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Statutory Text

SEC. 4102. ORAL HEALTHCARE PREVENTION ACTIVITIES.

(a) IN GENERAL.—Title III of the Public Health Service Act (42 U.S.C. 241 et seq.), as amended by section 3025, is amended by adding at the end the following: ‘‘PART T—ORAL HEALTHCARE PREVENTION ACTIVITIES ‘‘SEC. 399LL ø42 U.S.C. 280k¿. ORAL HEALTHCARE PREVENTION EDUCATION CAMPAIGN. ‘‘(a) ESTABLISHMENT.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention and in consultation with professional oral health organizations, shall, subject to the availability of appropriations, establish a 5-year national, public education campaign (referred to in this section as the ‘campaign’) that is focused on oral healthcare prevention and education, including prevention of oral disease such as early childhood and other caries, periodontal disease, and oral cancer. ‘‘(b) REQUIREMENTS.—In establishing the campaign, the Secretary shall— ‘‘(1) ensure that activities are targeted towards specific populations such as children, pregnant women, parents, the elderly, individuals with disabilities, and ethnic and racial minority populations, including Indians, Alaska Natives and Native Hawaiians (as defined in section 4(c) of the Indian Health Care Improvement Act) in a culturally and linguistically appropriate manner; and ‘‘(2) utilize science-based strategies to convey oral health prevention messages that include, but are not limited to, community water fluoridation and dental sealants. ‘‘(c) PLANNING AND IMPLEMENTATION.—Not later than 2 years after the date of enactment of this section, the Secretary shall begin implementing the 5-year campaign. During the 2-year period referred to in the previous sentence, the Secretary shall conduct planning activities with respect to the campaign. ‘‘SEC. 399LL–1 ø42 U.S.C. 280k–1¿. RESEARCH-BASED DENTAL CARIES DISEASE MANAGEMENT. ‘‘(a) IN GENERAL.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall award demonstration grants to eligible entities to demonstrate the effectiveness of research-based dental caries disease management activities. ‘‘(b) ELIGIBILITY.—To be eligible for a grant under this section, an entity shall— ‘‘(1) be a community-based provider of dental services (as defined by the Secretary), including a Federally-qualified health center, a clinic of a hospital owned or operated by a State (or by an instrumentality or a unit of government within a State), a State or local department of health, a dental program of the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act), a health system provider, a private provider of dentalservices, medical, dental, public health, nursing, nutrition educational institutions, or national organizations involved in improving children’s oral health; and ‘‘(2) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. ‘‘(c) USE OF FUNDS.—A grantee shall use amounts received under a grant under this section to demonstrate the effectiveness of research-based dental caries disease management activities. ‘‘(d) USE OF INFORMATION.—The Secretary shall utilize information generated from grantees under this section in planning and implementing the public education campaign under section 399LL. ‘‘SEC. 399LL–2 ø42 U.S.C. 280k–2¿. AUTHORIZATION OF APPROPRIATIONS. ‘‘There is authorized to be appropriated to carry out this part, such sums as may be necessary.’’. (b) SCHOOL-BASED SEALANT PROGRAMS.—Section 317M(c)(1) of the Public Health Service Act (42 U.S.C. 247b–14(c)(1)) is amended by striking ‘‘may award grants to States and Indian tribes’’ and inserting ‘‘shall award a grant to each of the 50 States and territories and to Indians, Indian tribes, tribal organizations and urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act)’’. (c) ORAL HEALTH INFRASTRUCTURE.—Section 317M of the Public Health Service Act (42 U.S.C. 247b–14) is amended— (1) by redesignating subsections (d) and (e) as subsections (e) and (f), respectively; and (2) by inserting after subsection (c), the following: ‘‘(d) ORAL HEALTH INFRASTRUCTURE.— ‘‘(1) COOPERATIVE AGREEMENTS.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall enter into cooperative agreements with State, territorial, and Indian tribes or tribal organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act) to establish oral health leadership and program guidance, oral health data collection and interpretation, (including determinants of poor oral health among vulnerable populations), a multi-dimensional delivery system for oral health, and to implement science-based programs (including dental sealants and community water fluoridation) to improve oral health. ‘‘(2) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated such sums as necessary to carry out this subsection for fiscal years 2010 through 2014.’’. (d) UPDATING NATIONAL ORAL HEALTHCARE SURVEILLANCE ACTIVITIES.—ø42 U.S.C.280k–3¿ (1) PRAMS.— (A) IN GENERAL.—The Secretary of Health and Human Services (referred to in this subsection as the ‘‘Secretary’’) shall carry out activities to update and improve the Pregnancy Risk Assessment Monitoring System (referred to in this section as ‘‘PRAMS’’) as it relates to oral healthcare. (B) STATE REPORTS AND MANDATORY MEASUREMENTS.—(i) IN GENERAL.—Not later than 5 years after the date of enactment of this Act, and every 5 years thereafter, a State shall submit to the Secretary a report concerning activities conducted within the State under PRAMS. (ii) MEASUREMENTS.—The oral healthcare measurements developed by the Secretary for use under PRAMS shall be mandatory with respect to States for purposes of the State reports under clause (i). (C) FUNDING.—There is authorized to be appropriated to carry out this paragraph, such sums as may be necessary. (2) NATIONAL HEALTH AND NUTRITION EXAMINATION SUR- VEY.—The Secretary shall develop oral healthcare components that shall include tooth-level surveillance for inclusion in the National Health and Nutrition Examination Survey. Such components shall be updated by the Secretary at least every 6 years. For purposes of this paragraph, the term ‘‘tooth-level surveillance’’ means a clinical examination where an examiner looks at each dental surface, on each tooth in the mouth and as expanded by the Division of Oral Health of the Centers for Disease Control and Prevention. (3) MEDICAL EXPENDITURES PANEL SURVEY.—The Secretary shall ensure that the Medical Expenditures Panel Survey by the Agency for Healthcare Research and Quality includes the verification of dental utilization, expenditure, and coverage findings through conduct of a look-back analysis. (4) NATIONAL ORAL HEALTH SURVEILLANCE SYSTEM.— (A) APPROPRIATIONS.—There is authorized to be appropriated, such sums as may be necessary for each of fiscal years 2010 through 2014 to increase the participation of States in the National Oral Health Surveillance System from 16 States to all 50 States, territories, and District of Columbia. (B) REQUIREMENTS.—The Secretary shall ensure that the National Oral Health Surveillance System include the measurement of early childhood caries.