; and</text>
</clause><clause id="IDDEC91D1B77C949EFA3B4CC69BFF7D688"><enum>(ii)</enum><text>by
adding at the end the following:</text>
<quoted-block id="ID17DA6127DB654143B31071CAC4008500">
<paragraph id="IDA3DBEC49E2CA489EA0E3439746E9E6EA"><enum>(5)</enum><header>State option to
provide wrap-around coverage</header><text>A State may waive the requirement of
paragraph (1)(C) that a targeted low-income child may not be covered under a
group health plan or under health insurance coverage, if the State satisfies
the conditions described in subsection (c)(8). The State may waive such
requirement in order to provide—</text>
<subparagraph id="ID7C6D6531A3CC42D8911217A92827FBA7"><enum>(A)</enum><text>dental
services;</text>
</subparagraph><subparagraph id="ID47668AF63C4A41F1AC252509EB1FBC8F"><enum>(B)</enum><text>cost-sharing
protection; or</text>
</subparagraph><subparagraph id="IDF2343BD28601412883053E6EA24B8DEE"><enum>(C)</enum><text>all
services.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">In waiving
such requirement, a State may limit the application of the waiver to children
whose family income does not exceed a level specified by the State, so long as
the level so specified does not exceed the maximum income level otherwise
established for other children under the State child health
plan.</continuation-text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="ID1AD0B6AD1F9346358EE6E79B6CC633B6"><enum>(B)</enum><header>Conditions
described</header><text><external-xref legal-doc="act" parsable-cite="SSA/2105(c)">Section 2105(c)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397ee(c)">42 U.S.C.
1397ee(c)</external-xref>) is amended by adding at the end the
following:</text>
<quoted-block act-name="Social Security Act" id="ID54E4B4B422D24B58BE9718CDA7486FFB">
<paragraph id="IDEADC67F524E54918A6A7ACDA42F439B6"><enum>(8)</enum><header>Conditions for
provision of wrap-around coverage</header><text>For purposes of section
2110(b)(5), the conditions described in this paragraph are the
following:</text>
<subparagraph id="IDF3F954215E2746A4A2A1F58F488D4E3C"><enum>(A)</enum><header>Income
eligibility</header><text>The State child health plan (whether implemented
under title XIX or this XXI)—</text>
<clause id="IDC7DF4BB953404165BD0965220756FA2B"><enum>(i)</enum><text>has the highest
income eligibility standard permitted under this title as of January 1,
2008;</text>
</clause><clause id="ID2E67D2C98A184ED200CB39B44E179896"><enum>(ii)</enum><text>subject to
subparagraph (B), does not limit the acceptance of applications for children;
and</text>
</clause><clause id="ID7DA0639A847747428F5BED4E0076EC40"><enum>(iii)</enum><text>provides
benefits to all children in the State who apply for and meet eligibility
standards.</text>
</clause></subparagraph><subparagraph id="IDB2E192A9026F4D769270A43EAF07EA07"><enum>(B)</enum><header>No waiting list
imposed</header><text>With respect to children whose family income is at or
below 200 percent of the poverty line, the State does not impose any numerical
limitation, waiting list, or similar limitation on the eligibility of such
children for child health assistance under such State plan.</text>
</subparagraph><subparagraph id="ID8EA856D795DF47EFBE998613EDD014BF"><enum>(C)</enum><header>No more
favorable treatment</header><text>The State child health plan may not provide
more favorable coverage of dental services to the children covered under
section 2110(b)(5) than to children otherwise covered under this
title.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="IDEA6E9CBD04BB4A96BD5F114F7F9CAB7E"><enum>(C)</enum><header>State option to
waive waiting period</header><text><external-xref legal-doc="act" parsable-cite="SSA/2102(b)(1)(B)">Section
2102(b)(1)(B)</external-xref> of the <act-name parsable-cite="SSA">Social
Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397bb(b)(1)(B)">42 U.S.C.
