Skip to main content

Sign up for our newsletter.

Quality journalism. Progressive values. Direct to your inbox.

Rep. Richard Neal listens during a hearing

House Ways and Means Committee Chair Rep. Richard Neal (D-Mass.) listens during a committee hearing on March 3, 2020 in Washington, DC. (Photo: Mark Makela/Getty Images)

'Political Malpractice': House Democrats' Bill Wouldn't Add Dental to Medicare Until 2028

"I don't want to see it drawn out to as far as the House has proposed," Sen. Bernie Sanders said during a recent press call.

Jake Johnson

House Democrats' 2,465-page reconciliation package includes a plan to add dental benefits to Medicare, a proposal that is overwhelmingly popular with U.S. voters and—according to advocates—urgently needed to assist the tens of millions seniors who have been forced to go without crucial care.

"Did no one learn anything from the long delay in implementing the ACA?"

The caveat is that, as currently written, Democrats' legislation wouldn't roll out the new dental coverage until 2028, a lag that progressives say is morally unacceptable and politically problematic for the majority party and the White House.

"This is political malpractice," Joe Calvello of New Deal Strategies, a progressive consulting firm, said in response to the legislative text (pdf) released Friday by the House Budget Committee. "Absolutely no excuse for it."

As the Washington Post reported earlier this month, federal health officials have warned that "it could take in the range of three to five years to implement new dental benefits" due to numerous factors, including the time-consuming processes of vetting new dentists for the Medicare program and establishing a "new pricing system for reimbursing dentists for the new Medicare procedures and products."

"The lengthy timeline threatens to diminish the political upside of the new benefits, which Democrats have seen as an immediate and tangible improvement in voters' lives they could present to the public in the 2022 and 2024 elections," the Post noted. "One person characterized the prediction of five years as CMS's 'worst case scenario' timeline."

Helaine Olen, who serves on the advisory board of the Economic Hardship Reporting Project, stressed in a tweet on Friday that "seniors desperately want dental benefits." Roughly two-thirds of Americans over the age of 65 don't have dental coverage and half haven't been to the dentist within the past year, according to the Kaiser Family Foundation.

The Centers for Disease Control and Prevention notes on its website that nearly one in five U.S. seniors have lost all of their natural teeth.

"Seniors vote. The White House realizes this," Olen wrote. "Why, oh, why do so many people consider the Democratic moderates the realists in this equation? Did no one learn anything from the long delay in implementing the [Affordable Care Act]?"

Congressional Democrats and the Biden administration are reportedly exploring possible ways to speed up the provision of new dental benefits, including some kind of voucher program that would provide financial assistance to seniors as the federal government stands up the full dental program.

"The benefit must start soon—we can't wait until 2028!"

Under Democrats' current Medicare expansion plan—which the House Ways and Means Committee approved earlier this month—new vision benefits would be created in 2022 followed by hearing benefits in 2023. If enacted, the plan would represent one of the largest expansions of Medicare in the program's 56-year history.

In a statement touting his committee's vote, Ways and Means Chair Rep. Richard Neal (D-Mass.) emphasized that Democrats' reconciliation package would expand "Medicare coverage to include dental, vision, and hearing benefits, quickly getting new vision and hearing services to beneficiaries in 2022 and 2023, respectively, to eliminate cost and coverage barriers to this care."

The statement notably didn't mention the plan's 2028 start date for dental benefits.

Democrats' proposal is subject to change as the reconciliation package moves through congressional committees. Sen. Bernie Sanders (I-Vt.), the chair of the Senate Budget Committee and one of the leading proponents of Medicare expansion in Congress, has taken issue with the House's proposed timeline for the implementation of new dental coverage.

During a press call earlier this month, the Vermont senator acknowledged that the dental benefits could be "complicated" to set up but said he doesn't believe the process should take roughly six years.

"Do I think we should take such a long time to implement the dental provisions? No I don't," Sanders said on a press call when asked about the House proposal. "I don't want to see it drawn out to as far as the House has proposed."

In recent days, Social Security Works, Justice in Aging, and other advocacy groups have attempted to put pressure on senators to shorten the dental benefits timeline.

"Dental care is healthcare," Social Security Works tweeted last Friday. "That's why Congress must add a dental benefit to Medicare as part of #BuildBackBetter. And the benefit must start soon—we can't wait until 2028! Call your Senators at 202-509-9128 and urge them to act."


Our work is licensed under Creative Commons (CC BY-NC-ND 3.0). Feel free to republish and share widely.

We've had enough. The 1% own and operate the corporate media. They are doing everything they can to defend the status quo, squash dissent and protect the wealthy and the powerful. The Common Dreams media model is different. We cover the news that matters to the 99%. Our mission? To inform. To inspire. To ignite change for the common good. How? Nonprofit. Independent. Reader-supported. Free to read. Free to republish. Free to share. With no advertising. No paywalls. No selling of your data. Thousands of small donations fund our newsroom and allow us to continue publishing. Can you chip in? We can't do it without you. Thank you.

Warnock Projected to Win Georgia Runoff, Giving Democrats 51-49 Senate Majority

"Tonight, the people—young, Black, Brown, and working people—expanded the Senate majority, neutralized the power of Joe Manchin, and defeated yet another fascist," the Sunrise Movement cheered.

Brett Wilkins ·


'About Damn Time': NY Jury Finds Trump Organization Guilty on All Counts of Tax Fraud

"Today's guilty verdict against the Trump Organization shows that we will hold individuals and organizations accountable when they violate our laws to line their pockets," said New York Attorney General Letitia James.

Brett Wilkins ·


Oxfam Rebukes EU Over Delayed Deal on Global Minimum Corporate Tax

"This is a loss to ordinary people who are struggling with the cost-of-living crisis and a win to the ultra-profitable corporations," said the group's tax expert for the bloc.

Jessica Corbett ·


Global Biodiversity Summit Called 'Make-or-Break Moment' for Wildlife

"The deluded dreams of billionaires aside, there is no Planet B," said U.N. Secretary-General António Guterres. "We must fix the world we have."

Julia Conley ·


Congressional Progressives, Climate Activists Rally Against Manchin's 'Dirty Deal'

"As if spending $847 billion on the military-industrial complex wasn't bad enough," said Rep. Rashida Tlaib, "now they want to add sacrificing frontline communities for polluter profits to the package?"

Brett Wilkins ·

Common Dreams Logo