S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2341
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 16, 2025
                                ___________
 
 Introduced by M. of A. PAULIN -- read once and referred to the Committee
   on Higher Education
 
 AN  ACT  to  amend  the  education law, in relation to registered dental
   hygienists working without  supervision  but  within  a  collaborative
   practice agreement with a licensed dentist

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1.  Section 6606 of the education law, as amended  by  chapter
 244  of the laws of 1973, subdivision 1 as amended by chapter 239 of the
 laws of 2013, is amended to read as follows:
   § 6606. Definition of practice of dental hygiene.  1. The practice  of
 the profession of dental hygiene is defined as the performance of dental
 services  which  shall  include removing calcareous deposits, accretions
 and stains from the exposed surfaces of the teeth  which  begin  at  the
 epithelial  attachment  and  applying  topical  agents  indicated  for a
 complete dental prophylaxis, removing cement, placing or removing rubber
 dam, removing sutures, placing matrix band, providing patient education,
 applying topical medication,  placing  and  exposing  diagnostic  dental
 X-ray  films, performing topical fluoride applications and topical anes-
 thetic applications, polishing teeth, taking medical  history,  charting
 caries,  taking impressions for study casts, placing and removing tempo-
 rary restorations, administering and monitoring nitrous oxide  analgesia
 and  administering and monitoring local infiltration anesthesia, subject
 to certification in accordance with section sixty-six hundred five-b  of
 this  article,  and any other function in the definition of the practice
 of dentistry as may be delegated by a  licensed  dentist  in  accordance
 with regulations promulgated by the commissioner. The practice of dental
 hygiene may be conducted in the office of any licensed dentist or in any
 appropriately  equipped school or public institution but [must] SHALL be
 done either under the supervision of a licensed dentist or[, in the case
 of a registered dental hygienist working for a hospital  as  defined  in