1397bb(b)(1)(B)</external-xref>) is amended—</text>
<clause id="ID7A812E599D834C9490E48F83A46393F1"><enum>(i)</enum><text>in
clause (i), by striking <quote>and</quote> at the end;</text>
</clause><clause id="IDF69F1E35BBFD410A985133007CEE7C00"><enum>(ii)</enum><text>in
clause (ii), by striking the period and inserting <quote>; and</quote>;
and</text>
</clause><clause id="ID9EB29EBEA4E84611BEE2D92C999FDDF4"><enum>(iii)</enum><text>by adding at
the end the following:</text>
<quoted-block id="ID73E33B1F5FB441679B4379A390316332">
<clause id="ID0C302574C23F45C7B637377001D6FBF4"><enum>(iii)</enum><text>at State
option, may not apply a waiting period in the case of a child described in
section 2110(b)(5), if the State satisfies the requirements of section
2105(c)(8).</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="ID74A15083064C4FCA9BC3DBCBFE7CAD48"><enum>(2)</enum><header>Application of
enhanced match under medicaid</header><text><external-xref legal-doc="act" parsable-cite="SSA/1905">Section 1905</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d</external-xref>)
is amended—</text>
<subparagraph id="ID75DB529FC80947088386819CDFDA112C"><enum>(A)</enum><text>in subsection
(b), in the fourth sentence, by striking <quote>or subsection (u)(3)</quote>
and inserting <quote>(u)(3), or (u)(4)</quote>; and</text>
</subparagraph><subparagraph id="IDAC3FB599CB2D4138B400EEBEB5CE9B40"><enum>(B)</enum><text>in subsection
(u)—</text>
<clause id="ID966F54F809574F24B06F8503833FEE78"><enum>(i)</enum><text>by
redesignating paragraph (4) as paragraph (5); and</text>
</clause><clause id="ID7ED2F60AE3B64E78A064A000E09D7E59"><enum>(ii)</enum><text>by
inserting after paragraph (3) the following:</text>
<quoted-block id="ID9F36C6EFB58146A499CA1D29F660022E">
<paragraph id="ID4FF2D09560A5494799D84C5B6DCDF893"><enum>(4)</enum><text>For purposes of
subsection (b), the expenditures described in this paragraph are expenditures
for items and services for children described in section 2110(b)(5), but only
in the case of a State that satisfies the requirements of section
2105(c)(8).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="ID38B9151F302B4360B100B900A864E4B9"><enum>(3)</enum><header>Application of
secondary payor provisions</header><text><external-xref legal-doc="act" parsable-cite="SSA/2107(e)(1)">Section 2107(e)(1)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397gg(e)(1)">42 U.S.C.
1397gg(e)(1)</external-xref>) is amended—</text>
<subparagraph id="ID6B1C23BDD731475DBFE2AC0827E40000"><enum>(A)</enum><text>by redesignating
subparagraphs (B) through (D) as subparagraphs (C) through (E), respectively;
and</text>
</subparagraph><subparagraph id="ID7C594C234C4546C3B46D1D4112E28535"><enum>(B)</enum><text>by inserting
after subparagraph (A) the following:</text>
<quoted-block id="ID1265311C04844BDAB589094D308E00A8">
<subparagraph id="ID57EE6E3064804ED193CAC19FB000042C"><enum>(B)</enum><text>Section
1902(a)(25) (relating to coordination of benefits and secondary payor
provisions) with respect to children covered under a waiver described in
section
2110(b)(5).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="IDE0387914F75E407C80B46F1304228873"><enum>(b)</enum><header>Effective
date</header><text>The amendments made by subsection (a) shall take effect on
January 1, 2008, and shall apply to child health assistance and medical
assistance provided on or after that date.</text>
</subsection></section><enum>II</enum><header>Correcting gme
payments for dental residency training programs</header>
<section id="ID464E8D3D19ED42549F93F911073E7600"><enum>201.</enum><header>Limitation on
the application of the 1-YEAR lag in the indirect medical education ratio (ime)
changes and the 3-YEAR rolling average for counting interns and residents for
IME and direct graduate medical education (d–gme) payments under the Medicare
program</header>
<subsection id="IDEF2C2F37E1464E3BB9EDC0CFB3066800"><enum>(a)</enum><header>IME ratio and
rolling average</header><text><external-xref legal-doc="act" parsable-cite="SSA/1886(d)(5)(B)(vi)">Section 1886(d)(5)(B)(vi)</external-xref>
of the <act-name parsable-cite="SSA">Social Security Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww(d)(5)(B)(vi)">42
U.S.C. 1395ww(d)(5)(B)(vi)</external-xref>) is amended by adding at the end the
following new sentence: <quote>For cost reporting periods beginning during
fiscal years beginning on or after October 1, 2007, subclauses (I) and (II)
shall be applied only with respect to a hospital’s approved medical residency
training program in the fields of allopathic medicine and osteopathic
medicine.</quote>.</text>
</subsection><subsection id="ID8B6F851092924BD3A1334036BAEB879F"><enum>(b)</enum><header>D–GME rolling
average</header><text><external-xref legal-doc="act" parsable-cite="SSA/1886(h)(4)(G)">Section 1886(h)(4)(G)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww(h)(4)(G)">42 U.S.C.
