119-s2084

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2084 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2084

To amend titles XVIII and XIX of the Social Security Act to provide for 
 coverage of dental and oral health services, vision services, and 
 hearing services under the Medicare and Medicaid programs.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 June 12, 2025

 Ms. Alsobrooks (for herself, Mr. Blumenthal, Mr. Fetterman, Mr. 
 Merkley, and Mr. Welch) introduced the following bill; which was read 
 twice and referred to the Committee on Finance

_______________________________________________________________________

 A BILL

To amend titles XVIII and XIX of the Social Security Act to provide for 
 coverage of dental and oral health services, vision services, and 
 hearing services under the Medicare and Medicaid programs.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Medicare and Medicaid Dental, 
Vision, and Hearing Benefit Act of 2025''.

SEC. 2. DENTAL AND ORAL HEALTH SERVICES UNDER MEDICARE.

    (a) Coverage.--

Section 1861

    (s)

    (2) of the Social Security Act (42 
U.S.C. 1395x

    (s)

    (2) ) is amended--

    (1) in subparagraph

    (JJ) , by inserting ``and'' after the 
 semicolon at the end; and

    (2) by adding at the end the following new subparagraph:
 ``

    (KK) dental and oral health services (as defined in 
 subsection

    (nnn) );''.

    (b) Dental and Oral Health Services Defined.--

Section 1861 of the 
Social Security Act (42 U.S.C. 1395x) is amended by adding at the end 
the following new subsection:

 ``Dental and Oral Health Services

 ``

    (nnn) The term `dental and oral health services' means--
 ``

    (1) routine dental cleanings and exams;
 ``

    (2) basic dental services, such as fillings and crowns;
 ``

    (3) major dental services, such as root canals, and 
 extractions;
 ``

    (4) emergency dental care; and
 ``

    (5) other necessary services related to dental or oral 
 health (as defined by the Secretary).''.
            (c) Payment; Coinsurance; and Limitations.--

    (1) In general.--

Section 1833

    (a)

    (1) of the Social Security 
 Act (42 U.S.C. 1395l

    (a)

    (1) ) is amended--
        (A) by striking ``and'' before ``

    (HH) ''; and
        (B) by inserting before the semicolon at the end 
 the following: ``, and
            (II) with respect to dental and 
 oral health services (as defined in 

section 1861

    (nnn) ), 
 the amount paid shall be the payment amount specified 
 under 

section 1834

    (aa) ''.

    (2) Payment and limits specified.--

Section 1834 of the 
 Social Security Act (42 U.S.C. 1395m) is amended by adding at 
 the end the following new subsection:
 ``

    (aa) Payment and Limits for Dental and Oral Health Services.--
 ``

    (1) In general.--The payment amount under this part for 
 dental and oral health services (as defined in 

section 1861

    (nnn) ) shall be, subject to paragraph

    (3) , the applicable 
 percent (specified in paragraph

    (2) ) of the lesser of the 
 actual charge for the services or the amount determined under 
 the payment basis determined under 

section 1848.
 ``

    (2) Applicable percent.--For purposes of paragraph

    (1) , 
 the applicable percent specified in this paragraph is--
 ``
        (A) for the first year beginning at least 6 
 months after the date of the enactment of this 
 subsection, 0 percent;
 ``
        (B) for the year following the year specified in 
 subparagraph
        (A) and each subsequent year through the 
 seventh year following the year specified in 
 subparagraph
        (A) , the applicable percent specified in 
 this paragraph for the previous year increased by 10 
 percentage points; and
 ``
            (C) for the eighth year following the year 
 specified in subparagraph
        (A) and each subsequent year, 
 80 percent.
 ``

    (3) Limitations and secretarial authority.--
 ``
        (A) Frequency.--With respect to dental and oral 
 health services that are--
 ``
            (i) routine dental cleanings, payment may 
 be made under this part for only two such 
 cleanings during a 12-month period; and
 ``
            (ii) routine exams, payment may be made 
 under this part for only two such exams during 
 a 12-month period.
 ``
        (B) Secretarial authority.--
 ``
            (i) Authority to apply additional 
 limitations.--The Secretary may apply such 
 other reasonable limitations on the extent to 
 which dental and oral services are covered 
 under this part, including through application 
 of a prior authorization requirement.
 ``
            (ii) Authority to modify coverage.--
 Notwithstanding any other provision of this 
 title, if the Secretary determines appropriate, 
 the Secretary may modify the coverage under 
 this part of dental and oral health services to 
 the extent that such modification is consistent 
 with the recommendations of the United States 
 Preventive Services Task Force.''.
            (d) Payment Under Physician Fee Schedule.--

Section 1848

    (j)

    (3) of 
the Social Security Act (42 U.S.C. 1395w-4

    (j)

    (3) ) is amended by 
inserting ``

    (2) (KK) ,'' before ``

    (3) ''.

