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The following are submitted reports from Michelle Sensat, President-Elect, Molly Bigelow and Pat Johnson. Their reports outline events and activites during the 2010 ADHA Annual Session in Las Vegas.
ADHA Delegate Report
July 11, 2010
ADHA Delegate Report
87th Annual Session Las Vegas, NV
Michelle L. Sensat, RDH, MS
President-elect MnDHA
Dear Fellow Members,
Thank you for the opportunity to serve as delegate to the 87th Annual American Dental Hygienists’ Association Center for Lifelong Learning and Annual Session in Las Vegas, NV, in June. I arrived on Friday, June 25th, in the afternoon, several hours before the beginning of the IOH Benefit/President’s Reception—A Night in Ancient Rome. I must say, our state and district was well-represented with togas of red and gold, and we had a very good time from 7pm. until 11 pm. that evening, where we closed down the party by being the last to leave. I must say, it was a wonderful and memorable start to a very busy, productive, yet exhausting and stimulating five days.
Saturday, June 26, 2010
The day began with attendance at the Plenary Session and Awards Presentations, which featured keynote speaker, Juliet Funt. She gave an inspirational keynote speech about creating white space in our lives so that as we focus on ourselves, we may give more to those individuals and activities in our lives that count. She is the daughter of the inventor of the Candid Camera television show, and interjected the right amount of humor and inspiration to begin the business aspect of the meeting. I was also witness to one of my favorite professors getting an award for educator of the year: Susan L. Tolle, BSDH,MS, from Old Dominion University, Norfolk, VA, which was especially exciting for me. Exhibits this year were open from 10:00 am- 4:00 pm, and I had about an hour to go and see new products as well as purchase a few things for my private practice. It was nice to network as well. Molly Bigelow, President, and myself had the opportunity to meet with Stacey Chappell for about an hour to discuss legislative issues in MN and the dental therapist legislation in particular. We had many questions for her, and she was an excellent resource. We then attended the District Discussions from 4:00-6:00 pm, which made for a productive, but long day.
Sunday, June 27, 2010
This day began the business meetings. First HOD began at 8:00 am sharp and ended about 1 1/2hrs. later. This was followed by the Reference Committee A, which was well-directed by Louann Goodnough and ran from 9:30 until 10:30am, where PR 1 and PBYs 1-5 were discussed. Reference Committee B commenced at 10:30am and lasted until 11:30, where PRs 2-12 were discussed. Reference Committee C lasted from 11:30 until 12:30 where PRs 13-21 were discussed. A lot of discussion ensued regarding wording and definitions noted in some of the resolutions. It made for fruitful discussion. At 12:30 we reconvened after a short break to attend the Johnson & Johnson Award of Excellence/President’s Luncheon. We sat together as a district with the help of Linda Jorgenson and were also seated with our two student delegates, Heather Tryggestad and Rachel Sanford. After the luncheon, many of us attended the Candidates’ Forum, and although Carol Ferrazzo could not attend the session for personal reasons, we were there to support her candidacy for Region C, Finance Committee. I attended the Leadership Mentoring Session afterward from 4:00-5:00 pm, and had the opportunity to work with Rebecca Pugh, who was a wealth of information and very inspiring!! At 6:30pm, we all assembled in the hotel lobby to walk over to Battista’s Hole in the Wall, Italian Restaurant, for a District VII dinner, well-organized by Molly Bigelow. It was a lot of fun, and we had the opportunity to network with one another and share the students’ experiences with the group. We took some great photos during dinner, which I’m sure will be circulated throughout the membership upon request and on our Facebook page.
Monday, June 28, 2010
Monday began with the Mega Issues Forum, which resulted in fruitful discussion and much agreement as to the concerns about the profession of dental hygiene’s challenges heading into the future. Among the topics discussed were fiscal responsibility/funding needs to meet our agenda/legislative efforts, membership concerns, self-regulation, educational integrity, and access to healthcare with the dental hygienist as a primary provider. From 11:00 until 2:00 pm, we had a District VII discussion and had pizza delivered for lunch to finalize our concerns/discussions before the 2nd HOD commenced at 2:00 pm. The 2nd HOD, needless to say, went WAY OVER time and lasted until about 11:00 pm. About five of the nine hours was wasted to do some standing counts when the votes were too close to call, and also a standing roll call which lasted about 1 hour due to someone not turning in their attendance card, which resulted in the floor numbers being off. It was incredibly frustrating and resulted in our delegation being frustrated and exhausted in the end. Due to the 2nd House being so drawn out, it was voted upon to break and ballot in the middle of the meeting, which occurred without incident. I am proud to say that Carol Ferrazzo was voted as Region C, Finance Committee member, by a landslide!!
Tuesday, June 29, 2010
It was a PLEASURE to attend the Legislative Workshop where Senator Ann Lynch received at least three standing ovations during her speech to those present. At times, there was not a dry eye in the audience as she reiterated her focus---those without a voice and without access to care—and as she discussed how the dental therapy legislation was passed. There were many questions from those in attendance regarding how to start the process, as many states are pursuing similar legislative efforts to increase access to care. Minnesota received much applause during the workshop and people were constantly inquiring about the process. It was inspiring and emotional to know that so many of our members recognize our efforts here in MN. How encouraging!! It was voted the previous night during the 2nd HOD to move up the 3rd HOD to 10:30, so after a small break, we commenced the 3rd HOD which ended around 12:30. The 88th Annual Session, to be held in Nashville, TN, was celebrated by a brief presentation, after which we recessed and went to the Installation Luncheon, served buffet style. Shortly after eating, I obtained my bags and began the journey back to the airport and home to Minnesota. It was an exhausting meeting, but very inspiring, and I left with continued enthusiasm for our profession and all our state has accomplished over the past few years.
I would like to take this opportunity to sincerely thank you for the opportunity to attend this meeting and represent the great state of Minnesota. I look forward to attending next year in Nashville, TN!!
July 25, 2010
ADHA Delegate Report
87th Annual Session Las Vegas, NV
Molly Bigelow RDH, BS
President MnDHA
Dear Fellow Members,
Thank you for the opportunity to serve as a delegate to the 87th American Dental Hygienists’ Association’s Center for Lifelong Learning held in Las Vegas, Nevada from June 23-29, 2010. This was the largest attended ADHA meeting, with 2100 dental hygienists present. The experience of this event will always be remembered. I arrived in the wee hours of June 25th only to find a city that doesn’t sleep. The accommodations at Caesar’s Palace were luxurious to say the least.
With less than four hours of sleep, I hit the ground running that morning and never stopped. I was fortunate to meet fellow hygienists that share the passion for the advancement of our profession. Dental hygiene is at a pinnacle point within this country, with access to care being the key to our advancement.
Friday, June 25, 2010
Breakfast was sponsored by P&G Oral B. The chef was very entertaining teaching the 500 hygienists in attendance to cook Morning Glory Berries. I arrived early to attend CLL classes. Between classes I enjoyed the Exhibit Hall and reconnected with friends from other parts of the country. The Institute of Oral Health (IOH) Benefit was named “A Night in Ancient Rome”. The evening was fun for all.
Saturday, June 26, 2010
The day began with a Plenary Session, ADHA Awards, a surprise visit by “Cher”, and a fun filled Keynote Presentation by Julie Funt. Do you recall Candid Camera? Everyone needs their “white space”. This would be a time to shut everything off and enjoy life before it slips away.
There was a meeting between ADHA Governmental Affairs, Stacey Chappell, and Michelle Sensat and I. ADHA is quite pleased with the efforts in Minnesota. They will continue to be there to guide and support our endeavors.
District discussion #1 was held Saturday late afternoon. District VII Trustee Louann Goodnough RDH, BSDH lead our review of the proposed by-laws and resolution changes. I found this to be quite helpful with our decisions as a district. By meeting prior to reference committees, it gave the district time to review any changes or suggestions ADHA BOT had made since our District VII meeting in May. Our district was then able to change verbiage to give our input prior to the committee meeting the following day. There was input from the student discussion through our Student Representatives, Heather Tryggestad and Rachel Sanford.
The Minnesota delegation along with District VII Trustee ventured to Freemont St. This is the old section of Las Vegas where the city first began.
Sunday, June 27, 2010
The 1st HOD was a wrap up from the previous HOD, the adoption of the agenda, appointments, committee on nomination, report from the student assembly, and announcements. President Lynn Ramer gave her final address to the members. With a power point presentation of the constituents she had the privilege of visiting.
