CHICAGO, July 11, 2025 – Statement by Lancette VanGuilder, BS, RDH, PHEDH, CEAS, FADHA, president of the American Dental Hygienists’ Association (ADHA).
ADHA expresses serious concern that the recently enacted H.R. 1 (P.L. 119-21) could result in significant reduction or elimination of adult dental benefits under Medicaid, which are currently optional at the state level.
Provisions within the bill—such as new work requirements and restrictions on state financing tools—introduce significant reductions to federal Medicaid support. These changes may force states to reassess Medicaid budgets, prioritizing mandatory benefits over optional services like adult dental care.
Millions of adults depend on Medicaid as their only source of oral health care. Loss or reductions in these benefits could result in increased rates of untreated oral disease, greater strain on emergency departments, delayed diagnosis of systemic conditions often identified during oral health examinations, and serious long-term health and economic consequences for individuals and communities.
Dental hygienists are on the front lines of care in public health settings, clinics, and long-term care facilities, serving many of those in vulnerable populations who are most impacted by changes to Medicaid.
ADHA will continue to advocate for policies that prioritize access to care, maintain comprehensive coverage, and support the needs of the dental hygiene workforce and the communities we serve.
We urge lawmakers to consider the full public health implications of changes to Medicaid policy and to protect oral health access as an essential component of overall health care. ADHA encourages dental hygienists to continue to engage with their representatives on critical issues affecting oral health.
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