    (e) Dentures.--

    (1) In general.--

Section 1861

    (s)

    (8) of the Social Security 
 Act (42 U.S.C. 1395x

    (s)

    (8) ) is amended--
        (A) by striking ``(other than dental)'' and 
 inserting ``(including dentures)''; and
        (B) by striking ``internal body''.

    (2) Special payment rules.--

Section 1834

    (a) of the Social 
 Security Act (42 U.S.C. 1395m

    (a) ) is amended by adding at the 
 end the following new paragraph:
 ``

    (23) Payment and limits for dentures.--
 ``
        (A) In general.--The payment amount under this 
 part for dentures shall be, subject to subparagraph
            (C) , the applicable percent (specified in subparagraph
        (B) ) of the amount otherwise payable for such dentures 
 under this section.
 ``
        (B) Applicable percent.--For purposes of 
 subparagraph
        (A) , the applicable percent specified in 
 this subparagraph is--
 ``
            (i) for the first year beginning at least 
 6 months after the date of the enactment of 
 this paragraph, 0 percent;
 ``
            (ii) for the year following the year 
 specified in clause
            (i) and each subsequent 
 year through the seventh year following the 
 year specified in clause
            (i) , the applicable 
 percent specified in this subparagraph for the 
 previous year increased by 10 percentage 
 points; and
 ``
            (iii) for the eighth year following the 
 year specified in clause
            (i) and each 
 subsequent year, 80 percent.
 ``
            (C) Limitations and secretarial authority.--
 ``
            (i) In general.--Payment may be made 
 under this part for an individual for--
 ``
            (I) not more than one full upper 
 and one full lower denture once every 
 five years; and
 ``
            (II) not more than one partial 
 upper denture and one partial lower 
 denture once every five years.
 ``
            (ii) Secretarial authority.--
 ``
            (I) Authority to apply additional 
 limitations.--The Secretary may apply 
 such other reasonable limitations on 
 the extent to which dentures are 
 covered under this part, including 
 through application of a prior 
 authorization requirement.
 ``
            (II) Authority to modify 
 coverage.--Notwithstanding any other 
 provision of this title, if the 
 Secretary determines appropriate, the 
 Secretary may modify the coverage under 
 this part of dentures to the extent 
 that such modification is consistent 
 with the recommendations of the United 
 States Preventive Services Task 
 Force.''.

    (f) Repeal of Ground for Exclusion.--

Section 1862

    (a) of the Social 
Security Act (42 U.S.C. 1395y) is amended by striking paragraph

    (12) .

    (g) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1 of the first year 
beginning at least six months after the date of the enactment of this 
Act.

SEC. 3. VISION SERVICES UNDER MEDICARE.

    (a) Coverage.--

Section 1861

    (s)

    (2) of the Social Security Act (42 
U.S.C. 1395x

    (s)

    (2) ), as amended by 

section 2

    (a) , is amended--

    (1) in subparagraph

    (JJ) , by striking ``and'' after the 
 semicolon at the end;

    (2) in subparagraph

    (KK) , by inserting ``and'' after the 
 semicolon at the end; and

    (3) by adding at the end the following new subparagraph:
 ``
            (LL) vision services (as defined in subsection
            (mmm) );''.

    (b) Vision Services Defined.--

Section 1861 of the Social Security 
Act (42 U.S.C. 1395x), as amended by 

section 2

    (b) , is amended by adding 
at the end the following new subsection:

 ``Vision Services

 ``

    (ooo) The term `vision services' means--
 ``

    (1) routine eye examinations and procedures performed 
 (during the course of any eye examination) to determine the 
 refractive state of the eyes; and
 ``

    (2) other necessary services related to eye and vision 
 health (as defined by the Secretary).''.
            (c) Payment; Coinsurance; and Limitations.--

    (1) In general.--

Section 1833

    (a)

    (1) of the Social Security 
 Act (42 U.S.C. 1395l

    (a)

    (1) ), as amended by 

section 2
            (c) (1) , is 
 amended--
        (A) by striking ``and'' before ``
            (II) ''; and
        (B) by inserting before the semicolon at the end 
 the following: ``, and

    (JJ) with respect to vision 
 services (as defined in 

section 1861
            (mmm) ), the amount 
 paid shall be the payment amount specified under 
 

section 1834

    (bb) ''.

