HB 18-1045 Summary

• Authorizes dental hygienists to apply silver diamine fluoride to dental patients under supervision of a dentist, subject to completion of a postsecondary education course and professional liability insurance requirements.

• Requires dental hygienists to have a collaborative agreement with a supervising dentist that includes silver diamine fluoride protocols, restrictions, and follow-up mechanisms as established by the dental board by rule.

• Mandates written notification to patients when silver diamine fluoride is applied at a location other than the dentist's practice, including the dentist's name, address, and telephone number.

• Allows dental hygienists to apply silver diamine fluoride under direct supervision, indirect supervision, or telehealth supervision, with patients having the right to request interactive communication with the supervising dentist within 30 days.

• Requires the dental board to promulgate rules within 90 days defining education course requirements and appropriate indications and limitations for silver diamine fluoride application; the entire authorization expires September 1, 2021, pending legislative review.