ACLM American Association of Dental Boards April 23, 2017 ... · idlc: dr.bruce seidberg aadb dental compact task force charge: can we address the needs and missions of communitites

Bruce H. Seidberg, DDS, MScD, DABE, JD, FCLM, DABLM, FACD, FPFA

PRACTICE LIMITED TO ENDODONTICS

DENTAL LEGAL CONSULTANT

DENTAL OFFICE RISK MANAGEMENT CONSULTANT

PAST PRESIDENT

BU-EAA

NYSAE

ADVANCED ENDODONTICS, PC

5112 WEST TAFT ROAD

LIVERPOOL (SYRACUSE), NEW YORK

(O) 315-453-3636 (C) 315-BHS-ENDO (247-3636)

American Association of Dental Boards

April 23, 2017 – Chicago, IL

CHAIR, NEW YORK STATE

BOARD FOR DENTISTRY

OCDS

ACLM

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THE MATERIAL PRESENTED IN THIS SEMINAR IS FOR GENERAL INFORMATION

AND USED AS SUGGESTIONS TO EXPLORE THE POSSIBLE DEVELOPMENT OF AN

INTERSTATE DENTAL LICENSE COMPACT FOR THE EXPEDIANT PORTABILITY OF A

DENTAL PACTITIONERS LICENSE AND FOR THE BENEFIT OF THE PUBLIC AND

NOT TO BE INTERPRETED AS LEGAL ADVICE

.

THERE SHOULD BE COMMUNICATION WITH THE AADB ATTORNEY FOR THE

ACTUAL LEGAL ADVICE PRIOR TO IDLC DEVELOPMENT AND SPECIFICALLY

PERTAINING TO ANY STATES RIGHTS ISSUES

THE MATERIAL YOU ARE ABOUT TO VIEW IS FROM RESEARCHING THE

INTERNET FOR INFORMATION ABOUT THE INTERSTATE MEDICAL LICENSE

COMPACT AND THE FSMB AND THE PERSONAL OPINIONS OF DR. SEIDBERG

REPETITIVE STATEMENTS ARE FOR EMPHASIS

DISCLAIMER

IDLC: DR.BRUCE SEIDBERG

WHAT IS THE INTERSTATE MEDICAL

LICENSURE COMPACT

1. A PATHWAY TO EXPEDITE LICENSING TO PRACTICE IN

MULTIPLE STATES

2. HAS POTENTIAL TO INCREASE ACCESS TO CARE IN RURAL

AREAS

3. EASIER TO CONSULT WITH EXPERTS THROUGH

TELEMEDICINE TECHNOLOGY

4. STATES CAN SHARE INVESTIGATIVE AND DISCIPLINARY

INFORMATION MORE EASILY TO STRENGTHEN PUBLIC

PROTECTION


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IMLC ORIGINATED OCTOBER 2015

MEDICAL LICENSURE LEGISLATIVE

OVERVIEW – MAY 2016ENACTED - 17 INTRODUCED - 9 WAITING SIGNATURE - 1

ALABAMA ARIZONA

IDAHO ILLINOIS

IOWA KANSAS

MINNESOTA MISSISSIPPI

MONTANA NEVADA

NEW HAMPSHIRE

SOUTH DAKOTA

UTAH WEST VIRGINIA

WISCONSIN WYOMING

ALASKA

MARYLAND

MICHIGAN

NEBRASKA

OKLAHOMA

PENNSYLVANIA

RHODE ISLAND

VERMONT

WASHINGTON

COLORADO

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27 STATES ENDORSE THE IMLC

http://www.licenseportability.org

SO – HERE’S THE NEW KID ON THE BLOCK

THE INTERSTATE DENTAL LICENSE COMPACT

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WHY ?? or WHY NOT ??


