[{"_1":2,"_98":-5,"_99":-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",6580681,"mediaKeyId","3176524-4d11bfbc5a7e3843214f4c59068bbc10","parentId",3176524,"title","Licensing committee advances remediation rule change, adopts rule cleanups and approves remediation programs and nonprofit employers","audioSeconds",5610,"startMs",5400000,"endMs",11010000,"viewUrl","/Search/View?dp=1&key=3176524-4d11bfbc5a7e3843214f4c59068bbc10&start=5400&end=11010","thumbnailUrl","https://assets.pipeline.soar.com/3176524-4d11bfbc5a7e3843214f4c59068bbc10/thumbnail_5400000.jpg","articleUrl","/articles/6580681/Texas/Licensing-committee-advances-remediation-rule-change-adopts-rule-cleanups-and-approves-remediation-programs-and-nonprofit-employers","mediaUrl","https://secure.pipeline.soar.com/6580681-344baf8cdedb06a882f20a01febab5cb/orig.mp4?Expires=1771129497&Signature=mQk4w0~qxNytp~lxSBAcsu96fznBfnohqtufbTFpDQcObgZJ2VHYQRHEf2k-9AR0YzKJw8HCDYCrhHA4L1OjsNggt7dkauNUQNVTN-fDd111cyHeFcFIX1XokqWZ4xUVfbRFNU8AmoL7p5gdavnxifJDUzaXlxJnuc9-w3DjhEwee1~TNvC9i5c5htJgCByUijFGjZoDSjNlkqdJRDkDLmxwzLh5nOn9TBBptGvhozpm35~tsr0iU5qyNVdE7tseU8Pa~b~tHON1oJUDz9ZyM7mu8jG3le-dFtw6YydnMdOe6LOJcOn~b3N1dM9ZDlmCrE2UpXHJ3nto4CFHfiLiIg__&Key-Pair-Id=KUT5TJCACFTXG","author","State Board of Dental Examiners TX","date","2025-05-01T23:55:40.557Z","article","The Texas State Board of Dental Examiners' licensing committee approved a staff-backed amendment to licensure rules that clarifies remediation sequencing for candidates who fail clinical exams, adopted several routine rule cleanups and approved remediation programs and nonprofit employer registrations.

Lede: The committee voted to adopt a proposed change to 22 TAC 101.2 (licensure by examination) clarifying that applicants who fail clinical portions must complete an approved remediation program and pass a clinical exam; the amendment adds flexibility so remediation may occur before or after an exam attempt provided both conditions are ultimately met and clarifies that remediation programs may be approved by board staff or the board.

Nut graf: The board's actions are intended to make the remediation and licensure process more consistent and avoid case-by-case delays. The committee also adopted language to reflect the merger of continuing-education categories (CREDITS/CERTA) and made several minor rule cleanups in Chapters 110 and 113 and amended rules governing dental record X-ray standards and specialty recognition.

Key rule changes and votes
- 101.2 (Licensure by examination): Committee approved a staff-drafted amendment to allow remediation courses to be completed before or after an exam attempt so long as an approved remediation program and a passing exam are both satisfied before licensure. Committee amended the draft to specify remediation courses may be approved by the board \"and/or staff.\" (Motion to adopt: Dr. Maldonado; second: Dr. Moorhead. Amendment proposed by Sarah Lam; vote on amendment and final motion recorded as unanimous.)
- Chapter 110 and 113 readoption review: Committee approved the routine four-year review and directed staff to file notices of intent to review and consider readoption, amendment or repeal. (Motion carried unanimously.)
- 108.8 (records of the dentist): Committee adopted a proposed change removing a prescriptive reference to ADA guidelines and instead requiring X-ray use be \"in accordance with minimum standard of care.\" (Motion carried unanimously.)
- 108.52 (names and responsibilities): Committee adopted an amendment clarifying dental specialties approved by the National Commission on Recognition of Dental Specialties and Certifying Boards. (Motion carried unanimously.)

