"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.

The "Healthy Smiles Act" (S 3011) increases NJ FamilyCare's fee-for-service reimbursement rates for pediatric dental services by 20% starting July 2025, and requires managed care organizations to pay providers at least the same rate for identical services. This directly affects dental providers treating NJ FamilyCare enrollees (20% of New Jersey's population, including low-income and minority children) and aims to improve access to dental care. The bill addresses longstanding low reimbursement rates - ranked in the bottom 10% nationally since 2007 - that have reduced provider participation and delayed care for children with high rates of untreated tooth decay. It mandates annual adjustments tied to regional inflation and imposes penalties on managed care plans that fail to comply.