Section 1 Short title
This Act may be cited as the “Aligning Children’s Dental Coverage Act”.
Aligning Children’s Dental Coverage Act
A BILL
To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes.
Sec. 2 Treatment of pediatric dental coverage outside of ACA Exchanges
in subsection (a), by striking “A health” and inserting “Subject to subsection (e), a health”;
in subsection (d), by striking “section 1302(d)(2)(B)(ii)(I)” and inserting “section 1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care Act”; and
by adding at the end the following new subsection:
“(e) Treatment of pediatric dental coverage—If a plan described in section 1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care Act (relating to standalone dental benefits) is offered in a service area in the individual or small group market in a State and the issuer of such plan certifies to the State that the plan offers pediatric dental benefits meeting the requirements of section 1302(b)(1)(J) of the Patient Protection and Affordable Care Act, any other health insurance coverage or group health plan, to the extent offered in such service area in such market in such State, shall not fail to be treated as satisfying the requirements of subsection (a) solely because the coverage or health plan does not offer coverage of benefits offered through the standalone plan that are otherwise required under such section 1302(b)(1)(J).”
Technical correction to treatment of ACA Exchanges coverage— Section 1302(b)(4)(F) of the Patient Protection and Affordable Care Act (42 U.S.C.18022(b)(4)(F)) is amended—
by striking “section 1311(b)(2)(B)(ii)” and inserting “section 1311(d)(2)(B)(ii)”; and
by striking “is offered through an Exchange, another health plan offered through such Exchange” and inserting “is offered in a service area through an Exchange (or in the case of a plan not offered through an Exchange, offered in a service area in the individual or small group market in a State), another health plan to the extent offered in such service area through such Exchange (or, to the extent offered in such service area in such individual or small group market in the State, as applicable)”.
Effective date— The amendments made by this section shall apply to plan years beginning on or after January 1, 2018.