Remediation approvals and candidate exceptions
- The committee approved remediation programs for two applicants who failed a clinical component three times and may receive a staff letter to attempt the clinical exam again after successful remediation: candidate 2025-Q3-DDS-2 (Hudson Regional Hospital / CTOR Academy) and candidate 2025-Q3-DDS-3 (UT Health Houston School of Dentistry or University of Florida, applicant supplied both options). Motions to approve these remediation programs passed unanimously.
- The committee denied an exception request from candidate 2025-Q3-DDS-1 who had completed 50 hours of remediation but not the required 80 hours and therefore did not meet the rule's remediation threshold. The committee voted to deny the exception request.

Education and credentialing items
- The committee approved minor cleanups to continuing education rules to reflect the CERTA/CREDITS merger and endorsed staff proposals to keep existing providers and update course references. (Motion carried unanimously.)
- The committee approved amendments to faculty license requirements to require a school-signed affidavit confirming ongoing employment for license maintenance.

Registrations
- The committee approved two nonprofit organizations' applications to become corporations authorized to employ dentists: SA90 Dental (San Antonio-based nonprofit focused on pediatric access) and Centro de Salud Familiar (community health nonprofit). Motions to approve both nonprofits passed unanimously.

Why it matters: The remediation-rule clarification intends to reduce delays for candidates who passed an exam in another state or who unexpectedly seek Texas licensure after passing a clinical exam elsewhere. Revisions to staff-approval language aim to let staff efficiently vet routine remediation programs while preserving the board's right to review unusual requests.

Ending: The committee forwarded the adopted rule changes and administrative approvals to the full board; staff will implement the remediation-process clarifications and continue to handle routine remediation approvals while bringing complex cases to the committee as needed.","mediaType","Video","parentTitle","TSBDE May 2025 - Committee Meetings","oneSentenceSummary","The licensing committee adopted an amendment to clarify remediation sequencing for clinical licensure candidates, approved remediation programs for multiple applicants and registered nonprofit employers that may hire dentists.","taxTitle","State Board of Dental Examiners, Boards & Commissions, Executive, Texas","taxId",36441,"location","Texas","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},6580687,"Texas dental anesthesia advisory report urges more detailed de-identified data, medical-consult guidance",1988,3600000,5588000,"/Search/View?dp=1&key=3176524-4d11bfbc5a7e3843214f4c59068bbc10&start=3600&end=5588","https://assets.pipeline.soar.com/3176524-4d11bfbc5a7e3843214f4c59068bbc10/thumbnail_3600000.jpg","/articles/6580687/Texas/Texas-dental-anesthesia-advisory-report-urges-more-detailed-de-identified-data-medical-consult-guidance","https://secure.pipeline.soar.com/6580687-49c486ad12cb3490100ad50c00f20628/orig.mp4?Expires=1771129497&Signature=N-OZc-7PiKFDeH2AJ7EC-c7g8ipSIUPzLxmUk4c27HBIiQOIQG8WRLpDbZUrn8~Gv2s3erSQJX7k8ShDxivknQoYpOTDQTMukDRRPVyUEs-8-evl~-4P4ygHGOpxnR2pdEPwcUBx0wKzipXHRxcuEwcL-ktIr-2orii75C9av6NlijTBJxjY-IWuvuOpwjav4IX8y4kY4xxdvIk~rFYsi20aMMyV2~C1yvh-j59JCKcor32mmH2CxU-aIOQomYxT~KHzI0ChvGyZYkeABMHNzKUHnDowzZzAcsS44yxb3zf2yGjCpEob0B4hiybV9N~JWeI8B7uhk9fUtQzG6HShWg__&Key-Pair-Id=KUT5TJCACFTXG","The Texas State Board of Dental Examiners' Advisory Committee on Dental Anesthesia reviewed its March 7 report on sedation- and anesthesia-related incidents and deaths, discussed trends in patient selection and medical consultations, and recommended more precise de-identified reporting and educational outreach.

