LANSING – Michigan lawmakers are considering a measure that could significantly ease the path for out-of-state dentists and dental hygienists to practice within the state. The proposed legislation aims to join Michigan with a multi-state compact designed to streamline licensing, potentially addressing workforce shortages and improving access to dental care, particularly in underserved areas. The move comes as states across the country grapple with healthcare professional shortages and seek ways to reduce bureaucratic hurdles for qualified practitioners.
The bill, introduced by Representatives Parker Fairbairn, a Republican from Harbor Springs, and David Preston, a Republican from Rockford, along with nine other co-sponsors, would enter Michigan into the Council of State Governments Dentist and Dental Hygienist Compact. This compact allows dentists and hygienists licensed in participating states to practice in other compact states with a “compact privilege,” rather than undergoing the full, often lengthy, licensing process. The core idea is to facilitate mobility for qualified professionals whereas maintaining standards for patient safety.
Michigan House of Representatives
Rep. Parker Fairbairn.
Addressing Workforce Gaps and Access to Care
Currently, 12 states participate in the Dentist and Dental Hygienist Compact: Wisconsin, Minnesota, Iowa, Nebraska, Kansas, Colorado, Washington, Arkansas, Tennessee, Ohio, Virginia, and Maine. The Council of State Governments, which administers the compact, reports that it aims to reduce barriers to interstate practice while upholding public safety. Bill Sullivan, the vice president of professional relations at the Michigan Dental Association in Okemos, emphasized the potential benefits for Michigan. “This is to help those who want to move to Michigan without the bureaucratic process to get a license when they already have one,” he said. He clarified that applicants would still be required to adhere to Michigan’s code of ethics and safety regulations and maintain a passing score on the national dental exam.
Advocates for the compact highlight its potential to address critical shortages, particularly in rural and underserved communities. Nealie Andrews, the legislative director at Acuitas, a government relations firm, noted that the Michigan Dental Hygienists Association has been a leading force behind the effort. “This compact will help serve communities in Northern Michigan and in the Upper Peninsula who have little to no access to dental care,” Andrews explained. Stakeholders like Delta Dental and the Michigan Oral Health Council have also voiced support, recognizing the need for a more streamlined process to meet staffing demands. Delta Dental of Michigan, a major dental insurance provider in the state, has publicly advocated for policies that expand access to care.
Concerns Over Clinical Assessments and Patient Safety
Despite the potential benefits, the legislation has faced opposition from some dentists who express concerns about the lack of a Michigan-specific clinical examination for out-of-state applicants. Mark Johnston, a dentist with over 40 years of experience and former president of the Michigan Dental Association, argued that a hands-on clinical assessment is crucial, especially for newly graduated dentists. “This is about patient safety,” Johnston stated. “By testing new dentists, we can confidently confirm they are ready to treat patients.” He believes that an additional evaluation ensures a consistent standard of care across the state.
These concerns have prompted discussions about a separate, more comprehensive compact – the Interstate Dental and Dental Hygiene Licensure Compact – which would require a uniform licensing exam assessing both psychomotor and cognitive skills. Emily Cardone, a public relations executive, reported that lawmakers sponsoring the original bill are actively engaging with stakeholders and considering this alternative approach. This potential second compact aims to address patient safety concerns while still streamlining the licensing process.
What’s Next for the Legislation?
The bill passed the Michigan House of Representatives and is currently pending in the Senate Government Operations Committee. The committee will likely hold hearings to gather further input from stakeholders before considering a vote. The timeline for a Senate vote remains uncertain, but the ongoing discussions suggest a willingness to address the concerns raised by dentists and community members. The debate highlights the complex balance between reducing administrative burdens for qualified professionals and ensuring the highest standards of patient care.
The potential impact of this legislation extends beyond individual dentists and hygienists. Improved access to dental care can have significant implications for overall public health in Michigan, particularly in areas where access is currently limited. Addressing workforce shortages in healthcare is a priority for many states, and the Dentist and Dental Hygienist Compact represents one potential solution. The Senate Government Operations Committee’s deliberations will be closely watched by dental professionals, healthcare advocates, and residents across Michigan.
Disclaimer: This article provides information about proposed legislation and should not be considered medical or legal advice. Consult with a qualified healthcare professional or legal expert for personalized guidance.
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