stephanie gibson smith texas legislative associates legislative update 2014
TRANSCRIPT
STEPHANIE GIBSON SMITH TEXAS LEGISLATIVE ASSOCIATES
Legislative Update 2014
Local Anesthesia
Expansion of Current Workforce Practice Environments
Mid-Level : Dental Hygiene Practitioner
Reinstate the loan forgiveness and/or reimbursement program for rural areas and all dental HPSA’s in Texas and modify to include dental hygienists.
Legislative Proposals
Local Anesthesia
• Delegated by Dentist
• Baccalaureate degree or
• Licensed for up at least a year practicing in a branch of the United States armed forces
• Licensed for up at least a year practicing in another state
Expansion of Current Workforce
• Collaborative Agreement with Dentist• Patient Care for up to 18 months without
referral to a dentist• Use of Telemedicine• Preventive Care in Additional Facilities –
Head Start center, pre-school, K-12 school, community center, adult day care facility, correctional facility, home health care environment, charitable clinic, veterans or military clinic, hospital and long-term care facility
Dental Hygiene Practitioner
Assessments and treatments; preparations; restorations. Perform oral health assessments, pulpal disease assessments for primary and young teeth, simple cavity preparations, provisional restorations and simple non surgical extractions;
Crowns; space maintainers. Prepare and place stainless steel crowns and aesthetic anterior temporary crowns for primary incisors and prepare, place and remove space maintainers;
Referrals. Provide referrals for further dental or medical assessment;
Anesthesia. Administer local anesthesia and nitrous oxide analgesia;
Preventive services. Perform preventive services;
Dental Hygiene Practitioner Cont.
Management of dental trauma, minor surgical care and suturing; extractions. Conduct urgent management of dental trauma, perform minor surgical care and suturing, non surgical extraction of primary and permanent teeth;
Prescribe. Prescribe anti-inflammatories, analgesics, antimicrobials, antibiotics and anticaries materials in consultation with the supervising dentist or through standing orders from the supervising dentist;
Radiographs. Administer radiographs; andOther related services and functions. Perform other related
services and functions authorized by the supervising dentist and for which the dental hygiene practitioner is trained.
Dental Hygiene Practitioner Cont.
Education and Experience:Is a licensed dental hygienist and has graduated
from an dental hygiene practitioner education program which:
1. Meets the standards adopted in this State for the certification of a bachelor’s degree-granting program as a dental hygiene practitioner at an accredited postsecondary institution;
3. Meets the requirements for dental hygiene practitioner education programs adopted by the board.
Texas Dental Access Coalition
Mission:Improved Access to Oral HealthcareIncrease the Number of New Patients Seen Increase JobsFree Market Based ApproachLower Healthcare Costs for the State and Patients
Members:Texas Public Policy Foundation, Texas Conservative Coalition, Charitable Clinics, Long term Care Facilities, Adult Day Care Centers, Career Tech Schools, Coalition for Disabilities, ARC, Correctional Facilities
Ultimate Goal of Coalition
Involvement of all stakeholders to build support for addressing lack of care through legislation next session focusing on providing quality access to care moving the focus to what is best for the patients in Texas and not on protecting one’s existing turf.
Your Responsibility
ACTIVELY engage with your personal legislators
Hygienists Need to work on campaigns every weekend of October
LET ME KNOW IF YOU HAVE A CONNECTION WITH A
LEGISLATOR.
IF NOT, DEVELOP ONE!
We Need New Legisaltive Champions…
Texas State Dental Board Issues
Hygienists Use of LasersUse of uninitiated lasers for biostimulation
which does not cut or cause irreversible damage
Sen. Schwertner Letter to BoardGAC Chairs and President’s Engagement
Dental Service Organization Regulation
2014 Election Update
The Domino Effect….
Governor – running for President ???Lt. Governor – DefeatedAttorney Gen. – running for GovernorComptroller – retiringLand Commissioner – defeated in race for Lt. Gov. Agriculture Comm. – defeated in race for Lt. Gov. Railroad Commissioner – defeated in race for AG
Potentially:
8 New or Fairly State Senators
and
80-100 Fairly New House Members
New Legislator Alert !!!
66% of all Legislators will have served two sessions or less……
Time to invest in your profession…
Help remove the burden from being the most regulated state in the country!
Your involvement is Critical!!
Time to invest in your profession…
Freedom isn’t free…
HYPAC
