<?xml version="1.0" encoding="UTF-16"?>
<leg xml:space="preserve" billnum="HB0414" sponsor="James A. Dunnigan" designation="HB" otherSponsor="Todd Weiler" otherHouse="Senate" sess="2026GS" fileno="2026FL1232" date="03-04-26" printDate="03-05 17:28" subVer="-2" minVer="1" office="LEGISLATIVE GENERAL COUNSEL" actionDate="" impact="code"><info><nextbuid>9</nextbuid><aminfo anum="0" effdate="05/06/2026"><seclist><sect action="A" src="code" buid="1" uid="C58-69-S102_2026050620260506" fromuid="C58-69-S102_2025050720250507" sort="58 69 01020020260506" mtype="section" effdate="05/06/2026">58-69-102</sect><sect src="uncod" untype="effdate" buid="8" uid="EF0000" sort="UZEFF" mtype="uncod" effdate="05/06/2026"/></seclist></aminfo></info><tbox><sinfo><nextpairid>0</nextpairid></sinfo><st numlevel="1" lineno="1" slineno="0-1">Dental Hygienist Amendments</st><sessionhead>2026 GENERAL SESSION</sessionhead><statehead>STATE OF UTAH</statehead><sponsorhead>Chief Sponsor: James A. Dunnigan</sponsorhead><otherSponsorhead>Senate Sponsor: Todd Weiler</otherSponsorhead></tbox><lt numlevel="1" lineno="2" slineno="0-2"><lthead lineno="3">LONG TITLE</lthead><gdhead lineno="4">General Description:</gdhead><gd numlevel="1" lineno="5" slineno="0-5">This bill amends provisions related to dental hygienist practice.</gd><hphead lineno="6">Highlighted Provisions:</hphead><hp numlevel="1" lineno="7" slineno="0-7">This bill:<hl numlevel="1" lineno="8" slineno="0-8" level="1">modifies the definition of public health setting to include a hospital which allows a dental <ln numlevel="1" lineno="9" slineno="0-9"/>hygienist to practice in a hospital without general supervision from a dentist.</hl></hp><moni numlevel="1" lineno="10" slineno="0-10" display="none">Money Appropriated in this Bill:</moni><moniNone lineno="11">None</moniNone><oc numlevel="1" lineno="12" slineno="0-12">Other Special Clauses:</oc><ocNone lineno="13">None</ocNone><sa numlevel="1" lineno="14" slineno="0-14">Utah Code Sections Affected:<saamd numlevel="1" lineno="15" slineno="0-15"><snhead>AMENDS:</snhead><sn num="58-69-102" src="code" uid="C58-69-S102_2026050620260506" buid="1" sort="58 69 01020020260506" numlevel="1" lineno="16" slineno="0-16"><bold>58-69-102</bold>, as last amended by Laws of Utah 2025, Chapter 255</sn></saamd></sa></lt><enacthead lineno="17"/><enact numlevel="1" lineno="18" slineno="0-18">Be it enacted by the Legislature of the state of Utah:</enact><bdy><bsec buid="1" num="58-69-102" type="amend" src="code" uid="C58-69-S102_2026050620260506" sort="58 69 01020020260506" numlevel="1" lineno="19" slineno="1-1" sn="1"><section number="58-69-102" numlevel="1" lineno="20" slineno="1-2" type="amend"><secline lineno="19">Section 1. Section <bold>58-69-102</bold> is amended to read:</secline><catline lineno="20"><bold>58-69-102<parens/>. Definitions.</bold></catline><sectionText lineno="21"><tab/>In addition to the definitions in Section <xref depth="3" refnumber="58-1-102" start="0">58-1-102</xref>, as used in this chapter:</sectionText><subsection ssid="1-null-1" dnum="1-o" numlevel="1" lineno="22" slineno="1-4" level="1"><display>(1)</display>"Asynchronous technology" means store-and-forward technology that allows for the <ln numlevel="1" lineno="23" slineno="1-5"/>transmission of a patient's health information to a dentist for viewing at a later time.</subsection><subsection ssid="1-null-2" dnum="2-o" numlevel="1" lineno="24" slineno="1-6" level="1"><display>(2)</display>"Board" means the Dentist and Dental Hygienist Licensing Board created in Section <xref depth="3" refnumber="58-69-201" start="0"><ln numlevel="1" lineno="25" slineno="1-7"/>58-69-201</xref>.</subsection><subsection ssid="1-null-3" dnum="3-o" numlevel="1" lineno="26" slineno="1-8" level="1"><display>(3)</display>"Dental assistant" means an unlicensed individual who engages in supervised acts and <ln numlevel="1" lineno="27" slineno="1-9"/>duties as defined by division rule made in collaboration with the board.