The Legsislative Ledger

 September 2012
From the States
LSU ADPAC Drive Lunch & Learn
Last month, the LSU ASDA chapter hosted its first-ever ADPAC Drive Lunch & Learn. The goal was to help students understand how membership can help preserve our profession. Dr. Ray J. Unland, Jr., treasurer of New Orleans Dental Association and state dental lobbyist, explained how legislatures are impacted by a united corps of dental professionals. He covered all fronts, from state to national levels of governmental issues. He and LSU ASDA invited all students to join ADPAC and raise their awareness of advocacy. The ultimate goal is to achieve a minimum of 50 percent membership amongst all classes. Next spring, LSU will establish a LADPAC table for membership signing during their 3rd Annual ASDA Vendor Fair. Moreover, the Louisiana Dental Association will be hosting its September board meeting at LSUSD's 40th Annual Alumni Day. Both the nominating committee and advancement committee will come together to discuss fundraising, recruitment of class ambassadors and identifying 2013 board members. Dr. Henry Gremillion, dean of LSUSD, and Dr. Anthony Indovina, president of the LSUSD Alumni Association, have done a wonderful job in establishing commitment and support of the school between the many generations of dentists across the state.
Dr. Ray Unland, Jr., treasurer of New Orleans Dental Association, discussed how ADPAC participation impacts organized dentistry.
From the States

Expanding the scope of dental hygienists has been a disputed issue in numerous states throughout 2012. New Hampshire and Washington have successfully opposed legislation aimed at significantly expanding the scope of dental hygienists. The New York State Dental Association is supporting a bill that would allow hygienists to administer block anesthesia after receiving additional training and certification. Florida became the 44th state to allow dental hygienists to administer local anesthesia. The legislation requires patients to be at least 18 years of age and only at the discretion of /directly supervised by a dentist after training requirements are met. Maryland enacted a law in 2012 that replaces the currently approved regional dental clinical board exams with the ADEX exam.


On Aug. 14, California Senate Bill 694 was placed in the Suspense File in the Assembly Appropriations Committee-effectively killing the bill for the legislative session. SB 694, among other things, would have implemented a study to examine the effects of non-dentists performing irreversible or surgical procedures, such as preparing (drilling) teeth or extracting teeth. Read more here.  

From the States
Incumbent Dentist Prevails in Congressional Primary

First term Congressman and dentist Paul Gosar (R-AZ) won a highly contested GOP primary against Arizona State Senator Ron Gould and businessman Rick Murphy. Congressman Gosar, currently representing Arizona's 1st Congressional District, garnered 51 percent of the vote for the newly redrawn 4th Congressional District. Congressman Gosar's opponent for the general election in November is currently unknown as the Democratic primary remains too close to call. Congressman Gosar's campaign was supported by ADPAC. Read more here.

ASDA Provides Official Comments on Student-Debt Rule Proposal

On Aug. 16, ASDA President Colleen Greene submitted official comments on a federal rule-making process that would create a new Income Contingent Repayment (ICR) plan in the Direct Loan program based on the "Pay As You Earn" repayment initiative, incorporate recent statutory changes to the Income Based Repayment (IBR) plan in the Direct Loan and FFEL programs and streamline the total and permanent disability discharge process for borrowers in the title IV, HEA loan programs. ASDA will continue to monitor this and other federal and state regulatory activities. 

Dr. Monica Hebl Represents ADA at Congressional Briefing on Improving Oral Health Care System

Monica Hebl, DDS, chair of the ADA's Council on Access, Prevention and Interprofessional Relations, attended a congressional briefing that aimed to educate lawmakers about various aspects of health care policy. The title of the event was "Oral Health: Putting Teeth into the Health Care System." At the center of the discussion was improving access to dental care, including alternative workforce models, the need for better preventive measures and the need to address the multifaceted barriers to obtaining optimum oral health care. Read more here.  

The Patient Protection and Affordable Care Act:
How the Supreme Court's Ruling Affects Dentistry

On June 28, the U.S. Supreme Court upheld The Patient Protection and Affordable Care Act (ACA), ruling by a vote of 5 to 4. The ruling was in favor of the "individual mandate", which requires individuals to obtain coverage by 2014 or are subject to a fine. ACA will have an impact on dentistry, including programs and initiatives created to fund oral health education training, research, and disease prevention: public education campaign, school-based dental sealants, research-based dental caries disease management, data collection and analysis to understand health disparities, and oral health care surveillance systems. The measure also includes a provision that increases funding to dental education institutions to support research, workforce training, and residency programs. Read more on page 2 of the ADEA Washington Update.

U.S. Department of Health and Human Services Secretary Urges States to Participate in the Affordable Care Act's Expansion of Medicaid

On July 10, former governor and current Health and Human Services Secretary Kathleen Sebelius sent a letter to state governors urging them to participate in the Affordable Care Act's Medicaid expansion. The Medicaid expansion is optional for states, which brings up questions of whether poor children, adults and seniors will receive care dependent in part upon the decision of their state governor. Read more on page 3 at ADEA Washington Update.

Centers for Disease Control and Prevention Updates Hepatitis B Recommendations

The Centers for Disease Control and Prevention (CDC) revised their recommendations for the management of hepatitis B virus (HBV)-infected health care providers and students. The updated recommendations contain important information for academic dental institutions to help them address issues related to providers and students who are infected with HBV. Though the recommendations include updated information, they also reaffirm the 1991 CDC recommendation that HBV infection alone should not disqualify infected persons from the practice or study of surgery, dentistry, medicine, or allied health field. Read more on page 7 of the ADEA Washington Update.

In This Issue
- LSU ADPAC Lunch & Learn
- Congressman & Dentist
- ASDA Comments on Student Debt
- Congress on Oral Health Care System
- Patient Protection & ACA
- State Participation in Medicaid
- CDC Updates on Hepatitis B
Legislative Grassroots Network

Ian Murray, Western '13

ADPAC Student Director 
Ross Isbell, Alabama '14

Districts 1-3 Legislative Coordinator:
Chrissy Shaw, Connecticut '14

Districts 4-5 Legislative Coordinator:   
Phil Bell, Florida '14

Districts 6-7 Legislative Coordinator:
Ashley Ginsberg, Illinois '14 

Districts 8-9 Legislative Coordinator:   
Emily Tschetter, Nebraska '14

Districts 10-11 Legislative Coordinator:  
Spencer Armuth, Las Vegas '14

Staff Liaison
Andrew Smith, MPA