    (2) Payment and limits specified.--

Section 1834 of the 
 Social Security Act (42 U.S.C. 1395m), as amended by 

section 2
            (c) (2) , is amended by adding at the end the following new 
 subsection:
 ``

    (bb) Payment and Limits for Vision Services.--
 ``

    (1) In general.--The payment amount under this part for 
 vision services (as defined in 

section 1861
            (mmm) ) shall be, 
 subject to paragraph

    (3) , the applicable percent (specified in 
 paragraph

    (2) ) of the lesser of the actual charge for the 
 services or the amount determined under the payment basis 
 determined under 

section 1848.
 ``

    (2) Applicable percent.--For purposes of paragraph

    (1) , 
 the applicable percent specified in this paragraph is--
 ``
        (A) for the first year beginning at least 6 
 months after the date of the enactment of this 
 subsection, 0 percent;
 ``
        (B) for the year following the year specified in 
 subparagraph
        (A) and each subsequent year through the 
 seventh year following the year specified in 
 subparagraph
        (A) , the applicable percent specified in 
 this paragraph for the previous year increased by 10 
 percentage points; and
 ``
            (C) for the eighth year following the year 
 specified in subparagraph
        (A) and each subsequent year, 
 80 percent.
 ``

    (3) Limitations and secretarial authority.--
 ``
        (A) Frequency.--With respect to routine eye 
 exams, payment may be made under this part for only one 
 such exam during a 12-month period.
 ``
        (B) Secretarial authority.--
 ``
            (i) Authority to apply additional 
 limitations.--The Secretary may apply other 
 reasonable limitations on the extent to which 
 vision services are covered under this part, 
 including through application of a prior 
 authorization requirement.
 ``
            (ii) Authority to modify coverage.--
 Notwithstanding any other provision of this 
 title, if the Secretary determines appropriate, 
 the Secretary may modify the coverage under 
 this part of vision services to the extent that 
 such modification is consistent with the 
 recommendations of the United States Preventive 
 Services Task Force.''.
            (d) Payment Under Physician Fee Schedule.--

Section 1848

    (j)

    (3) of 
the Social Security Act (42 U.S.C. 1395w-4

    (j)

    (3) ), as amended by 

section 2
            (d) , is amended by inserting ``

    (2)
            (LL) ,'' after ``

    (2) (KK) ,''.

    (e) Special Payment Rules for Eyeglasses, Contact Lenses, and Low 
Vision Devices.--

Section 1834

    (a) of the Social Security Act (42 U.S.C. 
1395m

    (a) ), as amended by 

section 2

    (e)

    (2) , is amended by adding at the 
end the following new paragraphs:
 ``

    (24) Payment and limits for eyeglasses and contact 
 lenses.--
 ``
        (A) In general.--The payment amount under this 
 part for eyeglass lenses, eyeglass frames, and contact 
 lenses shall be, subject to subparagraph
            (C) , the 
 applicable percent (specified in subparagraph
        (B) ) of 
 the amount otherwise payable for such eyeglass lenses, 
 eyeglass frames, and contact lenses, respectively, 
 under this section.
 ``
        (B) Applicable percent.--For purposes of 
 subparagraph
        (A) , the applicable percent specified in 
 this subparagraph is--
 ``
            (i) for the first year beginning at least 
 6 months after the date of the enactment of 
 this paragraph, 0 percent;
 ``
            (ii) for the year following the year 
 specified in clause
            (i) and each subsequent 
 year through the seventh year following the 
 year specified in clause
            (i) , the applicable 
 percent specified in this subparagraph for the 
 previous year increased by 10 percentage 
 points; and
 ``
            (iii) for the eighth year following the 
 year specified in clause
            (i) and each 
 subsequent year, 80 percent.
 ``
            (C) Limitations and secretarial authority.--
 ``
            (i) In general.--Payment may be made 
 under this part (other than for eyewear 
 described in 

section 1861

    (s)

