Why is the MDS supporting the creation of a public health dental hygienist?
It is important to realize that BORID is already in the process of creating regulations for a Public Health Dental Hygienist (PHDH). Through S.2819, the MDS is trying to influence the parameters of the final regulations. For example, language in S.2819 specifically limits the procedures performed by the PHDH to those currently allowed in private practice under general supervision (procedures that do not require the dentist to be present). Furthermore, the PHDH must enter a collaborative agreement with a dentist and can only bill MassHealth and Commonwealth Care, ensuring that the PHDH is not operating independently and is focused on providing access to care to low-income patients. Finally, S.2819 requires that the Department of Public Health submit reports to the legislature on whether or not the PHDH has improved access to care and “sunsets” the designation after five years.