1395ww(h)(4)(G)</external-xref>) is amended by adding at the end the following
new clause:</text>
<quoted-block act-name="Social Security Act" id="IDC173BB747DB04C06B7A850DDCF1B00F1">
<clause id="IDB7198EC789804CD5A0C075E7B13900AB"><enum>(iv)</enum><header>Application
for fy 2008 and subsequent years</header><text>For cost reporting periods
beginning during fiscal years beginning on or after October 1, 2007, clauses
(i) through (iii) shall be applied only with respect to a hospital’s approved
medical residency training program in the fields of allopathic medicine and
osteopathic
medicine.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><enum>III</enum><header>Improving
delivery of pediatric dental services under community health Centers, public
health departments, and the Indian Health Service</header>
<section id="IDDD9E64C4E6ED49DC9DC6CD2030D5D550"><enum>301.</enum><header>Grants to
improve the provision of dental health services through community health
Centers and public health departments</header><text display-inline="no-display-inline">Subpart I of part D of title III of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/254b">42 U.S.C.
254b</external-xref> et seq.) is amended by insert before section 330, the
following:</text>
<quoted-block act-name="Public Health Service Act" id="ID008BC2C3E55A4C42A4D0D6BC516062BC">
<section id="IDDA26CD61A4D1450896CCB9B23B23192D"><enum>329.</enum><header>Grant program
to expand the availability of services</header>
<subsection id="IDD560F0ADC3974B98879700264F51C01E"><enum>(a)</enum><header>In
general</header><text>The Secretary, acting through the Health Resources and
Services Administration, shall establish a program under which the Secretary
may award grants to eligible entities and eligible individuals to expand the
availability of primary dental care services in dental health professional
shortage areas or medically underserved areas.</text>
</subsection><subsection id="ID2D29C98D37174A64AF1BB804E1FAC81B"><enum>(b)</enum><header>Eligibility</header>
<paragraph id="ID80FFA21F2E0248FF98402B34BB42EF25"><enum>(1)</enum><header>Entities</header><text>To
be eligible to receive a grant under this section an entity—</text>
<subparagraph id="IDB25833DFC3E3499388C15CF61F13D2E9"><enum>(A)</enum><text>shall be—</text>
<clause id="ID07AF1EF9402D4755B9A6C78FD3629FBA"><enum>(i)</enum><text>a
health center receiving funds under section 330 or designated as a Federally
qualified health center;</text>
</clause><clause id="ID4802E7E8B6A248DBB3D0D09800E5FD00"><enum>(ii)</enum><text>a county or
local public health department, if located in a federally-designated dental
health professional shortage area;</text>
</clause><clause id="ID424EF5B55CD245258F01E9DDC69E002F"><enum>(iii)</enum><text>an Indian tribe
or tribal organization (as defined in section 4 of the
<act-name parsable-cite="ISDA">Indian Self-Determination and Education
Assistance Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>));</text>
</clause><clause id="ID2B77BE64512A4DAEB626E66771FE0088"><enum>(iv)</enum><text>a dental
education program accredited by the Commission on Dental Accreditation;
or</text>
</clause><clause id="ID15FAC1D326A14151AD822257F736BAB2"><enum>(v)</enum><text>a
community-based program whose child service population is made up of at least
33 percent of children who are eligible children, including at least 25 percent
of such children being children with mental retardation or related
developmental disabilities, unless specific documentation of a lack of need for
access by this sub-population is established; and</text>
</clause></subparagraph><subparagraph id="ID0581D76422284AC6B8EA5FB8600063C7"><enum>(B)</enum><text>shall prepare and
submit to the Secretary an application at such time, in such manner, and
containing such information as the Secretary may require, including information
concerning dental provider capacity to serve individuals with developmental
disabilities.</text>
</subparagraph></paragraph><paragraph id="IDC7B9D35B47FE421AAB17BDF579099835"><enum>(2)</enum><header>Individuals</header><text>To
be eligible to receive a grant under this section an individual shall—</text>
<subparagraph id="ID7F7A8A0416164247AE002EAC35430003"><enum>(A)</enum><text>be a dental
health professional licensed or certified in accordance with the laws of State
in which such individual provides dental services;</text>
</subparagraph><subparagraph id="ID1ED6DB48563942098340006C00F1DF61"><enum>(B)</enum><text>prepare and
submit to the Secretary an application at such time, in such manner, and
containing such information as the Secretary may require; and</text>
