North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S805

Introduced
4/21/26  
Refer
4/22/26  

Caption

Increase Oral Health Care Access in NC

Impact

If enacted, S805 would significantly alter the financial landscape of dental services within North Carolina's Medicaid program. The bill allocates $80 million in recurring funds from the General Fund beginning in the 2026-2027 fiscal year, specifically for increasing the reimbursement rates for dental services. This increase is expected to encourage dental practices to accept more Medicaid patients, directly alleviating the pressure on emergency departments that currently serve as primary care options for dental emergencies due to limited access to outpatient dental care.

Summary

Senate Bill 805, titled 'Increase Oral Health Care Access in NC', aims to address significant barriers to dental care faced by North Carolinians, particularly those insured through Medicaid. One of the primary reasons for these barriers is the low participation rate among dental providers in the Medicaid program, which is largely due to inadequate Medicaid reimbursement rates for dental services. The bill proposes to increase these reimbursement rates to incentivize more dental providers to participate in the Medicaid program, thereby expanding access to preventive care and reducing the reliance on emergency healthcare services for urgent dental needs.

Sentiment

The overall sentiment surrounding S805 appears to be supportive, particularly from lawmakers and dental health advocates who recognize the importance of improving access to dental care. Proponents argue that enhancing Medicaid reimbursement rates is essential for addressing longstanding disparities in oral health care access, especially among vulnerable populations. However, potential opposition may arise from budgetary concerns regarding the allocation of funds and the prioritization of healthcare spending amidst competing state financial interests.

Contention

Notable points of contention might center on the funding of the proposed increase in Medicaid reimbursement rates. Critics could question the sustainability of the $80 million budget allocation and its potential impacts on other areas of healthcare funding. Moreover, there may be debates regarding how effectively the increased rates will facilitate a long-term solution to the barriers faced by Medicaid recipients in accessing dental care, as well as the adequacy of services provided by newly incentivized providers.

Companion Bills

No companion bills found.

Previously Filed As

NC HB1567

AN ACT to provide for a legislative management study relating to dental and oral health care status among Medicaid recipients and workforce support to improve access for low-income children, Native American children, and individuals with disabilities.

NC H4162

To increase access to healthcare for ostomy patients

NC SB244

Relative to expanding access to primary health care services, increasing the size of the health care workforce, and making appropriations therefor.

NC SB609

Relating to equitable access to health care services.

NC A3344

"Mental Health Access Act;" increases Medicaid reimbursement rates for certain evidence-based behavioral health services.

NC H795

Increased Access for Youth in Foster Families

NC HB2225

Relating to equitable access to health care services.

NC A4854

Implements Mom Project oral health program in DOH; appropriates $3,000,000.

NC HB1431

Relating To Oral Health.

NC HB1431

Relating To Oral Health.

Similar Bills

OH HB780

Enact the Medicaid Savings Act

OH SB386

Enact the Medicaid Savings Act

HI SR116

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI HCR187

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI HR180

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI SCR144

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

OH HB130

Regards Medicaid Estate Recovery Program notification requirement

NJ S2742

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.