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01024-01-5
              

 A. 2341                             2

 article  twenty-eight of the public health law, pursuant to a collabora-
 tive arrangement with a licensed and registered dentist who has a formal
 relationship with the  same  hospital  in  accordance  with  regulations
 promulgated  by  the  department  in consultation with the department of
 health] MAY BE PERFORMED BY A REGISTERED DENTAL HYGIENIST DESIGNATED  AS
 A  REGISTERED  DENTAL HYGIENIST, COLLABORATIVE PRACTICE IN COLLABORATION
 WITH A LICENSED DENTIST PROVIDED SUCH SERVICES ARE PERFORMED IN  ACCORD-
 ANCE WITH A WRITTEN PRACTICE AGREEMENT AND WRITTEN PRACTICE PROTOCOLS TO
 BE  KNOWN  AS  A COLLABORATIVE PRACTICE AGREEMENT. UNDER A COLLABORATIVE
 PRACTICE AGREEMENT, DENTAL HYGIENISTS MAY PERFORM ALL SERVICES WHICH ARE
 DESIGNATED IN REGULATION UNDER GENERAL SUPERVISION WITHOUT PRIOR  EVALU-
 ATION  OF A DENTIST OR MEDICAL PROFESSIONAL AND MAY BE PERFORMED WITHOUT
 SUPERVISION IN AN AUTHORIZED SETTING AS DEFINED IN SUBDIVISION  FOUR  OF
 THIS  SECTION.  Such  collaborative  [arrangement]  AGREEMENTS shall not
 obviate or supersede any law or  regulation  which  requires  identified
 services  to  be  performed under the personal supervision of a dentist.
 [When dental hygiene services are provided pursuant to  a  collaborative
 agreement,  such  dental hygienist shall instruct individuals to visit a
 licensed dentist for comprehensive examination or treatment.]
   2. THE COLLABORATIVE PRACTICE AGREEMENT SHALL:
   (A) BE SIGNED AND MAINTAINED BY THE DENTIST, THE DENTAL HYGIENIST  AND
 AUTHORIZED SETTING;
   (B) BE REVIEWED ANNUALLY BY THE DENTIST AND DENTAL HYGIENIST;
   (C) INCLUDE CONSIDERATION FOR MEDICALLY COMPROMISED PATIENTS, SPECIFIC
 MEDICAL  CONDITIONS, AND AGE- AND PROCEDURE-SPECIFIC PRACTICE PROTOCOLS,
 INCLUDING, BUT NOT LIMITED TO RECOMMENDED INTERVALS FOR THE  PERFORMANCE
 OF  DENTAL  HYGIENE SERVICES  AND  A PERIODICITY IN WHICH AN EXAMINATION
 BY A DENTIST SHOULD OCCUR; AND
   (D)  BE  MADE AVAILABLE TO THE DEPARTMENT AND OTHER INTERESTED PARTIES
 UPON REQUEST.
   3. BEFORE PERFORMING SERVICES PURSUANT  TO  A  COLLABORATIVE  PRACTICE
 AGREEMENT,  A DENTAL HYGIENIST, COLLABORATIVE PRACTICE SHALL PROVIDE THE
 PATIENT WITH A WRITTEN STATEMENT ADVISING THE PATIENT  THAT  THE  DENTAL
 HYGIENE  SERVICES PROVIDED ARE NOT A SUBSTITUTE FOR A DENTAL EXAMINATION
 BY A LICENSED DENTIST. IF THE DENTAL HYGIENIST MAKES  ANY  REFERRALS  TO
 THE  PATIENT FOR FURTHER PROCEDURES, THE DENTAL HYGIENIST SHALL FILL OUT
 A REFERRAL FORM AND PROVIDE A COPY OF  THE  FORM  TO  THE  COLLABORATING
 DENTIST.
   4.  THE  PERFORMANCE OF SERVICES PURSUANT TO A COLLABORATIVE AGREEMENT
 IS AUTHORIZED IN THE FOLLOWING SETTINGS: A HOSPITAL AS DEFINED IN  ARTI-
 CLE  TWENTY-EIGHT  OF  THE  PUBLIC HEALTH LAW, AN APPROPRIATELY EQUIPPED
 SCHOOL, A FEDERALLY QUALIFIED HEALTH CENTER, A LONG-TERM CARE  FACILITY,
 A  GROUP HOME SERVICING PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISA-
 BILITIES, A FACILITY SERVING VETERANS, A TEMPORARY HOUSING  FACILITY,  A
 PRISON,  A  DRUG  TREATMENT  FACILITY,  A DOMESTIC VIOLENCE SHELTER, AND
 APPROPRIATE SETTINGS IN WHICH HOMEBOUND RESIDENTS ARE UNABLE TO BE RELO-
 CATED FOR NECESSARY TREATMENT.
   5. A REGISTERED  DENTAL  HYGIENIST, COLLABORATIVE PRACTICE SHALL  HAVE
 NO MORE THAN ONE COLLABORATIVE AGREEMENT  WITH  A DENTIST AT ONE TIME.
   6.  A  DENTIST SHALL NOT HAVE A COLLABORATIVE AGREEMENT WITH MORE THAN
 SIX REGISTERED DENTAL HYGIENISTS, COLLABORATIVE PRACTICE  AT  ONE  TIME.
 THE  DEPARTMENT  MAY  GRANT  AN  EXCEPTION TO SUCH LIMITATION FOR PUBLIC
 HEALTH SETTINGS ON A CASE-BY-CASE BASIS.
   7. A DENTAL HYGIENIST SHALL FILE AN APPLICATION WITH THE DEPARTMENT TO
 PRACTICE AS A REGISTERED DENTAL HYGIENIST,  COLLABORATIVE  PRACTICE  AND
 PAY  A FEE DETERMINED BY THE DEPARTMENT. AS A CONDITION OF COLLABORATIVE
 A. 2341                             3

 PRACTICE, THE DENTAL HYGIENIST SHALL HAVE BEEN ENGAGED IN  PRACTICE  FOR
 THREE  YEARS WITH A MINIMUM OF FOUR THOUSAND FIVE HUNDRED PRACTICE HOURS
 AND SHALL COMPLETE  AN  EIGHT-HOUR  CONTINUING  EDUCATION  PROGRAM  THAT
 INCLUDES  INSTRUCTION  IN MEDICAL EMERGENCY PROCEDURES, RISK MANAGEMENT,
 DENTAL HYGIENE JURISPRUDENCE AND PROFESSIONAL ETHICS.
   8. The commissioner shall promulgate regulations  defining  the  func-
 tions a dental hygienist may perform that are consistent with the train-
 ing and qualifications for a license as a dental hygienist.
   §  2.  This  act shall take effect eighteen months after it shall have
 become a law.