The mission of the American Academy of Pediatric Dentistry (AAPD) is to advocate policies, guidelines and programs that promote optimal oral health and oral health care for children.
As advocates of children's oral health, the AAPD works closely with legislators, professional associations and health care professionals to develop policies and guidelines, implement research opportunities in pediatric oral health and educate pediatric dentists, health care providers and the public regarding pediatric oral health.
AAPD Advocacy strengthens the voice of pediatric dentistry on behalf of children's oral health at the national and state level. These activities bring pediatric oral health to the forefront of health policy deliberations. A strong, organized and informed advocacy network is essential to ensure effective communication within and among the AAPD headquarters and district and state unit organizations, and to promote effective state and national policy decisions.
This advocacy section provides summaries and resources on current legislative and regulatory issues affecting pediatric dentistry and the various AAPD efforts on your behalf. The reference materials are designed to assist in your advocacy efforts and provide opportunities to become more involved through advocacy training, participation in grassroots efforts and joining our E-Advocates network. All AAPD members are strongly encouraged to become involved in efforts to enhance the oral health care of children.
For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch Esq., CAE, at firstname.lastname@example.org.
Latest Advocacy News
Results: 49 Article(s) Found.
Updated Legislative and Regulatory Priorities
The Treasury Department and IRS released on July 8, 2016 proposed regulations relating to premium tax credits under the Affordable Care Act. This included a rule clarifying the inclusion of subsidies for stand-alone pediatric dental plans, as part of the premium tax credit, for plans purchased in a Health Insurance Exchange.
The Senate Labor, Health and Human Services, and Education Appropriations Subcommittee approved a FY2017 funding bill on June 7, followed by full Appropriations Committee passage on June 9, 2016 by a 29-1 vote.
The Connecticut State Budget passed during the 2016 legislative session resulted in a 5% across the board reduction in children’s dental Medicaid reimbursement rates.
Feb 12, 2016 05:02 PM
In early January 2016, the AAPD and ADA sent two comment letters to the Centers for Medicare and Medicaid Services (CMS) concerning the CMS regulation on Medicaid Programs: Methods for Assuring Access to Covered Medicaid Services issued on Nov. 2, 2015 (CMS-2328-FC). The organizations urged that dental services be included in state Access Monitoring Plans that must be submitted to CMS by July 1, 2016. A number of additional recommendations were made related to market-based reimbursements and me
Jan 20, 2016 06:28 PM
Download the AAPD’s 2016 Legislative and Regulatory Priorities as developed by the AAPD Council on Government Affairs and approved by the AAPD’s board of trustees. For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch at email@example.com.
As Congressional negotiations on the FY 2016 federal budget continued through-out the fall of 2015, the AAPD, ADA, ADEA, and AADR sent a joint letter to Labor-HHS-Education Appropriations Subcommittee chairs and ranking minority members reminding them of the dental community’s funding requests, including $10 million for Title VII pediatric dentistry.
The American Academy of Pediatric Dentistry (AAPD) and the American Dental Association (ADA) sent a letter to the Center for Consumer Information and Insurance Oversight, urging the Center to require states to make the 2017 essential health benefit benchmark plans more transparent in regards to pediatric dental benefits.
As reported in the May 2015 PDT, based on a significant challenge posed by a Medicaid Recovery Audit Contractor (RAC) in Nebraska that impacted all Medicaid participating dentists in the state , the Nebraska Society of Pediatric Dentistry and the Nebraska Dental Association (NDA) pursued RAC Audit reform legislation. Legislative bill 315 was introduced, followed by a legislative hearing. During the February 18, 2015 hearing on this bill, both pediatric and general dentists testified including
On June 22, 2015, the American Academy of Pediatric Dentistry (AAPD) along with the Connecticut State Dental Association, Connecticut Society of Pediatric Dentists, Connecticut Society of Oral and Maxillofacial Surgeons, American Dental Association, Walgreen Co., and ATG Connecticut petitioned a Connecticut state appellate court for permission to file an amici curiae (friends of the court) brief in a case involving state Medicaid dental auditing practices. The request was granted and the brief w
Based on the AAPD’s success in obtaining directed funding of $10 million for pediatric dentistry training in the fiscal year (FY) 2015 federal budget, the Health Resources and Services Administration (HRSA) recently awarded a number of new postdoctoral and predoctoral grants to support training of pediatric dentists and to better train general dentists in treating children.