    (8) ) for an 
 individual for--
 ``
            (I) not more than one pair of 
 eyeglass lenses during any 12-month 
 period;
 ``
            (II) not more than one set of 
 eyeglass frames during any 24-month 
 period; and
 ``
            (III) contact lenses, only to the 
 extent that the sum of such payments 
 for contact lenses does not exceed a 
 limitation of $200 during any 24-month 
 period beginning during the first year 
 beginning at least six months after the 
 date of the enactment of this paragraph 
 (or, beginning during a subsequent 
 year, such limitation for a 24-month 
 period beginning in the previous year 
 increase by an appropriate inflation 
 adjustment specified by the Secretary).
 ``
            (ii) Secretarial authority.--
 ``
            (I) Authority to apply additional 
 limitations.--The Secretary may apply 
 such other reasonable limitations on 
 the extent to which eyeglass lenses, 
 eyeglass frames, and contact lenses are 
 covered under this part, including 
 through application of a prior 
 authorization requirement.
 ``
            (II) Authority to modify 
 coverage.--Notwithstanding any other 
 provision of this title, if the 
 Secretary determines appropriate, the 
 Secretary may modify the coverage under 
 this part of eyeglass lenses, eyeglass 
 frames, and contact lenses to the 
 extent that such modification is 
 consistent with the recommendations of 
 the United States Preventive Services 
 Task Force.
 ``

    (25) Payment and limits for low vision devices.--
 ``
        (A) In general.--The payment amount under this 
 part for low vision devices shall be, subject to 
 subparagraph
            (C) , the applicable percent (specified in 
 subparagraph
        (B) ) of the amount otherwise payable for 
 low vision devices under this section.
 ``
        (B) Applicable percent.--For purposes of 
 subparagraph
        (A) , the applicable percent specified in 
 this subparagraph is--
 ``
            (i) for the first year beginning at least 
 6 months after the date of the enactment of 
 this paragraph, 0 percent;
 ``
            (ii) for the year following the year 
 specified in clause
            (i) and each subsequent 
 year through the seventh year following the 
 year specified in clause
            (i) , the applicable 
 percent specified in this subparagraph for the 
 previous year increased by 10 percentage 
 points; and
 ``
            (iii) for the eighth year following the 
 year specified in clause
            (i) and each 
 subsequent year, 80 percent.
 ``
            (C) Secretarial authority.--
 ``
            (i) Authority to apply limitations.--The 
 Secretary may apply reasonable limitations on 
 the extent to which low vision devices are 
 covered under this part, including through 
 application of a prior authorization 
 requirement.
 ``
            (ii) Authority to modify coverage.--
 Notwithstanding any other provision of this 
 title, if the Secretary determines appropriate, 
 the Secretary may modify the coverage under 
 this part of low vision devices to the extent 
 that such modification is consistent with the 
 recommendations of the United States Preventive 
 Services Task Force.
 ``
            (D) Low vision device defined.--In this 
 paragraph, the term `low vision device' means a device, 
 prescribed by a physician, that magnifies, enhances, or 
 otherwise augments or interprets visual images 
 irrespective of the size, form, or technological 
 features of such device and does not include ordinary 
 eyeglasses or contact lenses. In the previous sentence, 
 the term `ordinary eyeglasses or contact lenses' means 
 lenses that are intended to fully correct visual acuity 
 or fully eliminate refractive error.''.

    (f) Definition of Durable Medical Equipment To Include Eyeglasses, 
Contact Lenses, and Low Vision Devices.--

Section 1861

    (n) of the Social 
Security Act (42 U.S.C. 1395x

    (n) ) is amended--

    (1) by striking ``and'' before ``eye tracking'' and 
 inserting a comma; and

    (2) by inserting ``, and eyeglass lenses, low vision 
 devices (as defined in 

section 1834

    (a)

    (25) ), eyeglass frames, 
 and contact lenses'' before ``; except''.

    (g) Repeal of Ground for Exclusion.--

Section 1862

    (a)

    (7) of the 
Social Security Act (42 U.S.C. 1395y

    (a)

    (7) ) is amended by striking ``, 
eyeglasses (other than eyewear described in 

section 1861

    (s)

    (8) ) or eye 
examinations for the purpose of prescribing, fitting, or changing 
eyeglasses, procedures performed (during the course of any eye 
examination) to determine the refractive state of the eyes''.

    (h) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1 of the first year 
beginning at least 6 months after the date of the enactment of this 
Act.

SEC. 4. HEARING SERVICES UNDER MEDICARE.

    (a) Coverage.--

    (1) In general.--

Section 1861

    (s)

    (2) of the Social Security 
 Act (42 U.S.C. 1395x

    (s)

    (2) ), as amended by sections 2

    (a) and 
 3

    (a) , is amended--
        (A) in subparagraph

    (KK) , by striking ``and'' after 
 the semicolon at the end;
        (B) in subparagraph
            (LL) , by inserting ``and'' 
 after the semicolon at the end; and
            (C) by adding at the end the following new 
 subparagraph:
 ``
            (MM) audiology services (as defined in subsection
            (ll) (3) ) and hearing services (as defined in subsection
            (ll) (5) );''.

