The Legsislative Ledger

 October 2012
Chapter spotlight: Washington dental students take a stand on midlevel providers
At the 2012 Washington State Dental Association (WSDA) House of Delegates, student delegates from the  University of Washington School of Dentistry spoke in opposition to a resolution supporting midlevel provider legislation.Under consideration was resolution HD-13-2012, which would reverse WSDA's historical opposition to dental therapists in favor of a larger role in controlling the formulation and practice of the new midlevel provider role.Three University of Washington student delegates, including ASDA District 10 Trustee Tyler Rumple, urged fellow delegates to consider the impact of expanding the midlevel scope. Despite the student delegates' efforts, HD-13 passed the WSDA House of Delegates. Regardless of the outcome, the LGN applauds the student delegates for addressing an issue in opposition to ASDA policy.

For more information on midlevel providers, go to 
From the States
HHS offers blueprint for state-based health insurance exchanges

The U.S. Department of Health and Human Services (HHS) released its final blueprint for states to utilize during the development of their own health insurance exchange (HIX) market. This blueprint will help states develop their HIXs that are in compliance with the regulations outlined in The Patient Protection and Affordable Care Act. The HHS-released blueprint outlines the specific functions that each HIX must provide. Read more on Page 2 of ADEA State Update.  

FDA publishes new website 

The U.S. Food and Drug Administration has created a new website with information regarding the health and safety of dental cone-beam CT (CBCT). This FDA-published website provides general information about CBCT use in dentistry, suggestions for ways to reduce unnecessary radiation exposure from CBCTs and resources from manufacturers regarding CBCTs. For more information visit the FDA's website.  

Legislation introduced to expand residencies 

The recently introduced Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act, H.R. 6352, is the combination of two individual bills: the Resident Physician Shortage Reduction Act of 2011 (S.B. 1627), which adds an additional 15,000 Medicare-support residencies, and the Graduate Medical Education Reform Act of 2012 (S.B. 3201), which incorporates accountability measures and transparency within the Medicare GME program.


The new legislation allows qualifying teaching hospitals to receive up to 75 slots between calendars years 2013 and 2017, with slots distributed based on the following priorities:

  • Hospitals in states with new medical schools or new branch campuses;
  • Hospitals that emphasize training in community health centers or community-based settings or in hospital outpatient departments; and
  • Hospitals eligible for electronic health record (EHR) incentive payments.
Read more on Page 8 of ADEA Washington Update 
From the States
Iowa Dental Board considers expanded function dental hygienists and assistants 

The Iowa Dental Board is expected to vote in the coming months on a proposal from the Iowa Dental Association that would expand the scope of practice of hygienists and assistants in the state. The Iowa Dental Association proposal would allow for expanded functions in the following areas: removal of adhesives; placement and shaping of amalgam and composite; placement of stainless crowns; taking of final impressions and related records for dentures; and cementation of final restorations. Read more on Page 3 of ADEA State Update. 

Fluoridation update 

On Sept. 11, the Phoenix City Council voted to continue the city's water fluoridation program. Even more encouraging news came out of Portland, Oregon on Sept. 12, when the city adopted an ordinance mandating the fluoridation of the city's public drinking water. Prior to this decision, Portland was the second largest U.S. city without fluoridation. Read more on Pages 1 & 2 of the ADA September State Legislative Report. 

States cutting medicaid adult dental care

States such as California, Illinois, Massachusetts, Pennsylvania and Washington have responded to state budget deficits by cutting dental care for adults on Medicaid. Services such as cleanings, fillings and dentures have been virtually eliminated from Medicaid in these states. Due to these cuts, an increasing number of low-income patients are seeking treatment at dental school clinics. While states are prohibited from cutting dental care for children on Medicaid, a former Surgeon General of the United States is advocating for an expansion for these services. Dr. David Satcher provided commentary on the need to expand Medicaid dental services for children as a public health issue. Read Dr. Satcher's op-ed here  

For more information, please contact ASDA governance and advocacy manager, Andrew Smith.  

In This Issue
- ASDA Takes a Stand in WA
- Blueprint for HIXs
- New FDA Website
- Federal Legislation Introduced to Expand Residencies
- Iowa May Expand Duties of Hygienists & Assistants
- Fluoridation Update
- States to Cut Dental Medicaid
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