SESSION WATCH
Died SENATE · SESSION 2026

No. SB 1640

Medicaid Dental Pilot Program for Persons with Disabilities
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SPONSOR
Smith
FILED BY
Carlos Guillermo Smith — District 17, Democrat [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health Policy

Filed under Healthcare.

PROVIDED SUMMARY

Medicaid Dental Pilot Program for Persons with Disabilities; Defining the term “persons with disabilities”; requiring the Agency for Health Care Administration to establish and operate a Medicaid dental pilot program in a specified region to provide enhanced dental services to persons with disabilities; specifying dental services covered by the pilot program; requiring the agency to reimburse dental providers under the pilot program at a specified rate; requiring the agency to collect certain data on the pilot program, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Creates a 3-year Medicaid dental pilot program for disabled Region E residents.

A new three-year Medicaid dental pilot program launches in Region E for Medicaid enrollees who receive SSI for disability, are enrolled in a home and community-based services waiver, or meet a specific federal disability standard.

Covered dental care spans routine cleanings and exams through major services like root canals, crowns, and dentures, plus emergency care, but these benefits supplement rather than replace what Medicaid dental coverage already provides.

Participating dentists get reimbursed at 80 percent of the 50th percentile of 2024 industry fee data, and the program must run through at least two licensed dental managed care organizations experienced with disabled patients.

The agency must track access, utilization, spending, and oral health outcomes, and report to state leaders by January 1, 2029 on whether to expand statewide -- but the pilot itself expires on June 30, 2029 regardless.

KEY PROVISIONS
§ 1 Establishes a 3-year Medicaid dental pilot program limited to Region E majors. 409.9079

AIThe Agency for Health Care Administration must create and run a three-year Medicaid dental pilot program in Region E of the Statewide Medicaid Managed Care program, offering enhanced dental services to Medicaid enrollees with disabilities.

“The agency shall establish and operate a 3-year Medicaid dental pilot program in Region E of the Statewide Medicaid Managed Care program” bill text, line 41 →
§ 2 Limits eligibility to three specific disability pathways moderates. 409.9079

AIOnly Medicaid enrollees who receive SSI on the basis of disability, are enrolled in a home and community-based services waiver, or meet a named federal disability standard as determined by the Social Security Administration or the state Medicaid program qualify.

“Receive Supplemental Security Income (SSI) on the basis of disability” bill text, line 33 →
§ 3 Requires specific dental services that supplement, not replace, existing Medicaid benefits moderates. 409.9079

AICovered services must include routine, basic, major, and emergency dental care, but these benefits add to rather than substitute for the dental coverage Medicaid enrollees already receive under separate statutes.

“Services provided under this subsection supplement, and do not replace, dental benefits available under ss. 409.906 and 409.973.” bill text, line 60 →
§ 4 Sets provider reimbursement using a specific fee-benchmark formula moderates. 409.9079

AIDental providers in the pilot program must be paid at a set rate tied to a national fee index, with the agency able to use a comparable benchmark instead of the named industry source if it chooses.

“as determined by the American Dental Association or a comparable benchmark approved by the agency” bill text, line 66 →
§ 5 Requires delivery through at least two dental managed care organizations moderates. 409.9079

AIThe pilot cannot be run by a single managed care organization; at least two, each meeting agency standards and having demonstrated experience serving people with disabilities, must deliver the program.

“must be delivered through at least two licensed dental managed care organizations that meet agency standards” bill text, line 68 →
§ 6 Requires a statewide-expansion recommendation before the pilot ends moderates. 409.9079

AIThe agency must evaluate the pilot's effectiveness and formally recommend to the Governor and legislative leaders whether the program should be expanded statewide, based on the data it is required to collect.

“evaluating the effectiveness of the pilot program and recommending whether it should be expanded statewide” bill text, line 85 →
§ 7 Automatically ends the entire program in mid-2029 moderates. 409.9079

AIThe pilot program's authorizing section is set to expire on its own, regardless of the evaluation report's findings, meaning the program ends unless separate legislation extends or replaces it.

“This section expires June 30, 2029.” bill text, line 88 →
TIMELINE
3/13/2026
Died in Health Policy
1/22/2026
Introduced
1/16/2026
Referred to Health Policy; Appropriations Committee on Health and...
1/9/2026
Filed
STATUTES IT CHANGES
s. 409.9079
+423 / −0