H08052026 Regular Session
Amends existing law to revise provisions regarding the practice of dental hygiene.
PRACTICE OF DENTAL HYGIENE -- Amends existing law to revise provisions regarding the practice of dental hygiene.
IntroducedIn CommitteeFloor VoteEnacted
STATEMENT OF PURPOSE
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Idaho has been a leader in scope of practice reform, and many past reforms aided Idaho’s application for Rural Health Transformation funds. Further, Idaho’s RHT application indicated that the state would explore the possibility of expanding scope of practice of dental hygienists. To address existing provider shortages in this state, this bill expands the scope of practice for dental hygienists to all dental services within the hygienist’s education, training, and experience or those services delegated to the hygienist by a supervising dentist.
BILL TEXT
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LEGISLATURE OF THE STATE OF IDAHO Sixty-eighth Legislature Second Regular Session - 2026 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 805 BY HEALTH AND WELFARE COMMITTEE AN ACT 1 RELATING TO THE PRACTICE OF DENTAL HYGIENE; AMENDING SECTION 54-902, IDAHO 2 CODE, TO REVISE PROVISIONS REGARDING THE PRACTICE OF DENTAL HYGIENE; 3 REPEALING SECTION 54-904, IDAHO CODE, RELATING TO THE AUTHORIZATION 4 FOR PROCEDURES PERFORMED UNDER GENERAL SUPERVISION BY DENTAL HYGIEN- 5 ISTS; AMENDING CHAPTER 9, TITLE 54, IDAHO CODE, BY THE ADDITION OF A 6 NEW SECTION 54-904, IDAHO CODE, TO PROVIDE AUTHORIZATION FOR DENTAL 7 HYGIENISTS; AMENDING SECTION 54-906, IDAHO CODE, TO REMOVE A PROVISION 8 REGARDING SUPERVISION BY A DENTIST; AMENDING SECTION 54-924, IDAHO 9 CODE, TO PROVIDE FOR LICENSEES AND LICENSURE BY THE BOARD; AND DECLARING 10 AN EMERGENCY AND PROVIDING AN EFFECTIVE DATE. 11 Be It Enacted by the Legislature of the State of Idaho: 12 SECTION 1. That Section 54-902, Idaho Code, be, and the same is hereby 13 amended to read as follows: 14 54-902. DEFINITION -- PRACTICE OF DENTAL HYGIENE. The practice of 15 dental hygiene is the doing by one (1) person for a direct or indirect con- 16 sideration of one (1) or more of the following with respect to the teeth 17 or dental health of another person, namely, cleaning, polishing, remov- 18 ing stains or concretions; performing nonsurgical periodontal therapy; 19 administering prescribed anesthetics or medicaments; applying preventive 20 agents; performing nonsurgical, clinical and laboratory oral diagnostic 21 tests for interpretation by a dentist; preparation of preliminary records of 22 oral conditions; and such other dental services as specified by the dentist 23 unless prohibited by the board in its adopted rules within such person's edu- 24 cation, training, and experience or as delegated by a supervising dentist. 25 SECTION 2. That Section 54-904, Idaho Code, be, and the same is hereby 26 repealed. 27 SECTION 3. That Chapter 9, Title 54, Idaho Code, be, and the same is 28 hereby amended by the addition thereto of a NEW SECTION, to be known and des- 29 ignated as Section 54-904, Idaho Code, and to read as follows: 30 54-904. AUTHORIZATION FOR DENTAL HYGIENISTS. (1) A dental hygienist 31 is authorized to perform any dental intervention within the individual's ed- 32 ucation, training, and experience or as delegated by a supervising dentist, 33 including but not limited to: 34 (a) Dental hygiene assessment; 35 (b) Dental hygiene diagnosis; and 36 (c) Treatment planning and implementation in the identification, pre- 37 vention, and management of oral disease. 38 (2) A dental hygienist who possesses a current and valid certificate 39 pursuant to section 54-1729, Idaho Code, may obtain and administer any topi- 40 -- 1 of 4 -- 2 cal pharmacological agent used in the course of treatment for minor and self- 1 limiting oral diseases. 2 (3) A dental hygienist who practices independently shall refer a pa- 3 tient to a dentist: 4 (a) For any necessary dental care beyond the individual's education, 5 training, and experience; or 6 (b) Upon the patient's request. 7 SECTION 4. That Section 54-906, Idaho Code, be, and the same is hereby 8 amended to read as follows: 9 54-906. UNLAWFUL PRACTICE OF DENTAL HYGIENE. (1) Any person, not a 10 dentist, who shall practice, or shall in any manner hold himself out to any 11 other person, or to the public, as qualified or licensed to practice dental 12 hygiene within the state of Idaho without at the time being a licensed dental 13 hygienist, or who performs any act, function, or service permitted a dental 14 hygienist by this act without the supervision of a dentist as specified by 15 the rules of the board, shall be guilty of a misdemeanor and upon conviction 16 shall be fined not less than one hundred dollars ($100) nor more than three 17 hundred dollars ($300), or be imprisoned in the county jail for not less than 18 thirty (30) days nor more than six (6) months, or both. 19 Each act of practice, or holding out, or representation shall consti- 20 tute a separate offense. 