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Committee hears support for SB 283 to let hygienists provide more preventive dental care
Summary
SB 283 would expand dental hygienists' scope so they can deliver preventive services (cleanings, sealants, topical agents) without a prior dentist exam if the patient sees a dentist within 12 months; supporters told the committee the change improves access, and an amendment was filed to delay implementation while regulations are developed.
Chair Pinkney sponsored Senate Bill 2 83, saying the bill "allows dental hygienists to practice at the top of their training" and adds targeted scope expansions — including prophylaxis, sealants and topical fluoride — while preserving dentist oversight and requiring a dentist visit within 12 months.
Nut graf: The bill seeks to expand preventive access for low‑income, rural and underserved communities by permitting hygienists to provide specified services under standing orders and Board‑defined scope; an amendment delays implementation so the Board can promulgate regulations.
Supporters from the dental and health community described workforce shortages and urged passage. Caroline Ryan of the Delaware Healthcare Association said the bill helps address critical dental provider shortages and helps the state remain competitive for federal funding opportunities. Anne Farley read a letter from the Delaware State Dental Society leadership noting the bill was developed with stakeholders and recommending a Southern Delaware dental hygiene program to increase workforce supply. Practicing hygienists described clinical experience and called the change measured and safe.
Committee members asked clarifying questions about oversight, regulatory timing and Medicaid adult dental coverage; the sponsor noted the amendment to allow the Board time to promulgate rules.
Ending: The committee received public comment and was advised of an amendment; no recorded committee vote occurred on SB 283 during this meeting.
