Your Future, Your Profession! Washington State Dental Hygienists’ Association

1. Your Future, Your Profession!Washington State Dental Hygienists’ Association Saturday, October 12, 2013

2. ADHA The largest professional organization representing the interests of dental hygienists

3. ADHA & Advocacy

4. ADHA Resources • Online Bill Tracking • State and federal bills tracked by state/subject • Charts, Maps, Data • Governmental Affairs – Practice Issues and Advocacy • Advocacy Listserv • Open to anyone who signs up – post anytime! • Survey and Research Center • ADHA studies/data • Education and Careers • Great resources/data • Professional Issues • ADHA Fact Sheets/Position Papers

5. Direct Access in 1995 5 States

6. Direct Access in 2000 9 States

7. Direct Access in 200828 States

8. Direct Access in 201134 States

9. Direct Access in 201335 States

10. Workforce States

11. What’s Already Occurred?Minnesota Created New Providers • Passed in 2008/2009 – ADHA and MNDHA supported legislation • Created two new models: • Dental Therapist (DT) • Advanced Dental Therapist (ADT) • ADT Masters program at Metropolitan State University/NormadaleCommunity College is dental hygiene-based • Curriculum based, in part, on the ADHP Competencies • Graduates are dually licensed to provide dental hygiene and dental therapy services • First class graduated in June 2011 and are currently employed

12. The Power of One Minnesota Cathy Jo Senator Lynch

13. Collaboration & Coalitions The American Dental Hygienists’ Association affirms its support for optimal oral health for all people and is committed to collaborative partnerships and coalitions that improve access to oral health services. Access to Care 7S-09/27-74

14. Why Dental Hygiene-based? • The workforce is educated, licensed, prepared and available • The educational infrastructure is in place • Dental hygienists currently work in alternative settings to increase access • Patients will benefit from a practitioner who can provide both preventive and restorative services

15. States to WatchDental Hygiene based legislative proposals: Connecticut: Advanced Dental Hygiene Practitioner • Hygiene-based • Education – RDH + Masters degree • Preventive and restorative scope • Licensure required Kansas: Registered Dental Practitioner • Hygiene-based • Education – RDH + up to 18 months undergraduate therapist program in addition to entry level hygiene education • Preventative and restorative scope • Licensure required Vermont: Licensed Dental Practitioner • Dual-track • Education – RDH + one year • Preventative and restorative scope • Licensure required Massachusetts: Advanced Dental Hygiene Practitioner • Hygiene-based • Education – RDH + 12 to 18 months undergraduate therapist program in addition to entry level hygiene education • Preventative and restorative scope • Licensure required Maine: Licensed Dental Hygiene Therapist • Hygiene-based • Education – RDH + post-secondary dental therapy program consistent with AAPHD’s curriculum • Preventative and restorative scope • Licensure required Washington: Dental Hygiene Practitioner • Dual-track • Education – RDH + post Baccalaureate certificate • Preventative and restorative scope • Licensure required New Hampshire: Dental Therapist • Dual-track • Education – RDH + 1 year • Preventative and restorative scope • Licensure required New Mexico: Dental Therapist Hygienist • Hygiene-based • Education – 3 years combined dental hygiene/dental therapy curriculum • Preventative and restorative scope • Licensure required

16. Washington State • WA HB 1516 (Cody) • WA SB 5433 (Frockt) • Attempts to increase access to dental care and disease prevention by introducing an evidence-based mid-level dental provider that is geared towards oral health disparities in the state's communities with the greatest need. • Senator David Frockt • Representative Eileen Cody

17. Washington State The problem • Health department unexpectedly rules that topical anesthetics = “local anesthesia” for supervision purposes • Some unsupervised RDH brought up on charges • Dentists worry about new supervision rules for offices The solution   • HB 1330 & SB 5464 brought forward by WSDHA, joined by WSDA • Makes topical an unsupervised or general supervision service for  hygienists • Allows dentists to delegate to dental assistants

18. CODA Draft Dental Therapy Standards • CODA's mission is to serve the oral health care needs of the public through the development and administration of standards that foster continuous quality improvement of dental and dental related educational programs.

19. What Comes Next? • IT’S UP TO YOU to shape the future of YOUR profession! • Where do you want dental hygiene to be in five years? • What will you do about it?

20. Join ADHA on Facebook, YouTube, Twitter and LinkedIn Join ADHA in Las Vegas in June 2014! Expand your Network

21. American Dental Hygienists’ Association 444 N. Michigan Ave., Suite 3400 Chicago, IL 60611 312-440-8900 www.adha.org Ann Lynch, Director of Governmental Affairs 312-440-8925 annl@adha.net