</subparagraph><subparagraph id="ID0BB1F3313B0B4F368DFC43B7C8B9F859"><enum>(C)</enum><text>provide
assurances that—</text>
<clause id="IDD055828151EB4F6AA3628D882DF87228"><enum>(i)</enum><text>the individual
will practice in a federally-designated dental health professional shortage
area; or</text>
</clause><clause id="ID9A78F80FB62245B38E731B10297532C1"><enum>(ii)</enum><text>not less than 25
percent of the patients of such individual are—</text>
<subclause id="ID037134118B0B4BEC83BA129DEF925239"><enum>(I)</enum><text>receiving
assistance under a State plan under title XIX of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396</external-xref> et
seq.);</text>
</subclause><subclause id="ID3D9094883473446CB653B16EEF42BF95"><enum>(II)</enum><text>receiving
assistance under a State plan under title XXI of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397aa">42 U.S.C. 1397aa</external-xref>
et seq.); or</text>
</subclause><subclause id="ID01C234C2448345F3A4A92CD095772660"><enum>(III)</enum><text>uninsured.</text>
</subclause></clause></subparagraph></paragraph></subsection><subsection id="ID7E98FF0817844C9C9B86962435B09DD5"><enum>(c)</enum><header>Use of
funds</header>
<paragraph id="ID8ACAB8C246D84D289DEF05D028936132"><enum>(1)</enum><header>Entities</header><text>An
entity shall use amounts received under a grant under this section to provide
for the increased availability of primary dental services in the areas
described in subsection (a). Such amounts may be used to supplement the
salaries offered for individuals accepting employment as dentists in such
areas.</text>
</paragraph><paragraph id="ID06591A2ECC8A44588C15302FBF5E5253"><enum>(2)</enum><header>Individuals</header><text>A
grant to an individual under subsection (a) shall be in the form of a $1,000
bonus payment for each month in which such individual is in compliance with the
eligibility requirements of subsection (b)(2)(C).</text>
</paragraph></subsection><subsection id="IDA6889E21E0924B01A4553F138D281E44"><enum>(d)</enum><header>Authorization
of appropriations</header>
<paragraph id="IDEE13B9A6700840CE8D2241D700B764A7"><enum>(1)</enum><header>In
general</header><text>Notwithstanding any other amounts appropriated under
section 330 for health centers, there is authorized to be appropriated
$40,000,000 for each of fiscal years 2008 through 2012 to hire and retain
dental health care providers under this section.</text>
</paragraph><paragraph id="ID824F60FFD5FD4A629382451628156B2F"><enum>(2)</enum><header>Use of
funds</header><text>Of the amount appropriated for a fiscal year under
paragraph (1), the Secretary shall use—</text>
<subparagraph id="ID589672F895014A4786282D64E4B0E1DC"><enum>(A)</enum><text>not less than 65
percent of such amount to make grants to eligible entities; and</text>
</subparagraph><subparagraph id="ID49457704327542AF88CC2B16AC55B093"><enum>(B)</enum><text>not more than 35
percent of such amount to make grants to eligible
individuals.</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="IDC8C8E14B94F64020B3EBEA7EF0604100"><enum>302.</enum><header>Dental officer
multiyear retention bonus for the Indian Health Service</header>
<subsection id="IDFC86CEEFA8D7494F9BC88BEF99FA6FB8"><enum>(a)</enum><header>Terms and
definitions</header><text>In this section:</text>
<paragraph id="ID1F83CF4B9DCF4BF686E41E47F5E325AE"><enum>(1)</enum><header>Creditable
service</header><text>The term <term>creditable service</term> includes all
periods that a dental officer spent in graduate dental educational (GDE)
training programs while not on active duty in the Indian Health Service and all
periods of active duty in the Indian Health Service as a dental officer.</text>
</paragraph><paragraph id="IDFE47B6EE28BB427CA68E757133020071"><enum>(2)</enum><header>Dental
officer</header><text>The term <term>dental officer</term> means an officer of
the Indian Health Service designated as a dental officer.</text>
</paragraph><paragraph id="ID233ED8E05D93400B8E153C56B72B7709"><enum>(3)</enum><header>Director</header><text>The
term <term>Director</term> means the Director of the Indian Health
Service.</text>
</paragraph><paragraph id="ID882AD95B95DB49F7B24200FCAF7F6D6B"><enum>(4)</enum><header>Residency</header><text>The
term <term>residency</term> means a graduate dental educational (GDE) training
program of at least 12 months leading to a specialty, including general
practice residency (GPR) or an advanced education general dentistry
(AEGD).</text>
</paragraph><paragraph id="IDCFA0843081D64558B61EF5B62F95BB6E"><enum>(5)</enum><header>Specialty</header><text>The
