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Meetings
 

November 3, 2004, Meeting of COMDA

Agenda
Agenda Item Information

Agenda

Notice of PUBLIC MEETING - Notice is hereby given that a public meeting of the Committee on Dental Auxiliaries will be held as follows

Wednesday, November 3, 2004 – 10:30 a.m.

Lion’s Gate Hotel & Cottages, 3410 Westover, McClellan (Sacramento) 95652 (916) 643-6222

Agenda

1. Call to Order/Roll Call/Establishment of Quorum
2. Approval of August 18, 2004, Meeting Minutes
3. Report of the Chair
4. Report of the Executive Officer
5. Legislation of Interest to COMDA
a. AB539 – 3rd and 4th year dental students applying for RDH licensure
b. SB 136 – mandatory courses for RDAs
c. SB 1546 – dental assisting scopes of practice

RDA Program
6. Review of RDA Educational Programs and Courses/Recommendations to Board
7. Proposal to Establish Educational Program Quality Assurance Subcommittee
8. Proposed New Regulation – Approval of Ultrasonic Scaling Courses
9. Proposed Changes to Title 16 CCR Section 1086 – RDAs applying pit and fissure sealants
10. Implementation of SB1546 (dental assisting scopes of practice)
11. Proposal to Establish Licensure by Credential for Dental Assistants

RDH Program
12. Establishment of Fee for Dental Students Applying for RDH Examination
13. Proposed Changes to Title 16 CCR Section 1079.2 to Define Clinical Practice for purposes of RDHAP Licensure
14. Review of Necessity/Desirability of RDHAP Prescription Requirement

All Programs
15. Agenda Items for Future Meetings
16. Election of 2005 Officers
17. Public Comment
18. Adjournment

The Committee may take action on any item listed on the agenda unless listed as information only. All times are approximate and subject to change. Public comments will be taken on agenda items at the time the specific item is raised. Items may be taken out of order to accommodate speakers and to maintain a quorum. The meeting may be cancelled without notice. For meeting verification, call (916) 263-2595 or access the Committee’s website at www. comda. ca.gov. The meeting is accessible to the physically disabled. A person who needs disability-related accommodations or modifications in order to participate in the meeting shall make a request to the Committee by contacting Karen Wyant at (916) 263-2300 or sending a written request to the person at the Committee on Dental Auxiliaries, 1428 Howe Avenue, Suite 58, Sacramento, CA 95825, one week prior to the day of the meeting. Contact: Karen Wyant, (916) 263-2595 or email Karen_Wyant@dca.ca.gov.


AGENDA ITEM INFORMATION

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 5. Legislation of Interest to COMDA

a. AB539 - 3rd and 4th year dental students applying for RDH licensure

AB539 allows 3rd and 4th year California dental school students in good standing to apply for a Registered Dental Hygienist license, which would require completion of the National written examination and the State clinical examination. The bill was signed by the Governor and will be effective January 1, 2005, and COMDA staff is actively working to implement its provisions. The bill included an appropriation of $138,000 for the current fiscal year, and $264,000 each year thereafter.

b. SB 136 (Figueroa) - Registered Dental Assistants

As part of an "omnibus" bill, the portions affecting COMDA delay for one year (to January 1, 2006) the requirement that all RDAs provide proof of having completed both radiation safety and coronal polishing courses. The bill also provides that an RDA who possess an inactive license need not comply with these requirements until he or she chooses to re-activate the license.

The bill has been signed by the Governor and will be effective January 1, 2005.

c. SB1546 (Figueroa) - Dental assisting scopes of practice

SB1546 defines, in statute, the scope of practice of dental assisting.

The bill was signed by the Governor. Most of its provisions will be effective January 1, 2007.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 6. Review of RDA Educational Programs and Courses

Staff and consultants have reviewed the curriculum and conducted an on-site evaluation of the following proposed full RDA educational program, and it is recommended that COMDA recommend provisional approval to the Board. COMDA staff and consultants then perform another on-site inspection of the program at a later date to assure that it is operating appropriately, and then make a recommendation as to whether the program should be granted full approval.

