Coverage and Benefits
There is a direct correlation between dental benefit coverage and the likelihood that someone will seek and receive dental care. That is why the ADA is working with lawmakers, regulators, and others to improve the way dental care is financed and administered, both publicly and privately.
- Medicaid—Maintaining the federal requirement for states to cover dental services for children enrolled in Medicaid, and requiring states to cover dental services for Medicaid-eligible adults.
- Children's Health Insurance Program (CHIP)—Maintaining the federal requirement for states to cover dental services in their respective CHIP programs.
- Health Insurance Marketplace and State Exchanges—Requiring that dental benefits in the health insurance marketplace and state exchanges be properly defined, offered, and administered under the Affordable Care Act (ACA).
- Third-Party Coverage—Improving the coverage and benefits offered by dental insurers and group health plans.
- Employee Retirement Income Security Act (ERISA)—Requiring self-insured, employer-sponsored dental benefit plans to permit assignment of benefits, and to coordinate benefits when acting as secondary payers.
- McCarran-Ferguson—Prohibiting state-regulated health insurers from ignoring some of the competitive rules that apply to every other business in the United States (i.e., federal antitrust laws).
- Flexible Spending Arrangements (FSAs)—Expanding and enhancing the way consumers can use pre-tax dollars to pay for dental care and other dental-related items not covered by insurance.
The Association's priorities are based on the major policies and positions (PDF) (Members Only) adopted by the ADA House of Delegates.
Letters and Testimony
- September 17, 2015—Coalition letter (PDF) addressing proposed changes to the oral health component(s) of the Head Start program.
- April 28, 2015—Washington Leadership Conference (WLC) handout (PDF) urging members of Congress to cosponsor H.R. 1185, the Responsible Additions and Increases to Sustain Employee (RAISE) Health Benefits Act of 2015. (See related ADA News article on issues lobbied at the WLC.)
- February 25, 2015—Coalition letter (PDF) urging members of the House Committee on Ways and Means to support H.R. 1185, the Responsible Additions and Increases to Sustain Employee (RAISE) Health Benefits Act of 2015.
Letters and Testimony reflect the Association's position(s) on specific bills, regulations, and other policy issues, and are based on the major policies and positions (PDF) (Members Only) adopted by the ADA House of Delegates.
Action for Dental Health
Action for Dental Health is the ADA's nationwide, community-based movement aimed at ending the dental health crisis in America.
- Tell your member(s) of Congress to cosponsor H.R. 539, the Action for Dental Health Act of 2015.
- Explore the Action for Dental Health movement.
- View initiatives by state.
STAY INFORMED about the latest legislative and regulatory happenings.
- Subscribe to the monthly e-publication, Government and Public Affairs Update.
- Access the State Legislative Report (members only).
- Subscribe to the RSS feed for ADA News Today.
- Learn about legislative and regulatory issues that could affect dentists as practitioners, employers, and consumers.
TAKE ACTION by talking to your legislators.
1111 14th Street NW, Suite 1100
Washington, DC 20005
State Government Affairs
211 East Chicago Avenue
Chicago, IL 60611