</subsection><subsection ssid="1-null-4" dnum="4-o" numlevel="1" lineno="28" slineno="1-10" level="1"><display>(4)</display>"Dental hygienist" means an individual licensed under this chapter as a dental hygienist.</subsection><subsection ssid="1-null-5" dnum="5-o" numlevel="1" lineno="29" slineno="1-11" level="1"><display>(5)</display>"Dentist" means an individual licensed under this chapter as a dentist.</subsection><subsection ssid="1-null-6" dnum="6-o" numlevel="1" lineno="30" slineno="1-12" level="1"><display>(6)</display>"Direct supervision" means the supervising dentist is present and available for <ln numlevel="1" lineno="31" slineno="1-13"/>face-to-face communication with the person being supervised when and where <ln numlevel="1" lineno="32" slineno="1-14"/>professional services are being provided.</subsection><subsection ssid="1-null-7" dnum="7-o" numlevel="1" lineno="33" slineno="1-15" level="1"><display>(7)</display>"Expanded function" means a procedure that is authorized under Section <xref depth="3" refnumber="58-69-808">58-69-808</xref>.</subsection><subsection ssid="1-null-8" dnum="8-o" numlevel="1" lineno="34" slineno="1-16" level="1"><display>(8)</display>"General supervision" means that the supervising dentist is available for consultation <ln numlevel="1" lineno="35" slineno="1-17"/>regarding work the supervising dentist has authorized, without regard as to whether the <ln numlevel="1" lineno="36" slineno="1-18"/>supervising dentist is located on the same premises as the person being supervised.</subsection><subsection ssid="1-null-9" dnum="9-o" numlevel="1" lineno="37" slineno="1-19" level="1"><display>(9)</display>"Indirect supervision" means that the supervising dentist is present within the facility in <ln numlevel="1" lineno="38" slineno="1-20"/>which the person being supervised is providing services and is available to provide <ln numlevel="1" lineno="39" slineno="1-21"/>immediate face-to-face communication with the person being supervised.</subsection><subsection ssid="1-null-10" dnum="10-o" numlevel="1" lineno="40" slineno="1-22" level="1"><display>(10)</display>"Practice of dental hygiene" means, with respect to humans and subject to Section <xref depth="3" refnumber="58-69-801"><ln numlevel="1" lineno="41" slineno="1-23"/>58-69-801</xref>:<subsection ssid="1-null-11" dnum="a-o" numlevel="1" lineno="42" slineno="1-24" level="2"><display>(a)</display>performing a preliminary clinical examination of human teeth and gums;</subsection><subsection ssid="1-null-12" dnum="b-o" numlevel="1" lineno="43" slineno="1-25" level="2"><display>(b)</display>making preliminary instrumental examination of a patient's periodontium;</subsection><subsection ssid="1-null-13" dnum="c-o" numlevel="1" lineno="44" slineno="1-26" level="2"><display>(c)</display>conducting a dental hygiene assessment;</subsection><subsection ssid="1-null-14" dnum="d-o" numlevel="1" lineno="45" slineno="1-27" level="2"><display>(d)</display>formulating a dental hygiene treatment plan for a patient, and communicating those <ln numlevel="1" lineno="46" slineno="1-28"/>findings and treatment recommendations;</subsection><subsection ssid="1-null-15" dnum="e-o" numlevel="1" lineno="47" slineno="1-29" level="2"><display>(e)</display>evaluating a patient's progress towards achieving the goals specified in the dental <ln numlevel="1" lineno="48" slineno="1-30"/>hygiene treatment plan;</subsection><subsection ssid="1-null-16" dnum="f-o" numlevel="1" lineno="49" slineno="1-31" level="2"><display>(f)</display>modifying a dental hygiene treatment plan based on the ongoing reassessment and in <ln numlevel="1" lineno="50" slineno="1-32"/>collaboration with a dentist;</subsection><subsection ssid="1-null-17" dnum="g-o" numlevel="1" lineno="51" slineno="1-33" level="2"><display>(g)</display>removing deposits, accumulations, calculus, and concretions from the surfaces of <ln numlevel="1" lineno="52" slineno="1-34"/>human teeth;</subsection><subsection ssid="1-null-18" dnum="h-o" numlevel="1" lineno="53" slineno="1-35" level="2"><display>(h)</display>removing