[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6627082,"mediaKeyId","2730370-94cf6e295653482d821fd3d58114bfae","parentId",2730370,"title","Assembly hears compact to ease cross‑state practice for dentists, hygienists; Department of Defense endorses benefit for military families","audioSeconds",1432,"startMs",8124000,"endMs",9556000,"viewUrl","/Search/View?dp=1&key=2730370-94cf6e295653482d821fd3d58114bfae&start=8124&end=9556","thumbnailUrl","https://assets.pipeline.soar.com/2730370-94cf6e295653482d821fd3d58114bfae/thumbnail_8124000.jpg","articleUrl","/articles/6627082/Nevada/Assembly-hears-compact-to-ease-crossstate-practice-for-dentists-hygienists-Department-of-Defense-endorses-benefit-for-military-families","mediaUrl","https://secure.pipeline.soar.com/6627082-d3e3816ed8f697039741e5a94e907c4a/orig.mp4?Expires=1770983829&Signature=nXevrdvjJyNDnO1Eqss9AvLXKmq0M~7uRHp~gxxgLmEHupKDiNMz7hkhrY5EfaWLs1Lc2CJQJ-cxTubuatvjKhOoY~L2fD9h262xoKV7GmHIQ3INBJMGhfSaJ~F5h8d-huB8ZkHm~DOnUfUBK1TFo07EACNgcWh4P8v5HIxjohQf2KY5fThXdKKf9hxrhl5vmcRrk2XwPOFapt3iP0idArY19lmAjfaHpq7NlQp-0ynt4plK0hL8Xr8-QenuYc6tJxuanGSnuyTJGmkiBFNFW~4gcbNI~UuyM~G5kc-CKUolMcxvq6FcFZDXAINf0R6x9LLd5EsVxVyhgK-uCvNJUg__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada Legislature","date","2025-03-21T21:52:34.407Z","article","CARSON CITY — The Assembly Commerce and Labor Committee on March 21 heard Assembly Bill 143, a proposal to enact the Dentist and Dental Hygienist (DDH) licensure compact in Nevada. The compact allows qualified dentists and dental hygienists who hold an unencumbered license in a compact member state to obtain a \"compact privilege\" to practice in other member states without applying for a separate license.

Representatives of the compact commission and the Council of State Governments (CSG) described the compact as a reciprocity mechanism with built‑in regulatory safeguards. Chris Anderson, representing dental support organizations, told the committee the compact would help bring licensed clinicians into Nevada’s shortages areas; Jessica Thomas of CSG explained the compact requires participants to meet uniform education and exam criteria, to maintain an unencumbered license, and to comply with the host state’s laws while practicing under a compact privilege. Kelli Mae Douglas of the U.S. Department of Defense testified the compact helps military spouses and service members, noting the short assignments and frequent relocations that make relicensure a barrier to keeping spouses in the workforce.

The compact commission would create a shared interstate data system for licensure and disciplinary information; Nevada’s board would retain authority to take action against clinicians practicing in the state under the compact privilege. Supporters said the compact has been enacted in 10 states and that 16 more states had pending legislation at the time of the hearing. CSG estimated the administrative and software costs can be modest and that member states may charge a compact privilege fee that can offset commission costs; the testimony said the commission has generally avoided charging member‑state fees to date.

The Vegas Chamber, Nevada Dental Hygienists Association and veterans' groups submitted written or oral support. No organized opposition appeared at the hearing and committee members had mainly clarifying questions about implementation timelines and required software connections. Sponsors estimated 18–24 months for full operational readiness after enactment and emphasized the compact’s reciprocity and public‑safety provisions.