AADB COMPACT TASK FORCE

APPOINTED BY DR. EVA ACKLEY, AADB PRESIDENT 2016

DR. FRANK MAGGIO, CHAIR ([email protected]) – (IL) ##

DR. TODD BECK ([email protected]) – (OR)

DR. BRUCE HORN ([email protected]) – (OK) **

DR. BRUCE SEIDBERG ([email protected]) – (NY)

DR. BILL ROBINSON ([email protected]) – (FL)

DIANE KLEMANN, RDH ([email protected]) – (MT) ##

DR. SONIA STOCKTON ([email protected]) – (MD) **

DR. LUIS FUJIMOTO, BOARD LIAISON ([email protected]) – (NY)

DR. ROBERT ZENA, BOARD LIAISON ([email protected]) – (KY)

MR. RICHARD HETKE, ATTNY ([email protected]) (AADB)

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## STATES HAVE ENACTED IMLC

** STATES HAVE INTRODUCED IMLC

mailto:[email protected]










AADB DENTAL COMPACT TASK FORCE

CHARGE: CAN WE ADDRESS THE NEEDS AND MISSIONS OF

COMMUNITITES OF INTEREST FOR:

1. PORTABILITY OF LICENSURE

2. ACCESS TO CARE

3. PROTECTION OF THE PUBLIC

4. IMPROVE DENTAL HEALTH

FACT: PORTABILITY OF LICENSURE HAS BEEN A BARRIER TO THE

DELIVERY OF SERVICES WITH THE EMERGING TECHNOLOGIES

SUCH AS ROBOTIC, TELERADIOLOGY AND TELEDENTISTRY

FACT: THERE IS A DIFFERENCE BETWEEN DIRECT AND INDIRECT

CARE AND BETWEEN SUPERVISED CARE AND DELEGATED CARE

AND THAT HAS TO BE UNDERSTOOD AND DEFINED

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INTERSTATE DENTAL LICENSURE COMPACT

A PROPOSAL DEVELOPED FROM THE CONCEPT OF THE INTERSTATE MEDICAL LICENSURE

MODEL BASICALLY FOR USE IN TELEMEDICINE AND PROPOSED FOR THE FUTURE POTENTIAL OF TELEDENTISTRY AND OTHER FUTURE DENTAL TECHNOLOGICAL ADVANCES

IMLC PURPOSE IS TO PROVIDE AN EXPEDITED PATHWAY TO LICENSURE FOR THOSE PHYSICIANS PRACTICING IN IMLC STATES AND WISHING TO PRACTICE IN MULTIPLE MEMBER IMLC STATES – GOOD FOR DENTISTRY TOO!

EXPANDS THE AVAILABILITY OF PRACTITIONERS IN UNDERSERVED AND RURAL AREAS WHERE THEY ARE LACKING

SIMILAR OBJECTIVES OF THE IMLC ARE TO BE REALIZED WITH AN IDLC


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TELEMEDICINE TECHNOLOGY ALLOWS PHYSICIANS TO CONNECT WITH

MEDICAL EXPERTS MORE EASILY

> BEGAN WITH RADIOLOGY AND EXPANDED TO

CARDIOLOGY AND OTHER MEDICAL ENTITIES

TELEDENTISTRY WOULD PROVIDE THE SAME TYPE OF CONNECTION FOR

DIAGNOSTIC AND CONSULTATIVE PURPOSES THROUGH RADIOLOGY,

THE CBCT STUDIES, PATHOLOGY AND OTHER POTENTIAL AREAS


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INSIDE DENTISTRY March 2017IDLC: DR.BRUCE SEIDBERG

CENTER for HEALTH WORKFORCE STUDIES

CHWS WEBSITE: http://www.chwsny.org

WHAT THE IDLC IS NOT AND WHAT IT DOES NOT

THE IDLC IS NOT A LICENSING BOARD

DOES NOT REPLACE STATE BOARD FUNCTIONS

DOES NOT REMOVE DISCIPLINE AUTHORITY

FROM STATE BOARDS

DOES NOT CHANGE A PARTICIPATING STATE’S

PRACTICE ACTIDLC: DR.BRUCE SEIDBERG

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THE PERCEIVED NEED FOR A DENTAL COMPACT