The committee told staff to solicit stakeholder feedback and to publish sample medical-consult templates and other practice resources in the agency newsletter and by posting a stakeholder feedback request. The committee also discussed whether future reports should separate deaths from nonfatal incidents to provide more actionable trends.

Why it matters: The committee examined 16 cases in 2025 and identified recurrent themes — comorbidity and poor patient selection, insufficient medical-clearance information, local-anesthetic dosing errors and the limits of reversal agents — that the committee said could be addressed through clearer guidance and better data collection.

What the committee discussed: Committee members and staff emphasized several areas for change.
- Data granularity: Several members, including Dr. McNeil and Dr. Yu, urged separating deaths from nonfatal incidents and adding fields such as patient age, American Society of Anesthesiologists (ASA) class, level of sedation, procedure duration and estimated local anesthetic dose. Staff noted the rule requires de-identified reporting and said some categories are feasible to add while protecting confidentiality.
- Medical consultations: Members said consult letters often lack details about procedure length, anticipated local anesthetic amounts, and redosing plans. The group discussed publishing a sample consult template for clinicians to share with primary care physicians so physicians have more context when advising on clearance.
- Local anesthetic dosing and monitoring: Pediatric providers and others pushed for routine calculation of a patient's maximum local-anesthetic dose prior to cases, especially for children and long procedures, to reduce overdose risk. Some members worried that making the calculation a rule requirement would be overly burdensome for routine restorative visits; the committee favored recommending the calculation as a best practice and providing tools/resources (a member noted xchart.com as an example).
- Reversal agents and recovery monitoring: The committee reiterated that reversal agents (for example, naloxone or flumazenil) can outlast their clinical effect window and that patients need continued monitoring after reversal to catch delayed respiratory depression.

Committee direction and next steps: Staff said it will publish the committee's recommendations and request stakeholder comment before the August meeting. Staff also agreed to provide the advisory committee earlier access to compiled data (age, ASA class, procedure length) going back to 2017 to support trend analysis. The committee discussed but did not direct formal rulemaking at this meeting.

Formal action: At the start of the meeting the committee also considered a separate item to amend Texas Administrative Code 107.400 (collection and reporting of enforcement and licensing data). The committee adopted the staff's proposed amendment, which will change the required internal staff report frequency from quarterly to yearly, and approved the amendment as presented.

Ending: The advisory committee asked staff to return with stakeholder feedback and proposed templates at the August meeting, and encouraged educators and continuing-education providers to highlight these findings in courses.","The State Board's Advisory Committee on Dental Anesthesia reviewed 16 sedation-related deaths and incidents and recommended clearer, de-identified data categories, better medical-consult templates and outreach to clinicians; the committee also asked staff to seek stakeholder feedback and to publish sample consult language and practice resources.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":80,"_45":92,"_47":93,"_49":83,"_51":94,"_53":95,"_55":56,"_57":58,"_59":96,"_61":62,"_63":64,"_65":97,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6580678,"Board discusses attestation for RDAs and plans statewide fingerprint requirement for license renewals",4680,8280000,"/Search/View?dp=1&key=3176524-4d11bfbc5a7e3843214f4c59068bbc10&start=3600&end=8280","/articles/6580678/Texas/Board-discusses-attestation-for-RDAs-and-plans-statewide-fingerprint-requirement-for-license-renewals","https://secure.pipeline.soar.com/6580678-1b5a0d1755d06e6df7fea424ef542a9e/orig.mp4?Expires=1771129497&Signature=EGffwF9ngxzNwxrquEDVkzGfWIjWQsqWv-ZeW~T~h9aV5H7tg0hXT7DYVlWi0HubjuLEqyjMtQ1TNMODoDNQw36374Z4F-TRUArXWEzyveFSHYoOL3FOVlhXAS8KrW1PrqF2uTJ-wl5F4kVRZ33HnlDPENB3HbWaJzFZ5anBlHxM-w6l43fSNDoyqxLwiw9HTrylAc0J8izg5Maa3XRF4b6nTQEIuOx9P0uedBSFTPlMtlFIz9QEI0NxD762-V99SA~w6bHW6YwQJp3wDNGqmc4QoKaLOJU1hKSvl8i6XhK8SJWbC7ZMGqE3hJBR0G0HyNviOzOX0VG80znZ-pqeYQ__&Key-Pair-Id=KUT5TJCACFTXG","At the continuing education and licensing committee meetings, staff proposed adding an attestation to the Registered Dental Assistant (RDA) renewal form and told members the agency will require fingerprint-based state identification (SID) numbers for licensees who do not already have one. The agency said the SID requirement will take effect in January 2026 and that licensees without an SID will be required to submit fingerprints at renewal.

