On Sept. 9, the California State Assembly voted in favor of legislation that would allow Medi-Cal, the state’s Medicaid provider, to reimburse service providers for the application of silver diamine fluoride when used as a caries-arresting agent. The legislation limits the benefit to children under the age of 6, persons with disabilities or other underlying conditions as well as adults who live in a licensed nursing facility or a licensed intermediate-care facility. Additionally, the bill allows for the reimbursement of this service when provided by a registered dental hygienist in alternative practice who meets the requirements described in the bill.
In the June 4 edition of ADEA Advocate, we reported that similar legislation was vetoed by former California Gov. Jerry Brown (D) in 2018, due to concerns related to the cost of providing
the reimbursement. This year’s legislation attempts to limit costs by restricting the benefit to the populations mentioned previously, but the state’s Department of Finance is on record in opposition to the bill, believing it would allocate General Fund resources that should be considered for other priorities. The bill passed the Senate in May and will now head to the desk of Gov. Gavin Newsom (D).