1. PROJECTED TO HELP IN AREAS OF DENTIST SHORTAGES

2. EXPECTED INFLUX OF NEW PATIENTS INTO THE HEALTH CARE

SYSTEM DUE TO THE AFFORDABLE CARE ACT

3. GROWING NEED TO INCREASE ACCESS TO CARE IN UNDERSERVED

OR RURAL AREAS

4. INCREASED DEMAND FOR TELEMEDICINE and TELEDENTISTRY

5. EASIER AND EFFICIENT WAY FOR MULTI-STATE LICENSING

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AFFIRMS PRACTICE OF DENTISTRY OCCURS WHERE THE

PATIENT IS LOCATED AT THE TIME OF THE DOCTOR –

PATIENT ENCOUNTER

DOES NOT CHANGE ANY STATE’S EXISTING PRACTICE ACT

ENHANCES ABILITY OF STATES TO SHARE INVESTIGATIVE

AND DISCIPLINARY INFORMATION


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DEVELOPMENTAL ISSUES IN DENTISTRY

TECHNOLOGY IS MOVING AT A FASTER RATE THAN THOSE WHO CONTROL STATES RIGHTS ISSUES

TALK HAS BEEN TAKING PLACE FOR YEARS ABOUT PORTABIITY FOR DENTAL LICENSES BUT IT HAS NOT YET BEEN ACCOMPLISHED

UNLIKE MEDICINE, DENTISTRY IS ENCOMBERED WITH NUMEROUS PATHWAYS FOR LICENSURE BUT THEY ARE NOT YET UNIVERSALLY ACCEPTED

THE CLOSEST WE HAVE ACHIEVED FOR A UNIVERSAL LICENSURE EXAM IS THE ADEX EXAM RECOGIZED IN 45 JURISDICTIONS and JAMAICA

STATES – OR POLITICIANS – OR STATE DENTAL ASSOCIATIONS ARE RELUCTANT TO GIVE UP LICENSURE CONTROL (WHICH THEY WOULD NOT UNDER THE RULES OF A WELL DESIGNED COMPACT)

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Dental Licensure Objective Structured

Clinical Exam (DLOSCE)

CREATE

by 2018

IMPLEMENT

BY 2020

HOW TO BECOME A MEMBER STATE

COMPACTS ARE FORMAL AGREEMENTS BETWEEN

STATES THAT HAVE THE CHARACTERISTICS OF

BOTH STATUTORY AND CONTRACTURAL

AGREEMENTS

STATE LEGISLATURES MUST ENACT THE COMPACT

INTO STATE LAW


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PROPOSED IDLC GOVERNING BODY

A STANDING AADB COMMITTEE WOULD OVERSEE THE INTERSTATE COMMISSION FROM THE IDLC STATES

COMMISIONERS ARE EITHER EXECUTIVE DIRECTORS OR DENTISTS OR PUBLIC MEMBERS OF THE PARTICIPATING STATE BOARDS – THERE WILL BE ONE OR TWO ACTIVE STATE BOARD REPRESENTATIVES FROM EACH IDLC MEMBER STATE