term <term>specialty</term> means a dental specialty for which there is an
Indian Health Service specialty code number.</text>
</paragraph></subsection><subsection id="ID179346698968424E90DE79AF63286CEA"><enum>(b)</enum><header>Requirements
for bonus</header>
<paragraph id="IDD986292481004431AD058D1766A1B4A8"><enum>(1)</enum><header>In
general</header><text>An eligible dental officer of the Indian Health Service
who executes a written agreement to remain on active duty for 2, 3, or 4 years
after the completion of any other active duty service commitment to the Indian
Health Service may, upon acceptance of the written agreement by the Director,
be authorized to receive a dental officer multiyear retention bonus under this
section. The Director may, based on requirements of the Indian Health Service,
decline to offer such a retention bonus to any specialty that is otherwise
eligible, or to restrict the length of such a retention bonus contract for a
specialty to less than 4 years.</text>
</paragraph><paragraph id="IDA2615AFE73584857A7F541102850BCC6"><enum>(2)</enum><header>Limitations</header><text>Each
annual dental officer multiyear retention bonus authorized under this section
shall not exceed the following:</text>
<subparagraph id="IDBA5104FBFB6649548F4E02AFD30719A3"><enum>(A)</enum><text>$14,000 for a
4-year written agreement.</text>
</subparagraph><subparagraph id="IDF542AD8B7F4C49D3ACFBB497CC1B9B9B"><enum>(B)</enum><text>$8,000 for a
3-year written agreement.</text>
</subparagraph><subparagraph id="IDB5D6D0055EAC4D278DB8B757A66C66A0"><enum>(C)</enum><text>$4,000 for a
2-year written agreement.</text>
</subparagraph></paragraph></subsection><subsection id="ID163863A0B2414239BEC3A082E6F3E36C"><enum>(c)</enum><header>Eligibility</header>
<paragraph id="IDDB41378C035E47C391B3F8AFCC5E3C8F"><enum>(1)</enum><header>In
general</header><text>In order to be eligible to receive a dental officer
multiyear retention bonus under this section, a dental officer shall—</text>
<subparagraph id="ID79DB64195E064F2482C353A7F2074038"><enum>(A)</enum><text>be at or below
such grade as the Director shall determine;</text>
</subparagraph><subparagraph id="IDBFFA351001874CC0BE6011C534948552"><enum>(B)</enum><text>have completed
any active duty service commitment of the Indian Health Service incurred for
dental education and training or have 8 years of creditable service;</text>
</subparagraph><subparagraph id="ID07E548C8E0DF4CC5983400D3AFCE4B5E"><enum>(C)</enum><text>have completed
initial residency training, or be scheduled to complete initial residency
training before September 30 of the fiscal year in which the officer enters
into a dental officer multiyear retention bonus written service agreement under
this section; and</text>
</subparagraph><subparagraph id="IDAB344477AA474B708725F77761AE905F"><enum>(D)</enum><text>have a dental
specialty in pediatric dentistry or oral and maxillofacial surgery.</text>
</subparagraph></paragraph><paragraph id="ID643AFE95B710478086AB395B914B2BA5"><enum>(2)</enum><header>Extension to
other officers</header><text>The Director may extend the retention bonus to
dental officers other than officers with a dental specialty in pediatric
dentistry, as well as to other dental hygienists with a minimum of a
baccalaureate degree, based on demonstrated need.</text>
</paragraph></subsection><subsection id="ID7ED527282E034EC988B9CDE8BE81B9AD"><enum>(d)</enum><header>Termination of
entitlement to special pay</header><text>The Director may terminate, with
cause, at any time a dental officer’s multiyear retention bonus contract under
this section. If such a contract is terminated, the unserved portion of the
retention bonus contract shall be recouped on a pro rata basis. The Director
shall establish regulations that specify the conditions and procedures under
which termination may take place. The regulations and conditions for
termination shall be included in the written service contract for a dental
officer multiyear retention bonus under this section.</text>
</subsection><subsection id="IDB9BE934B9B3845B99210ABA8AE398CA3"><enum>(e)</enum><header>Refunds</header>
<paragraph id="ID8BF71705DEE9414A94BDD9742D8E23A5"><enum>(1)</enum><header>In
general</header><text>Prorated refunds shall be required for sums paid under a
retention bonus contract under this section if a dental officer who has
received the retention bonus fails to complete the total period of service
specified in the contract, as conditions and circumstances warrant.</text>
</paragraph><paragraph id="ID67B8BDB44382486680D4009BAEDF54D2"><enum>(2)</enum><header>Debt to United
