1.1 	A bill for an act
1.2 	relating to human services; authorizing medical assistance coverage of primary 
1.3 	care health care providers performing primary caries prevention services as part 
1.4 	of the child and teen checkup program; amending Minnesota Statutes 2008, 
1.5 	section 256B.0625, subdivision 14.
1.6 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.7 	Section 1. Minnesota Statutes 2008, section 256B.0625, subdivision 14, is amended to 
1.8 	read:
1.9 		Subd. 14.Diagnostic, screening, and preventive services. (a) Medical assistance 
1.10 	covers diagnostic, screening, and preventive services.
1.11 	(b) "Preventive services" include services related to pregnancy, including:
1.12 	(1) services for those conditions which may complicate a pregnancy and which may 
1.13 	be available to a pregnant woman determined to be at risk of poor pregnancy outcome;
1.14 	(2) prenatal HIV risk assessment, education, counseling, and testing; and
1.15 	(3) alcohol abuse assessment, education, and counseling on the effects of alcohol 
1.16 	usage while pregnant. Preventive services available to a woman at risk of poor pregnancy 
1.17 	outcome may differ in an amount, duration, or scope from those available to other 
1.18 	individuals eligible for medical assistance.
1.19 	(c) "Screening services" include, but are not limited to, blood lead tests.
1.20 	(d) As part of the child and teen checkup or at an episodic care visit, the primary care 
1.21 	health care provider must include primary caries prevention. Primary caries prevention 
1.22 	services include, at a minimum:
1.23 	(1) an oral examination;
1.24 	(2) a risk assessment; and 
2.1 	(3) the application of a fluoride varnish beginning at age 1 to those children assessed 
2.2 	by the provider as being high risk according to the criteria of the American Academies of 
2.3 	Pediatrics and Pediatric Dentistry.
2.4 	 At each checkup, the provider must provide to the child's parent or legal guardian: (1) 
2.5 	information on caries etiology and prevention; (2) information on the importance of 
2.6 	finding a dental home for their child by the age of 1; and (3) a resource list of dental 
2.7 	providers located in the community. The provider must indicate in the child's medical 
2.8 	record that the parent or legal guardian was provided with this information and that 
2.9 	primary caries prevention services were provided to the child.