THE IDLC COMMISSION HAS TO HAVE ITS OWN BYLAWS, RULES, COMMITTEES AND GOVERNING STRUCTURE

OFFICERS OF THE COMMISSION WOULD BE ELECTED FROM WITHIN THE COMMISSION

THE COMMISSION WOULD BE RESPONSIBLE FOR IT’S OWN FUNDING AND FINANCIAL STATUS

THERE HAS TO BE A UNIFIED GOAL AND STATE COOPERATION

ONCE APPROVED BY THE STATES, STATE LEGISLATION HAS TO BE INTRODUCED AND PASSED

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DENTAL COMPACT GOVERNANCE

THE CONTRACT

THE TERMS OF A CONTRACT ARE SPECIFIC FOR WHICH LIMITED LICENSE TO PRACTICE IN ANOTHER STATE IS DEFINED

THE COMPACT DOES NOT REPLACE STATES SOVEREIGNTY FOR CREDENTIALING, ENDORSEMENT OR RECIPROCITY

SHOULD HAVE A COMMISSION THAT WORKS CLOSELY WITH THE STATE BOARDS THAT ARE WITHIN THE COMPACT

MUST ADDRESS MALPRACTICE COVERAGE FOR THE APPROVED DENTISTS – DO THEIR POLICIES COVER THIS TYPE OF ACTIVITY

DENTISTS MUST MEET CERTAIN ELIGIBILITY STANDARDS TO RECEIVE THE EXPEDITED LICENCES FROM OTHER IDLC STATES

DENTISTS WILL BE UNDER THE JURISDICTION OF THE STATE BOARD IN THE STATES WHERE THE PATIENTS ARE LOCATED AND TREATED

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TYPICAL IMLC BYLAWS CONTENT

INCLUDE, BUT ARE NOT LIMITED TO: SECTION 1 : PURPOSE

SECTION 2 : DEFINITIONS

SECTION 3 : ELIGIBILITY

SECTION 4 : DESIGNATION OF STATE OF PRINCIPLE LICENSE

SECTION 5 : APPLICATION AND ISSUANCE OF EXPEDITED LICENSE

SECTION 6 : FEES FOR EXPEDITED LICENSE

SECTION 7 : RENEWAL & CONTINUED PARTICIPATION

SECTION 8 : COORDINATED INFORMATION SYSTEM

SECTION 9 : JOINT INVESTIGATIONS

SECTION 10 : DISCIPLINARY ACTIONS

SECTION 11 : IMLC COMMISSION

SECTION 12 : POWERS & DUTIES OF COMMISSION

SECTION 13 : FINANCE POWERS

SECTION 14 : ORGANIZATION & OPERATION OF IMLC COMMISSION

SECTION 15: RULEMAKING FUCTIONS OF COMMISSION

SECTION 16 : OVERSIGHT OF IMLC

SECTION 17 : ENFORCEMENT OF COMPACT

SECTION 18 : DEFAULT PROCEDURES

SECTION 19 : DISPUTE RESOLUTION

SECTION 20 : MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

SECTION 21 : WITHDRAWAL

SECTION 22 : DISSOLUTION

SECTION 23 : SEVERABILLITY AND CONSTRUCTION

SECTION 24 : BINDING EFFECT OF COMPACT AND OTHER LAWS

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POTENTIAL FUNDING FOR AN IDLC

EACH STATE WILL BE ASSESSED AN INITIAL FEE TO JOIN

EACH STATE WILL BE ASSESSED AN ANNUAL MAINTAINENCE FEE

EACH PRACTITIONER WILL BE ASSESSED AN INITIAL APPLICATION FEE

EACH PRACTITIONER WILL BE ASSESSED A TRI-ANNUAL RENEWAL

APPLICATION WILL BE MADE FOR FEDERAL GRANTS TO SUPPORT PORTABILITY

PRIVATE FUNDING WILL BE SOLICITED

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PORTABILITY OF LICENSURE

RELATIVELY NON-EXISTANT FOR NEW GRADUATES AND FOR AT LEAST

THE FIRST TWO YEARS AFTER OBTAINING A LICENSE

CREDENTIALING OR ENDORSEMENT IS THE APPROVAL OF A LICENSEE’S

QUALIFICATIONS BY A STATE BASED ON LICENSURE IN ANOTHER STATE

RECIPROCITY OF LICENSES FROM OTHER STATES WHERE THERE IS A

FORMAL AGREEMENT OR MUTUAL RECOGNITION OF EACH STATE’S

LICENSE

CREDENTIALING, ENDORSEMENT OR RECIPROCITY DEPENDS ON EACH

STATE’S LEGISLATIVE RULES AND CAN RANGE FROM TWO YEARS

ACTIVE PRACTICE TO FIVE YEARS OF ACTIVE PRACTICE AND OTHER

STIPULATIONS

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STATE BOARDS AND STATES RIGHTS

THE MISSION OF STATE BOARDS TO PROTECT THE PUBLIC AND THEIR SOVEREIGNTY UNDER STATES RIGHTS ALLOWS STATES TO CHOOSE THE PATHS AND POSITION THEY WANT TO TAKE