Reference Committee ( A,B,C) followed the 1st HOD. Reference committee A dealt with PBR 1 and PBY’s 1-5, reference committee B dealt with PBR’s 2-12, and reference committee C dealt with PBR’s 13-21. One hour was given for each. There were 21 Resolutions and 5 By-law amendments. The committees presented what the majority felt the changes to these proposals should be. Discussion then ensued.
The J&J Awards luncheon was a time to relax and enjoy each other company as a district. We are fortunate to have a strong district representation.
Candidates Forum was a time to hear from the slate of proposed officers. They gave their vision for ADHA. Questions came forth from those in attendance.
The Leadership Mentoring followed. One could choose the area of interest within ADHA. Unleashing Your Potential will be held in November to those interested in pursuing leadership roles within ADHA.
District VII dinner was held at “Batista’s Hole in the Wall” A great Italian restaurant within walking distance to the hotel. Fun was had by all.
Monday, June 28, 2010
Mega Issues began the morning. The room was divided into two with one half giving their vision for years 1-5 while the other half dealt with years 6-10. I partook in the later. There were woman from both east and west coast sitting at my table. The upshot to this three hour discussion was “autonomy”, within our education, regulation, and licensing, for our profession. That is the direction the members in attendance gave ADHA. This will be submitted for further review and strategic planning by ADHA.
District VII discussions round two! This time was spent reviewing the reference committee’s final draft of proposed resolutions and by-law changes.
2nd HOD is the time the Delegates vote on the PBR’s and PBY’s. They are presented in order of reference committee. Prior to getting started ADHA Executive Director, Ann Batrell, gave her address to the house. It culminated the vision ADHA had ten years ago for where members wanted the Association to be today and concluded with the vision of where ADHA’s next ten year plan(2010-2020) might lead.
Reference committee A: PBR 1 dealt with the definition of diversity. This was referred to report back to the HOD 2011. PBY’s 1-5 dealt with retired/senior status, members with disabilities, with or without board approval, tripartite (students ability to vote), and procedure with proposed amendments. PBY 2 was referred to report back to HOD 2011, PBY 3 & 5 passed, and PBY 4 lost.
Reference committee B: PBR 2-12. There was lengthy discussion with the definition of Mid-Level Practitioner. Florida’s delegation wanted “graduated from an accredited dental hygiene program” to be removed because Alabama does not required this to be licensed. Minnesota’s Delegation reiterated the need to keep this language to enable the advancement of our profession. Reference committee C: PBR’s 13-21 were adopted with little discussion. A thirty minute break occurred for balloting.
After a 9 hour HOD, I returned to my room to pack to be able to leave after the next HOD.
Tuesday, June 29, 2010
Legislative workshop began the final day with Senator Ann Lynch addressing the group. Many states are pursuing the Mid-Level Practitioner. Senator Lynch eloquently gave the nuts and bolts of how this came about within our great state. Through her presentation delegates, pursuing this legislation, were able to take with them a new approach to successfully get this accomplished within their states.
3rd HOD certificates of appreciation, Presidential citations, announcement of elections, call to 2011 annual session located in Nashville, TN, announcements, and installation of officers.
I want to thank MnDHA for allowing me this journey as your President and ADHA Delegate. This experience is once in a lifetime. Interacting with the national leaders and the women that encompass our profession throughout this vast land we call the USA. All members should take the opportunity to represent Minnesota at this event. Remember…Nashville 2011, Phoenix 2012, Boston 2013, and Las Vegas 2014. Thank you again this was truly an honor.
ADHA DELEGATES REPORT, 2010 submitted by Pat Johnson
The two sessions at ADHA’s Annuals Session that I found of special interest were the Mega Issues discussion and the lecture given by Senator Ann Lynch from Minnesota, speaking about the Mid Level Dental Provider.
This was the third year of the Mega Issues discussion. The responsibility of the delegates attending this session was to examine workforce issues and current trends in dental hygiene. Some of the things considered were Access Issues, Self regulation, Reimbursement, and new Workforce Models
The Washington State Dental Association will consider a policy for the creation of a Dental Therapist in September, 2010, and the Connecticut State Dental Association passed a resolution in support of establishing a Dental Therapist Program at its House of Delegates in 2009.
These are just a couple of the changes coming that were discussed. Many other states are considering legislation to make changes in the hygiene scope of practice. Currently, according to ADHA, there are 29 states that have some form of a direct access policy in place.
There are many stakeholders involved in oral health issues and oral health policy. What role does ADHA, the individual state, and the local group, have in these issues and policies? What role does the individual hygienist have?
All we know for sure is that things are changing. ADHA has been involved in workforce issues and oral health discussions, and has vowed to remain vigilant in the coming years.
“IT’S NOT ABOUT YOU”
Senator Ann Lynch has said this many times, when the stakeholders in the struggle over Mid Level Dental Provider have lost sight of for whom this legislation is being written.
Senator Lynch was invited to speak at the Legislative Forum during ADHA’s Annual session. She spoke of what took place in Minnesota, and how the bill passed even though many people thought it would not. She spoke about getting non-dental groups to support the issue, and having a strong lead person who will not back down, reminding those present that the people who will benefit are not at the table and do not have a voice. Her story of what happened in Minnesota brought more than one person to tears and there were many questions on how to get started.
IT HAS BEEN MY PLEASURE TO SERVE
At MnDHA’s Annual Session in November, I will finish my year as Immediate Past resident. It brings to end 12 ½ years of being involved. I served 9 years as Trustee for Component 4, 1 ½ years as President Elect, 1 year as President, and 1 year as Immediate Past President. It will be strange not writing reports and attending meetings. I will actually miss this. I will also miss being in contact with all the wonderful hygienists I have met through the years. I thank you all for your help and encouragement. Hygienists are a very special group of people.
Pat Johnson, BA
MnDHA IPP
7-10-2010
The following are submitted reports from BJ Rischar Wiesen, Haley Dollins and Mary Beth Kensek. Their reports outline events and activites during the 2009 ADHA Annual Session in Washington DC.
View the delegate report (pictures included) from BJ Rischar Wiesen
From Haley Dollins
My trip to ADHA’s Annual Session of its House of Delegates (HOD) as an alternate delegate was an inspiring and eye-opening experience. As someone who believes very strongly in the mission of MNDHA and ADHA, but until last month had never experienced the national gathering of ADHA’s Annual Session and Center for Lifelong Learning (CLL), I was amazed at the sheer amount of men and women that attend and support these missions in person, at the annual meeting of our national organization. I expected exactly what I saw and experienced, but was amazed at the buzz an event like this can create- especially when placed in our nation’s Capitol city.
My goal in representing MNDHA in D.C. was to glean as much information as I possibly could from this opportunity and to bring back as much national information to Minnesota that could be applied at the state level. I am very proud to say that we have truly amazing people representing our profession at the national level, and as a state that other states have looked to in the past for dental hygiene advancement we have once again been placed in the spotlight and need to rise to the occasion as a professional organization.
Two very key topics stuck out to me on this trip that I feel we are capable of following through with in Minnesota; 1) the advancement and success of the legislative initiatives that have come to fruition in Minnesota this year and 2) the need for the reassessment of membership categories and dues.
Legislative Initiatives
To anyone who was a part of making a phone call, sending an email, dropping a note in the mail, and so much more to aid in the advancement of the Advanced Dental Therapist legislation: thank you. As someone who has sat on MNDHA’s governmental affairs committee I was elated to see the national impact our hard work has made. Many sessions at the HOD and CLL revolved around this topic, and Minnesota was duly noted as a positive example of the many battles to come as other states work to pursue legislation modeled after the Advanced Dental Hygiene Practitioner (ADHP). There were many questions raised by the attendees and delegates about where our legislation ended up… some questioning what really happened and did we succeed in bringing the ADHP to Minnesota? Some of the confusion existed in the name “Advanced Dental Therapist” and it made me realize that if people across the nation felt things were unclear; then most likely people in my own state felt the same way. The wise response of many individuals was that the Minnesota Advanced Dental Therapy Legislation did not fall short or fail its original goals. In fact, Minnesota’s legislation is the exact model of what an individual state can do to bring the competencies of the ADHP in to their own state and make it its own. In our case, we actually exceed those competencies in some areas!