toxins and debris from subgingival surfaces;</subsection><subsection ssid="1-null-19" dnum="i-o" numlevel="1" lineno="54" slineno="1-36" level="2"><display>(i)</display>providing:<subsection ssid="1-null-20" dnum="i-o" numlevel="1" lineno="55" slineno="1-37" level="3"><display>(i)</display>delegated dental hygiene care in accordance with a dentist's treatment plan for a <ln numlevel="1" lineno="56" slineno="1-38"/>patient; or</subsection><subsection ssid="1-null-21" dnum="ii-o" numlevel="1" lineno="57" slineno="1-39" level="3"><display>(ii)</display>dental hygiene care in accordance with a dental hygiene treatment plan;</subsection></subsection><subsection ssid="1-null-22" dnum="j-o" numlevel="1" lineno="58" slineno="1-40" level="2"><display>(j)</display>representing oneself by any title, degree, or in any other way as being a dental <ln numlevel="1" lineno="59" slineno="1-41"/>hygienist;</subsection><subsection ssid="1-null-23" dnum="k-o" numlevel="1" lineno="60" slineno="1-42" level="2"><display>(k)</display>administering local anesthesia and nitrous oxide analgesia, only as allowed by <ln numlevel="1" lineno="61" slineno="1-43"/>division rule and the supervision requirements described in Section <xref depth="3" refnumber="58-69-801">58-69-801</xref>;</subsection><subsection ssid="1-null-24" dnum="l-o" numlevel="1" lineno="62" slineno="1-44" level="2"><display>(l)</display>directing a dental assistant when the supervising dentist is not on the premises;</subsection><subsection ssid="1-null-25" dnum="m-o" numlevel="1" lineno="63" slineno="1-45" level="2"><display>(m)</display>exposing and capturing dental radiographs;</subsection><subsection ssid="1-null-26" dnum="n-o" numlevel="1" lineno="64" slineno="1-46" level="2"><display>(n)</display>making impressions or intraoral scans of teeth or jaws;</subsection><subsection ssid="1-null-27" dnum="o-o" numlevel="1" lineno="65" slineno="1-47" level="2"><display>(o)</display>performing tasks delegated by a dentist in other practices of dental hygiene as <ln numlevel="1" lineno="66" slineno="1-48"/>defined by division rule; and</subsection><subsection ssid="1-null-28" dnum="p-o" numlevel="1" lineno="67" slineno="1-49" level="2"><display>(p)</display>performing expanded functions in accordance with Section <xref depth="3" refnumber="58-69-808">58-69-808</xref>.</subsection></subsection><subsection ssid="1-null-29" dnum="11-o" numlevel="1" lineno="68" slineno="1-50" level="1"><display>(11)</display>"Practice of dentistry" means the following, regarding humans:<subsection ssid="1-null-30" dnum="a-o" numlevel="1" lineno="69" slineno="1-51" level="2"><display>(a)</display>to offer, undertake, or represent that a person will undertake by any means or <ln numlevel="1" lineno="70" slineno="1-52"/>method, including teledentistry, to:<subsection ssid="1-null-31" dnum="i-o" numlevel="1" lineno="71" slineno="1-53" level="3"><display>(i)</display>examine, evaluate, diagnose, treat, operate, or prescribe therapy for any disease, <ln numlevel="1" lineno="72" slineno="1-54"/>pain, injury, deficiency, deformity, or any other condition of the human teeth, <ln numlevel="1" lineno="73" slineno="1-55"/>alveolar process, gums, jaws, or adjacent hard and soft tissues and structures in the <ln numlevel="1" lineno="74" slineno="1-56"/>maxillofacial region;</subsection><subsection ssid="1-null-32" dnum="ii-o" numlevel="1" lineno="75" slineno="1-57" level="3"><display>(ii)</display>take an appropriate history and physical consistent with the level of professional <ln numlevel="1" lineno="76" slineno="1-58"/>service to be provided and the available resources in the facility in which the <ln numlevel="1" lineno="77" slineno="1-59"/>service is to be provided;</subsection><subsection ssid="1-null-33" dnum="iii-o" numlevel="1" lineno="78" slineno="1-60" level="3"><display>(iii)</display>make impressions, intraoral scans, or registrations;</subsection><subsection ssid="1-null-34" dnum="iv-o" numlevel="1" lineno="79" slineno="1-61" level="3"><display>(iv)</display>supply