States</header><text>An obligation to reimburse the United States imposed under
paragraph (1) is a debt owed to the United States.</text>
</paragraph><paragraph id="IDB292C2E36F4D41568055B0C5671839E8"><enum>(3)</enum><header>No discharge in
bankruptcy</header><text>Notwithstanding any other provision of law, a
discharge in bankruptcy under title 11, United States Code, that is entered
less than 5 years after the termination of a retention bonus contract under
this section does not discharge the dental officer who signed such a contract
from a debt arising under the contract or under paragraph (1).</text>
</paragraph></subsection></section><section id="ID08B3BCA734164FF09791146070A73454"><enum>303.</enum><header>Demonstration
projects to increase access to pediatric dental services in underserved
areas</header>
<subsection id="ID078CAF175E1F45EDB9A895B031003827"><enum>(a)</enum><header>Authority To
conduct projects</header><text>The Secretary of Health and Human Services,
through the Administrator of the Health Resources and Services Administration
and the Director of the Indian Health Service, shall establish demonstration
projects that are designed to increase access to dental services for children
in underserved areas, as determined by the Secretary.</text>
</subsection><subsection id="IDD4F2E7BCAE034D6C8C03A5EC63C3DEA0"><enum>(b)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated such
sums as may be necessary to carry out this section.</text>
</subsection></section><section id="ID6C0C0A767C31414EBC7C2829CF109002"><enum>304.</enum><header>Technical
correction</header><text display-inline="no-display-inline">Section
340G(b)(1)(B) of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/256g(b)(1)(B)">42 U.S.C. 256g(b)(1)(B)</external-xref>)
is amended by striking <quote>and</quote> at the end and inserting
<quote>or</quote>.</text>
</section><enum>IV</enum><header>Improving oral
health promotion and disease prevention programs</header>
<section id="ID1E2196DAE9484ADEA733FA4246E73C9F"><enum>401.</enum><header>Oral health
initiative</header>
<subsection id="IDD5BAA939871247E19E5393570015CCB9"><enum>(a)</enum><header>Establishment</header><text>The
Secretary of Health and Human Services shall establish an oral health
initiative to reduce the profound disparities in oral health by improving the
health status of vulnerable populations, particularly low-income children and
children with developmental disabilities, to the level of health status that is
enjoyed by the majority of Americans.</text>
</subsection><subsection id="ID04D3EC0FDABE4B5CAA0026F5A4BE1649"><enum>(b)</enum><header>Activities</header><text>The
Secretary of Health and Human Services shall, through the oral health
initiative—</text>
<paragraph id="ID3AD5A73759D4451DA27CD20672F9F862"><enum>(1)</enum><text>carry out
activities to improve intra- and inter-agency collaborations, including
activities to identify, engage, and encourage existing Federal and State
programs to maximize their potential to address oral health;</text>
</paragraph><paragraph id="ID233399F6C58F4E1BAF8417882CD9856F"><enum>(2)</enum><text>carry out
activities to encourage public-private partnerships to engage private sector
communities of interest (including health professionals, educators, State
policymakers, foundations, business, and the public) in partnerships that
promote oral health and dental care;</text>
</paragraph><paragraph id="ID3784B7ABBF89427784D570E52B2371EC"><enum>(3)</enum><text>carry out
activities to reduce the disease burden in high risk populations through the
application of best-science in oral health, including programs such as
community water fluoridation and dental sealants; and</text>
</paragraph><paragraph id="IDCEFB55C79E4D4920A1DF1B4D5F03CA15"><enum>(4)</enum><text>carry out
activities to improve the oral health literacy of the public through
school-based education programs.</text>
</paragraph></subsection><subsection id="ID8BF96C75AA6547D8A15BF4FE7C107544"><enum>(c)</enum><header>Coordination</header><text>The
Secretary of Health and Human Services shall—</text>
<paragraph id="ID19E6101B7FBC4A5CA488E6989DDD71AA"><enum>(1)</enum><text>through the
Administrator of the Centers for Medicare & Medicaid Services, establish
the Chief Dental Officer for the medicaid and State children’s health insurance
programs established under titles XIX and XXI, respectively, of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396</external-xref> et
seq. 1397aa et seq.);</text>
</paragraph><paragraph id="ID281A877800284B8BADA9C18F7F325000"><enum>(2)</enum><text>through the
Administrator of the Health Resources and Services Administration, establish