RDA Educational Program

1. Tri Cities ROP - Whittier (Provisional Approval)

Ultrasonic Scaling Courses

1. Concorde Career Institute - San Diego 2. Concorde Career Institute - North Hollywood 3. Concorde Career Institute - San Bernardino 4. Concorde Career Institute - Garden Grove

Coronal Polishing Courses

1. Dental Advantage - Newhall

Any other programs or courses that are ready for consideration by the meeting date will be presented at the meeting.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 7. Establishment of Educational Program Quality Subcommittee

A presentation will be made at the meeting by Vice Chair Drury-Klein.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 8. Proposed New Regulation - Approval of Ultrasonic Scaling Courses

RDAs who wish to perform ultrasonic scaling of cement from teeth under orthodontic treatment must, by regulation, provide evidence of having completed a Board-approved course in coronal polishing.

Attached is a proposed regulation that would define the requirements that such courses must meet for Board approval.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 9. Proposed Changes to CCR Section 1086 - RDAs Applying Pit and Fissure Sealants

In the past, the Board noticed and heard a proposed regulation that would have allowed RDAs to apply pit and fissure sealants (the proposed changes were part of a package of regulations which would have substantially revised all dental assisting duties). That regulatory proposal was ultimately withdrawn because of Departmental concerns that it would conflict with the provisions of SB1546, although that bill had not been signed at the time.

Since that time, SB1546 has been signed and will become law on January 1, 2005, which adds Section 1777 to the Business and Professions Code to allow RDAs to apply pit and fissure sealants in certain public health settings, after providing evidence of having completed a Board-approved course.

The attached proposed regulation would allow RDAs to apply pit and fissure sealants in all allowable settings, after providing evidence of having completed a Board-approved course.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 10. Implementation of SB1546 (dental assisting scopes of practice)

Information for this item will be mailed at a later date or hand-carried to the meeting.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 11. Licensure by Credential for Dental Assistants

A presentation will be made at the meeting by Vice Chair Drury-Klein.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 12. Establishment of Fee for Dental Students Applying for RDH Examination

Beginning January 1, 2005, COMDA will begin implementing AB539, which will allow certain 3rd and 4th year dental students to apply for RDH examination and licensure.

The new laws (specifically Section 1725(e)) provides that, for such 3rd and 4th year students, "the fee for examination for licensure as a registered dental hygienist shall not exceed the actual cost of the examination."

Testimony in committee hearings on AB539 included concerns that the fee to take the RDH clinical examination does not completely cover the cost of actually administering the examination, and that current RDH licentiates would therefore be subsidizing the cost of administering the exam to dental students in the future (by law, their RDH licenses will expire 2 years from their passage of the RDH exam and cannot be renewed).

During COMDA's review of the cost of each program several years ago, it decided not to change the fee structure at that time. It was felt that a substantial increase in the cost to examinees might be a hardship as they enter the profession, or deter applicants from entering the profession, when they essentially pay any additional examination costs through their subsequent renewal fees, which is currently only $35 per person every two years.

It is estimated that the actual cost to administer the examination is currently $479, compared to the current fee of $150. $479 is only a rough estimate, since it is impossible to accurately determine the cost of each program because staff members and all other expenses are shared by the five different licensing programs COMDA administers.

It is therefore recommended that COMDA recommend to the Board that they set the fee, by Board resolution pursuant to Section 1725, at $475 for such students, which would be in addition to the normal $20 application fee.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 13. Proposed Changes to CCR Section 1079.2 to Define RDH Clinical Practice as related to RDHAP Licensure

Attached is a proposal from the California Dental Hygienists' Association (CDHA) to revise the language of regulation section 1079.2 relating to the requirements for RDHAP licensure.

Committee on Dental Auxiliaries State of California Dental Board of California Department of Consumer Affairs

TO: COMDA Members

Meeting Date: November 3, 2004

Re: Agenda Item 14. Review of Necessity/Desirability of RDHAP Prescription Requirement

At COMDA's August, 2004, meeting, it voted to pursue legislation to eliminate the RDHAP prescription requirement.

At the Board's August, 2004, meeting, the Dental Board agreed with COMDA's recommendation that COMDA work with the Board's Access to Care Committee to discuss the issue. Chair Wallace appointed herself and member Darla Dale to work with that Committee.

However, the Board subsequently decided that the issue would be heard before the full Board on Friday, November 5th. Attached is the information contained in the Board's meeting packets.

COMMITTEE ON DENTAL AUXILIARIES

Draft Meeting Minutes - November 3, 2004

 

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