Minnesota has been given the opportunity to be an example of how an advanced/midlevel dental practitioner can be trained and put to work, and this process will take time. As many other states are pursuing similar legislation please remember that your state is working to succeed and in order to accomplish this goal we must all work together. MNDHA has applied for a grant to aid in expanding listening sessions to all corners of Minnesota to help educate our members and other dental professionals of what this legislation means. If you are interested in hosting a site for one of these sessions or have further questions please contact myself at haleydollins@gmail.com or Candy Hazen at candyhazen@hotmail.com
Membership Categories and Dues Initiatives
One of the most discussed topics during Annual Session was the content of a document called the Lang Report. In short, the Lang Report provides data and discussion from a large CPA firm on the state of ADHA’s budget and funding as related to membership dues, etc. What is normally a boring, and much avoided topic, become a hot discussion in which I was excited to see some brainstorming quickly develop. Mr. Lang’s report mentioned two key issues; 1) the dangerous level to which ADHA relies on income from membership dues to fund the association, which has lead to serious “bleeding” as inflation has increased dramatically over the past decade and dues have not; and 2) the cost to ADHA in offering discounted student memberships. To make sense of these two topics without ruffling feathers or putting anyone to sleep I will try to explain things in the manner that they make sense to me.
The issues relating to membership dues can be put very simply: in the past ten years active member dues have increased by 9.7%. Now, when seeing this number for the first time I thought “hmmm, that seems significant, but still affordable”, and then I read that “inflation… has gone up 2.8 times faster than dues” and I croaked. I am someone who strongly feels that my membership in ADHA is the equivalent to “profession insurance”. In essence, I work one extra day per year (approximately adding up to the amount it costs me to be a member) to ensure that I will have a profession to work in 30 years from now. Without ADHA, who else is protecting my profession, because I surely am not doing it? However, if I expect my profession to protect me with what adds up to $700,000 less per year than inflation required, then I am in a heap of trouble! So, to come back to the recommendation made by the Lang Report, it has been “strongly suggested” that ADHA raise its annual membership dues. And when you put it like that, I am all for it. Maybe I have to work an extra hour or two to split the difference, but dinner can wait.
On the issue of student memberships and graduated dues proposed for young professionals many seem to think (and this used to include me) that these simple gestures would miraculously open the eyes of new dental hygienists and help them to see how important their membership in ADHA is to their livelihood as a RDH. According to this year’s student House of Delegates, which represents every district of ADHA in the United States, the discount on fees only discounts the value of the membership to them as dental hygiene students and recent graduates. Now, no one has proposed that student memberships be eliminated, but the discussion has led to many new ideas and options for decreasing the $164 that each student costs ADHA by being a member creating an annual loss that totals $240,000. Student recommendations included not giving the first year discount on membership, but requiring the full payment of membership while raising awareness of the benefits of membership in order to earn the loyalty of those dental hygienists who are truly dedicated to the profession of dental hygiene. This would create a group of new members that hold the values of ADHA dear and can be trained as the desperately needed next generation of leaders to lead our profession.
In closing, I am thankful for the eye-opening opportunity that representing MNDHA afforded me. I am honored to serve Minnesota as a delegate for the remainder of the year, and hope that this tiny snippet of my experience has helped to open your eyes a little bit more as well. If you have any questions regarding any of the topics I discussed here please feel free to contact me at 612.239.9893 or haleydollins@gmail.com. You may also find information, including the Lang Report, at www.adha.org in the membership section.
From Mary Beth Kensek
July 7, 2009
ADHA Lead Delegate Report
86th Annual Session Washington, DC
Mary Beth Kensek, RDH, RF, BS
I.P.P. MnDHA
Dear Fellow Members,
Thank you for the opportunity to serve as delegate to the 86th Annual American Dental Hygienist Association’s Center for Lifelong Learning in Washington DC in June. My experience was quite memorable. I arrived with fellow delegates on June 19th and we took the Metro train to the beautiful Omni Hotel.
Along with other members from Minnesota, who had been there since June 17th's Lobby Day, we met with ADHA Governmental Affairs' Megan Fitzpatrick and Stacey Chappell for a brief discussion. After, since it was such a beautiful evening, some of us took in a few of the many sights DC has to offer.
Saturday, June 20, 2009
The day began with a Plenary Session, ADHA Awards, and a light-hearted Keynote Presentation by “The Healthy Humorist” physician Brad Nieder. We then had time to
visit the Exhibit Hall and Marketplace. Following that, as a Reference Committee member, I attended an orientation for all HOD Appointed Personnel.
Later that afternoon we enjoyed a three-hour tour of sights and vitamin D via a double-decker bus. It was wonderful to see all the tourists taking in the sights at our nation's capital.
We had to hurry to get ready for that evening's social event, the Institute of Oral Health Benefit/President’s Reception and Dance/Silent Auction. It was another great evening reconnecting with dental hygiene collogues from across the country.
Sunday, June 21, 2009
The Business Meetings begin! We enjoyed a Forsyth-sponsored continental breakfast, and then attended our District VII discussion. District Trustee Linda Jorgenson RDH, BS led our review of the proposed by-laws and resolutions changes. Briefly, the complete ADHA Bylaws adopted in 1980, and pieces amended through the years, were proposed rewritten following the discussion at last year's Mega Issue Forum and as recommended by ADHA's attorney. ADHA had to bring the bylaws into compliance with the Illinois Not-For Profit corporations. The Council on Policy and Bylaws has brought about these changes after a year's worth of efforts. (I think they read very professional now and provide for efficient operation.)
Delegates then attended the First House of Delegates (HOD) where CPA Andrew S. Lang presented key components from his “Lang Report on Various Dues Related Issues”. If you haven't already, please read this document and his recommendations at the ADHA website. There are important issues regarding dues and the ability to financially sustain our association.
After the first HOD, we enjoyed the J&J Awards Presentation and President Diann Bomkamp's Luncheon. I had to leave a few moments early to help collect the box of testimony to be considered at the Town Hall Forum, formerly known as the Reference Committee Hearing. (But now called reference committee again following the 2009 HOD vote) I was a part of Reference Committee B as appointed by President Bomkamp. Our committee of five delegates sorted testimony to be reviewed that day. We then attended the forum and heard verbal reports from delegates who wished to speak.
While others attended the Candidates Forum, I began my sequestered journey with my four fellow reference committee "B" members and two staff members from ADHA. Our job was to read everything and come to a consensus, for as long as that would take. We ordered Chipotle and had various snacks as we reviewed the 392 pieces of submitted testimony. We discussed the proposed resolutions 7-13 and the proposed Bylaws in its entirety. It was a very rewarding and educational evening. I am grateful to have been a part of this process. I tried not to wake up Pat when I got to our room at 3:30 a.m.
Monday, June 22, 2009
The Mega Issues Forum began at 8:00 am. but I arrived at 9:00. I joined a table in a discussion with other delegates from around the country and the District XII trustee. At this Mega Issues Forum we discussed "What role can and should ADHA play in removing barriers and promoting opportunities for dental hygienists to advance the profession? What workforce models of practice currently in development are most likely to make this possible? All information gathered was submitted for further review and strategic planning by ADHA.
At 11:30 am, District VII ordered pizzas and participated in District Discussions #2 until 2:30 p.m. The lengthy 2nd House of Delegates (HOD) immediately followed. As anticipated, many passionate debates continued regarding the proposed changes. The Bylaws were voted upon article by article, and an adoption was finally reached. It was a most interesting process, and I was proud to be a part of it. When they are posted, I recommend all members to review the changes. I expect amendments at next year's meeting judging from the amount of discussion.
Following that, three elected delegates cast ballots for ADHA’s 2009-2010 leaders. Many members and the two student delegates Amy and Jenna from our district enjoyed a great dinner and company at a close-by Indian restaurant.
Tuesday, June 23, 2009
After successfully repacking my luggage with the addition of my exhibit floor collections, I attended a two-hour presentation "Growing Your Membership Online: MySpace, Facebook and YouTube for Newbies" presented by ADHA staff members. The session provided great information, but I left feeling like Laura Ingalls.
The 3rd HOD was held from 10:00 am-noon. President Diann Bomkamp presented awards to Minnesota Senator Ann Lynch, Representative Cy Thao, and Michael Scandrett from the Safety Net Coalition for their work on the Minnesota oral health practitioners legislation. The accompanying plaques will be presented to these individuals this year back here in Minnesota. Installation of newly appointed officers followed, including Minnesota's own Louann Goodnough, the new District VII trustee. We ate at the Installation Luncheon, said good-byes to friends from across the country, and headed off to Reagan-National.
Thank you all again for allowing me to attend and represent Minnesota at this session. Once again, a wonderful opportunity that I encourage every one to be a part of in the future. Feel free to contact me with any questions. ADHA CLL--Las Vegas baby 2010.