the Chief Dental Office for all oral health programs within the Health
Resources and Services Administration;</text>
</paragraph><paragraph id="ID0A1257CABE984A388791F0E562C97F6F"><enum>(3)</enum><text>through the
Director of the Centers for Disease Control and Prevention, establish the Chief
Dental Officer for all oral health programs within such Centers; and</text>
</paragraph><paragraph id="ID73637955158449F7B2C8D1AA899DCCEA"><enum>(4)</enum><text>carry out this
section in collaboration with the Administrators and Chief Dental Officers
described in paragraphs (1), (2), and (3).</text>
</paragraph></subsection><subsection id="ID05382C4E4983484FBC660000006F9CC3"><enum>(d)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section, $25,000,000 for fiscal year 2008, and such sums as may be
necessary for each subsequent fiscal year.</text>
</subsection></section><section id="ID35B4A5EF3AFA425C8700EFEB51B3AD51"><enum>402.</enum><header>CDC
reports</header>
<subsection id="IDC2D0F9CABF6840F4B746A09EEC36B004"><enum>(a)</enum><header>Collection of
data</header><text>The Director of the Centers for Disease Control and
Prevention, in collaboration with other organizations and agencies, shall
collect data through State-based oral health surveillance systems describing
the dental, craniofacial, and oral health of residents of all 50 States and
certain Indian tribes.</text>
</subsection><subsection id="IDD1DA5D42DDC74B54815283FD66A4CB74"><enum>(b)</enum><header>Reports</header><text>The
Director of the Centers for Disease Control and Prevention shall compile and
analyze data collection under subsection (a) and annually prepare and submit to
the appropriate committees of Congress a report concerning the oral health of
States and Indian tribes.</text>
</subsection></section><section id="ID7E8EB57844324C1F8D6486A0372E0464"><enum>403.</enum><header>Early
childhood caries</header>
<subsection id="IDC5B113B8AFA2441E98E6BA9EED972640"><enum>(a)</enum><header>In
general</header><text>The Secretary of Health and Human Services, acting
through the Director of the Centers for Disease Control and Prevention,
shall—</text>
<paragraph id="IDF1235C8202BD4B6ABC982EF24D9F9DF5"><enum>(1)</enum><text>expand existing
surveillance activities to include the identification of children at high risk
of early childhood caries, including sub-populations such as children with
developmental disabilities;</text>
</paragraph><paragraph id="ID32BA0D1D98A5414CB7017CE22137EAC6"><enum>(2)</enum><text>assist State,
local, and tribal health agencies and departments in collecting, analyzing and
disseminating data on early childhood caries; and</text>
</paragraph><paragraph id="IDD69068267A1B4301B972A8A5DE55429B"><enum>(3)</enum><text>provide for the
development of public health nursing programs and public health education
programs on early childhood caries prevention.</text>
</paragraph></subsection><subsection id="ID74CE1EB0B55C4CB10052423959E0D375"><enum>(b)</enum><header>Appropriateness
of activities</header><text>The Secretary of Health and Human Services shall
carry out programs and activities under subsection (a) in a culturally
appropriate manner with respect to populations at risk of early childhood
caries.</text>
</subsection><subsection id="ID5168C1340BBF4881BD67A8D8AB7DF5E3"><enum>(c)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section, such sums as may be necessary for each fiscal year.</text>
</subsection></section><section id="IDB49357DDE7124B5E8CCE569EE9DA5000"><enum>404.</enum><header>School-based
dental sealant program</header><text display-inline="no-display-inline">Section
317M(c) of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (42 U.S.C. 247b–14(c)) is amended—</text>
<paragraph id="IDCC628C0D62D5407BB17E9F0865000055"><enum>(1)</enum><text>in paragraph (1),
by inserting <quote>and school-linked</quote> after
<quote>school-based</quote>;</text>
</paragraph><paragraph id="ID182F8980BE12404EA6EC38C2A1C91701"><enum>(2)</enum><text>in the first
sentence of paragraph (2)—</text>
<subparagraph id="IDFF98E64CB67A460CB4953F052516FEBE"><enum>(A)</enum><text>by inserting
<quote>and school-linked</quote> after <quote>school-based</quote>; and</text>
</subparagraph><subparagraph id="ID896DE912232F4006848C9D3391B831FC"><enum>(B)</enum><text>by inserting
<quote>or Indian tribe</quote> after <quote>State</quote>; and</text>
</subparagraph></paragraph><paragraph id="IDDF6283F42D34497DAF60150030810013"><enum>(3)</enum><text>by striking
paragraph (3) and inserting the following:</text>
<quoted-block id="ID89FDBFC2360649810018274EC3C2BB00">