21 (2) Conviction under the provisions of this section shall not prevent 22 issuance of an injunction as provided in section 54-933, Idaho Code. 23 SECTION 5. That Section 54-924, Idaho Code, be, and the same is hereby 24 amended to read as follows: 25 54-924. OTHER GROUNDS OF REFUSAL, REVOCATION OR SUSPENSION OF DEN- 26 TISTS -- PROBATION AGREEMENTS. The board may refuse to issue or renew a 27 dental license or may revoke, suspend, place on probation, reprimand or take 28 other disciplinary action with respect to a dental license as the board may 29 deem proper, including administrative penalties not to exceed ten thousand 30 dollars ($10,000) per violation and assessment of the costs of disciplinary 31 proceedings in the event a dentist licensee shall: 32 (1) Intentionally misstate or fail fully to disclose a fact material 33 to determination of fitness and qualification in an application for licen- 34 sure to practice dentistry or cheat in an examination to practice dentistry; 35 or procure a certificate or finding of qualification to practice dentistry 36 or subsequently a license by false, fraudulent or deceitful means or in any 37 other name than his own true name; or 38 (2) Practice dentistry under any name other than his own true name ex- 39 cept as a professional service corporation or professional limited liabil- 40 ity company or as a limited managed care plan pursuant to chapter 39, title 41 41, Idaho Code; or 42 (3) Practice or in any manner or by any means or at any place hold out 43 or represent himself as practicing dentistry in or under the name of, or as 44 a member, representative, agent or employee of, or in connection with, any 45 company, association, or corporation, or under any trade, fictitious or 46 business name except as a professional service corporation or professional 47 -- 2 of 4 -- 3 limited liability company or as a limited managed care plan pursuant to chap- 1 ter 39, title 41, Idaho Code, except for: 2 (a) A dentist practicing dentistry and providing dentistry services to 3 prisoners in the custody of the Idaho department of correction as an em- 4 ployee of: 5 (i) The state of Idaho; 6 (ii) A contractor under contract as defined by section 67-9203, 7 Idaho Code, with the state of Idaho; or 8 (iii) A subcontractor for a contractor under contract as defined 9 by section 67-9203, Idaho Code, with the state of Idaho; or 10 (b) A dentist practicing dentistry as an employee or contracting den- 11 tist providing dentistry services to any health center as defined and 12 authorized in section 330 of the public health service act, codified as 13 amended at 42 U.S.C. 254b; or 14 (4)(a) Make, or cause to be made, or assist in making, any fraudulent, 15 false, or misleading statement as to his own or an employee's, asso- 16 ciate's, or other dentist's, dental therapist's, or dental hygienist's 17 skill or lack of skill, or method of practice; or 18 (b) Claim to practice dentistry without causing pain; or 19 (c) Claim superiority over other dentists; or 20 (d) Publish, advertise, or circulate reports, letters, certificates, 21 endorsements, or evidence of cures or corrections of dental conditions 22 by such dentist, his employee, or his associate by reason of his or 23 their skill, experience, or ability or of his or their use of any system, 24 method, technique, device, drug, medicine, material, manipulation or 25 machine; or 26 (e) Advertise the use of, or use, any system, method, technique, de- 27 vice, drug, medicine, material or machine that is either falsely adver- 28 tised or misnamed; or 29 (5) Use intoxicants or drugs to such a degree as to render him unfit to 30 practice; or 31 (6) Commit malpractice, that is, to provide dental care that fails to 32 meet the standard of dental care provided by other qualified dentists in the 33 same community or similar communities, taking into account his training, ex- 34 perience and the degree of expertise to which he holds himself out to the pub- 35 lic; or 36 (7) Engage in unprofessional conduct, as defined by board rules; or 37 (8) Advertise in such way as to deceive or defraud, or probably deceive 38 or defraud, the public or patrons; or 39 (9) Employ or permit any person not a dentist to practice dentistry, or 40 any person not a dentist or dental therapist to practice dental therapy, or 41 any person not a dentist or dental hygienist to practice dental hygiene, in 42 his office or under his control or direction; or 43 (10) Fail, neglect or refuse to keep his office or equipment, or oth- 44 erwise conduct his work, in accordance with current state and federal laws, 45 rules and regulations; or 46 (11) Violate any other provisions of law or rules adopted by the board; 47 or 48 (12) Falsely identify himself to the public as a specialist in a spe- 49 cialty area of dentistry as defined by rule; or 50 -- 3 of 4 -- 4 (13) Engage in the practice of dentistry as a member, stockholder, em- 1 ployee, director, partner or proprietor in any business entity in which a 2 person, not duly licensed to practice dentistry in this state by the board 3 pursuant to this chapter, holds an ownership interest. The provisions of 4 this subsection shall not apply to: 5 (a) Such engagement in a limited managed care plan pursuant to chapter 6 39, title 41, Idaho Code; 7 (b) A dentist practicing dentistry and providing dentistry services to 8 prisoners in the custody of the Idaho department of correction as an em- 9 ployee of: 10 (i) The state of Idaho; 11 (ii) A contractor under contract as defined by section 67-9203, 12 Idaho Code, with the state of Idaho; or 13 (iii) A subcontractor for a contractor under contract as defined 14 by section 67-9203, Idaho Code, with the state of Idaho; or 15 (c) A dentist practicing dentistry for any health care center as de- 16 fined and authorized in section 330 of the public health service act, 17 codified as amended at 42 U.S.C. 254b; or 18 (14) Supervise more than three (3) dental therapists; or 19 (15) Require directly, or as a member, representative, contracted 20 agent, or employee of or in connection with any company, association, corpo- 21 ration, or partnership, that a patient sign an agreement limiting his right 22 or ability to file a complaint with the board. 23 SECTION 6. An emergency existing therefor, which emergency is hereby 24 declared to exist, this act shall be in full force and effect on and after 25 July 1, 2026. 26 -- 4 of 4 --
LATEST ACTION
Introduced, read first time, referred to JRA for Printing