We wish to thank Senator Ann Lynch who had the vision to see the positive affect a mid-level dental practitioner could have on the dental needs in Minnesota and the fortitude to make it a reality. Please drop her a note of thanks yourself at sen.ann.lynch@senate.mn.
We also want to thank the Safety Net Coalition and in particular Michael Scandrett for all their work in getting this bill passed. It would not have happened without them. In addition, the Pew Center for the States supported this project with some much needed capital to bring in experts from Alaska and Canada to testify before the legislature. We are also grateful to them and their foresight.
The MDA and ADA fought hard and spent a great deal of money to fight the scope and level of supervision we thought was necessary. In the end, they were able to come to the table and work out a compromise, for which we are grateful. Even though we had different views of this issue we know we will continue to work with the MDA to improve oral health in Minnesota.
Governmental Affairs chair Candy Hazen
43.28ARTICLE 3
43.29DENTAL THERAPISTS
43.30 Section 1. Minnesota Statutes 2008, section 150A.01, is amended by adding a
43.31subdivision to read:
44.1 Subd. 6b. Dental therapist. "Dental therapist" means a person licensed under this
44.2chapter to perform the services authorized under section 150A.105 or any other services
44.3authorized under this chapter.
44.4 Sec. 2. Minnesota Statutes 2008, section 150A.01, is amended by adding a subdivision
44.5to read:
44.6 Subd. 6c. Advanced dental therapist. "Advanced dental therapist" means a person
44.7licensed as a dental therapist under this chapter and who has been certified by the board to
44.8practice as an advanced dental therapist under section 150A.106.
44.9 Sec. 3. Minnesota Statutes 2008, section 150A.05, is amended by adding a subdivision
44.10to read:
44.11 Subd. 1b. Practice of dental therapy. A person shall be deemed to be practicing as
44.12a dental therapist within the meaning of this chapter who:
44.13(1) works under the supervision of a Minnesota-licensed dentist under a collaborative
44.14management agreement as specified under section 150A.105;
44.15(2) practices in settings that serve low-income, uninsured, and underserved patients
44.16or are located in dental health professional shortage areas; and
44.17(3) provides oral health care services, including preventive, oral evaluation and
44.18assessment, educational, palliative, therapeutic, and restorative services as authorized
44.19under sections 150A.105 and 150A.106 and within the context of a collaborative
44.20management agreement.
44.21 Sec. 4. Minnesota Statutes 2008, section 150A.05, subdivision 2, is amended to read:
44.22 Subd. 2. Exemptions and exceptions of certain practices and operations.
44.23Sections 150A.01 to 150A.12 do not apply to:
44.24(1) the practice of dentistry or dental hygiene in any branch of the armed services of
44.25the United States, the United States Public Health Service, or the United States Veterans
44.26Administration;
44.27(2) the practice of dentistry, dental hygiene, or dental assisting by undergraduate
44.28dental students, dental therapy students, dental hygiene students, and dental assisting
44.29students of the University of Minnesota, schools of dental hygiene, schools with a dental
44.30therapy education program, or schools of dental assisting approved by the board, when
44.31acting under the direction and supervision of a licensed dentist, a licensed dental therapist,
44.32 or a licensed dental hygienist acting as an instructor;
45.1(3) the practice of dentistry by licensed dentists of other states or countries while
45.2appearing as clinicians under the auspices of a duly approved dental school or college, or a
45.3reputable dental society, or a reputable dental study club composed of dentists;
45.4(4) the actions of persons while they are taking examinations for licensure or
45.5registration administered or approved by the board pursuant to sections 150A.03,
45.6subdivision 1 , and 150A.06, subdivisions 1, 2, and 2a;
45.7(5) the practice of dentistry by dentists and dental hygienists licensed by other states
45.8during their functioning as examiners responsible for conducting licensure or registration
45.9examinations administered by regional and national testing agencies with whom the
45.10board is authorized to affiliate and participate under section 150A.03, subdivision 1,
45.11and the practice of dentistry by the regional and national testing agencies during their
45.12administering examinations pursuant to section 150A.03, subdivision 1;
45.13(6) the use of X-rays or other diagnostic imaging modalities for making radiographs
45.14or other similar records in a hospital under the supervision of a physician or dentist or
45.15by a person who is credentialed to use diagnostic imaging modalities or X-ray machines
45.16for dental treatment, roentgenograms, or dental diagnostic purposes by a credentialing
45.17agency other than the Board of Dentistry; or
45.18(7) the service, other than service performed directly upon the person of a patient, of
45.19constructing, altering, repairing, or duplicating any denture, partial denture, crown, bridge,
45.20splint, orthodontic, prosthetic, or other dental appliance, when performed according to a
45.21written work order from a licensed dentist or a licensed advanced dental therapist in
45.22accordance with section 150A.10, subdivision 3.
45.23 Sec. 5. Minnesota Statutes 2008, section 150A.06, is amended by adding a subdivision
45.24to read:
45.25 Subd. 1d. Dental therapists. A person of good moral character who has graduated
45.26with a baccalaureate degree or a master's degree from a dental therapy education program
45.27that has been approved by the board or accredited by the American Dental Association
45.28Commission on Dental Accreditation or another board-approved national accreditation
45.29organization may apply for licensure.
45.30The applicant must submit an application and fee as prescribed by the board and a
45.31diploma or certificate from a dental therapy education program. Prior to being licensed,
45.32the applicant must pass a comprehensive, competency-based clinical examination that is
45.33approved by the board and administered independently of an institution providing dental
45.34therapy education. The applicant must also pass an examination testing the applicant's
45.35knowledge of the Minnesota laws and rules relating to the practice of dentistry. An
46.1applicant who has failed the clinical examination twice is ineligible to retake the clinical
46.2examination until further education and training are obtained as specified by the board. A
46.3separate, nonrefundable fee may be charged for each time a person applies. An applicant
46.4who passes the examination in compliance with subdivision 2b, abides by professional
46.5ethical conduct requirements, and meets all the other requirements of the board shall
46.6be licensed as a dental therapist.
46.7 Sec. 6. Minnesota Statutes 2008, section 150A.06, is amended by adding a subdivision
46.8to read:
46.9 Subd. 1e. Resident dental providers. A person who is a graduate of an
46.10undergraduate program and is an enrolled graduate student of an advanced dental
46.11education program shall obtain from the board a license to practice as a resident dental
46.12hygienist or dental therapist. The license must be designated "resident dental provider
46.13license" and authorizes the licensee to practice only under the supervision of a licensed
46.14dentist or licensed dental therapist. A resident dental provider license must be renewed
46.15annually by the board. An applicant for a resident dental provider license shall pay a
46.16nonrefundable fee set by the board for issuing and renewing the license. The requirements
46.17of sections 150A.01 to 150A.21 apply to resident dental providers except as specified in
46.18rules adopted by the board. A resident dental provider license does not qualify a person
46.19for licensure under subdivision 1d or 2.
46.20 Sec. 7. Minnesota Statutes 2008, section 150A.06, subdivision 2d, is amended to read:
46.21 Subd. 2d. Continuing education and professional development waiver. (a) The
46.22board shall grant a waiver to the continuing education requirements under this chapter for
46.23a licensed dentist, a licensed dental therapist, licensed dental hygienist, or registered dental
46.24assistant who documents to the satisfaction of the board that the dentist, a dental therapist,
46.25dental hygienist, or registered dental assistant has retired from active practice in the state
46.26and limits the provision of dental care services to those offered without compensation
46.27in a public health, community, or tribal clinic or a nonprofit organization that provides
46.28services to the indigent or to recipients of medical assistance, general assistance medical
46.29care, or MinnesotaCare programs.
46.30(b) The board may require written documentation from the volunteer and retired
46.31dentist, a dental therapist, dental hygienist, or registered dental assistant prior to granting
46.32this waiver.
46.33(c) The board shall require the volunteer and retired dentist, dental therapist, dental
46.34hygienist, or registered dental assistant to meet the following requirements:
47.1(1) a licensee or registrant seeking a waiver under this subdivision must complete
47.2and document at least five hours of approved courses in infection control, medical
47.3emergencies, and medical management for the continuing education cycle; and
47.4(2) provide documentation of certification in advanced or basic cardiac life support
47.5recognized by the American Heart Association, the American Red Cross, or an equivalent
47.6entity.
47.7 Sec. 8. Minnesota Statutes 2008, section 150A.06, subdivision 5, is amended to read:
47.8 Subd. 5. Fraud in securing licenses or registrations. Every person implicated
47.9in employing fraud or deception in applying for or securing a license or registration to
47.10practice dentistry, dental hygiene, or dental therapy, or dental assisting, or in annually
47.11renewing a license or registration under sections 150A.01 to 150A.12 is guilty of a gross
47.12misdemeanor.