For more background on the Title VII health professions training program for pediatric dentistry, see:
On July 24, 2015, the American Academy of Pediatric Dentistry (AAPD) and the American Dental Association (ADA) filed joint comments on proposed regulations of the Centers for Medicare and Medicaid Services (CMS) concerning Medicaid and Children’s Health Insurance Program (CHIP) Managed Care contracting and comprehensive quality strategies. This is an important issue because many states are moving to managed care contracts for Medicaid and CHIP services, including dental (although dentists may st
The AAPD recently joined more than 1,500 organizations in sending a letter to congressional leadership urging action this year to protect the millions of children who get their health care through the Children’s Health Insurance Program (CHIP). The letter was coordinated by the bipartisan national children’s advocacy organization First Focus and signed by national, state, and local organizations, including organizations in every state. When over 200 pediatric dentists and pediatric dental resid
On February 9, 2015, the AAPD, along with the American Dental Association, American Dental Education Association, and the American Association for Dental Research, communicated FY 2016 oral health funding priorities to the chairs and ranking minority members of the Senate and House Appropriations Committee’s Subcommittee on Labor, Health and Human Services, Education, and related agencies. This request includes the AAPD’s top funding priority, $10 million for pediatric dentistry training under
Download the AAPD’s 2015 Legislative and Regulatory Priorities as developed by the AAPD Council on Government Affairs and approved by the AAPD’s board of trustees. For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch at firstname.lastname@example.org.
Almost a decade after the original lawsuit was filed and three years after the trial was completed, U.S. District Court Judge Adalberto Jordan has ruled that the Florida Medicaid program violates federal law. The lawsuit was brought by the Florida Chapter of the American Academy of Pediatrics and the Florida Academy of Pediatric Dentistry. See the article below by Dr. Bicuspid as well as additional background on the case. Pediatric dentist and Medicaid dental expert Dr. James J. Crall was a cri
On December 12-13, 2014 the U.S. House of Representatives and Senate passed the massive “cromnibus” $1.1 trillion bill to fund the federal government for fiscal year (FY) 2015. The government is operating under a CR through December 17 until the President signs the bill.
Under the Affordable Care Act (ACA), the Medicare Recovery Audit Contractor (RAC) program was extended to Medicaid. The RAC program allows private contractors to demand patient records and conduct audits on providers while retaining a percentage of any refunds collected.
The U.S. Supreme Court recently accepted a certiorari petition to hear the case of The North Carolina State Board of Dental Examiners v. Federal Trade Commission. The AAPD contributed to the cost of and joined an Amici Curiae (friends of the court) legal brief in support of the North Carolina Dental Board. The brief was filed on May 30, 2014, and the Supreme Court is expected to hear oral arguments in the case this fall. Other organizations joining the brief include the American Dental Associ
The AAPD along with the ADA, National Association of Dental Plans, and Delta Dental Plans Association recently wrote the U.S. Treasury Secretary asking for a revision in IRS regulatory interpretation of premium tax credit subsidies for pediatric dental insurance coverage under the Affordable Care Act (ACA).
Apr 21, 2014 04:28 PM
The ADA Health Policy Resources Center has released a second report related to Affordable Care Act (ACA) insurance plans (see new analysis), finding that enrollment in stand-alone dental plans (SADPs) in the newly-established health insurance marketplaces varies considerably from state to state. Idaho has the highest enrollment rate for children and Alabama the highest for adults. Overall, the enrollment of children in SADPs is low when compared to ACA objectives. Initial data suggests the lack
Approximately 8.7 million children are expected to gain some form of dental benefits by 2018 as a result of the Affordable Care Act (ACA), an increase of 15 percent relative to 2010.
Three million of these children may gain dental benefits through health insurance marketplaces. Overall, these changes are predicted to reduce the number of children without dental benefits by about 55 percent. However, due to the wide variation among states on how dental benefits are offered within the newly esta
The House and Senate Appropriations Committee leadership on Jan. 13, 2014 released the Consolidated Appropriations Act of 2014, an omnibus agreement providing funding for all 12 spending bills, including Labor-HHS-Education. The AAPD’s top appropriations priority, funding for Title VII pediatric dentistry, received our requested amount of $8 million. The AAPD also worked closely with the ADA to obtain language that prohibits federal funding for dental therapist or other alternative provider de
Download the AAPD’s 2014 Legislative and Regulatory Priorities as developed by the AAPD Council on Government Affairs and approved by the AAPD’s board of trustees. For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch at email@example.com.
On Dec. 18, 2013, the AAPD and the ADA filed joint comments with CMS concerning their proposed rule on benefit and payment parameters for 2015 as they apply to stand-alone dental plan (SADP) coverage under the Affordable Care Act (ACA). The proposal would reduce the annual limit on cost-sharing for stand-alone dental plans to $300 for one child and $400 for two or more children, in addition to eliminating the actuarial value (AV) requirements. The AAPD and ADA support affordable dental insura
In Nov. 2013 the AAPD sent letters to legislators in Florida and Ohio in support of pending non-covered services legislation. This legislation would prevent insurers from setting prices for services their plans do not even cover. The AAPD believes such insurance practices hurt access to care and interfere with the patient-doctor relationship. Laws preventing such practices have already been approved in 33 states.
