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Bills of Interest June 2014
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June 22, 2014

AB 1174 (Bocanegra) This bill would expand the scope of practice of Registered Dental Assistants in Extended Functions and Registered Dental Hygienists to determine which dental radiographs to perform and to place interim therapeutic restorations pursuant to the order and supervision of a licensed dentist. The bill would authorize asynchronous transmission of information to be reviewed at a later time by a licensed dentist at a distant site as a billable encounter under Medi-Cal regulations.
CSPD Position: Support CSPD's Letter of Support
Comment: Introduced at the request of The Children's Partnership, the bill would place into statute the elements of the Virtual Dental Home pilot project (Health Workforce Pilot Project #172) developed by Dr. Paul Glassman and the Pacific Center for Special Care at the Arthur A Dugoni School of Dentistry. The bill was amended 5/21/14 to require that the supervising dentist provide the patient or the patient's representative written notice including specified contact information and disclosing that the care was provided at the direction of that authorizing dentist, and would prohibit the dentist from concurrently supervising more than five such dental auxiliaries as specified in the bill.

AB 1962 (Skinner) Dental Plans: Medical Loss Ratios- This bill would require dental benefit carriers to file annual reports with the Department of Managed Health Care or the Department of Insurance on loss experience and would express the will of the legislature that the data reported pursuant to these provisions be considered by adopting a medical loss ratio standard for dental benefit plans that would take effect no later than January 1, 2018.
CSPD Position: Support CSPD's Letter of Support
CSPD's Letter of Support
Comment: As introduced, would have required that dental plans sold in the state spend a minimum percentage of premium revenues on direct patient care and that plans failing to meet this "medical loss ratio" would be required to rebate the excess premium revenue back to enrollees. The bill now requires only data collection which would support the establishment of such a standard.

SB 1000 (Monning) Sugar-sweetened Beverages: Safety Warnings- Requires a safety warning label on sugar-sweetened beverage containers and dispensers.
CSPD Position: Under Consideration
Comment: The bill defines a sugar-sweetened beverage" as any sweetened non-alcoholic beverage, carbonated or non-carbonated, that has added caloric sweeteners and contains at least 75 calories per 12 fluid ounces. Requires the safety warning to read "STATE OF CALIFORNIA SAFETY WARNING: Drinking beverages with added sugar(s) contributes to obesity, diabetes, and tooth decay"

SB 1245 (Lieu) Dental Hygiene Committee of California: Sunset review- Extends the operation of the Dental Hygiene Committee of California within the jurisdiction of the Dental Board of California four years until January 1, 2019
CSPD Position: Watch
Comment: The The DHCC and the California Dental Hygienists Association have proposed an expanded authority for the Committee which would include (1) establishing the Committee as a separate Board under the jurisdiction only of the Department of Consumer Affairs and a separate Dental Hygiene Practice Act; (2) allowing the proposed Dental Hygiene Board to propose dental hygiene scope of practice changes independent of the Dental Board of California input or jurisdiction and (3) moving administration of local anesthesia and inhalation analgesia from direct to general supervision for Registered Dental Hygienists. This legislation does not include those provisions.

SB 1416 (Block) Dental Board of California: Licensure Fees- This legislation would raise the fee charged by the Dental Board for initial dental licensure and biannual renewal from $450.00 to $525.00.
CSPD Position: Neutral
Comment: As introduced, the bill gave the Dental Board statutory authority to raise licensing fees. As amended, it requires immediate implementation of the $525.00 license and renewal fee. According to the Board and Department of Consumer Affairs, averting or delaying an immediate fee increase will cause the DBC to become insolvent in Budget Year 2015-2016.
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