47.13 Sec. 9. Minnesota Statutes 2008, section 150A.06, subdivision 6, is amended to read:
47.14 Subd. 6. Display of name and certificates. The initial license and subsequent
47.15renewal, or current registration certificate, of every dentist, a dental therapist, dental
47.16hygienist, or dental assistant shall be conspicuously displayed in every office in which that
47.17person practices, in plain sight of patients. Near or on the entrance door to every office
47.18where dentistry is practiced, the name of each dentist practicing there, as inscribed on the
47.19current license certificate, shall be displayed in plain sight.
47.20 Sec. 10. Minnesota Statutes 2008, section 150A.08, subdivision 1, is amended to read:
47.21 Subdivision 1. Grounds. The board may refuse or by order suspend or revoke, limit
47.22or modify by imposing conditions it deems necessary, any the license to practice dentistry
47.23or dental hygiene of a dentist, dental therapist, or dental hygienist, or the registration of
47.24any dental assistant upon any of the following grounds:
47.25(1) fraud or deception in connection with the practice of dentistry or the securing of
47.26a license or registration certificate;
47.27(2) conviction, including a finding or verdict of guilt, an admission of guilt, or a no
47.28contest plea, in any court of a felony or gross misdemeanor reasonably related to the
47.29practice of dentistry as evidenced by a certified copy of the conviction;
47.30(3) conviction, including a finding or verdict of guilt, an admission of guilt, or a
47.31no contest plea, in any court of an offense involving moral turpitude as evidenced by a
47.32certified copy of the conviction;
47.33(4) habitual overindulgence in the use of intoxicating liquors;
48.1(5) improper or unauthorized prescription, dispensing, administering, or personal
48.2or other use of any legend drug as defined in chapter 151, of any chemical as defined in
48.3chapter 151, or of any controlled substance as defined in chapter 152;
48.4(6) conduct unbecoming a person licensed to practice dentistry, dental therapy, or
48.5dental hygiene or registered as a dental assistant, or conduct contrary to the best interest of
48.6the public, as such conduct is defined by the rules of the board;
48.7(7) gross immorality;
48.8(8) any physical, mental, emotional, or other disability which adversely affects a
48.9dentist's, dental therapist's, dental hygienist's, or registered dental assistant's ability to
48.10perform the service for which the person is licensed or registered;
48.11(9) revocation or suspension of a license, registration, or equivalent authority to
48.12practice, or other disciplinary action or denial of a license or registration application taken
48.13by a licensing, registering, or credentialing authority of another state, territory, or country
48.14as evidenced by a certified copy of the licensing authority's order, if the disciplinary action
48.15or application denial was based on facts that would provide a basis for disciplinary action
48.16under this chapter and if the action was taken only after affording the credentialed person
48.17or applicant notice and opportunity to refute the allegations or pursuant to stipulation
48.18or other agreement;
48.19(10) failure to maintain adequate safety and sanitary conditions for a dental office in
48.20accordance with the standards established by the rules of the board;
48.21(11) employing, assisting, or enabling in any manner an unlicensed person to
48.22practice dentistry;
48.23(12) failure or refusal to attend, testify, and produce records as directed by the board
48.24under subdivision 7;
48.25(13) violation of, or failure to comply with, any other provisions of sections 150A.01
48.26to 150A.12, the rules of the Board of Dentistry, or any disciplinary order issued by the
48.27board, sections 144.291 to 144.298 or 595.02, subdivision 1, paragraph (d), or for any
48.28other just cause related to the practice of dentistry. Suspension, revocation, modification
48.29or limitation of any license shall not be based upon any judgment as to therapeutic or
48.30monetary value of any individual drug prescribed or any individual treatment rendered,
48.31but only upon a repeated pattern of conduct;
48.32(14) knowingly providing false or misleading information that is directly related
48.33to the care of that patient unless done for an accepted therapeutic purpose such as the
48.34administration of a placebo; or
48.35(15) aiding suicide or aiding attempted suicide in violation of section 609.215 as
48.36established by any of the following:
49.1(i) a copy of the record of criminal conviction or plea of guilty for a felony in
49.2violation of section 609.215, subdivision 1 or 2;
49.3(ii) a copy of the record of a judgment of contempt of court for violating an
49.4injunction issued under section 609.215, subdivision 4;
49.5(iii) a copy of the record of a judgment assessing damages under section 609.215,
49.6subdivision 5 ; or
49.7(iv) a finding by the board that the person violated section 609.215, subdivision
49.81 or 2. The board shall investigate any complaint of a violation of section 609.215,
49.9subdivision 1 or 2.
49.10 Sec. 11. Minnesota Statutes 2008, section 150A.08, subdivision 3a, is amended to read:
49.11 Subd. 3a. Costs; additional penalties. (a) The board may impose a civil penalty
49.12not exceeding $10,000 for each separate violation, the amount of the civil penalty to
49.13be fixed so as to deprive a licensee or registrant of any economic advantage gained by
49.14reason of the violation, to discourage similar violations by the licensee or registrant or any
49.15other licensee or registrant, or to reimburse the board for the cost of the investigation and
49.16proceeding, including, but not limited to, fees paid for services provided by the Office of
49.17Administrative Hearings, legal and investigative services provided by the Office of the
49.18Attorney General, court reporters, witnesses, reproduction of records, board members'
49.19per diem compensation, board staff time, and travel costs and expenses incurred by board
49.20staff and board members.
49.21(b) In addition to costs and penalties imposed under paragraph (a), the board may
49.22also:
49.23(1) order the dentist, dental therapist, dental hygienist, or dental assistant to provide
49.24unremunerated service;
49.25(2) censure or reprimand the dentist, dental therapist, dental hygienist, or dental
49.26assistant; or
49.27(3) any other action as allowed by law and justified by the facts of the case.
49.28 Sec. 12. Minnesota Statutes 2008, section 150A.08, subdivision 5, is amended to read:
49.29 Subd. 5. Medical examinations. If the board has probable cause to believe that a
49.30dentist, dental therapist, dental hygienist, registered dental assistant, or applicant engages
49.31in acts described in subdivision 1, clause (4) or (5), or has a condition described in
49.32subdivision 1, clause (8), it shall direct the dentist, dental therapist, dental hygienist,
49.33assistant, or applicant to submit to a mental or physical examination or a chemical
49.34dependency assessment. For the purpose of this subdivision, every dentist, dental
50.1therapist, hygienist, or assistant licensed or registered under this chapter or person
50.2submitting an application for a license or registration is deemed to have given consent
50.3to submit to a mental or physical examination when directed in writing by the board and
50.4to have waived all objections in any proceeding under this section to the admissibility
50.5of the examining physician's testimony or examination reports on the ground that they
50.6constitute a privileged communication. Failure to submit to an examination without just
50.7cause may result in an application being denied or a default and final order being entered
50.8without the taking of testimony or presentation of evidence, other than evidence which
50.9may be submitted by affidavit, that the licensee, registrant, or applicant did not submit to
50.10the examination. A dentist, dental therapist, dental hygienist, registered dental assistant,
50.11or applicant affected under this section shall at reasonable intervals be afforded an
50.12opportunity to demonstrate ability to start or resume the competent practice of dentistry or
50.13perform the duties of a dental therapist, dental hygienist, or registered dental assistant with
50.14reasonable skill and safety to patients. In any proceeding under this subdivision, neither
50.15the record of proceedings nor the orders entered by the board is admissible, is subject to
50.16subpoena, or may be used against the dentist, dental therapist, dental hygienist, registered
50.17dental assistant, or applicant in any proceeding not commenced by the board. Information
50.18obtained under this subdivision shall be classified as private pursuant to the Minnesota
50.19Government Data Practices Act.
50.20 Sec. 13. Minnesota Statutes 2008, section 150A.09, subdivision 1, is amended to read:
50.21 Subdivision 1. Registration information and procedure. On or before the license
50.22or registration certificate expiration date every licensed dentist, dental therapist, dental
50.23hygienist, and registered dental assistant shall transmit to the executive secretary of the
50.24board, pertinent information required by the board, together with the fee established by
50.25the board. At least 30 days before a license or registration certificate expiration date,
50.26the board shall send a written notice stating the amount and due date of the fee and the
50.27information to be provided to every licensed dentist, dental therapist, dental hygienist,
50.28and registered dental assistant.