On Nov. 25, 2013, the AAPD and the ADA filed comments with CMS concerning their proposed rule on Basic Health Programs (BHPs). Such programs are an option for states beginning on Jan. 1, 2015, to cover individuals who do not qualify for Medicaid but whose income does not exceed 200 percent of the federal poverty level. BHPs are required to offer the essential health benefits package under the ACA, including a pediatric dental benefit. The ADA and AAPD urged that BHPs address challenges that c
The AAPD Pediatric Oral Health Research and Policy Center’s (POHRPC) most recent technical brief addresses the topic of patient-centered care in the context of increasing rates of dental caries in pre-school children, limited resources and a potential increase in patient demand due to the provisions of the Affordable Care Act.
There was positive news from the July 11, 2013 mark-up of FY 2014 appropriations legislation by the Senate Labor-HHS-Education Committee. This was approved along party lines by a 16-14 vote and the full report, Senate Report 113-071, is available online at: http://thomas.loc.gov/cgi-bin/cpquery/R?cp113:FLD010:@1(sr0071)
Download the AAPD’s 2013 Legislative and Regulatory Priorities as developed by the AAPD Council on Government Affairs and approved by the AAPD’s board of trustees. For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch at firstname.lastname@example.org.
Pediatric oral health is defined under the Patient Protection and Affordable Care Act (ACA) as an essential health benefit. Health insurers in the individual and small group markets, inside or outside of state health insurance exchanges, must offer qualified health plans that cover ten categories of essential health benefits. It is estimated that 3 million children will gain dental benefits through the health insurance exchanges by 2018.
On August 3, 2012 the AAPD and ADA submitted comments in response to May 16, 2012 guidance issued by the Center for Consumer Information and Insurance Oversight (CCIIO) regarding federally-facilitated exchanges (FFE).
The AAPD and the Organized Dentistry Coalition, along with over 700 other organizations, sent a letter to the U.S. House of Representatives in June 2012 urging a repeal of the medical device tax contained in the Affordable Care Act.
On May 16, 2012 the AAPD joined an Amici Curiae (friends of the court) legal brief filed with the U.S. Court of Appeals for the Fourth Circuit in the case of North Carolina State Board of Dental Examiners v. the Federal Trade Commission (FTC).
More than 90 AAPD members from 24 states and the District of Columbia participated in the Academy's annual Congressional Lobby Days in Washington, D.C., on March 7-8, 2012.
The AAPD, the American Dental Association, and other members of the Organized Dentistry Coalition (ODC) commented to the federal Center for Consumer Information and Insurance Oversight (CCIIO) on Jan. 31, 2012, in response to draft guidance from this agency on essential health benefits (EHB).
On March 5, 2012, the AAPD filed a written statement for the record with the U.S. Senate Subcommittee on Primary Health and Aging of the Health, Education, Labor, and Pensions Committee. This was in response to the subcommittee’s Feb. 29, 2012, hearing on Dental Crisis in America: The Need to Expand Access.
Click below for a copy of the AAPD’s 2012 Legislative and Regulatory Priorities as developed by the AAPD Council on Government Affairs and approved by the AAPD’s board of trustees.
Congressional efforts at developing the final FY 2012 Labor-HHS appropriations bill were completed in late December 2011 after much political wrangling. The entire conference report is H. Rpt. 112-331 and the final law is P.L. 112-74.
On November 9, 2011 the AAPD and ADA met for a second time with staff of the Center for Consumer Information and Insurance Oversight (CCIIO), which is a new agency under CMS (the Center for Medicare and Medicaid Services) that was created under the Affordable Care Act (ACA). CCIIO is responsible for writing the federal guidance to states concerning “essential benefits” that are required to be covered by all qualified health
In early October 2011, the AAPD joined ADA and other members of the Organized Dental Coalition to comment on proposed regulations of CMS (Centers for Medicare and Medicaid Services) concerning the development of state health insurance exchanges as required under the Affordable Care Act (ACA).
On July 5, 2011, the AAPD and the ADA sent a joint comment letter to the Centers for Medicare and Medicaid Services (CMS) concerning proposed Medicaid regulations on methods for assuring access to covered services.
Several members of Congress have expressed concern about the Office of Head Start's decision to not exercise the remaining option years of the AAPD's contract to operate the Dental Home Initiative.
Aug 01, 2010 04:01 PM
August 2010: ADA-AAPD Comments to Centers for Medicare Medicaid Services
The AAPD joined a broad range of dental organizations and employee unions in opposing the proposed excise tax on health care plans above a certain dollar threshold (the so-called "cadillac plan" tax).
On October 7, 2009, the United States House of Representatives’ Oversight Committee’s Subcommittee on Domestic Policy held a hearing on children’s dental issues in Medicaid.
On October 7, 2009, the Centers for Medicare and Medicaid Services (CMS) issued a letter to states concerning implementation of required dental coverage under the Children’s Health Insurance Program Reauthorization of 2009 (CHIPRA).
AAPD Congressional Liaison Dr. Heber Simmons Jr. was one of the expert panelists at a Feb. 27, 2009, Capitol Hill briefing for Congressional staffers. The briefing focused on policy initiatives to improve access to oral health care for children of low-income families.