California board debates 90-day infection control training for unlicensed dental assistants

The Dental Hygiene Board of California's recent meeting on March 21, 2025, highlighted significant discussions surrounding proposed changes to the training requirements for unlicensed dental assistants. A key proposal, AB 873, aims to modify the current mandate that requires unlicensed dental assistants to complete an 8-hour infection control course before they can handle potentially infectious materials. Instead, the bill suggests allowing a 90-day grace period for new hires to complete this training after beginning their employment.

Supporters of the bill, including representatives from the California Dental Association (CDA), argue that this change would alleviate workforce shortages and improve patient access to care. They emphasize that the 90-day window would not compromise patient safety, as it would allow new hires to gain practical experience while completing their training. The CDA also advocates for the inclusion of virtual course formats to enhance accessibility.

However, the proposal has faced strong opposition from various stakeholders, including the California Dental Hygienists Association (CDHA). Critics express concerns that allowing unlicensed dental assistants to work without immediate training poses significant risks to both patient safety and the assistants themselves. They argue that basic infection control knowledge is essential before any exposure to blood or saliva, and that the proposed timeline is too lenient.

During the meeting, committee members debated the implications of the proposed changes, with some suggesting that the board should adopt an "oppose unless amended" position. This would indicate a willingness to support the bill only if it included stricter training requirements. Ultimately, the committee leaned towards opposing the bill in its current form, emphasizing the need for immediate training to ensure safety standards are upheld.

As discussions continue, the board's position reflects a commitment to balancing workforce needs with the imperative of maintaining high standards of patient care. The outcome of this legislative proposal will be closely monitored, as it has the potential to significantly impact the dental workforce and patient safety protocols in California.