On April 2, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to allow access to adult dental care as an essential health benefit (EHB) through the Affordable Care Act (ACA) marketplaces. States must initiate an application process in 2025. 

On Jan. 1, 2027, every state will be able to update its EHB-benchmark plans to include routine non-pediatric dental services, such as cleanings, diagnostic radiographs, and restorative services like fillings and root canals. 

AGD previously commented on EHBs. AGD leaders and staff are still assessing the CMS final rule. For more information on the final rule, see the fact sheet, or view the final rule.