The committee closed the hearing without a final vote. If Nevada enacts AB 143, the state would join the multistate compact and the Nevada State Board of Dental Examiners would participate in the compact commission and data sharing required by the compact.","mediaType","Video","parentTitle","3/21/2025 - Assembly Committee on Commerce and Labor","oneSentenceSummary","Assembly Bill 143, heard March 21 by the Assembly Commerce and Labor Committee, would adopt the Dentist and Dental Hygienist compact to allow qualified dentists and hygienists licensed in compact member states to obtain a compact privilege to practice in Nevada without full new licensure.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6627090,"Nevada committee hears bill to streamline dental-hygienist reciprocity and expand assistants’ scope for routine scaling",4917,1345000,6262000,"/Search/View?dp=1&key=2730370-94cf6e295653482d821fd3d58114bfae&start=1345&end=6262","https://assets.pipeline.soar.com/2730370-94cf6e295653482d821fd3d58114bfae/thumbnail_1345000.jpg","/articles/6627090/Nevada/Nevada-committee-hears-bill-to-streamline-dental-hygienist-reciprocity-and-expand-assistants-scope-for-routine-scaling","https://secure.pipeline.soar.com/6627090-8d97dd64b899a48059b8eb000e15fcc7/orig.mp4?Expires=1770983829&Signature=TmVgathUAiYCuVTxm9Xz2rvrLt5BozQ5w5dL-U1nCNPrbfRr9ELB51o0ECmz~ji~shM9noBZi4tpgBS181mExBAEyMnf5v2S0opwjOmq7XeGEkndsEJrhByQfhWTZ~Hv4pp6vPzCvtKGZm0WvRDU4J~TmcS9sW9qBfrLuPF3-Ck6pHN8wiYj078OqMXwpvvJ2xDaPwR5JT3lW~WuS6q-y1wehsUMRFVeDYcdzC07LGDGFnB99OUE0j8fY4NxRNJx-z8Zojer9e2lVEhTD~X00163M1lFX1ZvdTnxHZmbhYJZlnvL1CTSSGpyR~h3BkzfF2iF~W5p1VdbD9cN58XczQ__&Key-Pair-Id=KUT5TJCACFTXG","CARSON CITY — The Assembly Committee on Commerce and Labor on March 21 heard Assembly Bill 334, sponsored by Assemblymember Heidi Kasama, a measure that would streamline licensure for dental hygienists licensed in other states and add coronal scaling with an ultrasonic unit to the duties allowed for expanded‑function dental assistants (EFTAs) with a special endorsement.

Kasama, the bill sponsor, told the committee AB 334 \"revises provisions relating to oral health\" and framed the measure as a response to what proponents called a critical shortage of dental hygienists in Nevada and nationwide. Paul Klein of TriStrategies summarized the bill's two core requests: \"1, to allow the immediate licensure of dental hygienists who are eligible to practice. And 2, adding coronal scaling to the expanded function dental assistant role.\" Dr. Whitney Bryant, who described herself as a community health dentist working in rural areas, added: \"Oral health is health,\" and said allowing trained assistants to do supragingival cleaning would let dentists and hygienists focus on more complex care.

The bill's backers, including the Nevada Dental Association, the Vegas Chamber and multiple practicing dentists and dental assistants, argued the change would increase capacity for routine preventive cleanings and reduce wait times that have left some patients unable to access timely care. Several presenters said Nevada has roughly 1,500 licensed hygienists — about 45 hygienists per 100,000 residents — versus a national average the presenters cited as about 64 per 100,000. Supporters told the committee the state’s two hygiene programs graduate only a few dozen clinicians annually, and that EFTAs trained under an established curriculum could serve as a \"force multiplier\" in offices with dentist supervision.

Opponents, led by representatives of the Nevada Dental Hygienists Association and the American Dental Hygienists Association (ADHA), strongly supported sections of AB 334 that ease out‑of‑state licensure but opposed the expansion of EFTA scope to include coronal scaling. Leah Cartwright, testifying for the Nevada Dental Hygienists Association, said section 3 \"seems premature\" because, she said, the expanded‑function dental assistant category created in 2023 has not yet produced any licensed EFTAs in Nevada. Hygienists and hygiene educators told the committee EFTA training programs are not yet running in Nevada, and that scaling — particularly with an ultrasonic device — requires substantial hands‑on education. Several hygienists said coronal scaling alone does not substitute for comprehensive supra‑ and subgingival care and raised concerns about the bill's current language and oversight provisions.

Assembly members asked about how other states regulate similar roles. Proponents pointed to long‑standing programs in Kansas and to variants in Illinois and Missouri. The bill's presenters proposed that EFTAs with a special endorsement would be required to pass national examinations and would work under direct dentist supervision, and that those safeguards plus regulation by the Board of Dental Examiners of Nevada would protect patients.

The committee did not take a final vote on AB 334 during the hearing. Committee members heard roughly thirty minutes each of pro, con and neutral testimony in a hybrid format (Carson City, Las Vegas, and by phone). Several rural communities were cited as having the greatest access problems, and proponents urged the committee to approve the bill to expand the pool of providers available for routine preventive care.

The bill record shows a mix of medical‑practice and education issues that regulators and the board would need to address if the Legislature advances AB 334.

