On March 31, 2025, the Maryland Legislature introduced Senate Bill 988, a significant legislative proposal aimed at enhancing dental care access for children in schools. The bill seeks to address the pressing issue of inadequate dental services for uninsured children and aims to improve overall oral health outcomes within the state.

Senate Bill 988 outlines several key provisions designed to bolster dental care in educational settings. Firstly, it supports collaboration between schools and community dental partners to connect families and children with permanent dental facilities. Additionally, the bill proposes increasing the number of dental hygienists providing school-based services through policy initiatives, including grant support for uninsured children and Medicaid reimbursement for dental hygienists delivering these services.

Another notable aspect of the bill is the authorization for school nurses to administer fluoride varnishes and other clinically appropriate services, which would be facilitated by modifications to school health guidelines and reimbursement through the Maryland Medical Assistance Program. Furthermore, the bill aims to expand the capacity of school-based health centers to provide dental services and encourages innovative models for delivering dental care to children in schools.

The bill has sparked discussions among lawmakers and stakeholders regarding its potential impact on children's health and the healthcare system. Proponents argue that improving access to dental care in schools can lead to better health outcomes and reduce long-term healthcare costs. However, some critics have raised concerns about the feasibility of implementing these initiatives and the financial implications for the state budget.

As part of the bill's framework, a Collaborative will be established to consult with experts in school-based dental programs. This group is tasked with submitting an interim report by December 1, 2025, and a final report by October 1, 2026, detailing findings and recommendations to the Governor and the General Assembly.

Senate Bill 988 is set to take effect on July 1, 2025, with a provision that certain sections will remain effective for two years, after which they will automatically expire unless further action is taken by the General Assembly. The bill represents a proactive approach to addressing dental health disparities among children in Maryland, with potential long-term benefits for public health and education.