50.29 Sec. 14. Minnesota Statutes 2008, section 150A.09, subdivision 3, is amended to read:
50.30 Subd. 3. Current address, change of address. Every dentist, dental therapist,
50.31dental hygienist, and registered dental assistant shall maintain with the board a correct
50.32and current mailing address. For dentists engaged in the practice of dentistry, the address
50.33shall be that of the location of the primary dental practice. Within 30 days after changing
50.34addresses, every dentist, dental therapist, dental hygienist, and registered dental assistant
51.1shall provide the board written notice of the new address either personally or by first
51.2class mail.
51.3 Sec. 15. Minnesota Statutes 2008, section 150A.091, subdivision 2, is amended to read:
51.4 Subd. 2. Application fees. Each applicant for licensure or registration shall submit
51.5with a license or registration application a nonrefundable fee in the following amounts in
51.6order to administratively process an application:
51.7(1) dentist, $140;
51.8(2) limited faculty dentist, $140;
51.9(3) resident dentist, $55;
51.10(4) dental therapist, $100;
51.11(5) dental hygienist, $55;
51.12(5) (6) registered dental assistant, $35; and
51.13(6) (7) dental assistant with a limited registration, $15.
51.14 Sec. 16. Minnesota Statutes 2008, section 150A.091, subdivision 3, is amended to read:
51.15 Subd. 3. Initial license or registration fees. Along with the application fee, each of
51.16the following licensees or registrants shall submit a separate prorated initial license or
51.17registration fee. The prorated initial fee shall be established by the board based on the
51.18number of months of the licensee's or registrant's initial term as described in Minnesota
51.19Rules, part 3100.1700, subpart 1a, not to exceed the following monthly fee amounts:
51.20(1) dentist, $14 times the number of months of the initial term;
51.21(2) dental therapist, $10 times the number of months of initial term;
51.22(3) dental hygienist, $5 times the number of months of the initial term;
51.23(3) (4) registered dental assistant, $3 times the number of months of initial term; and
51.24(4) (5) dental assistant with a limited registration, $1 times the number of months
51.25of the initial term.
51.26 Sec. 17. Minnesota Statutes 2008, section 150A.091, subdivision 5, is amended to read:
51.27 Subd. 5. Biennial license or registration fees. Each of the following licensees or
51.28registrants shall submit with a biennial license or registration renewal application a fee as
51.29established by the board, not to exceed the following amounts:
51.30(1) dentist, $336;
51.31(2) dental therapist, $180;
51.32(3) dental hygienist, $118;
51.33(3) (4) registered dental assistant, $80; and
52.1(4) (5) dental assistant with a limited registration, $24.
52.2 Sec. 18. Minnesota Statutes 2008, section 150A.091, subdivision 8, is amended to read:
52.3 Subd. 8. Duplicate license or registration fee. Each licensee or registrant shall
52.4submit, with a request for issuance of a duplicate of the original license or registration, or
52.5of an annual or biennial renewal of it, a fee in the following amounts:
52.6(1) original dentist, dental therapist, or dental hygiene license, $35; and
52.7(2) initial and renewal registration certificates and license renewal certificates, $10.
52.8 Sec. 19. Minnesota Statutes 2008, section 150A.091, subdivision 10, is amended to
52.9read:
52.10 Subd. 10. Reinstatement fee. No dentist, dental therapist, dental hygienist, or
52.11registered dental assistant whose license or registration has been suspended or revoked
52.12may have the license or registration reinstated or a new license or registration issued until
52.13a fee has been submitted to the board in the following amounts:
52.14(1) dentist, $140;
52.15(2) dental therapist, $85;
52.16(3) dental hygienist, $55; and
52.17(3) (4) registered dental assistant, $35.
52.18 Sec. 20. Minnesota Statutes 2008, section 150A.10, subdivision 1, is amended to read:
52.19 Subdivision 1. Dental hygienists. Any licensed dentist, licensed dental therapist,
52.20public institution, or school authority may obtain services from a licensed dental hygienist.
52.21Such The licensed dental hygienist may provide those services defined in section 150A.05,
52.22subdivision 1a . Such The services provided shall not include the establishment of a final
52.23diagnosis or treatment plan for a dental patient. Such All services shall be provided
52.24under supervision of a licensed dentist. Any licensed dentist who shall permit any dental
52.25service by a dental hygienist other than those authorized by the Board of Dentistry, shall
52.26be deemed to be violating the provisions of sections 150A.01 to 150A.12, and any such
52.27unauthorized dental service by a dental hygienist shall constitute a violation of sections
52.28150A.01 to 150A.12.
52.29 Sec. 21. Minnesota Statutes 2008, section 150A.10, subdivision 2, is amended to read:
52.30 Subd. 2. Dental assistants. Every licensed dentist and dental therapist who uses
52.31the services of any unlicensed person for the purpose of assistance in the practice of
52.32dentistry or dental therapy shall be responsible for the acts of such unlicensed person
53.1while engaged in such assistance. Such The dentist or dental therapist shall permit such
53.2the unlicensed assistant to perform only those acts which are authorized to be delegated to
53.3unlicensed assistants by the Board of Dentistry. Such The acts shall be performed under
53.4supervision of a licensed dentist or dental therapist. A licensed dental therapist shall not
53.5supervise more than four registered dental assistants at any one practice setting. The
53.6board may permit differing levels of dental assistance based upon recognized educational
53.7standards, approved by the board, for the training of dental assistants. The board may also
53.8define by rule the scope of practice of registered and nonregistered dental assistants. The
53.9board by rule may require continuing education for differing levels of dental assistants,
53.10as a condition to their registration or authority to perform their authorized duties. Any
53.11licensed dentist or dental therapist who shall permit such permits an unlicensed assistant
53.12to perform any dental service other than that authorized by the board shall be deemed to
53.13be enabling an unlicensed person to practice dentistry, and commission of such an act by
53.14such an unlicensed assistant shall constitute a violation of sections 150A.01 to 150A.12.
53.15 Sec. 22. Minnesota Statutes 2008, section 150A.10, subdivision 3, is amended to read:
53.16 Subd. 3. Dental technicians. Every licensed dentist and dental therapist who uses
53.17the services of any unlicensed person, other than under the dentist's or dental therapist's
53.18supervision and within such dentist's own office the same practice setting, for the purpose
53.19of constructing, altering, repairing or duplicating any denture, partial denture, crown,
53.20bridge, splint, orthodontic, prosthetic or other dental appliance, shall be required to furnish
53.21such unlicensed person with a written work order in such form as shall be prescribed by
53.22the rules of the board; said. The work order shall be made in duplicate form, a duplicate
53.23copy to be retained in a permanent file in of the dentist's office dentist or dental therapist at
53.24the practice setting for a period of two years, and the original to be retained in a permanent
53.25file for a period of two years by such the unlicensed person in that person's place of
53.26business. Such The permanent file of work orders to be kept by such the dentist, dental
53.27therapist, or by such the unlicensed person shall be open to inspection at any reasonable
53.28time by the board or its duly constituted agent.
53.29 Sec. 23. Minnesota Statutes 2008, section 150A.10, subdivision 4, is amended to read:
53.30 Subd. 4. Restorative procedures. (a) Notwithstanding subdivisions 1, 1a, and 2,
53.31a licensed dental hygienist or a registered dental assistant may perform the following
53.32restorative procedures:
53.33(1) place, contour, and adjust amalgam restorations;
53.34(2) place, contour, and adjust glass ionomer;
54.1(3) adapt and cement stainless steel crowns; and
54.2(4) place, contour, and adjust class I and class V supragingival composite restorations
54.3where the margins are entirely within the enamel.
54.4(b) The restorative procedures described in paragraph (a) may be performed only if:
54.5(1) the licensed dental hygienist or the registered dental assistant has completed a
54.6board-approved course on the specific procedures;
54.7(2) the board-approved course includes a component that sufficiently prepares the
54.8dental hygienist or registered dental assistant to adjust the occlusion on the newly placed
54.9restoration;
54.10(3) a licensed dentist or licensed advanced dental therapist has authorized the
54.11procedure to be performed; and
54.12(4) a licensed dentist or licensed advanced dental therapist is available in the clinic
54.13while the procedure is being performed.
54.14(c) The dental faculty who teaches the educators of the board-approved courses
54.15specified in paragraph (b) must have prior experience teaching these procedures in an
54.16accredited dental education program.
54.17 Sec. 24. [150A.105] DENTAL THERAPIST.
54.18 Subdivision 1. General. A dental therapist licensed under this chapter shall practice
54.19under the supervision of a Minnesota-licensed dentist and under the requirements of
54.20this chapter.