For now the hearing is informational; no final action on the bill was recorded at this session.","Assemblymember Heidi Kasama asked the Assembly Commerce and Labor Committee on March 21 to consider Assembly Bill 334, a measure to speed licensure for out‑of‑state dental hygienists and permit specially endorsed expanded‑function dental assistants to perform coronal scaling with ultrasonic units to expand routine access to preventive dental care.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6627086,"Committee hears proposal to allow captives to write workers’ compensation; sponsors propose safeguards, insurers urge caution",1806,6240000,8046000,"/Search/View?dp=1&key=2730370-94cf6e295653482d821fd3d58114bfae&start=6240&end=8046","https://assets.pipeline.soar.com/2730370-94cf6e295653482d821fd3d58114bfae/thumbnail_6240000.jpg","/articles/6627086/Nevada/Committee-hears-proposal-to-allow-captives-to-write-workers-compensation-sponsors-propose-safeguards-insurers-urge-caution","https://secure.pipeline.soar.com/6627086-1be5a09d7a4ac6241ebf494cce330fb8/orig.mp4?Expires=1770983829&Signature=UEefegjiWdKyfE-AZ~Q6e8aVZqLf9SjiPNbArHx35SmbpRLHHHRHAK9irWiN06yejad9wth5XtlPAptand281A3uPQulc0srmg-M~vPaUcPvSa00fHCeFNgsUSZYHDSY6EZ~-75N-xBmP2y24M19yij6JaqYcqSUZ7xSyCE3HlN5OVXdik5lUaEW8ClXorVJTE55oZhatKkuYFRPAPrLxP7zQl39K1ugX2xJdoRa6jFf1wr6IU3U-pRyyhezjwo6YQi3qYFjUjZmUEJB4h3riZD29F1U2Jq28RBtLbxnlE2jJ85EWWs-ZeNVVuncLZ0zcikFcmdst-l25xhR03we3w__&Key-Pair-Id=KUT5TJCACFTXG","CARSON CITY — The Assembly Commerce and Labor Committee on March 21 took testimony on Assembly Bill 318, a bill sponsored by Assemblywoman Melissa Hardy to authorize captive insurance companies to directly underwrite workers’ compensation coverage for their parent and affiliated companies, subject to regulatory thresholds and possible participation in the state guarantee fund.

Assemblywoman Melissa Hardy said the bill would \"provide Nevada businesses with an additional optional pathway for securing workers' compensation coverage through captive insurers,\" and framed it as a competitiveness measure; Nevada is a well‑established captive domicile, she said. Elena Martinez, a compliance and regulatory manager with captive experience, told the committee a captive is a separate insurance company formed to provide coverage for its parent and affiliates and that captives are already subject to oversight under Nevada law (NRS 694C). Matt Morris, an insurance attorney, described a proposed conceptual amendment that would require a $250,000 deposit and authorize the Division of Insurance to impose a higher initial capital requirement when a captive applies to directly write workers’ compensation.

Supporters — including the Vegas Chamber, employers and several businesses that testified — said allowing captives to write workers’ compensation directly would give employers another option to manage risk, lower overhead and improve loss control tailored to homogeneous groups of employees. Multiple business witnesses said captives can better align claims handling and return‑to‑work programs with employer safety goals.

Opposition testimony came from the American Property Casualty Insurance Association (APCIA) and other insurers who warned that adding captives to the Nevada guarantee fund could pose financial risk if a captive became insolvent; APCIA asked the committee to proceed cautiously and highlighted differences in regulatory treatment and solvency protections between admitted carriers and captives. APCIA’s witness said captives operate under different capital and reporting regimes and urged careful analysis of what a direct‑writing captive would contribute to assessment pools.

Committee questions addressed potential conflicts of interest and administration of claims. Witnesses said Nevada law requires use of a third‑party administrator (TPA) for claims handling in many captive structures; the bill’s presentation clarified that the TPA requirement would remain and that regulators could impose higher thresholds for captives seeking to write workers’ compensation directly. Proponents provided a list of other jurisdictions that allow captives to write some form of workers’ compensation and framed AB 318 as enabling and discretionary for regulators — not a mandate to insurers or employers.

The committee did not take a final vote on AB 318 at this hearing. The sponsor asked for support and proponents and opponents recommended technical safeguards. If advanced, the bill would require coordination between the Division of Insurance and the Labor Commissioner to align regulatory criteria for captives that elect to write workers’ compensation.","AB 318 would let licensed captive insurers directly write workers’ compensation policies in Nevada, subject to regulatory safeguards; proponents said the change would expand options and lower costs for businesses, while the property/casualty trade urged caution about guarantee‑fund exposure.","actionData","errors"]

Article not found

Assembly hears compact to ease cross‑state practice for dentists, hygienists; Department of Defense endorses benefit for military families

Nevada committee hears bill to streamline dental-hygienist reciprocity and expand assistants’ scope for routine scaling

Committee hears proposal to allow captives to write workers’ compensation; sponsors propose safeguards, insurers urge caution