On April 25, 2025, the Colorado State Legislature introduced Senate Bill 194, a significant piece of legislation aimed at expanding the scope of practice for dental hygienists in the state. The bill seeks to enhance dental care accessibility by allowing licensed dental hygienists to perform a range of procedures and prescribe certain treatments under specific conditions.

The primary purpose of Senate Bill 194 is to empower dental hygienists to conduct comprehensive dental hygiene assessments, diagnoses, and treatment planning for both hard and soft tissues. This includes identifying dental abnormalities and facilitating immediate referrals to dentists or appropriate specialists when necessary. The bill also outlines the authority for dental hygienists to prescribe, administer, and dispense fluoride treatments, antimicrobial solutions, and other non-systemic agents in collaboration with licensed dentists.

Key provisions of the bill include the establishment of protocols for dental hygienists regarding the prescribing of fluoride supplements and topical anti-caries treatments. These treatments are to be documented meticulously in patient records, ensuring transparency and accountability in the administration of care. However, the bill explicitly prohibits dental hygienists from prescribing systemic drugs, with the exception of certain fluoride supplements.

The introduction of Senate Bill 194 has sparked notable discussions among legislators, dental professionals, and public health advocates. Proponents argue that the bill will improve access to preventive dental care, particularly in underserved communities, where dental hygienists can play a crucial role in maintaining oral health. They emphasize that allowing hygienists to prescribe fluoride and other treatments can lead to better health outcomes and reduce the burden on dentists.

Opponents, however, have raised concerns regarding the potential for overreach in the scope of practice for dental hygienists. Some dental professionals worry that expanding these responsibilities may compromise patient safety or dilute the quality of care. As a result, the bill has undergone several amendments to address these concerns, including the establishment of clear guidelines and collaborative agreements with dentists.

The implications of Senate Bill 194 extend beyond the dental community, touching on broader social and economic issues. By enhancing the role of dental hygienists, the bill could lead to reduced healthcare costs associated with untreated dental issues, ultimately benefiting the state's healthcare system. Additionally, it may contribute to improved oral health outcomes, particularly for populations that face barriers to accessing dental care.

As the legislative process continues, stakeholders are closely monitoring the bill's progress. If passed, Senate Bill 194 could mark a significant shift in the landscape of dental care in Colorado, potentially serving as a model for other states considering similar reforms. The next steps will involve further discussions and potential votes in the coming weeks, as legislators weigh the benefits and challenges of this ambitious proposal.