The Healthy Smiles Act aims to improve access to pediatric dental services for children enrolled in the NJ FamilyCare program by increasing reimbursement rates for oral health services. Specifically, the bill mandates a 20 percent increase in the NJ FamilyCare fee-for-service reimbursement rates for covered pediatric dental services, effective July 1, 2025, or 60 days after the bill's enactment, whichever is later. Additionally, the Commissioner of Human Services is required to adjust these rates annually based on changes in the Consumer Price Index for All Urban Consumers. This adjustment is intended to ensure that reimbursement rates keep pace with inflation and maintain provider participation in the program.

Furthermore, the bill stipulates that managed care organizations (MCOs) must provide reimbursement rates for pediatric oral health services that are equal to or greater than the NJ FamilyCare fee-for-service rates. MCOs that fail to comply with this requirement may face civil penalties of up to $10,000 for each day of non-compliance. The Commissioner of Human Services is tasked with implementing the provisions of the act and ensuring compliance through necessary regulations and state plan amendments. Overall, the Healthy Smiles Act seeks to address disparities in dental health among New Jersey children, particularly those from low-income backgrounds, by enhancing the financial viability of dental care providers within the NJ FamilyCare program.