California 2019-2020 Regular Session

California Senate Bill SB154

Introduced
1/23/19  
Introduced
1/23/19  
Refer
1/31/19  
Refer
1/31/19  
Report Pass
3/20/19  
Report Pass
3/20/19  
Refer
3/20/19  
Refer
3/20/19  
Report Pass
5/16/19  
Report Pass
5/16/19  
Engrossed
5/23/19  
Refer
6/3/19  
Refer
6/3/19  
Report Pass
6/12/19  
Report Pass
6/12/19  
Refer
6/12/19  
Refer
6/12/19  
Report Pass
8/30/19  
Report Pass
8/30/19  
Enrolled
9/9/19  
Enrolled
9/9/19  

Caption

Medi-Cal: restorative dental services.

Impact

The bill's implementation is designed to provide a cost-effective treatment option for arresting dental caries without the need for mechanical removal of tooth structure, potentially improving oral health outcomes for vulnerable populations. By integrating silver diamine fluoride into the current Medi-Cal dental benefits, the legislation would both recognize and utilize the capabilities of dental hygienists in alternative practices, thereby addressing gaps in care delivery and enhancing patient access to preventive and minimal intervention dental treatments.

Summary

Senate Bill 154, introduced by Senator Pan, aims to enhance access to dental care services under the Medi-Cal program by authorizing the use and reimbursement for silver diamine fluoride (SDF) in the treatment of dental caries. The bill specifically allows registered dental hygienists in alternative practices to bill for this service, expanding the role of hygienists in delivering essential dental care to the Medi-Cal population, which includes low-income individuals, children under six, and those with certain disabilities.

Sentiment

The sentiment surrounding SB 154 has generally been positive among dental health professionals who view it as a progressive step toward improving access to care for underserved populations. However, there are concerns regarding the quality of care and the necessity of ensuring informed consent and comprehensive treatment planning, which may influence public and professional perceptions of the bill.

Contention

While the bill has garnered support for its intentions, some stakeholders raise questions about the potential implications for treatment standards and the adequacy of safeguards surrounding informed consent. The requirement for consultation and informed consent aims to address these concerns; however, the extent to which these measures will effectively protect patient interests in practice remains a point of contention within the broader conversation about healthcare regulation and access.

Companion Bills

No companion bills found.

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