SENATE BILL REPORT
This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.
As Passed Senate - Amended, March 6, 2020
Title: An act relating to increasing outreach and engagement with access to baby and child dentistry programs.
Brief Description: Increasing outreach and engagement with access to baby and child dentistry programs.
Sponsors: House Committee on Appropriations (originally sponsored by Representatives J. Johnson, Riccelli, Caldier, Doglio, Pollet and Ryu).
Brief History: Passed House: 2/16/20, 96-0.
Committee Activity: Ways & Means: 2/27/20, 3/02/20 [DPA].
Passed Senate - Amended: 3/06/20, 49-0.
SENATE COMMITTEE ON WAYS & MEANS
Majority Report: Do pass as amended.
Signed by Senators Rolfes, Chair; Frockt, Vice Chair, Operating, Capital Lead; Mullet, Capital Budget Cabinet; Braun, Ranking Member; Brown, Assistant Ranking Member, Operating; Honeyford, Assistant Ranking Member, Capital; Becker, Billig, Carlyle, Conway, Darneille, Dhingra, Hasegawa, Hunt, Keiser, Liias, Muzzall, Pedersen, Rivers, Schoesler, Van De Wege, Wagoner, Warnick and Wilson, L..
Staff: Sandy Stith (786-7710)
Background: HCA administers the Medicaid program, which is a state-federal program that pays for health care for low-income state residents who meet certain eligibility criteria. Benefits under the program vary according to a person's eligibility category, which is determined by several factors, including income, age, health condition, and disability status. Dental services for Medicaid clients are provided through a fee-for-service arrangement in which the dentist bills HCA directly.
Children of certain ages enrolled in Medicaid may participate in the ABCD program at HCA. The ABCD program provides enhanced fees to participating health care providers who provide additional services to participating children. The University of Washington's School of Dentistry and the Arcora Foundation provide management services, technical assistance, and provider recruitment and training for the ABCD program. The objective of the ABCD program is to identify and remove obstacles related to early preventive treatment, such as transportation and language interpretation barriers. The additional services include family oral health education, application of fluoride, oral evaluations, restorations, therapeutic pulpotomies, amalgam and resin restoration on primary teeth, and services related to crowns. Participating providers include ABCD program-certified dental providers and other health care providers who have been approved by HCA, including physicians, osteopathic physicians, advanced registered nurse practitioners, physician assistants, and osteopathic physician assistants.
Summary of First Substitute Bill: HCA, in collaboration with the Office of Equity, must collaborate with the statewide managing partner of the ABCD program to develop a local ABCD program fund allocation formula, key deliverables, and target metrics for increased outreach and provider engagement and support. HCA, in collaboration with the Office of Equity, must collaborate with stakeholders to monitor progress towards reducing racial and ethnic disparities in access to care and oral health outcomes and increasing the percentage of Medicaid-enrolled children, under the age of two, accessing dental care. HCA must also support local ABCD programs and providers.
Fiscal Note: Not requested.
Creates Committee/Commission/Task Force that includes Legislative members: No.
Effective Date: Ninety days after adjournment of session in which bill is passed.
Staff Summary of Public Testimony on Substitute House Bill: The committee recommended a different version of the bill than what was heard. PRO: Expanding the funding will greatly benefit a well-documented program that is recognized nationwide. The ABCD program focuses on preventing dental problems before they happen. Prevention is more cost effective rather than waiting for more costly dental problems to present. The ABCD program works, but we still have more work to do. Since the program began, utilization for kids under five has more than doubled. However, more than half the kids under six are not seeing a dentist and 1/3rd under two are not seeing a dentist. A critical concern is that children of color have higher rates of oral disease. Oral disease is preventable. This bill would add much needed capacity with the goal of reducing disparities. When this program was launched only 19 percent of children on Medicaid were getting dental care. Now it is over 54 percent. This program is currently operating in eight other states. In 2012, you provided funding for five other counties. Now we cover all 39 counties.
Persons Testifying: PRO: Alison Mondi, Arcora Foundation; Scott Rowley, ABCD Volunteer Dental Champion; Katrin Palmer, CHOICE Regional Health Network.
Persons Signed In To Testify But Not Testifying: No one.