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SB1640 • 2026

Medicaid Dental Pilot Program for Persons with Disabilities

Medicaid Dental Pilot Program for Persons with Disabilities

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Smith
Last action
2026-03-13
Official status
Senate - Died in Health Policy
Effective date
2026-07-01

Plain English Breakdown

The bill has passed both chambers but died in Health Policy, so it may not become law as stated. The effective date of July 1, 2026, might be subject to change based on further legislative actions or executive decisions.

Medicaid Dental Pilot Program for People with Disabilities

This bill establishes a three-year pilot program in Florida's Region E to provide enhanced dental services to Medicaid-eligible individuals with disabilities.

What This Bill Does

  • Defines 'persons with disabilities' as those eligible for Medicaid and meeting certain disability criteria, including receiving Supplemental Security Income (SSI) based on disability or being enrolled in a home and community-based services waiver program under the Social Security Act.
  • Requires the Agency for Health Care Administration to establish and operate a three-year dental pilot program in Region E of Florida's Statewide Medicaid Managed Care program.
  • Specifies that the program will cover routine, basic, major, and emergency dental services.
  • Sets rules on how much money dentists can be paid under this program at 80% of the 50th percentile of the 2024 Usual, Customary, and Reasonable fees.
  • Requires federal approval before it starts.

Who It Names or Affects

  • People with disabilities who are enrolled in Medicaid in Florida's Region E.
  • Dental providers participating in the pilot program.

Terms To Know

Medicaid
A government health insurance program for low-income people and those with certain disabilities.
Supplemental Security Income (SSI)
An income support program for low-income individuals who are elderly, blind, or have a disability.

Limits and Unknowns

  • The bill only applies to one specific region in Florida.
  • It is not clear how many people will be eligible for the pilot program.
  • The effectiveness of the program will need to be evaluated before it can be expanded.

Bill History

  1. 2026-03-13 Senate

    • Died in Health Policy

  2. 2026-01-22 Senate

    • Introduced

  3. 2026-01-16 Senate

    • Referred to Health Policy; Appropriations Committee on Health and Human Services; Appropriations

  4. 2026-01-09 Senate

    • Filed

Official Summary Text

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.

Current Bill Text

Read the full stored bill text
Florida Senate
-
2026

SB 1640

By
Senator Smith

17-01369A-26 20261640__
1 A bill to be entitled
2 An act relating to the Medicaid dental pilot program
3 for persons with disabilities; creating s. 409.9079,
4 F.S.; defining the term “persons with disabilities”;
5 requiring the Agency for Health Care Administration to
6 establish and operate a Medicaid dental pilot program
7 in a specified region to provide enhanced dental
8 services to persons with disabilities; specifying
9 eligibility for participation in the pilot program;
10 specifying dental services covered by the pilot
11 program; providing construction; requiring the agency
12 to reimburse dental providers under the pilot program
13 at a specified rate; providing for the delivery of
14 services under the pilot program through at least two
15 licensed dental managed care organizations meeting
16 certain criteria; requiring the agency to submit any
17 necessary state plan amendments or federal waiver
18 applications for federal approval; requiring the
19 agency to collect certain data on the pilot program;
20 requiring the agency to submit a report on the pilot
21 program to the Governor and the Legislature by a
22 specified date; providing for expiration of the pilot
23 program; providing an effective date.
24
25 Be It Enacted by the Legislature of the State of Florida:
26
27 Section 1. Section 409.9079, Florida Statutes, is created
28 to read:
29
409.9079 Medicaid dental pilot program for persons with

30
disabilities in Region
E
.—

31
(1) DEFINITION.—As used in this section, the term “persons

32
with disabilities” means Medicaid-eligible individuals who:

33
(a) Receive Supplemental Security Income (SSI) on the basis

34
of disability;

35
(b) Are enrolled in a home and community-based services

36
(HCBS) waiver program under s. 1915(c) of the Social Security

37
Act; or

38
(c) Meet federal disability criteria under 42 U.S.C. s.

39
1382c(a)(3), as determined by the Social Security Administration

40
or the state Medicaid program.

41
(2) PILOT PROGRAM ESTABLISHED.—The
agency
shall establish

42
and operate a 3-year Medicaid dental pilot program in Region
E

43
of the Statewide Medicaid Managed Care program to provide

44
enhanced dental services to persons with disabilities.

45
(3) ELIGIBILITY.—Participation in the pilot program is

46
limited to persons with disabilities who reside in Region
E
and

47
are enrolled in the Medicaid program.

48
(4) COVERED SERVICES.—

49
(a)

Dental services provided under the pilot program must

50
include
all of the following
:

51
1.
Routine diagnostic and preventive care, including

52
examinations, cleanings, and radiographs
.

53
2.
Basic dental services, including fillings and

54
extractions
.

55
3.
Major dental services, including root canals, crowns,

56
dentures, and other dental prostheses
.

57
4.
Emergency dental services
.

58
5.
Any additional dental services the agency determines are

59
necessary to promote oral health and prevent disease.

60
(b)

Services provided under this subsection supplement, and

61
do not replace, dental benefits available under ss. 409.906 and

62
409.973.

63
(5) REIMBURSEMENT.—The agency shall reimburse providers of

64
dental services under the pilot program at a rate equivalent to

65
80 percent of the 50th percentile of the 2024 Usual, Customary,

66
and Reasonable fees, as determined by the American Dental

67
Association or a comparable benchmark approved by the agency.

68
(6) MANAGED CARE PARTICIPATION.—The pilot program must be

69
delivered through at least two licensed dental managed care

70
organizations that meet agency standards and have demonstrated

71
experience in providing dental services to persons with

72
disabilities.

73
(7) FEDERAL APPROVAL.—The agency shall submit
for federal

74
approval
any Medicaid state plan amendments or federal waiver

75
applications necessary to implement the pilot program.

76
(8) EVALUATION
;
REPORT.—

77
(a)

The agency shall collect
pilot program
data on
all of

78
the following
:

79
1.
Access to dental care
.

80
2.
Utilization of services
.

81
3.
Reimbursement expenditures
.

82
4.
Oral health outcomes for participants.

83
(b)

By January 1, 202
9
, the agency shall submit a report to

84
the Governor, the President of the Senate, and the Speaker of

85
the House of Representatives evaluating the effectiveness of the

86
pilot program and recommending whether it should be expanded

87
statewide.

88
(9) EXPIRATION.—This section expires June 30, 202
9
.

89 Section 2. This act shall take effect July 1, 2026.