<paragraph id="ID8D731E78FB954756935490EF34B6C284"><enum>(3)</enum><header>Eligibility</header><text>To
be eligible to receive funds under paragraph (1), an entity shall—</text>
<subparagraph id="ID0ACEC8A70BE04E51B28EB3E64F2461CE"><enum>(A)</enum><text>prepare and
submit to the State or Indian tribe an application at such time, in such manner
and containing such information as the State or Indian tribe may require;
and</text>
</subparagraph><subparagraph id="ID06D53D20913E4345A03D00E6EE24FF37"><enum>(B)</enum><text>be a—</text>
<clause id="ID36F286111D714266AC0085C46F30FCA6"><enum>(i)</enum><text>public elementary
or secondary school—</text>
<subclause id="ID051043590E8B45DD8B1656772006003C"><enum>(I)</enum><text>that is located
in an urban area in which more than 50 percent of the student population is
participating in Federal or State free or reduced meal programs; or</text>
</subclause><subclause id="ID72E6299D87DF42D6BE13780000A06735"><enum>(II)</enum><text>that is located
in a rural area and, with respect to the school district in which the school is
located, the district involved has a median income that is at or below 235
percent of the poverty line, as defined in section 673(2) of the Community
Services Block Grant Act (<external-xref legal-doc="usc" parsable-cite="usc/42/9902(2)">42 U.S.C. 9902(2)</external-xref>); or</text>
</subclause></clause><clause id="ID2ED5A91B132A473BA55847C75BAA7894"><enum>(ii)</enum><text>public or
non-profit organization, including a grantee under section 330 and urban Indian
clinics under title V of the <act-name parsable-cite="IHCIA">Indian Health Care
Improvement Act</act-name>, that is under contract with an elementary or
secondary school described in subparagraph (B) to provide dental services to
school-age
children.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="ID58C71C908C02429CA42ED8975E00AFC3"><enum>405.</enum><header>Basic oral
health promotion</header>
<subsection id="IDB8FF358A2ED74E5485DDB600EE5552B3"><enum>(a)</enum><header>In
general</header><text>The Secretary of Health and Human Services, acting
through the Director of the Centers for Disease Control and Prevention and in
consultation with dental organizations (including organizations having
expertise in the prevention and treatment of oral disease in underserved
pediatric populations), shall award grants to States and Indian tribes to
improve the basic capacity of such States and tribes to improve the oral health
of children and their families.</text>
</subsection><subsection id="IDC52FE44D72494044863F35D7ED28DC92"><enum>(b)</enum><header>Requirements</header><text>A
State or Indian tribes shall use amounts received under a grant under this
section to conduct one or more of the following activities:</text>
<paragraph id="IDB07608B3B4A74DFFAB85565C15C8A4D8"><enum>(1)</enum><text>Establish an oral
health plan, policies, effective prevention programs, and accountability
measures and systems.</text>
</paragraph><paragraph id="ID97FA77356EB349BB9D550029B4AB524F"><enum>(2)</enum><text>Establish and
guide coalitions, partnerships, and alliances to accomplish the establishment
of the plan, policies, programs and systems under paragraph (1).</text>
</paragraph><paragraph id="ID0826B0533BC94B858C783BBF93F75843"><enum>(3)</enum><text>Monitor changes
in oral disease burden, disparities, and the utilization of preventive services
by high-risk populations.</text>
</paragraph><paragraph id="IDC37580FAF8564484BA64069D3C99004D"><enum>(4)</enum><text>Identify, test,
establish, support, and evaluate prevention interventions to reduce oral health
disparities.</text>
</paragraph><paragraph id="ID1BBCC0E959D543429653E2D20257D4D6"><enum>(5)</enum><text>Promote public
awareness and education in support of improvements of oral health.</text>
</paragraph><paragraph id="IDE18A6232491B45879411FB8929308EBF"><enum>(6)</enum><text>Support training
programs for dental and other health professions needed to strengthen oral
health prevention programs.</text>
</paragraph><paragraph id="IDFFDEF0A493E34C46931DA8FC00FF26FD"><enum>(7)</enum><text>Establish,
enhance, or expand oral disease prevention and disparity reduction
programs.</text>
</paragraph><paragraph id="ID1B19B1B5A2CE4EE2B3F6F67F1D5C6FCC"><enum>(8)</enum><text>Evaluate the
progress and effectiveness of the State’s oral disease prevention and disparity
reduction program.</text>
</paragraph></subsection><subsection id="ID96A2C3A52D3B4A1FAAB3CD86F9392801"><enum>(c)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section, such sums as may be necessary for fiscal year 2008 and each
subsequent fiscal year.</text>
</subsection></section>