Document Type

Report

Publication Date

12-2025

Abstract

The North Dakota Department of Health and Human Services Oral Health Program (OHP) implements the SEAL!ND school-based sealant initiative to provide preventive oral health services such as dental sealants, fluoride varnish, and dental screenings in schools across the state. Federal funding guidelines currently require programs to target schools where 50% or more of students participate in the Free or Reduced-Price Lunch (FRPL) program. While this criterion identifies high-need schools, it inadvertently excludes larger schools with substantial absolute numbers of low-income children. This brief examines the potential impact of two policy recommendations.

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