2025 -- H 5736
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LC001360
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S T A T E O F R H O D E I S L A N D
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2025
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A N A C T
RELATING TO BUSINESSES AND PROFESSIONS -- DENTISTS AND DENTAL
HYGIENISTS
Introduced By: Representatives Caldwell, Shanley, Craven, Morales, McEntee, Read,
Serpa, Potter, and Cruz
Date Introduced: February 26, 2025
Referred To: House Finance
It is enacted by the General Assembly as follows:
SECTION 1. Section 5-31.1-39 of the General Laws in Chapter 5-31.1 entitled "Dentists 1
and Dental Hygienists" is hereby amended to read as follows: 2
5-31.1-39. Public health hygienists. 3
(a) Any public health dental hygienist, which for purposes of this chapter means any 4
practicing registered dental hygienist who may perform dental-hygiene procedures in a public-5
health setting subject to conditions adopted by the Rhode Island board of examiners in dentistry, 6
may perform in a public-health setting, without the immediate or direct supervision or direction of 7
a dentist, any procedure or provide any service that is within the dental-hygiene scope of practice 8
that has been authorized and adopted by the Rhode Island board of examiners in dentistry as a 9
delegable procedure for a dental hygienist under general supervision in a private practice setting. 10
(b) Public-health settings shall, for purposes of this section, include, but are not limited to, 11
residences of the homebound, schools, nursing home and long-term-care facilities, clinics, 12
hospitals, medical facilities, community health centers licensed or certified by the department of 13
health, mobile and portable dental-health programs licensed or certified by the department of health 14
and operated by a local or state agency, head-start programs, and any other facilities or programs 15
deemed appropriate by the department of health. 16
(c) Any public-health hygienist shall enter into a written, collaborative agreement with a 17
local or state government agency or institution or with a licensed dentist who states that he or she 18
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shall be able to provide the appropriate level of communication and consultation with the dental 1
hygienist to ensure patient health and safety prior to performing any procedure or providing any 2
service under this section. The written, collaborative agreement will follow the appropriate 3
guidelines as determined and established by the Rhode Island board of examiners in dentistry. 4
(d) Any public-health dental hygienist shall provide to the patient, or to the patient’s legal 5
guardian, a consent form to be signed by the patient or legal guardian. The consent form shall be 6
consistent with current department of health policies that describes services to be rendered and 7
explains that services rendered are not a substitute for a dental examination by a dentist. The 8
consent form shall also inform the patient or legal guardian that the patient should obtain a dental 9
examination by a dentist within ninety (90) days after undergoing a procedure authorized pursuant 10
to this section. The patient or legal guardian shall also obtain written referral to a dentist and an 11
assessment of further dental needs. 12
(e) The public-health dental hygienist shall be directly reimbursed for services 13
administered in a public-health setting by Medicaid or the state healthcare insurance program 14
except as required by federal Medicaid law, but shall not and may seek reimbursement from any 15
other insurance or third-party payor. A public-health dental hygienist shall not operate 16
independently of a dentist, except for a dental hygienist working for a local or state government 17
agency or institution or practicing in a mobile or portable prevention program licensed or certified 18
by the department of health. In such cases, the local or state government agency or institution or 19
mobile or portable prevention program licensed or certified by the department of health may seek 20
reimbursement from any other third-party payor. 21
SECTION 2. This act shall take effect upon passage. 22
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EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
A N A C T
RELATING TO BUSINESSES AND PROFESSIONS -- DENTISTS AND DENTAL
HYGIENISTS
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This act would permit reimbursement for dental hygienists from "other insurance" or a 1
third-party payor such as Medicare. 2
This act would take effect upon passage. 3
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