2018 legislative report

AzDA shaped dental workforce policy and advanced access to care

During the 2018 legislative session, AzDA worked to establish strong safeguards for Arizona's new dental therapy profession and supported expanded dental coverage for pregnant AHCCCS members.

Workforce policy Clinical supervision Underserved communities Maternal oral health
2 major oral health policy matters addressed
1 new dental workforce law enacted
1,000 preceptorship hours required before general supervision
53 bipartisan co-sponsors for maternal dental coverage
Dental workforce

A controlled framework for dental therapy

HB2235 created the dental therapist profession in Arizona, but with significant restrictions on practice settings, supervision, billing, and patient populations.

1 new law
HB2235

Dental therapy authorization and safeguards

Signed into law
Policy impact

The law created a dental therapy license while restricting dental therapists primarily to tribal, community health, charitable, and underserved care settings.

Permitted settings

Dental therapists may practice in tribal programs, urban Indian health programs, federally qualified health centers, community health centers, and qualifying not-for-profit charitable settings.

Private practices

They generally may not work in private practices unless the practice serves referred patients under contract with a federally qualified health center.

Supervision

Dental therapists must initially work under the direct supervision of an Arizona-licensed dentist.

Preceptorship

A documented 1,000-hour preceptorship is required before a dental therapist may work under general supervision through a collaborative practice agreement.

Billing restriction

Dental therapists are prohibited from billing patients or dental insurers directly.

Accountability

Billing must flow through the supervising dentist or employing clinic, helping to maintain oversight of scope and collaborative-practice requirements.

Why these restrictions mattered

The final law was designed to focus dental therapy services on low-income and underserved populations while preserving dentist supervision and clear professional accountability.

Access to care

Dental coverage for pregnant AHCCCS members

AzDA joined a broad healthcare and public health coalition in support of adding dental coverage for pregnant members enrolled in AHCCCS.

Not funded
SB1445

AHCCCS dental benefit during pregnancy

Removed from budget
Proposed impact

The measure sought to provide dental coverage to pregnant AHCCCS members, improving access to oral healthcare during pregnancy.

The proposal was introduced by Senate Majority Leader Kimberly Yee and attracted 53 bipartisan co-sponsors. AzDA strongly supported the initiative.

The measure was removed from the budget late in the process amid competing state budget and education funding issues.

Coalition support
  • Arizona Dental Association
  • March of Dimes
  • Obstetric and gynecologic organizations
  • Dental hygienists
  • Community health centers
  • Children's Action Alliance
  • Arizona Public Health Association
Advocacy continued

Although the benefit was not funded in 2018, AzDA committed to continuing the effort during the following state budget cycle.

Shaping policy before it shapes dentistry

AzDA worked to balance workforce innovation with patient safety

The 2018 session demonstrated both sides of effective advocacy: helping to establish practical safeguards for a new dental profession and continuing to press for better access to oral healthcare for vulnerable patients.