LICENSURE IS A PRIVILEGE AND EACH STATE HAS ITS OWN PATH FOR FIRST TIME GRADUATES OF ACCREDITED DENTAL PROGRAMS

THROUGH CDCA, THE ADEX REGIONAL EXAM ALLOWS PORTABILITY IN 45 JURISDICTIONS

SRTA, CRDTS, WREB AND CITA ARE OTHER REGIONAL EXAMS ACCEPTED IN SELECTED STATES

NYS ONLY ACCEPTS A PGY-1 FOR NEW GRADUATES

TRUE PORTABILIITY DOES NOT EXIST WHEN STATES EXERCISE LACK OF COMPATABILITY WITH OTHER STATES AND FAIL TO ACCEPT ALL REGIONAL EXAMS

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MINIMUM YEARS/HOURS OF PRACTICE * DENTAL PORTABILITY REQUIREMENTS FOR STATES IN THE MEDICAL COMPACT

ALABAMA - CREDENTIALS/ENDORSEMENT (C/E)

ARIZONA - C/E WITH 5000 HRS PAST 5 YRS + EQUIV WREB

IDAHO - C/E WITH 5 YRS 1000 HRS/YR + ANY REGIONAL

ILLINOIS – C/E LIC 3 OF 5 PRIOR YEARS + ACCEPTED REGIONAL

IOWA – C/E 3 YRS + REGIONAL; RECIPROCITY FOR VETS

KANSAS – C/E 5 YEARS + REGIONAL

MINNESOTA - C/E + 2000 HRS PREV 36 MONTTH + REGIONAL

MISSISSIPPI – C/E + 5 YRS + REGIONAL

MONTANA – C/E + 3000 HRS LAST 5 YRS + REVIEW OF XM PARTS

NEVADA – C/E SPECIALTY ONLY + ADEX OR WREB

UTAH – C/E + 6000 HRS IMMEDIATE PAST 5 YRS + REGIONAL

WEST VIRGINIA – NONE EXCEPT ANY REGIONAL CLINICAL BOARD

WISCONSIN - C/E 48 OF LAST 60 MONTS ACTIVE PRAC + REGION

WYOMING – ENDORSE + 5000 HRS + 5 YRS ACTIVE PRIOR TO APPLI

ALASKA – C/E – NO OTHER REQUIREMENT

MARYLAND – No C/E – 4250 hrs within last 5 yrs

MICHIGAN – C/E DETERMINED BY REVIEW COMMITTEE

NEBRASKA – C/E 3 YRS + 1 YR IN PAST 3 YRS + CRDTS

OKLAHOMA – C/E + 5 YRS + EQUIV REGIONAL

PENNSYLVANIA – C/E + NO OTHER REQUIRE

RHODE ISLAND – C/E + 5 YRS PRIOR + REGIONAL

VERMONT – C/E + NO OTHER

WASHINGTON – C/E + REGIONAL

COLORADO – C/E

NEW HAMPSHIRE – C/E + 3 YRS PRIOR

SOUTH DAKOTA – C/E + 3 OF 5 PRIOR YRS + REGIONAL

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* DATA FROM AADB COMPACT – 2016 C = Credentials E = Endorsement R = Reciprocity

NON –IMLC STATE REQUIREMENTS FOR

PORTABILITY OF LICENSE *

AR - 5000 hrs/past 5 YRS & WREB EQ

CA - 5000 hrs/5 of last 7 yr & WREB EQ

CT – CRED/ENDORSE – LIC w/o EXAM

DE – ONLY THEIR OWN EXAM

DC – C/E 5YRS-850 HRS

FL – NO C/E/R

GA – C/E

HI – NO C/E/R

IN – C/E 2 OF 3 YRS PRAC + REGIONAL XM

LA – C/E +1000 HR/YR FOR 3 PRE YR + REG

KY – C/E + 5 YR

ME – C/E + 3 YR

MA – C/E + 5 YR + REGIONAL + 40 HR CE PRIOR 2 YR

MO - C/E 5 YR + REGIONAL

NJ – C/E – 5 YR + REGIONAL

NM – C/E + LIC IN ANOTHER STATE

NY – ENDORSE – 2 YR FULL TIME PRAC

NC – C/E

ND - C/E 5 YR ACTIVE

OH – C/E 5 YR + REGIONAL

OR – C/E 3500 HRS PAST 5 YR + REGIONAL

PR – C/E + 5 YR

SC – C/E + REGIONAL

TN – C/E 5 YR OR 2 YR & EQIV STATE XM

TX – C/E + 3 OF 5 PRIOR YRS

VA – C/E + 5 YR + REGINAL OR STATE WITH LIVE PT

VI – NO C/E/R

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IDLC: DR.BRUCE SEIDBERG* DATA FROM AADB COMPACT – 2016 C = Credentials E = Endorsement R = Reciprocity


