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Mississippi Legislature· HB 431Approved by Governor (Chapter 307)

Dental hygienists; those employed by SDH or making educational demonstrations may practice under general supervision., the official text

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MISSISSIPPI LEGISLATURE

2026 Regular Session

To: Public Health and Human Services

By: Representatives Felsher, Hall

House Bill 431

(As Sent to Governor)

AN ACT TO AMEND SECTION 73-9-5, MISSISSIPPI CODE OF 1972, TO
AUTHORIZE DENTAL HYGIENISTS EMPLOYED BY THE STATE BOARD OF HEALTH OR PUBLIC
SCHOOL BOARDS WHO ARE PERFORMING ORAL HYGIENE INSTRUCTION AND SCREENING AND
DENTAL HYGIENISTS WHO ARE MAKING PUBLIC DEMONSTRATIONS OF DENTAL HYGIENE FOR
EDUCATIONAL PURPOSES TO PERFORM THOSE ACTIVITIES UNDER THE GENERAL SUPERVISION
AND DIRECTION OF REGULARLY LICENSED AND REGISTERED DENTISTS WITHOUT HAVING TO
MEET THE OTHER REQUIREMENTS AND CONDITIONS FOR PRACTICE UNDER GENERAL
SUPERVISION; AND FOR RELATED PURPOSES.

BE IT ENACTED BY THE
LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1.  Section
73-9-5, Mississippi Code of 1972, is amended as follows:

73-9-5.  (1)  For the
purpose of this chapter, a dental hygienist shall be an individual who
has completed an accredited dental hygiene education program, passed the
national dental hygiene board and is licensed by the State Board of Dental
Examiners to provide, as an auxiliary to the dentist, preventive care
services including, but not limited to, scaling and polishing.  In fulfilling
these services, dental hygienists provide treatment that helps to prevent oral
disease such as dental caries and periodontal disease and for educating
patients in prevention of these and other dental problems.

(2)  No person shall
practice dental hygiene in a manner that is separate or independent from a
supervising dentist, or establish or maintain an office or a practice that is
primarily devoted to the provision of dental hygiene services.

(3)  Under general
supervision, a dental hygienist may provide to patients of record, for not more
than ten (10) consecutive business days, all dental hygiene services (except
the administration of nitrous oxide inhalation or local anesthesia, which must
be under direct supervision) if all of the following conditions are satisfied:

(a)  The dental
hygienist has practiced dental hygiene in the State of Mississippi for a
minimum of five (5) years, such five-year period having been determined by the
board as equivalent to a minimum of six thousand (6,000) hours of dental
hygiene practice;

(b)  The dental
hygienist has current CPR certification and complies with the established
protocols for emergencies that the supervising dentist has established;

(c)  The supervising
dentist examined the patient of record not more than seven (7) months before
the date that the dental hygienist provides the dental hygiene services;

(d)  The dental
hygienist provides dental hygiene services to the patient of record in accordance
with a written treatment protocol prescribed by the supervising dentist for the
patient;

(e)  The patient of
record is notified in advance of the appointment that the supervising dentist
will be absent from the location;

(f)  No licensed dental
hygienist, under general supervision, may delegate or supervise any dental
hygiene duties for a dental assistant; and

(g)  The supervising
dentist is responsible for all actions of the dental hygienist during treatment
of patients under general supervision.

(4)  The following
limitations also apply to the practice of dental hygiene under general
supervision:

(a)  No entity may
employ dental hygienists to provide treatment for patients of record under
general supervision other than:

(i)  A nonprofit
entity that meets the statutory, regulatory and program requirements for
grantees supported by the Public Health Service and that has supervision by a
Mississippi licensed dentist; or

(ii)  An office
owned by a dentist or group of dentists licensed in Mississippi.

(b)  No duly licensed
and registered dentist shall supervise more than three (3) dental hygienists
under general supervision at any one time.

(c)  No duly licensed
and registered dentist shall supervise a dental hygienist for more than ten
(10) consecutive business days or for more than twenty-four (24) total days in
any calendar year.

(d)  No patient may be
seen twice consecutively under general supervision.

(e)  An examination fee
must not be charged if a patient is seen under general supervision.

(f)  The patient
undergoing dental hygiene services under general supervision must be a minimum
of eighteen (18) years of age, and either ASA Class I or ASA Class II as
defined by the American Society of Anesthesiologist Physical Status Classification
System.

(5) * * *Notwithstanding the above subsections of this section,
A dental hygienist licensed in Mississippi may perform radiographs, oral
prophylaxis, and place fluoride varnish without a Mississippi licensed dentist
being physically present in the office if all of the other conditions of this
section are met.

(6)  The board shall be
authorized to assess the need for dental hygiene services in nursing facilities
and correctional facilities and authorize the general supervision of dental
hygienists in those facilities, provided that such dental hygiene services are
provided in accordance with all of the conditions of this section.

(7)  The following dental
hygienists may perform the specified activities under the general supervision and
direction of regularly licensed and registered dentists without having to meet
the other requirements and conditions of this section:

(a)  Dental
hygienists employed by the State Board of Health or public school boards who
are only performing oral hygiene instruction and screening, including applying
fluoride varnishes as part of such instruction and screening; and

(b)  Dental
hygienists recognized by the board when making public demonstrations of dental
hygiene for educational purposes.

SECTION 2.  This act
shall take effect and be in force from and after its passage.
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