Dental hygienist; remote supervision. (HB1474)

Introduced By

Del. Bobby Orrock (R-Thornburg) with support from co-patron Del. Kaye Kory (D-Falls Church)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Dental hygiene; remote supervision. Eliminates the requirement that a dental hygienist providing dental hygiene services under remote supervision be employed by the supervising dentist; clarifies continuing education requirements for dental hygienists practicing under remote supervision; eliminates the requirement for written permission to treat a patient from a dentist who has treated the patient in the previous 12 months; and allows a dental hygienist practicing under remote supervision to treat a patient who provides verbal confirmation that he does not have a dentist of record whom he is seeing regularly. The bill eliminates the requirement that a dental hygienist practicing under remote supervision consult with the supervising dentist prior to providing further dental hygiene services if the patient is medically compromised or has periodontal disease and allows a dental hygienist practicing under remote supervision to provide further dental hygiene services in accordance with a written practice protocol developed and provided by the supervising dentist, which shall consider, at minimum, the medical complexity of the patient and the presenting signs and symptoms of oral disease. The bill requires a supervising dentist who conducts the examination of the patient or refers the patient to another dentist for examination following the 90-day period during which a dental hygienist is permitted to provide dental hygiene services under remote supervision to develop a diagnosis and treatment plan for the patient. Read the Bill »


Bill Has Passed


12/13/2016Prefiled and ordered printed; offered 01/11/17 17100868D
12/13/2016Referred to Committee on Health, Welfare and Institutions
01/06/2017Impact statement from VDH (HB1474)
01/17/2017Reported from Health, Welfare and Institutions (22-Y 0-N) (see vote tally)
01/18/2017Read first time
01/19/2017Read second time and engrossed
01/20/2017Read third time and passed House BLOCK VOTE (92-Y 0-N)
01/20/2017VOTE: BLOCK VOTE PASSAGE (92-Y 0-N) (see vote tally)
01/23/2017Constitutional reading dispensed
01/23/2017Referred to Committee on Education and Health
02/06/2017Assigned Education sub: Health Professions
02/09/2017Reported from Education and Health with amendment (15-Y 0-N) (see vote tally)
02/10/2017Constitutional reading dispensed (39-Y 0-N) (see vote tally)
02/13/2017Read third time
02/13/2017Reading of amendment waived
02/13/2017Committee amendment agreed to
02/13/2017Engrossed by Senate as amended
02/13/2017Passed Senate with amendment (40-Y 0-N) (see vote tally)
02/15/2017Placed on Calendar
02/15/2017Senate amendment agreed to by House (97-Y 0-N)
02/15/2017VOTE: ADOPTION (97-Y 0-N) (see vote tally)
02/17/2017Bill text as passed House and Senate (HB1474ER)
02/17/2017Impact statement from VDH (HB1474ER)
02/17/2017Signed by Speaker
02/20/2017Signed by President
02/21/2017Enrolled Bill communicated to Governor on 2/21/17
02/21/2017G Governor's Action Deadline Midnight, March 27, 2017
03/13/2017G Approved by Governor-Chapter 410 (effective 7/1/17)
03/13/2017G Acts of Assembly Chapter text (CHAP0410)


This bill was discussed on the floor of the General Assembly. Below is all of the video that we have of that discussion, 1 clip in all, totaling 50 seconds.


Waldo Jaquith writes:

This is important. Rural areas have a difficult time getting dentists to open a practice. Dentists are not needed to supervise hygienists, a position that requires substantially less training. Other states recognize this, and allow cleaning-only practices to operate without dentists. Virginia's requirement to have a dentist on-site prevents access to dental care for thousands of people, which is why 20% of adult Virginians do not have a single tooth in their head.

This is a good and necessary bill.