artificial teeth as substitutes for natural teeth, including placing veneers;</subsection><subsection ssid="1-null-35" dnum="v-o" numlevel="1" lineno="80" slineno="1-62" level="3"><display>(v)</display>remove deposits, accumulations, calculus, and concretions from the surfaces of <ln numlevel="1" lineno="81" slineno="1-63"/>teeth;</subsection><subsection ssid="1-null-36" dnum="vi-o" numlevel="1" lineno="82" slineno="1-64" level="3"><display>(vi)</display>correct or attempt to correct malposition of teeth; and</subsection><subsection ssid="1-null-37" dnum="vii-o" numlevel="1" lineno="83" slineno="1-65" level="3"><display>(vii)</display>prescribe, deliver, and provide follow-up care for oral appliance therapy, <ln numlevel="1" lineno="84" slineno="1-66"/>including as a treatment for sleep-disordered breathing and obstructive sleep <ln numlevel="1" lineno="85" slineno="1-67"/>apnea;</subsection></subsection><subsection ssid="1-null-38" dnum="b-o" numlevel="1" lineno="86" slineno="1-68" level="2"><display>(b)</display>to administer anesthetics necessary or proper in the practice of dentistry, only as <ln numlevel="1" lineno="87" slineno="1-69"/>allowed by an anesthesia and analgesia permit obtained from the division;</subsection><subsection ssid="1-null-39" dnum="c-o" numlevel="1" lineno="88" slineno="1-70" level="2"><display>(c)</display>to administer and prescribe drugs related to and appropriate in the practice of <ln numlevel="1" lineno="89" slineno="1-71"/>dentistry;</subsection><subsection ssid="1-null-40" dnum="d-o" numlevel="1" lineno="90" slineno="1-72" level="2"><display>(d)</display>to supervise the practice of a:<subsection ssid="1-null-41" dnum="i-o" numlevel="1" lineno="91" slineno="1-73" level="3"><display>(i)</display>dental hygienist in accordance with Section <xref depth="3" refnumber="58-69-801">58-69-801</xref>; or</subsection><subsection ssid="1-null-42" dnum="ii-o" numlevel="1" lineno="92" slineno="1-74" level="3"><display>(ii)</display>dental assistant as established by division rule made in collaboration with the <ln numlevel="1" lineno="93" slineno="1-75"/>board; or</subsection></subsection><subsection ssid="1-null-43" dnum="e-o" numlevel="1" lineno="94" slineno="1-76" level="2"><display>(e)</display>to represent oneself by any title, degree, or in any other way that one is a dentist.</subsection></subsection><subsection ssid="1-null-44" dnum="12-o" numlevel="1" lineno="95" slineno="1-77" level="1"><display>(12)</display>"Public health agency" means a local health department as defined in Section <xref depth="3" refnumber="26A-1-102"><ln numlevel="1" lineno="96" slineno="1-78"/>26A-1-102</xref> or the Department of Health and Human Services.</subsection><subsection ssid="1-null-45" dnum="13-o" numlevel="1" lineno="97" slineno="1-79" level="1"><display>(13)</display>"Public health setting" means:<subsection ssid="1-null-46" dnum="a-o" numlevel="1" lineno="98" slineno="1-80" level="2"><display>(a)</display>an individual's residence, if the individual is non-ambulatory;</subsection><subsection ssid="1-null-47" dnum="b-o" numlevel="1" lineno="99" slineno="1-81" level="2"><display>(b)</display>a school, as part of a school-based program;</subsection><subsection ssid="1-null-48" dnum="c-o" numlevel="1" lineno="100" slineno="1-82" level="2"><display>(c)</display>a nursing home;</subsection><subsection ssid="1-null-49" dnum="d-o" numlevel="1" lineno="101" slineno="1-83" level="2"><display>(d)</display>an assisted living or long-term care facility;</subsection><subsection ssid="1-null-50" dnum="e-o" numlevel="1" lineno="102" slineno="1-84" level="2"><display>(e)</display>a community health center;</subsection><subsection ssid="1-67" dnum="_-o:f-e" numlevel="1" lineno="103" slineno="1-85" ea="amend" anum="0" owner="admin" style="1" level="2"><display><amend anum="0" ea="amend" pairid="1050" style="1" owner="e" level="1" amendtag="start">(f)</amend></display><amend anum="0" ea="amend" pairid="38" groupid="30" style="1" owner="admin" level="1" amendtag="end">a