Lede: Staff showed committee members screenshots of the current RDA renewal application, which already contains attestations about continuing-education compliance and a final attestation that the applicant's answers are true under penalty of perjury. The committee discussed whether to expand wording or require employer co-signatures; staff advised that the attestation about CE is what allows the agency to open disciplinary action when falsified.

Nut graf: The committee endorsed continuing to use attestations in renewals rather than adding mandatory extra CE for assistants. Members suggested increased outreach (newsletter reminders and sample guidance) rather than immediate regulatory change; they also told staff to consider operational details before requiring fingerprints at renewal.

Fingerprint/SID requirement: Staff told the committee the agency lacks an SID number in its licensing database for many long-time licensees and that without that number the agency is not notified automatically of criminal-history events via the DPS portal. To remedy this, staff proposed requiring licensees who do not have an SID to submit fingerprint background checks upon renewal beginning in January 2026. Staff said the typical vendor fee for fingerprint processing is roughly $38.75 and described a plan to notify licensees well in advance; once the SID is in the licensee's record, the licensee will not need to resubmit fingerprints for subsequent renewals.

Key committee discussion points:
- Attestation use and enforcement: Staff noted that attestations appear three times during the online renewal flow and that the attestation language can be used as evidence in disciplinary actions when applicants falsely claim CE compliance. Members agreed the attestation is a useful enforcement tool; some suggested clarifying language but staff cautioned that a generic attestation that someone read the rules has limited enforcement utility compared with attesting to specific CE completion.
- Employer co-signature: A stakeholder suggested an employer co-signature; committee members and staff said the supervising dentist remains responsible and that employer co-signatures would add administrative burden without clear benefit.
- Timing and operational details for fingerprints: Members asked whether licensees could submit fingerprints earlier than a renewal window and whether medical-board fingerprints could be reused; staff explained each agency uses a separate agency-specific code and SID, and licensees would need to do the process for this board even if they previously provided fingerprints to another agency. Staff proposed adding longer renewal access windows (90 days) to help licensees complete the fingerprint step.

Outcome and next steps: The committee discussed the proposal and expressed broad support for staff notifying licensees and implementing the SID requirement in 2026 with ample notice; staff will prepare outreach materials, add information to the newsletter and return with operational details. No formal rule change was required for the SID program; staff will present the initiative to the full board.

Ending: Staff will publish guidance and notice to licensees well ahead of 2026 renewals; the board encouraged staff to consider longer renewal windows and user experience improvements to minimize last-minute burdens.","Board staff proposed adding an attestation on Registered Dental Assistant renewals and said the agency will require fingerprint-based state ID (SID) numbers for licensees who lack them beginning in 2026; committee members generally supported the plan and asked staff to notify licensees and provide extended renewal windows and operational details.","actionData","errors"]

Article not found

Licensing committee advances remediation rule change, adopts rule cleanups and approves remediation programs and nonprofit employers

Texas dental anesthesia advisory report urges more detailed de-identified data, medical-consult guidance

Board discusses attestation for RDAs and plans statewide fingerprint requirement for license renewals