AN ACT relating to dentistry; enacting the Dentist and Dental Hygienist Compact; providing dentists and dental hygienists practicing in this State under the Compact with the same legal status as persons who are licensed to practice those professions in this State; authorizing the sharing of certain information with a data system created by the Compact; and providing other matters properly relating thereto.
Sponsored By: Elaine H. Marzola (Democratic)
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 2 benefits, 2 costs, 5 mixed.
Dentists and hygienists gain interstate practice
Nevada joins a compact letting eligible dentists and dental hygienists practice in participating states without separate state licenses. Applicants need an unrestricted qualifying license, an accepted national exam, accredited professional education, and a clinical assessment. They must meet any destination-state law exam requirement, report address changes, and report nonparticipating-state discipline within 30 days. Nevada treats the practice privilege as its matching license, unless another law or the context requires otherwise. The compact starts upon enactment in the seventh state and continues even if fewer than seven states remain.
Dental discipline can limit interstate work
Dental professionals must follow each destination state's practice limits and regulatory rules. States can fine or restrict them under state law and required legal procedures. Removal for a set period blocks privileges elsewhere until that period ends and applicable license restrictions are cleared. States can recover investigation and case-resolution costs when discipline results and state law allows recovery. Professionals in an alternative program cannot use privileges elsewhere during the program without that state's prior approval.
Military dental professionals get fee relief
Active military members and their spouses do not pay the Commission's Compact Privilege fee. Destination states can reduce or waive their own fees, but are not required to do so. The law gives no dollar amount for the savings.
Dental professionals face interstate practice fees
The Compact Commission can charge dental professionals for practice privileges and renewals under its rules. Destination states can add their own privilege and renewal fees, plus fees for any required state-law exam. The Commission can also assess participating states annually to cover costs not met by other revenue. The law sets no fee amounts.
Commission officials protected; individual lawsuits limited
The Commission must defend and cover qualifying civil claims against its members, officers, staff, and representatives for official acts. Protection excludes intentional, willful, or wanton misconduct and does not remove a dental professional's malpractice liability. Only participating states can bring actions to enforce the compact against the Commission. Individuals and other entities cannot use that enforcement process.
Dental records shared with privacy limits
The Commission runs a database of licenses, discipline, application denials, alternative programs, and significant investigative information. Participating states must submit required data and monitor the system; significant investigative information is available only to participating states. Contributing states can restrict public sharing, and legally expunged information must be removed. Nevada investigation records remain confidential, with exceptions allowing compact sharing; complaint and disciplinary-decision documents remain public. Government offices withhold records only to the extent the compact makes them confidential.
States expand cross-state dental investigations
Participating states can investigate dental professionals together and must share significant investigative information, litigation materials, and compliance materials. Courts in other participating states must enforce subpoenas for compact hearings and investigations. The issuing authority pays witness, travel, mileage, and other fees required where witnesses or evidence are located. States can continue investigations begun during a practice privilege after it ends and must report qualifying information to the database.
Shared dental rules preserve state limits
Nevada's dental board administers the compact and must handle complaints, share data, and pay a participation fee. Nevada must implement criminal background checks by the Commission's deadline and maintain required exams, education, clinical assessments, and continuing development. Commission rules bind participating states on Commission-set dates, but cannot override state laws defining dental practice limits. A rule loses force if a majority of participating-state legislatures rejects it within 4 years after adoption. The compact overrides conflicting state requirements; nonconflicting requirements remain in effect.
State exits include dental practice protections
Participating states must enforce the compact; a majority Commission vote can authorize lawsuits seeking court orders or damages for defaults. Before terminating a state, the Commission must give notice, offer help, and exhaust other compliance measures. States can also withdraw by repeal, effective 180 days after enactment. Withdrawing or terminated states must honor current privileges for at least 180 days after notifying licensees. Departure does not erase prior liabilities or required investigative and disciplinary reporting.
Sponsors & Cosponsors
Sponsor
Elaine H. Marzola
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
(No further action taken.)
6/3/2025HouseRereferred to Committee on Ways and Means. Exemption effective. To committee.
4/3/2025HouseTaken from General File.
4/3/2025HouseRead second time.
4/3/2025HouseFrom committee: Do pass.
3/31/2025HouseNotice of eligibility for exemption.
2/25/2025HouseRead first time. To committee.
2/4/2025HouseFrom printer.
1/31/2025HousePrefiled. Referred to Committee on Commerce and Labor. To printer.
1/29/2025House
Bill Text
As Introduced
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