hospital;</amend></subsection><subsection ssid="1-null-51" dnum="f-o:g-e" numlevel="1" lineno="104" slineno="1-86" level="2"><display><amendoutstart style="2"/><amend anum="0" ea="erase" pairid="1051" style="2" owner="o" level="1" deltag="both">(f)</amend><amendoutend style="2"/><amend anum="0" ea="amend" pairid="1052" style="1" owner="e" level="1" amendtag="both" space="true">(g)</amend></display>if a dental hygienist is employed by a public health agency, a location directed <ln numlevel="1" lineno="105" slineno="1-87"/>by the public health agency;</subsection><subsection ssid="1-null-52" dnum="g-o:h-e" numlevel="1" lineno="106" slineno="1-88" level="2"><display><amendoutstart style="2"/><amend anum="0" ea="erase" pairid="1052" style="2" owner="o" level="1" deltag="both">(g)</amend><amendoutend style="2"/><amend anum="0" ea="amend" pairid="1053" style="1" owner="e" level="1" amendtag="both" space="true">(h)</amend></display>a federally-qualified health center; or</subsection><subsection ssid="1-null-53" dnum="h-o:i-e" numlevel="1" lineno="107" slineno="1-89" level="2"><display><amendoutstart style="2"/><amend anum="0" ea="erase" pairid="1053" style="2" owner="o" level="1" deltag="both">(h)</amend><amendoutend style="2"/><amend anum="0" ea="amend" pairid="1054" style="1" owner="e" level="1" amendtag="both" space="true">(i)</amend></display>a mobile dental health program that employs a dentist who is licensed under this <ln numlevel="1" lineno="108" slineno="1-90"/>chapter.</subsection></subsection><subsection ssid="1-null-54" dnum="14-o" numlevel="1" lineno="109" slineno="1-91" level="1"><display>(14)</display>"Supervising dentist" means a licensed dentist who has agreed to provide supervision <ln numlevel="1" lineno="110" slineno="1-92"/>of a dental hygienist or unlicensed individual in accordance with the provisions of this <ln numlevel="1" lineno="111" slineno="1-93"/>chapter.</subsection><subsection ssid="1-null-55" dnum="15-o" numlevel="1" lineno="112" slineno="1-94" level="1"><display>(15)</display>"Synchronous technology" means two-way audiovisual technology that allows a <ln numlevel="1" lineno="113" slineno="1-95"/>licensed dental professional to see and communicate in real time with a patient who is <ln numlevel="1" lineno="114" slineno="1-96"/>located in a different physical location.</subsection><subsection ssid="1-null-56" dnum="16-o" numlevel="1" lineno="115" slineno="1-97" level="1"><display>(16)</display>"Teledentistry" means the practice of dentistry using synchronous or asynchronous <ln numlevel="1" lineno="116" slineno="1-98"/>technology.</subsection><subsection ssid="1-null-57" dnum="17-o" numlevel="1" lineno="117" slineno="1-99" level="1"><display>(17)</display>"Unlawful conduct" means the same as that term is defined in Sections <xref depth="3" refnumber="58-1-501" start="0">58-1-501</xref> and <xref depth="3" refnumber="58-69-501" start="0"><ln numlevel="1" lineno="118" slineno="1-100"/>58-69-501</xref>.</subsection><subsection ssid="1-null-58" dnum="18-o" numlevel="1" lineno="119" slineno="1-101" level="1"><display>(18)</display>"Unprofessional conduct" means the same as that term is defined in Sections <xref depth="3" refnumber="58-1-501" start="0">58-1-501</xref> <ln numlevel="1" lineno="120" slineno="1-102"/>and <xref depth="3" refnumber="58-69-502" start="0">58-69-502</xref> and as may be further defined by rule.</subsection></section></bsec><bsec buid="8" type="uncod" untype="effdate" src="uncod" uid="EF0000" sort="UZEFF" langlock="true" numlevel="1" lineno="121" slineno="2-1" sn="2"><section type="uncod" untype="effdate" display="false" src="uncod"><secline lineno="121">Section 2.  <bold>Effective Date.</bold></secline><sectionText lineno="122"><amend anum="0" ea="amend" pairid="1" groupid="1" style="1" owner="admin" level="1" amendtag="both">This bill takes effect on <effdate uid="code" date="5/6/2026">May 6, 2026</effdate>.</amend></sectionText></section></bsec></bdy><foot><rev><tm>3-4-26 9:14 AM</tm></rev></foot></leg>