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Bill

HB 5627

AN ACT EXPANDING THE SCOPE OF PRACTICE OF DENTISTS.

2025 Regular Session Introduced by Josh Elliott

HB 5627 expands dentists' scope of practice, enabling more procedures and greater delegation authority to improve access to dental care and services.

REF. TO JOINT COMM. ON Public Health
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Bill Summary · HB 5627

Summary — HB 5627: "An Act Expanding the Scope of Practice of Dentists"

Status and procedural history
- Bill number: HB 5627
- Title: AN ACT EXPANDING THE SCOPE OF PRACTICE OF DENTISTS
- Introduced: March 14, 2025
- Current referral (initial): Joint Committee on Public Health
- Key legislative steps (selected):
- 2025-03-14: Filed
- 2025-04-07: Read first time; referred to Pensions, Investments & Financial Services
- 2025-04-23–24: Public hearing and committee consideration; committee substitute considered and reported favorably as substituted
- 2025-04-28: Committee report filed and distributed
- 2025-05-07–08: Considered on General State Calendar; passed and reported engrossed; received from the House (record votes and statements recorded)
- 2025-05-19: Read first time in the subsequent chamber and referred to Finance

Note: The legislative actions indicate the bill has progressed through committee consideration, a committee substitute was adopted, and it passed one chamber and was received by the other. The official bill text was not provided with the materials you supplied.

Purpose and intent
- The bill’s title indicates its primary intent is to broaden what licensed dentists are legally authorized to do — i.e., to "expand the scope of practice" for dentists. The objective of such legislation generally is to allow dentists to perform additional procedures, use additional technologies or medications, or to alter supervision/ delegation rules to improve access to dental care, modernize practice, or align state licensure with current clinical training.

Key points normally found in scope-expansion bills (text not provided)
- Types of expansions that HB 5627 may include (examples — not confirmed because the bill text is not available):
- Authorizing new procedures (e.g., minor oral surgery, additional prosthodontic or implant procedures).
- Expanding prescriptive authority (broadening which medications or dosages dentists may prescribe).
- Allowing dentists to administer additional levels of sedation or anesthesia or changing who may administer them.
- Changing delegation/supervision rules so dentists can delegate more tasks to dental hygienists or assistants, possibly under general rather than direct supervision.
- Credentialing or training requirements tied to expanded practices (certification, continuing education).
- Amendments to licensing board authority, disciplinary provisions, or practice settings (e.g., mobile clinics, tele-dentistry).

Who would be affected
- Directly: Licensed dentists in the state (expansion could change daily practice, training or credentialing requirements).
- Indirectly: Dental hygienists, dental assistants, patients (access to services, costs), dental schools and continuing education providers, state dental board/regulatory agencies, insurers and Medicaid/CHIP programs, malpractice insurers.
- Potential workforce impacts: May improve access to care in underserved areas, change referral patterns, or alter employment/training needs.

Potential implications and considerations
- Patient access and public health: Expanded scope often aims to increase access to services (especially in underserved areas) but raises questions on training standards and patient safety.
- Regulatory/fiscal: Could require new rulemaking by the state dental board, training/certification programs, or fiscal changes if Medicaid-covered services are added — fiscal notes should be reviewed.
- Liability and insurance: Expanded procedures may affect malpractice risk and insurance premiums.
- Education and certification: May create demand for additional coursework, certifications, or credentialing processes.

Next steps to evaluate the bill fully
- Obtain and review the bill text and any committee substitute (to see specific provisions).
- Read committee reports, fiscal notes, and the Journal entries (statements of vote and testimony summaries).
- Track any amendments and final votes in the second chamber and gubernatorial action.
- Consult affected stakeholders’ testimony (dental board, professional associations, consumer groups) recorded in the committee hearing (noted on 2025-04-23).

If you want, I can:
- Locate and summarize the full bill text and committee substitute (if available), or
- Summarize stakeholder testimony and the fiscal note related to HB 5627.

Compiled from official sources — confirm details with the bill’s official record.

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