Doctor Tim Herman advocates for amendments to SB 351 for dental support clarity

The Senate Business, Professions and Economic Development Committee convened on April 21, 2025, to discuss significant legislative matters, particularly focusing on Senate Bill 351, which addresses the relationship between dental support organizations (DSOs) and dental professionals in California.

The meeting began with a call for amendments to SB 351, aimed at ensuring the bill applies universally, regardless of ownership structure. Dr. Tim Herman, representing the Association of Dental Support Organizations (ADSO), emphasized the need for clarity in the bill's language and definitions. He highlighted the importance of DSOs in supporting dental practices by managing administrative burdens, thereby allowing dentists to focus on patient care. Dr. Herman stressed that the proposed amendments would protect both practitioners and patients, especially in underserved communities, by maintaining access to care and preventing cost increases.

Following Dr. Herman's testimony, Gary Pickard from Pacific Dental Services expressed opposition to the bill. The committee then opened the floor for questions and comments from its members. Senator Arguin clarified that the bill does not prohibit medical or dental practices from entering contracts for capital but limits interference in clinical decision-making. He expressed strong support for the bill, aligning with its intent to protect professional autonomy.

However, Senator Nilo raised concerns about the bill's potential overreach into management decisions, such as hiring practices and contractual relationships with third-party payers. He argued that these administrative decisions should not be overly restricted, as they are essential for the effective management of dental practices.

The committee acknowledged the complexity of the issues at hand, with some members recognizing the historical context of independent medical and dental practices in California. Senator Small Cuevas noted that while the bill has components that have been previously debated, it ultimately reinforces the principle that patient care decisions should remain with licensed professionals.

As the discussion concluded, the committee moved forward with the bill without amendments, citing existing clarity in the medical and dental practice acts regarding decision-making authority. The meeting underscored the ongoing dialogue between lawmakers, dental professionals, and support organizations as they navigate the balance between regulatory oversight and professional autonomy in the dental field.