Colorado dental board establishes telehealth supervision rules for hygienists and dentists

On April 16, 2025, the Colorado State Legislature introduced Senate Bill 194, a significant piece of legislation aimed at modernizing dental care practices in the state. The bill primarily focuses on expanding the scope of practice for dental hygienists, particularly in the context of telehealth services, while ensuring patient safety and maintaining professional standards.

One of the key provisions of Senate Bill 194 allows dental hygienists to place interim therapeutic restorations under telehealth supervision. This change is particularly relevant in light of the increasing demand for accessible dental care, especially in underserved areas. The bill stipulates that a dentist may supervise no more than five full-time equivalent dental hygienists in this capacity unless a waiver is granted by the state board. This provision aims to balance the need for expanded services with the necessity of maintaining oversight and quality control in dental practices.

The bill also emphasizes the importance of communication between dental hygienists and supervising dentists. Before providing interim therapeutic restorations, dental hygienists are required to confirm a referral for follow-up care to a licensed dentist located within reasonable proximity to the site of the restoration. This requirement is designed to ensure that patients receive comprehensive care and follow-up, thereby enhancing patient safety.

Debate surrounding Senate Bill 194 has highlighted concerns from various stakeholders. Supporters argue that the bill will improve access to dental care, particularly in rural areas where dental professionals are scarce. They emphasize that allowing dental hygienists to perform certain procedures under telehealth supervision can alleviate the burden on dentists and streamline patient care. However, opponents express concerns about the potential risks associated with remote supervision and the adequacy of training for dental hygienists in performing these procedures.

The implications of Senate Bill 194 extend beyond immediate dental care practices. By facilitating the use of telehealth in dentistry, the bill aligns with broader trends in healthcare that prioritize accessibility and efficiency. Experts suggest that if successful, this legislation could serve as a model for other states looking to enhance dental care delivery through innovative practices.

As the bill moves through the legislative process, its future remains uncertain. Lawmakers will need to address the concerns raised during discussions while also considering the potential benefits of expanding dental hygienists' roles. The outcome of Senate Bill 194 could significantly impact the landscape of dental care in Colorado, shaping how services are delivered and accessed in the coming years.