PolicyBrief
H.R. 1397
119th CongressFeb 18th 2025
Increasing Access to Dental Insurance Act
IN COMMITTEE

Allows individuals to enroll in standalone dental plans through the Health Insurance Exchange, regardless of health plan enrollment status.

Mariannette Miller-Meeks
R

Mariannette Miller-Meeks

Representative

IA-1

LEGISLATION

New Bill Lets You Buy Dental Insurance Separately on the Health Exchange

The "Increasing Access to Dental Insurance Act" changes the rules for buying dental coverage. Right now, getting dental insurance through the Health Insurance Exchange often means bundling it with a regular health plan. This bill cuts that requirement, letting anyone buy a standalone dental plan through the Exchange, regardless of their other health coverage.

Breaking Down the Changes

This bill is pretty straightforward: It removes the restriction that you have to have a qualified health plan to get dental coverage through the Exchange. (SEC. 2) This could be a game-changer for folks who have health insurance through a job that doesn't offer comprehensive dental, or for those who simply want to pick and choose their coverage. For example, imagine a freelance graphic designer who gets health insurance through their spouse's job but wants their own dental plan. Under this bill, they could shop for standalone dental coverage on the Exchange.

Real-World Rollout

If this becomes law, expect to see more dental plans popping up on the Health Insurance Exchange. This means more choices, but it also means you'll need to do your homework. Not all dental plans are created equal – some might have high premiums, limited networks, or strict rules about what's covered. This change could be great for people who've been putting off dental care because they couldn't afford it or couldn't find a plan that fit their needs. Think about the small business owner who can finally get that nagging toothache checked out without breaking the bank.

Potential Challenges

While expanding access is generally a good thing, there are a few things to keep an eye on. More options don't always mean better options. It will be important to make sure that the standalone dental plans offered are actually affordable and provide decent coverage. There's always the risk that some insurers could offer bare-bones plans that leave people with big bills down the line. Also, navigating the Exchange can be tricky, so clear and simple information will be key.

The Big Picture

This bill is a step towards making dental care more accessible, which is important because oral health is linked to overall health. It fits into the bigger picture of trying to make healthcare more flexible and affordable. By untangling dental insurance from general health insurance, it gives people more control over their coverage choices.