H.R. 2045119th CongressIn committeeLatest action Mar 11, 2025Decoded by AI · checked against the record
Official title: Medicare Dental, Vision, and Hearing Benefit Act of 2025
Introduced:
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Starting in 2026, traditional Medicare would phase in coverage for dental, vision, and hearing care.
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The bill adds dental, vision, and hearing benefits to traditional Medicare, which mostly lacks this coverage now. Preventive dental care starts at 100% coverage in 2026, with other dental work phased in from 30% (2027) to 80% (2029), dentures at 80% starting 2027, vision and hearing services at 80% coverage, and full/faster coverage for lower-income beneficiaries starting in 2026.
This affects roughly 65 million Medicare enrollees, particularly those in traditional Medicare rather than Medicare Advantage. It also affects dentists, optometrists, audiologists, and other providers who bill Medicare.
The changes would gradually expand what Medicare pays for, shifting costs and coverage rules over several years while giving HHS authority to set limits and prior authorization requirements.
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Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
Latest action: — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.