54.21 Subd. 2. Limited practice settings. A dental therapist licensed under this chapter
54.22is limited to primarily practicing in settings that serve low-income, uninsured, and
54.23underserved patients or in a dental health professional shortage area.
54.24 Subd. 3. Collaborative management agreement. (a) Prior to performing any of
54.25the services authorized under this chapter, a dental therapist must enter into a written
54.26collaborative management agreement with a Minnesota-licensed dentist. A collaborating
54.27dentist is limited to entering into a collaborative agreement with no more than five dental
54.28therapists or advanced dental therapists at any one time. The agreement must include:
54.29 (1) practice settings where services may be provided and the populations to be
54.30served;
54.31 (2) any limitations on the services that may be provided by the dental therapist,
54.32including the level of supervision required by the collaborating dentist;
54.33 (3) age and procedure specific practice protocols, including case selection criteria,
54.34assessment guidelines, and imaging frequency;
55.1 (4) a procedure for creating and maintaining dental records for the patients that
55.2are treated by the dental therapist;
55.3 (5) a plan to manage medical emergencies in each practice setting where the dental
55.4therapist provides care;
55.5 (6) a quality assurance plan for monitoring care provided by the dental therapist,
55.6including patient care review, referral follow-up, and a quality assurance chart review;
55.7 (7) protocols for administering and dispensing medications authorized under
55.8subdivision 5, and section 150A.106, including the specific conditions and circumstance
55.9under which these medications are to be dispensed and administered;
55.10 (8) criteria relating to the provision of care to patients with specific medical
55.11conditions or complex medication histories, including requirements for consultation prior
55.12to the initiation of care;
55.13 (9) supervision criteria of dental assistants; and
55.14 (10) a plan for the provision of clinical resources and referrals in situations which
55.15are beyond the capabilities of the dental therapist.
55.16 (b) A collaborating dentist must be licensed and practicing in Minnesota. The
55.17collaborating dentist shall accept responsibility for all services authorized and performed
55.18by the dental therapist pursuant to the management agreement. Any licensed dentist who
55.19permits a dental therapist to perform a dental service other than those authorized under
55.20this section or by the board, or any dental therapist who performs an unauthorized service,
55.21violates sections 150A.01 to 150A.12.
55.22 (c) Collaborative management agreements must be signed and maintained by the
55.23collaborating dentist and the dental therapist. Agreements must be reviewed, updated, and
55.24submitted to the board on an annual basis.
55.25 Subd. 4. Scope of practice. (a) A licensed dental therapist may perform dental
55.26services as authorized under this section within the parameters of the collaborative
55.27management agreement.
55.28(b) The services authorized to be performed by a licensed dental therapist include
55.29the oral health services, as specified in paragraphs (c) and (d), and within the parameters
55.30of the collaborative management agreement.
55.31(c) A licensed dental therapist may perform the following services under general
55.32supervision, unless restricted or prohibited in the collaborative management agreement:
55.33(1) oral health instruction and disease prevention education, including nutritional
55.34counseling and dietary analysis;
55.35(2) preliminary charting of the oral cavity;
55.36(3) making radiographs;
56.1(4) mechanical polishing;
56.2(5) application of topical preventive or prophylactic agents, including fluoride
56.3varnishes and pit and fissure sealants;
56.4(6) pulp vitality testing;
56.5(7) application of desensitizing medication or resin;
56.6(8) fabrication of athletic mouthguards;
56.7(9) placement of temporary restorations;
56.8(10) fabrication of soft occlusal guards;
56.9(11) tissue conditioning and soft reline;
56.10(12) atraumatic restorative therapy;
56.11(13) dressing changes;
56.12(14) tooth reimplantation;
56.13(15) administration of local anesthetic; and
56.14(16) administration of nitrous oxide.
56.15(d) A licensed dental therapist may perform the following services under indirect
56.16supervision:
56.17(1) emergency palliative treatment of dental pain;
56.18(2) the placement and removal of space maintainers;
56.19(3) cavity preparation;
56.20(4) restoration of primary and permanent teeth;
56.21(5) placement of temporary crowns;
56.22(6) preparation and placement of preformed crowns; and
56.23(7) pulpotomies on primary teeth;
56.24(8) indirect and direct pulp capping on primary and permanent teeth;
56.25(9) stabilization of reimplanted teeth;
56.26(10) extractions of primary teeth;
56.27(11) suture removal;
56.28(12) brush biopsies;
56.29(13) repair of defective prosthetic devices; and
56.30(14) recementing of permanent crowns.
56.31(e) For purposes of this section and section 150A.106, "general supervision" and
56.32"indirect supervision" have the meanings given in Minnesota Rules, part 3100.0100,
56.33subpart 21.
56.34 Subd. 5. Dispensing authority. (a) A licensed dental therapist may dispense and
56.35administer the following drugs within the parameters of the collaborative management
57.1agreement and within the scope of practice of the dental therapist: analgesics,
57.2anti-inflammatories, and antibiotics.
57.3 (b) The authority to dispense and administer shall extend only to the categories
57.4of drugs identified in this subdivision, and may be further limited by the collaborative
57.5management agreement.
57.6 (c) The authority to dispense includes the authority to dispense sample drugs within
57.7the categories identified in this subdivision if dispensing is permitted by the collaborative
57.8management agreement.
57.9 (d) A licensed dental therapist is prohibited from dispensing or administering a
57.10narcotic drug as defined in section 152.01, subdivision 10.
57.11 Subd. 6. Application of other laws. A licensed dental therapist authorized to
57.12practice under this chapter is not in violation of section 150A.05 as it relates to the
57.13unauthorized practice of dentistry if the practice is authorized under this chapter and is
57.14within the parameters of the collaborative management agreement.
57.15 Subd. 7. Use of dental assistants. (a) A licensed dental therapist may supervise
57.16dental assistants to the extent permitted in the collaborative management agreement and
57.17according to section 150A.10, subdivision 2.
57.18 (b) Notwithstanding paragraph (a), a licensed dental therapist is limited to
57.19supervising no more than four registered dental assistants or nonregistered dental
57.20assistants at any one practice setting.
57.21 Subd. 8. Definitions. (a) For the purposes of this section, the following definitions
57.22apply.
57.23 (b) "Practice settings that serve the low-income and underserved" mean:
57.24 (1) critical access dental provider settings as designated by the commissioner of
57.25human services under section 256B.76, subdivision 4;
57.26 (2) dental hygiene collaborative practice settings identified in section 150A.10,
57.27subdivision 1a, paragraph (e), and including medical facilities, assisted living facilities,
57.28federally qualified health centers, and organizations eligible to receive a community clinic
57.29grant under section 145.9268, subdivision 1;
57.30 (3) military and veterans administration hospitals, clinics, and care settings;
57.31 (4) a patient's residence or home when the patient is home-bound or receiving or
57.32eligible to receive home care services or home and community-based waivered services,
57.33regardless of the patient's income;
57.34 (5) oral health educational institutions; or
58.1 (6) any other clinic or practice setting, including mobile dental units, in which at
58.2least 50 percent of the total patient base of the dental therapist or advanced dental therapist
58.3consists of patients who:
58.4 (i) are enrolled in a Minnesota health care program;
58.5 (ii) have a medical disability or chronic condition that creates a significant barrier
58.6to receiving dental care;
58.7 (iii) do not have dental health coverage, either through a public health care program
58.8or private insurance, and have an annual gross family income equal to or less than 200
58.9percent of the federal poverty guidelines; or
58.10(iv) do not have dental health coverage either through a state public health care
58.11program or private insurance, and whose family gross income is equal to or less than 200
58.12percent of the federal poverty guidelines.
58.13 (c) "Dental health professional shortage area" means an area that meets the criteria
58.14established by the secretary of the United States Department of Health and Human
58.15Services and is designated as such under United States Code, title 42, section 254e.
58.16 Sec. 25. [150A.106] ADVANCED PRACTICE DENTAL THERAPIST.
58.17 Subdivision 1. General. In order to be certified by the board to practice as an
58.18advanced dental therapist, a person must:
58.19(1) complete a dental therapy education program;
58.20(2) pass an examination to demonstrate competency under the dental therapy scope
58.21of practice;
58.22(3) be licensed as a dental therapist;
58.23(4) complete 2,000 hours of dental therapy clinical practice under direct or indirect
58.24supervision;
58.25(5) graduate from a master's advanced dental therapy education program;
58.26(6) pass a board-approved certification examination to demonstrate competency
58.27under the advanced scope of practice; and
58.28(7) submit an application for certification as prescribed by the board.
