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CALIFORNIA A.B. 1174 - Allied Health Credentialing Issues


Sponsor: Assemblymember Raul Bocanegra (D)

Summary: Current version (1/6/2013): Authorizes a registered dental assistant to determine which radiographs to perform, if he or she has completed a Dental Board of California-approved registered dental assistant educational program in these duties, or if he or she has provided evidence, satisfactory to the Board, of having completed a Board-approved course in these duties.

Current version (1/6/2014):

Amended version (4/9/2013):  

Amended version (3/21/2013):  

Introduced version:

Status: Introduced 2/22/2013. Amended by author; referred to Committee on Business, Professions and Consumer Protection 3/21/2013. Amended by author; referred to Committee on Business, Professions and Consumer Protection 4/9/2013. Hearing held 4/16/2013. Passed Committee on Business, Professions and Consumer Protection; referred to Committee on Health 4/16/2013. Hearing canceled 4/30/2013. Failed to pass chamber of origin 5/31/2013. Amended by author; referred to Committee on Business, Professions and Consumer Protection 1/6/2014. Hearing held; passed Committee on Health; referred to Committee on Appropriations 1/14/2014. Hearing scheduled 1/23/2014.

Outlook: The hearing will be open to the public. Public testimony will be accepted. Written testimony should be submitted in advance of the scheduled hearing. A vote may be taken at the discretion of the committee chair.

This measure passed the Committee on Health, 17-0. California Academy of Physician Assistants; California Coverage and Health Initiatives; California Primary Care Association; California School Health Centers Association; California Primary Care Association; Children Now; Children's Defense Fund – California; Connecting to Care; Community Clinic Association of Los Angeles County; Golden Gate Regional Center; Los Angeles Trust for Children's Health; Shasta Community Health Center; Maternal and Child Health Access; Open Door Community Health Centers; Oral Health Access Council; The Children's Partnership; PICO California; United Ways of California; Venice Family Clinic; Westside Children's Center; and Worksite Wellness LA support this measure. There is no register opposition on file. This measure was referred to the Committee on Appropriations.

In order to be officially designated as a carryover bill, this measure must pass its chamber of origin by January 31 of the second year of the session. All first year bills that have not passed their chambers of origin by this deadline may no longer receive consideration.

This measure was amended by the author out of committee. The amendment provides that face-to-face contact between a health care provider and a patient is not required under the Medi-Cal program for teledentistry by store and forward. Additionally, the amendment removed provisions allowing a registered dental assistant in extended functions to place interim therapeutic restorations, pursuant to the order, control and full professional responsibility of a licensed dentist.

The April 30 hearing was canceled at the request of the author.

This measure passed the Committee on Business, Professions and Consumer Protection, 12-0.

This measure's sponsor amended this bill. The amendment removes the provision that authorized a registered dental hygienist to operate dental radiography equipment for the purpose of oral radiography and stipulates that a registered dental assistant in extended function may only perform the functions authorized pursuant to paragraph if he or she has completed a board-approved registered dental assistant in extended function education program in performing those functions.

According to the author, "A three year demonstration, directed by the Pacific Center for Special Care at the University of the Pacific School of Dentistry, has established the ability of the Virtual Dental Home (VDH) system to reach underserved children in Head Start centers and schools, people with disabilities in residential care facilities, seniors in nursing homes, and others who do not access dental care in the traditional office and clinic-based delivery system.

"A.B. 1174 expands the existing VDH system, as authorized through a Health Workforce Pilot Program (HWPP), under the Office of Statewide Health Planning and Development (OSHPD), and allows these systems to be used statewide. This bill incorporates the prevention and early intervention duties authorized by the HWPP into the scope of practice of allied dental personnel. It will also create parity between telehealth-facilitated diagnostic and preventive dental services and traditional in-person services by allowing telehealth-enabled teams to be able to bill the Medi-Cal program for providing dental care to enrolled individuals."

This measure has been amended into your issue scope. This measure was introduced as a "spot bill". A “spot bill” is a measure that makes an inconsequential change to a statute and then is later amended. The sponsor is a member of the majority party. Democrats control both chambers of the Legislature as well as the office of the Governor.

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