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Legislative Year: 2025 Change
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Bill Detail: SB25-194

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Title Sunset Dental Practice Act
Status Senate Committee on Health & Human Services Refer Amended to Appropriations (03/27/2025)
Bill Subjects
  • Professions & Occupations
House Sponsors M. Duran (D)
Senate Sponsors D. Michaelson Jenet (D)
K. Mullica (D)
House Committee
Senate Committee Health and Human Services
Date Introduced 03/05/2025
AI Summary SB25-194: Dental Practice and Hygiene Reforms

Dental Laboratory Work Orders

  • Dentists must provide signed laboratory work orders for dental prosthetics.
  • Unlicensed technicians without work orders are presumed to be practicing dentistry without a license.

Unsupervised Dental Hygiene Practice (C.R.S. 12-220-503)

  • Expands scope of dental hygiene assessments, including digital scans, periodontal probing, and additional screening tests.
  • Permits administration of local anesthesia following Board-approved education and training.
  • Clarifies dental charting, radiographic procedures, and referrals to appropriate specialists.
  • Allows hygienists to prescribe and apply fluoride treatments, antimicrobial agents, and related emergency drugs under specific guidelines.
  • Permits hygienists to direct dental assistants in specific activities within their scope of practice.

Supervised Dental Hygiene Practice (C.R.S. 12-220-504)

  • Expands supervised dental hygiene procedures, including:
    • Administering and monitoring inhalation anesthesia under indirect supervision.
    • Using lasers for dental hygiene within approved scope of practice.
    • Administering immunizations under supervision of a licensed dentist or physician.
    • Administering neuromodulators and dermal fillers for therapeutic and cosmetic purposes.
    • Prescribing, dispensing, and administering non-opioid analgesics and antibiotics under an articulated plan with a supervising dentist.

Interim Therapeutic Restorations (C.R.S. 12-220-505)

  • Allows dental hygienists to place interim therapeutic restorations under telehealth supervision.
  • Requires confirmation of patient referral for follow-up care before placing restorations.
  • Limits dentists from supervising more than five hygienists or dental therapists performing these procedures.

Dental Therapy Practice (C.R.S. 12-220-508)

  • Clarifies scope of practice for dental therapists, including new permissions for directing dental assistants.
  • Sets a supervision cap of three dental therapists per dentist but allows an aggregate limit of five when including dental hygienists.

Colorado Dental Board Sunset Review (C.R.S. 24-34-104)

  • Extends the Colorado Dental Board until September 1, 2034.
  • Removes the 2025 repeal date previously set in statute.
Summary

Sunset Process - Senate Health and Human Services
Committee. The bill makes changes to the Dental Practice Act (act) by:
  • Continuing the act for 9 years, until 2034;
  • Updating and adding definitions;
  • Changing the makeup of the Colorado dental board
(board);
  • Requiring the attorney general, in addition to counseling
the board, to counsel and advise the board's consultants;
  • Adding and updating the grounds for which the board may
take disciplinary action against an applicant for licensure or
a licensee;
  • Allowing a licensee's submission to a mental or physical
examination to satisfy the requirement to notify the board
of a condition that would impair the licensee's ability to
practice;
  • Adding as exemptions to the act the volunteer practice of
dentistry and dental hygiene under specific conditions;
  • Repealing the exceptions that allow a dental therapist,
dental hygienist, or dental assistant to perform certain
dentistry practices and including additional tasks to the list
of items included in the practice of dentistry;
  • Clarifying that a dental assistant, dental hygienist, and
dental therapist may perform tasks consistent with rules
adopted by the board;
  • Requiring providers who perform itinerant surgery to
develop and maintain protocols for emergency follow-up
care;
  • Authorizing licensed dentists to prescribe orders
electronically;
  • Requiring a peer health assistance program selected as a
designated provider for the dentist peer health assistance
program to provide training and calibration to dentists who
practice monitoring services;
  • Authorizing dentists to self-refer to participate in a peer
health assistance program or be referred by the board;
  • Requiring an applicant for dental, dental hygienist, or
dental therapy licensure to pass a jurisprudence
examination that tests the applicant's knowledge of the act;
  • Removing a requirement that dental education schools and
programs must be accredited or approved by a specific
entity;
  • Requiring the board to adopt rules that allow for expedited,
temporary licensure during a public health emergency;
  • Repealing specific tasks that are currently authorized to be
performed by a dental therapist;
  • Updating procedures for the construction of dental devices
by an unlicensed technician;
  • Updating the list of practices that are considered to be the
practice of unsupervised dental hygiene;
  • Repealing the specific dosages of certain drugs that a
dental hygienist may prescribe;
  • Authorizing the board to adopt rules that identify safe
prescribing alternatives to silver diamine fluoride as a
treatment for strengthening teeth and preventing tooth
decay;
  • Identifying tasks that are deemed to be practicing
supervised dental hygiene;
  • Requiring a dental hygienist performing an interim
therapeutic restoration to confirm a referral for follow-up
care with a dentist;
  • Limiting the number of dental hygienists that a dentist may
supervise; and
  • Authorizing a dental therapist to perform specific tasks.

Committee Reports
with Amendments
Full Text
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Fiscal Notes Fiscal Notes (03/25/2025) (most recent)  
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