    (2) Hearing services defined.--

Section 1861
            (ll) of the 
 Social Security Act (42 U.S.C. 1395x
            (ll) ) is amended--
        (A) in the subsection heading, by inserting ``; 
 Hearing Services'' after ``Audiology Services''; and
        (B) by adding at the end the following new 
 paragraph:
 ``

    (5) The term `hearing services' means--
 ``
        (A) routine hearing exams and exams for hearing aids; and
 ``
        (B) other necessary services related to hearing health 
 (as defined by the Secretary).''.

    (b) Payment; Coinsurance; and Limitations.--

    (1) In general.--

Section 1833

    (a)

    (1) of the Social Security 
 Act (42 U.S.C. 1395l

    (a)

    (1) ), as amended by sections 2
            (c) (1) and 
 3
            (c) (1) , is amended--
        (A) by striking ``and'' before ``

    (JJ) ''; and
        (B) by inserting before the semicolon at the end 
 the following: ``, and

    (KK) with respect to audiology 
 services (as defined in 

section 1861
            (ll) (3) ) and 
 hearing services (as defined in 

section 1861
            (ll) (5) ), 
 the amount paid shall be the payment amount specified 
 under 

section 1834
            (cc) ''.

    (2) Payment and limits specified.--

Section 1834 of the 
 Social Security Act (42 U.S.C. 1395m), as amended by sections 
 2
            (c) (2) and 3
            (c) (2) , is amended by adding at the end the 
 following new subsection:
 ``
            (cc) Payment and Limits for Hearing Services.--
 ``

    (1) In general.--The payment amount under this part for 
 audiology services (as defined in 

section 1861
            (ll) (3) ) and 
 hearing services (as defined in 

section 1861
            (ll) (5) ), shall be, 
 subject to paragraph

    (3) , the applicable percent (specified in 
 paragraph

    (2) ) of the lesser of the actual charge for the 
 services or the amount determined under the payment basis 
 determined under 

section 1848.
 ``

    (2) Applicable percent.--For purposes of paragraph

    (1) , 
 the applicable percent specified in this paragraph is--
 ``
        (A) for the first year beginning at least 6 
 months after the date of the enactment of this 
 subsection, 0 percent;
 ``
        (B) for the year following the year specified in 
 subparagraph
        (A) and each subsequent year through the 
 seventh year following the year specified in 
 subparagraph
        (A) , the applicable percent specified in 
 this paragraph for the previous year increased by 10 
 percentage points; and
 ``
            (C) for the eighth year following the year 
 specified in subparagraph
        (A) and each subsequent year, 
 80 percent.
 ``

    (3) Secretarial authority.--
 ``
        (A) Authority to apply limitations.--The 
 Secretary may apply reasonable limitations on the 
 extent to which audiology services and hearing services 
 are covered under this part, including through 
 application of a prior authorization requirement.
 ``
        (B) Authority to modify coverage.--
 Notwithstanding any other provision of this title, if 
 the Secretary determines appropriate, the Secretary may 
 modify the coverage under this part of audiology 
 services and hearing services to the extent that such 
 modification is consistent with the recommendations of 
 the United States Preventive Services Task Force.''.
            (c) Payment Under the Physician Fee Schedule.--

Section 1848

    (j)

    (3) of the Social Security Act (42 U.S.C. 1395w-4

    (j)

    (3) ), as amended by 
sections 2
            (d) and 3
            (d) , is amended by inserting ``

    (2)
            (MM) ,'' after 
``

    (2)
            (LL) ,''.
            (d) Hearing Aids.--

    (1) Repeal of ground for exclusion.--

Section 1862

    (a)

    (7) of 
 the Social Security Act (42 U.S.C. 1395y

    (a)

    (7) ), as amended by 
 

section 3

    (g) , is amended by striking ``, hearing aids or 
 examinations therefor,''.

    (2) Definition of durable medical equipment to include 
 hearing aids.--

Section 1861

    (n) of the Social Security Act (42 
 U.S.C. 1395x

    (n) ), as amended by 

section 3

    (f) , is amended by 
 inserting ``hearing aids,'' before ``and eyeglass lenses''.

