Amend CSSB 1 (house committee printing) in Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-38), by adding the following appropriately numbered rider:

____.  Medicaid Dental Reimbursement Rate Reallocation. (a) Out of amounts appropriated above to the Health and Human Services Commission for Strategy A.1.1, Medicaid Client Services, the commission shall:

(1)  for each procedure code under which a dental service provided to a Medicaid recipient is billed:

(A)  other than a procedure code described by Paragraph (B) of this subdivision, reduce the reimbursement rate for the dental service to the amount in effect for the dental service on February 28, 2025; and

(B)  if the procedure code was impacted by policy changes resulting from the commission's biennial review of dental services reimbursement rates that took effect March 1, 2025, maintain the reimbursement rate implemented under the policy; and

(2)  subject to Subsection (b) of this rider, after adjusting the reimbursement rates as prescribed by Subdivision (1), implement a uniform reimbursement rate increase for the following procedure codes: D0120, D0150, D0210, D0220, D0230, D0272, D0274, D0330, D1110, D1120, D1206, D1208, D1351, D1510, D1515, D2140, D2150, D2160, D2330, D2331, D2332, D2335, D2391, D2392, D2393, D2751, D2930, D3120, D3220, D3310, D3320, D3330, D7140, D7240, D9248, D2931, D7111, D7210, D7220, D7230, D2750, D2752, D2790, D2933, D2934, D2940, and D9243.

(b)  In implementing the uniform reimbursement rate increase described by Subsection (a)(2) of this rider, the Health and Human Services Commission shall limit the percentage of the rate increases as necessary to ensure any overall increase in the amount of estimated expenditures on an annual basis is equivalent to the overall increase in amount of estimated expenditures that would have resulted from implementation of policy changes that took effect March 1, 2025, including changes in reimbursement rates, following the commission's biennial review of dental services reimbursement rates.