DENTAL PROVIDER ELIGIBILITY

1. POSSESS A FULL AND UNRESTRICTED LICENSE TO

PRACTICE IN A COMPACT STATE

2. POSSESS SPECIALTY CERTIFICATION OR BE IN

POSSESSION OF A TIME UNLIMITED SPECIALTY

CERTIFICATE

3. HAVE NO DISCIPLINE ON ANY STATE LICENSE

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DENTAL PROVIDER ELIGIBILITY

4. HAVE NO DISCIPLINE RELATED TO CONTROLLED

SUBSTANCES

5. NOT BE UNDER INVESTIGATION BY ANY

LICENSING OR LAW ENFORCEMENT AGENCY

NOTE: IF NOT ELIGIBLE FOR THE EXPEDITED

LICENSE, THE TRADITIONAL STATE-BY-STATE

LICENSURE PROCESS OF CREDENTIALLING,

ENDORSEMENT OR RECIPROCITY WHERE

APPLICABLE CAN BE EMPLOYED

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REGULATION OF LICENSES

STATES ARE ENCOURAGED TO DEVELOP SELF-REGULATORY

SYSTEM OF EXPEDITED LICENSURE OVER WHICH MEMBER

STATES MAINTAIN CONTROL THROUGH A COORDINATED

LEGISLATIVE AND ADMINISTRATIVE PROCESS

STATES MUST RETAIN THEIR CONSTITUTIONALLY-MANDATED

ROLE IN REGULATING THE DENTAL PRACTICES


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THE DENTAL COMPACT

DISCIPLINARY ACTION

ANY DISCIPLINARY ACTION ON A LICENSE ISSUED BY A MEMBER

STATE MAY BE SUBJECT TO DISCIPLINE BY OTHER MEMBER STATES

OTHER MEMBER STATES THAT HAVE ISSUED A LICENSE MAY

IMPOSE THE SAME OR LESSER SANCTION OR PURSUE A SEPARATE

DISCIPLINARY ACTION BASED ON THE RESPECTIVE DENTAL

PRACTICE ACT


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SIMILARITIES BETWEEN FSMB AND AADB

BOTH REPRESENT ALL OF THE STATE BOARDS IN THE US WITHIN THEIR RESPECTIVE DISCIPLINES

BOTH WOULD LIKE TO SEE COMPLETE PORTABILITY WITHIN THE HEALTH PROFESSIONS

THE FSMB HAS ALREADY ESTABLISHED A MEDICAL COMPACT AND HAS PARTIAL PORTABILITY

THROUGH CDCA AND BY THE ADEX EXAM, DENTISTRY HAS A DEGREE OF PARTIAL PORTABILITY

BOTH WOULD LIKE MORE – BUT RECOGNIZE BABY STEPS ARE NECESSARY

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1. Number of adolescents visiting dentists in past year

2. Dental treatment costs

3. Number of adults with low satisfaction in life due to their oral condition

WALLET HUB FINANCIAL INSTITUTE IN WASHINGTON DC

USED 23 KEY INDICATORS OF DENTAL HEALTH TO DETERMINE THE BEST AND WORST STATES FOR DENTAL HEALTH

INCLUDING, BUT NOT LIMITED TO:


WHY ISN’T DENTAL CARE GOOD

IF NOT EQUAL IN ALL STATES ?

IS THIS A PRODUCT OF

LACK OF PORTABILITY ?

CAN’T AN IDLC FAVORABLY

IMPACT DENTAL HEALTH UNTIL

THERE IS TOTAL PORTABIITY ?

