MontanaHB 32169th Legislature, Regular Session (2025)House

Generally revise laws related to the supervised practice of dental hygienists

Sponsored By: Nelly Nicol (Republican)

Signed by Governor

Health Care ServicesHealthProfessions and Occupations GenerallyProfessions and Occupations A-DRule Making

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

More preventive dental care at schools and clinics

Licensed dental hygienists can give preventive care in public health clinics and school programs without a dentist present. Allowed services include removing deposits and stains, topical fluoride, sealants, and polishing restorations. They may also do root planing, oral cancer screening, X-rays, and chart care. They have limited prescription authority allowed by state law. A school-based oral health program is run through school administration or school health services. The Board of Dentistry can add more qualifying programs and sites.

Rules and limits for hygienists in public programs

Hygienists must hold a limited access permit to work under public health supervision. Care under that permit is only for patients in qualifying facilities or eligible students. They must be elderly, infirm, disabled, or unable to afford regular dental care. Hygienists must refer needs outside their scope to a licensed dentist. They must follow treatment guidelines the Board of Dentistry adopts. Some services are not allowed in these settings. Banned items include local anesthesia, soft denture relines, and temporary restorations, and any other service the law bans.

Sponsors & Cosponsors

Sponsor

  • Nelly Nicol

    Republican • House

Cosponsors

  • Bruce "Butch" Gillespie

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 296 • No: 2

Senate vote • 3/18/2025

Do Concur

Yes: 49 • No: 0

Senate vote • 3/17/2025

Do Concur

Yes: 50 • No: 0

House vote • 2/6/2025

Do Pass

Yes: 98 • No: 1

House vote • 2/5/2025

Do Pass

Yes: 99 • No: 1

Actions Timeline

  1. Chapter Number Assigned

    4/3/2025House
  2. Signed by Governor

    4/3/2025House
  3. Transmitted to Governor

    3/25/2025House
  4. Signed by President

    3/24/2025Senate
  5. Signed by Speaker

    3/21/2025House
  6. Returned from Enrolling

    3/19/2025House
  7. Sent to Enrolling

    3/18/2025House
  8. 3rd Reading

    3/18/2025Senate
  9. 2nd Reading

    3/17/2025Senate
  10. Committee Report

    2/24/2025Senate
  11. Committee Executive Action

    2/24/2025Senate
  12. Hearing

    2/15/2025Senate
  13. Referred to Committee

    2/14/2025Senate
  14. 1st Reading

    2/7/2025Senate
  15. Transmitted to Senate

    2/6/2025House
  16. 3rd Reading

    2/6/2025House
  17. 2nd Reading

    2/5/2025House
  18. Committee Report

    1/31/2025House
  19. Committee Executive Action

    1/31/2025House
  20. Committee Executive Action

    1/31/2025House
  21. Hearing

    1/28/2025House
  22. 1st Reading

    1/28/2025House
  23. Referred to Committee

    1/28/2025House
  24. Introduced

    1/27/2025House

Bill Text

  • As Amended (Version 2)

    3/19/2025

  • Enrolled

    3/19/2025

  • Introduced

    1/27/2025

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