MDHA has been instrumental in moving telehealth (teledentisty) forward in Missouri. MDHA first worked to have language added to SB579, the telehealth bill, in 2016 to allow dental hygienists to become providers utilizing telehealth. The collection of data from the site where the hygienist is located can be transferred to another site where the dentist is practicing so that a long-distance diagnosis may be made for the patient. Then, the dental hygienist could be given authori...zation to provide hygiene services under general supervision.
The telehealth rules created by the Missouri Dental Board were requested by MDHA, as dental hygienists were not able to probe (unless the dentist examined the patient first) to get the needed data for the dentist to make a complete dental diagnosis. The MDB promulgated a rule that now will allow dental hygienists to work under telehealth through a change in the “patient of record” definition. The rule was implemented on Dec. 30, 2107. Medicaid payment rules are still in the process of being approved.
The new language states: “Patient of record-one for whom a dentist has performed a relevant history, performed an examination and evaluated the condition to be treated. A supervising dentist may delegate to a licensed dental hygienist the collection of information and measurements necessary for the dentist to perform an examination prior to the dentist performing the examination and evaluation and does not need to be physically present when information and measurements are collected.” The collection of data before the dentist examines the patient first will also be allowed in private dental facilities not just in those locations (usually public health settings) in which telehealth is performed.
This is another way that MDHA has been working for you to provide more jobs for dental hygienists and for providing better access to care for more Missourians!
In order to continue to make positive changes in Missouri, please consider attending the MDHA Lobby Day on Wednesday, February 14, 2018. The Lobby Day registration form may be found at: http://mdha.org/lobbyday.html
There is also a cafeteria on the Capitol basement level on the House side. Bring your own water so you can keep hydrated.
During the Visit
Be on time if you have an appointment; your time is limited.
If you pull them out of session, be prepared to give your messages succinctly.
Smile, introduce yourself, each individual in your group, your school and indicate where you live.
Calmly and clearly state the MDHA message with facts.
Listen to your legislators’ views and be respectful even when you do not agree. (Please control your emotions).
Leave toothbrushing supplies with the legislator and with the legislative assistant if you visit the office.
If you cannot talk to the legislator on the first try, please try again.
If you do not know an answer, say “I don’t know” and write the questions/comments on the MDHA Lobby Day Evaluation Form so there will be follow-up by our MDHA lobbyist, John Bardgett, Jr.
Thank them and their staff when you leave
After the Visit
Complete and return the Lobby Day Evaluation Form to the third floor MDHA table: note any unanswered questions, information or anything positive or negative that the legislator has said.
Write a simple thank you note to your legislators. The Honorable _(their name here)_ Missouri State Senate or House of Representatives State Capitol, Rm. _____ Jefferson City, MO 65101
Do not refer to the legislative assistant (L.A.) as the “secretary”
You have been matched up with legislators according to your 9-digit zip code and complete address which is more accurate than your town.
Make a special effort to personally speak with each legislator to whom you have been assigned.
First try to see them in their offices, then see if they are on the Senate or House floor and ask the doorman to get them.
They will likely be in the House session after 10:00 AM unless you have made an appointment for them to meet you elsewhere.
Note that the Senate is starting session later this year at 2:00 and there will be many committee meetings in the morning.
Group Leader Duties
Please make sure everyone in your group will go together to see your legislator/s and be on time for any appointments that have been made (Check with your team on this). In some cases, students’ instructors may be the group leaders.
Some people could be from other schools/locations so you will have to pay attention to where their schools sit at orientation so you can meet them and take them on your visits.
Find this out beforehand or at Orientation. (Getting lost does not make for a pleasant day). You can always meet at the Capitol Information Desk by the first floor rotunda.
You may want to e-mail those in your group ahead of time and designate where to meet at the capitol, such as at a legislator’s office at a specific time.
You are considered a group leader if you are the only one visiting a legislator. In some cases, you will be given extra visits to see those who have no hygienist or student in their districts so all legislators are visited.
Make sure you have enough toothbrushing bags and evaluation forms for your visits (You may have to ask others to carry items if there are several visits). You are in charge of getting toothbrushes.
You will be the spokesperson for your group (Or, you can get someone else to do it if you are not comfortable doing it).
Make sure the evaluation forms are filled out for your group and returned to the check- out area. (You can do it or designate someone in your group to do it).