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DO MIDLEVEL PROVIDERS IMPROVE ACCESS TO CARE

ONE INTENT OF MLP IS TO IMPROVE DENTAL HEALTH

NINE STATES ARE INTERESTED IN THE

CONCEPT OF IMPROVING

ACCESS TO CARE WITH THE

INTENT OF IMPROVING DENTAL HEALTH

MINNESOTA & KANSAS ARE IMLC STATESMARYLAND & VERMONT ARE IMLC PENDING

MINNESOTA & VERMONT ARE MLP STATES

MARYLAND & KANSAS ARE MLP PENDING

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MINNESOTA IS RATED THE BEST FOR DENTAL HEALTH

NORTH DAKOTA IS RATED 4th BUT REJECTED MLP’s

#5 CONNECTICUTT HAS AN MLP BILL PENDING

#6 MASSACHUSETTS HAS AN MLP BILL INTRODUCED

HOW DOES THE MLP CONCEPT OF ACCESS TO CARE

RELATE TO THE GOALS OF THE IDLC ?

*************************

WITH SIMILAR INTENT:

WILL THE NINE MLP STATES

INCLUDING THOSE WITHIN IMLC

ENDORSE THE CONCEPT OF THE IDLC ?


JUSTIFICATION FOR A DENTAL COMPACT

EXPANDS PORTABILTY FOR QUALIFIED DENTISTS WISHING TO PRACTICE

OR CONSULT IN MULTIPLE STATES IMMEDIATELY

INCREASES ACCESS TO HEALTH CARE FOR PATIENTS IN UNDERSERVED OR RURAL AREAS AND CAN HELP IMPROVE DENTAL HEALTH

ALLOWS DENTAL EXPERTS TO CONSULT THROUGH THE USE OF

TELEDENTISTRY AND SPECIFICALLY WITH THE DEVELOPMENT OF THE

CBCT RADIOLOGICAL SYSTEMS

STRENGTHENS PUBLIC PROTECTION BY ENHANCING STATES TO SHARE

INVESTIGATIVE AND DISCILPLINARY INFORMATION

CAN BE A CONTRACT BETWEEN NEIGHBORING STATES OR STATES OF DISTANCE

RECOMMENDED A MINIMUM OF SEVEN STATES TO DEVELOP AN

INTEGRATED COMPACT

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OTHER QUESTIONABLE ISSUES

WILL THE ISSUES OF STATES RIGHTS AND BORDERS HINDER THE

DEVELOPMENT OF EXPEDITED LICENSURE?

SHOULD EXPEDITED LICENSURE BE OFFERED ONLY TO CERTAIN

SPECIALTIES OR TO THE ENTIRE DENTAL COMMUNITY?

IF DENTISTRY IS NOT READY TO EMBRACE ONE UNIVERSAL REGIONAL

EXAM, IS IT READY TO EMBRACE ALL DENTISTS NO MATTER HOW THEY

EARNED THEIR LICENSE?

IF CREDENTIALS, ENDORSEMENT AND RECIPROCITY REQUIRE SEVERAL

YEARS OR A NUMBER OF CERP HOURS OR OTHER REQUIREMENTS, HOW

WILL A COMPACT AVOID THAT?

IF MULTIPLE STATE LICENSURE IS ATTAINABLE BY CREDENTIALS,

ENDORSEMENT OR RECIPROCITY, IS AN INTERSTATE DENTAL LICENSURE

COMPACT NECESSARY?

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2016 Denver AADB Discussion Summation

POSITIVES (36) NEGATIVES (42)

Will help solve portability

Have one permit to practice

Military License

Sharing of information

Ease of application

Good for the public

Mobile society

Increase public access to care

Aid in teledentistry

Streamlining licensure

Nationwide credentials

Number of years experience

Opening state statues fpr amendments

Duplication of regional boards

Bureaucracy

Lack of continued care

May only apply to radiologists and pathologists

Portability and Compact License not synonymous

High cost of regulation

Does not compare to medicine

Interfere with states rights

Getting states to agree on specifics

States have mechanisms for various types of license

Membership fee to join compact

Development of acceptable by-laws

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CAN IDLC WORK ?

