Governor Hochul Signs Into Law Bill Expanding Who Can Provide Topical Fluoride Varnish
Governor Hochul has signed into law, as Chapter 457 of the Laws of 2024, A.7402-B (Peoples-Stokes) / S.9308-A (Fernandez) -- a bill that allows registered dental assistants and licensed practical nurses to apply topical fluoride varnish. You can read the bill signed into law below (new language is underlined; deleted language is bracketed and struck through). Governor Hochul's announcement on signing the law can also be read below. The law took effect immediately on November 15, 2024.
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7402--B
2023-2024 Regular Sessions
May 19, 2023
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Introduced by M. of A. PEOPLES-STOKES, FAHY -- read once and referred to
the Committee on Higher Education -- recommitted to the Committee on
Higher Education in accordance with Assembly Rule 3, sec. 2 -- commit-
tee discharged, bill amended, ordered reprinted as amended and recom-
mitted to said committee -- again reported from said committee with
amendments, ordered reprinted as amended and recommitted to said
committee
AN ACT to amend the education law, in relation to permitting dental
assistants and licensed practical nurses to perform the application of
topical fluoride varnish
The People of the State of New York, represented in Senate and Assem-
bly, do enact as follows:
1 Section 1. Section 6608 of the education law, as amended by chapter
2 512 of the laws of 2022, is amended to read as follows:
3 § 6608. Definition of practice of registered dental assisting. The
4 practice of registered dental assisting is defined as providing support-
5 ive services to a dentist in [his or her] such dentist's performance of
6 dental services authorized under this article. Such support shall
7 include providing patient education, taking preliminary medical histo-
8 ries and vital signs to be reviewed by the dentist, placing and removing
9 rubber dams, selecting and prefitting provisional crowns, selecting and
10 prefitting orthodontic bands, removing orthodontic arch wires and liga-
11 ture ties, placing and removing matrix bands, taking impressions for
12 study casts or diagnostic casts, removing periodontal dressings, placing
13 and removing temporary restorations, application of topical fluoride
14 varnish, and such other dental supportive services authorized by the
15 dentist consistent with regulations promulgated by the commissioner,
16 provided that such functions are performed under the direct personal
17 supervision of a licensed dentist in the course of the performance of
18 dental services. Such services shall not include diagnosing and/or
19 performing surgical procedures, irreversible procedures or procedures
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11382-06-4
A. 7402--B 2
1 that would alter the hard or soft tissue of the oral and maxillofacial
2 area or any other procedures determined by the department. The practice
3 of registered dental assisting may be conducted in the office of any
4 licensed dentist or in any appropriately equipped school or public
5 institution but must be done under the direct personal supervision of a
6 licensed dentist. Direct personal supervision, for purposes of this
7 section, means supervision of dental procedures based on instructions
8 given by a licensed dentist in the course of a procedure who remains in
9 the dental office where the supportive services are being performed,
10 personally diagnoses the condition to be treated, personally authorizes
11 the procedures, and before dismissal of the patient, who remains the
12 responsibility of the licensed dentist, evaluates the services performed
13 by the registered dental assistant. Nothing herein authorizes a regis-
14 tered dental assistant to perform any of the services or functions
15 defined as part of the practice of dental hygiene in accordance with the
16 provisions of subdivision one of section sixty-six hundred six of this
17 article, except those functions authorized pursuant to this section. All
18 dental supportive services provided in this section may be performed by
19 currently registered dental hygienists either under a dentist's super-
20 vision, as defined in regulations of the commissioner, or, in the case
21 of a registered dental hygienist working for a hospital as defined in
22 article twenty-eight of the public health law, pursuant to a collabora-
23 tive arrangement with a licensed dentist in accordance with subdivision
24 one of section sixty-six hundred six of this article. Such collaborative
25 arrangement shall not obviate or supersede any law or regulation which
26 requires identified services to be performed under the personal super-
27 vision of a dentist.
28 § 2. Subdivision 2 of section 6902 of the education law, as amended by
29 chapter 781 of the laws of 1990, is amended to read as follows:
30 2. The practice of nursing as a licensed practical nurse is defined as
31 performing tasks and responsibilities within the framework of casefind-
32 ing, health teaching, health counseling, the application of topical
33 fluoride varnish, and provision of supportive and restorative care under
34 the direction of a registered professional nurse or licensed physician,
35 dentist or other licensed health care provider legally authorized under
36 this title and in accordance with the commissioner's regulations.
37 § 3. This act shall take effect immediately.Governor Hochul Signs Pediatric Fluoride Legislation to Improve Dental Health for New York's Kids
Legislation S.9308A/A.7402B Authorizes Additional Dental Health Professionals To Administer Fluoride Treatment, Expanding Access to Critical Public Health Tool
Governor Kathy Hochul signed legislation to allow greater access to fluoride treatments for pediatric dental patients. Fluoride treatments work to prevent tooth decay and are an important part of pediatric dental health. This legislation allows registered dental assistants and licensed practical nurses to apply topical fluoride varnish to teeth, greatly expanding the number of licensed professionals in the state who are authorized to provide this treatment.
“Fluoride is scientifically proven to prevent cavities and protect our kids' teeth,” Governor Hochul said. “As a mom, I know how difficult it can be to get an appointment at the dentist's office and how critical it is for our kids to maintain good oral hygiene. That's why I’m signing this legislation to expand access to fluoride treatments, keeping our kids healthy and strong.”
Legislation S.9308A/A.7402B improves children’s dental health by allowing more professionals to provide fluoride treatments in dental offices. This is meant to increase the availability of the treatment, and provide greater efficiency in dental services.
State Senator Nathalia Fernandez said, “Dental disease should never stand in the way of a child’s health or success. By expanding access to fluoride treatments, this legislation ensures more children can receive the preventive care they need, regardless of their circumstances. This is a meaningful step toward breaking down barriers to care and addressing the disparities that have plagued underserved communities for far too long. I thank Governor Hochul for signing this bill and prioritizing the health of New York’s children.”
Assembly Majority Leader Crystal Peoples-Stokes said, “I commend Governor Hochul for signing legislation I sponsored that will improve children’s dental health by making fluoride treatments more accessible. Good dental health is a critical component of overall health and I will continue to explore ways to ensure as many children as possible receive dental fluoride treatments.”
New York State Health Commissioner Dr. James McDonald said, “Under Governor Hochul’s leadership, parents can be confident that their children will receive fluoride dental treatments that can significantly improve their child’s dental health, which as we know can impact the health of the entire body. This legislation, allowing additional licensed professionals to apply the fluoride, will make accessing these treatments easier than ever.”