    (3) Special payment rules for hearing aids.--

Section 1834

    (a) of the Social Security Act (42 U.S.C. 1395m

    (a) ), as 
 amended by sections 2

    (e)

    (2) and 3

    (e) , is amended by adding at 
 the end the following new paragraph:
 ``

    (26) Payment and limits for hearing aids.--
 ``
        (A) In general.--The payment amount under this 
 part for hearing aids shall be, subject to subparagraph
            (C) , the applicable percent (specified in subparagraph
        (B) ) of the amount otherwise payable for hearing aids 
 under this section.
 ``
        (B) Applicable percent.--For purposes of 
 subparagraph
        (A) , the applicable percent specified in 
 this subparagraph is--
 ``
            (i) for the first year beginning at least 
 6 months after the date of the enactment of 
 this paragraph, 0 percent;
 ``
            (ii) for the year following the year 
 specified in clause
            (i) and each subsequent 
 year through the seventh year following the 
 year specified in clause
            (i) , the applicable 
 percent specified in this subparagraph for the 
 previous year increased by 10 percentage 
 points; and
 ``
            (iii) for the eighth year following the 
 year specified in clause
            (i) and each 
 subsequent year, 80 percent.
 ``
            (C) Limitations and secretarial authority.--
 ``
            (i) In general.--Payment may be made 
 under this part for an individual for not more 
 than one hearing aid per ear during a 48-month 
 period.
 ``
            (ii) Secretarial authority.--
 ``
            (I) Authority to apply additional 
 limitations.--The Secretary may apply 
 additional limitations on the extent to 
 which hearing aids are covered under 
 this part, including through 
 application of a prior authorization 
 requirement and through application of 
 criteria for a minimum level of hearing 
 loss for coverage of an initial or 
 replacement hearing aid.
 ``
            (II) Authority to modify 
 coverage.--Notwithstanding any other 
 provision of this title, if the 
 Secretary determines appropriate, the 
 Secretary may modify the coverage under 
 this part of hearing aids to the extent 
 that such modification is consistent 
 with the recommendations of the United 
 States Preventive Services Task 
 Force.''.

    (e) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1 of the first year 
beginning at least six months after the date of the enactment of this 
Act.

SEC. 5. INCREASED FMAP FOR COVERAGE OF DENTAL AND ORAL HEALTH SERVICES, 
 VISION SERVICES, AND HEARING SERVICES UNDER MEDICAID.

 

Section 1905 of the Social Security Act (42 U.S.C. 1396d) is 
amended--

    (1) in subsection

    (a) --
        (A) in paragraph

    (10) , by inserting ``, which may 
 include any dental and oral health service (as defined 
 in 

section 1861

    (nnn) )'' after ``dental services'';
        (B) in paragraph

    (13) --
            (i) in subparagraph
        (B) , by striking ``; 
 and'' and inserting a semicolon;
            (ii) in subparagraph
            (C) , by striking the 
 semicolon and inserting ``; and''; and
            (iii) by adding at the end the following 
 new subparagraph:
 ``
            (D) any service that is a vision service (as 
 defined in 

section 1861

    (ooo) ) or a hearing service (as 
 defined in 

section 1861
            (ll) (5) ;'';

    (2) in subsection

    (b) , by striking ``and
            (ii) '' and 
 inserting ``
            (ii) , and

    (kk) ''; and

    (3) by adding at the end the following new subsection:
 ``

    (kk) Increased FMAP for Expenditures for Dental and Oral Health 
Services, Vision Services, and Hearing Services.--
 ``

    (1) In general.--Notwithstanding subsection

    (b) , the 
 Federal medical assistance percentage with respect to amounts 
 expended by a State for medical assistance for services 
 described in paragraph

    (2) shall be equal to 90 percent.
 ``

    (2) Services described.--A service described in this 
 paragraph is any service that--
 ``
        (A) is furnished on or after January 1 of the 
 first calendar year that begins at least 6 months after 
 the date of the enactment of this subsection;
 ``
        (B) is not furnished to an individual who is--
 ``
            (i) under the age of 21; and
 ``
            (ii) eligible for medical assistance for 
 the services described in subsection

    (a)

    (4)
        (B) ; 
 and
 ``
            (C) is--
 ``
            (i) a dental and oral health service (as 
 defined in 

section 1861

    (nnn) );
 ``
            (ii) a vision service (as defined in 
 

section 1861

    (ooo) ); or
 ``
            (iii) a hearing service (as defined in 
 

section 1861
            (ll) (5) ).''.
 <all>