58.29 Subd. 2. Scope of practice. (a) An advanced dental therapist certified by the board
58.30under this section may perform the following services and procedures pursuant to the
58.31written collaborative management agreement:
58.32(1) an oral evaluation and assessment of dental disease and the formulation of an
58.33individualized treatment plan authorized by the collaborating dentist;
58.34(2) the services and procedures described under section 150A.105, subdivision 4,
58.35paragraphs (c) and (d); and
59.1(3) nonsurgical extractions of permanent teeth as limited in subdivision 3, paragraph
59.2(b).
59.3(b) The services and procedures described under this subdivision may be performed
59.4under general supervision.
59.5 Subd. 3. Practice limitation. (a) An advanced practice dental therapist shall not
59.6perform any service or procedure described in subdivision 2 except as authorized by
59.7the collaborating dentist.
59.8(b) An advanced dental therapist may perform nonsurgical extractions of
59.9periodontally diseased permanent teeth with tooth mobility of +3 to +4 under general
59.10supervision if authorized in advance by the collaborating dentist. The advanced dental
59.11therapist shall not extract a tooth for any patient if the tooth is unerupted, impacted,
59.12fractured, or needs to be sectioned for removal.
59.13(c) The collaborating dentist is responsible for directly providing or arranging for
59.14another dentist or specialist to provide any necessary advanced services needed by the
59.15patient.
59.16(d) An advanced dental therapist in accordance with the collaborative management
59.17agreement must refer patients to another qualified dental or health care professional to
59.18receive any needed services that exceed the scope of practice of the advanced dental
59.19therapist.
59.20(e) In addition to the collaborative management agreement requirements described in
59.21section 150A.105, a collaborative management agreement entered into with an advanced
59.22dental therapist must include specific written protocols to govern situations in which
59.23the advanced dental therapist encounters a patient who requires treatment that exceeds
59.24the authorized scope of practice of the advanced dental therapist. The collaborating
59.25dentist must ensure that a dentist is available to the advanced dental therapist for timely
59.26consultation during treatment if needed and must either provide or arrange with another
59.27dentist or specialist to provide the necessary treatment to any patient who requires more
59.28treatment than the advanced dental therapist is authorized to provide.
59.29 Subd. 4. Medications. (a) An advanced dental therapist may provide, dispense, and
59.30administer the following drugs within the parameters of the collaborative management
59.31agreement, within the scope of practice of the advanced dental therapist practitioner,
59.32and with the authorization of the collaborating dentist: analgesics, anti-inflammatories,
59.33and antibiotics.
59.34(b) The authority to provide, dispense, and administer shall extend only to the
59.35categories of drugs identified in this subdivision, and may be further limited by the
59.36collaborative management agreement.
60.1(c) The authority to dispense includes the authority to dispense sample drugs within
60.2the categories identified in this subdivision if dispensing is permitted by the collaborative
60.3management agreement.
60.4(d) Notwithstanding paragraph (a), an advanced dental therapist is prohibited from
60.5providing, dispensing, or administering a narcotic drug as defined in section 152.01,
60.6subdivision 10.
60.7 Sec. 26. Minnesota Statutes 2008, section 150A.11, subdivision 4, is amended to read:
60.8 Subd. 4. Dividing fees. It shall be unlawful for any dentist to divide fees with or
60.9promise to pay a part of the dentist's fee to, or to pay a commission to, any dentist or
60.10other person who calls the dentist in consultation or who sends patients to the dentist for
60.11treatment, or operation, but nothing herein shall prevent licensed dentists from forming
60.12a bona fide partnership for the practice of dentistry, nor to the actual employment by a
60.13licensed dentist of, a licensed dental therapist, a licensed dental hygienist, or another
60.14licensed dentist.
60.15 Sec. 27. Minnesota Statutes 2008, section 150A.12, is amended to read:
60.16150A.12 VIOLATION AND DEFENSES.
60.17Every person who violates any of the provisions of sections 150A.01 to 150A.12
60.18for which no specific penalty is provided herein, shall be guilty of a gross misdemeanor;
60.19and, upon conviction, punished by a fine of not more than $3,000 or by imprisonment in
60.20the county jail for not more than one year or by both such fine and imprisonment. In
60.21the prosecution of any person for violation of sections 150A.01 to 150A.12, it shall not
60.22be necessary to allege or prove lack of a valid license to practice dentistry or, dental
60.23hygiene, or dental therapy but such matter shall be a matter of defense to be established by
60.24the defendant.
60.25 Sec. 28. Minnesota Statutes 2008, section 150A.21, subdivision 1, is amended to read:
60.26 Subdivision 1. Patient's name and Social Security number. Every complete
60.27upper and lower denture and removable dental prosthesis fabricated by a dentist licensed
60.28under section 150A.06, or fabricated pursuant to the dentist's or dental therapist's work
60.29order, shall be marked with the name and Social Security number of the patient for whom
60.30the prosthesis is intended. The markings shall be done during fabrication and shall be
60.31permanent, legible and cosmetically acceptable. The exact location of the markings and
60.32the methods used to apply or implant them shall be determined by the dentist or dental
61.1laboratory fabricating the prosthesis. If in the professional judgment of the dentist or dental
61.2laboratory, this identification is not practicable, identification shall be provided as follows:
61.3(a) The Social Security number of the patient may be omitted if the name of the
61.4patient is shown;
61.5(b) The initials of the patient may be shown alone, if use of the name of the patient is
61.6impracticable;
61.7(c) The identification marks may be omitted in their entirety if none of the forms of
61.8identification specified in clauses (a) and (b) are practicable or clinically safe.
61.9 Sec. 29. Minnesota Statutes 2008, section 150A.21, subdivision 4, is amended to read:
61.10 Subd. 4. Failure to comply. Failure of any dentist or dental therapist to comply
61.11with this section shall be deemed to be a violation for which the dentist or dental therapist
61.12may be subject to proceedings pursuant to section 150A.08, provided the dentist is charged
61.13with the violation within two years of initial insertion of the dental prosthetic device.
61.14 Sec. 30. Minnesota Statutes 2008, section 151.01, subdivision 23, is amended to read:
61.15 Subd. 23. Practitioner. "Practitioner" means a licensed doctor of medicine, licensed
61.16doctor of osteopathy duly licensed to practice medicine, licensed doctor of dentistry,
61.17licensed doctor of optometry, licensed podiatrist, or licensed veterinarian. For purposes
61.18of sections 151.15, subdivision 4, 151.37, subdivision 2, paragraphs (b), (e), and (f),
61.19and 151.461, "practitioner" also means a physician assistant authorized to prescribe,
61.20dispense, and administer under chapter 147A, or an advanced practice nurse authorized
61.21to prescribe, dispense, and administer under section 148.235. For purposes of sections
61.22151.15, subdivision 4; 151.37, subdivision 2, paragraph (b); and 151.461, "practitioner"
61.23also means a dental therapist authorized to dispense and administer under chapter 150A.
61.24 Sec. 31. IMPACT OF DENTAL THERAPISTS.
61.25(a) The Board of Dentistry shall evaluate the impact of the use of dental therapists
61.26on the delivery of and access to dental services. The board shall report to the chairs and
61.27ranking minority members of the legislative committees with jurisdiction over health
61.28care by January 15, 2014:
61.29(1) the number of dental therapists annually licensed by the board beginning in 2011;
61.30(2) the settings where licensed dental therapists are practicing and the populations
61.31being served;
61.32(3) the number of complaints filed against dental therapists and the basis for each
61.33complaint; and
62.1(4) the number of disciplinary actions taken against dental therapists.
62.2(b) The board, in consultation with the Department of Human Services, shall also
62.3include the number and type of dental services that were performed by dental therapists
62.4and reimbursed by the state under the Minnesota state health care programs for the 2013
62.5fiscal year.
62.6(c) The Board of Dentistry, in consultation with the Department of Health, shall
62.7develop an evaluation process that focuses on assessing the impact of dental therapists in
62.8terms of patient safety, cost-effectiveness, and access to dental services. The process shall
62.9focus on the following outcome measures:
62.10(1) number of new patients served;
62.11(2) reduction in waiting times for needed services;
62.12(3) decreased travel time for patients;
62.13(4) impact on emergency room usage for dental care; and
62.14(5) costs to the public health care system.
62.15(d) The evaluation process shall be used by the board in the report required in
62.16paragraph (a) and shall expire January 1, 2014.
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