YES PROVIDING……..

1. AT LEAST FIVE TO SEVEN STATES ENDORSE THE CONCEPT

2. THE STATE LEGISLATIVE BODIES VOTES IT INTO LAW

3. THE STATES DO NOT HAVE TO BE CONTIGUOUS BORDERS

4. THE INTERESTED STATES HAVE SIMILARITIES IN THEIR DENTAL PRACTICE ACTS

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SUMMARY – WHAT NEXT

INTRODUCE CONCEPT FROM A COMMITTEE MEMBER TO STATE BOARDS AND CANVAS THE STATES FOR INPUT

THE AADB SHOULD BE THE INITIATING ORGANIZATION

THE AADB SHOULD DEVELOP A MODEL PARROTING THE MEDICAL COMPACT

THOSE STATES WILLING TO JOIN SHOULD SEND REPRESENTATIVES TO AN AADB THINK-TANK MEETING

DEVELOP AN AGREEMENT AND PRELIMINARY BYLAWS/CONTRACT WITH THE STATES OF INTEREST (REQUEST PERMISSION FROM IMLC TO PARAPHRASE BYLAWS FOR DENTISTRY)

DEVELOP A COMMISSION TO OVERSEE THE STATES OF INTEREST WITH ONE REPRESENTATIVE FROM EACH PARTICIPATING STATE

ACCEPT THE FACT THAT CREDENTIALING, ENDORSEMENT AND RECIPROCITY CAN ACCOMPLISH THE SAME GOAL, BUT NOT IN AN EXPEDIANT WAY

RECOGNIZE THAT IT MAY NOT BE APPLICABLE OR APPROPRIATE FOR DENTISTRY FOR ALL STATES AND THAT CREDENTIALS, ENDORSEMENT OR RECIPROCITY MAY BE THE WAY TO EMBRACE TELEDENTISTRY

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SO – FOR THE NEW KID ON THE BLOCK

THE INTERSTATE DENTAL LICENSE COMPACT

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WHY ?? or WHY NOT ??

THE QUESTIONS REMAINS

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RECOMMENDED DEVELOPMENTAL STAGES

1. AADB REMAINS CAPTAIN OF THE SHIP, NOW AND ALWAYS

2. AADB PREPARE TO CANVAS EACH STATE

A. WRITE TO EACH STATE BOARD EXECUTIVE DIRECTOR EXPLAINING THE CONCEPT

B. REQUEST SENDING A REPRESENTATIVE TO INTERESTED STATE BOARDS TO PRESENT CONCEPT

C. REQUEST PERMISSION FROM FSMB TO PARAPHRASE THEIR BYLAWS FOR DENTISTRY

3. ONCE AT LEAST FIVE STATES APPROVE OR EXPRESS INTEREST

A. APPOINT A PERSON TO BE THE COMMISIONER FROM AADBB. SCHEDULE A THINK TANK MEETING FOR INTERESTED STATES

C. DEVELOP A TEMPORARY GOVERNING BODY

4. PROPOSE LEGISLATIVE LANGUAGE FOR INTRESTED STATES TO USE

5. PRAY FOR ACCEPTANCE AND EXECUTION FOR AN IDLC

SO THAT WE HAVE NOT WASTED OUR TIME

INFORMATION ABOUT IMLC:

www.licenseportability.org


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THE AADB TASK FORCE LOOKING INTO THIS CONCEPT IS A WORK IN PROGRESS

FOR DENTISTRY AND WILL CONTINUE IT’S CHARGE….. STAY TUNED!

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Hali – Jennie – Ashley – Meghan –Cody - Ethan

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QUESTIONS ?

FEEL FREE TO SUBMIT YOUR COMMENTS, CONCERNS OR QUESTIONS

TO THE AADB CENTRAL OFFICE FOR

TRANSMITTAL TO THE COMPACT COMMITTEEE


Documents

ACLM American Association of Dental Boards April 23, 2017 ... · idlc: dr.bruce seidberg aadb dental compact task force charge: can we address the needs and missions of communitites