Dental Lab Certification Council being allowed to expire following Sunset Commission Review of the TSBDE
Issue 1The Unusually Large Dental Board Inappropriately Focuses on Issues Unrelatedto Its Public Safety Mission.
A shift in responsibility for technical complaint reviews to a panel of contracted experts in 2013
significantly decreased the workload for dentist board members. With less to do, the board, at the behest
of dentist members, pursued significant rule changes more related to business practices than demonstrated
public safety problems and despite widespread concern by stakeholders and other interests and a lack
of broad consensus. Dentist members also continue their involvement in case resolution, ultimately
undermining those efforts. Better aligning the number of dentist board members with the amount of
technical expertise needed by the agency will help focus the board squarely on issues of public protection
and make better use of staff resources.
In addition, board processes for stakeholder input hold promise for improved involvement, eliminating
the need for two statutorily created advisory committees, the Dental Hygiene Advisory Committee and
the Dental Laboratory Certification Council. Removing advisory committees from statute will allow the
board more flexibility to convene more diverse groups of stakeholders for input on an as needed basis.
Key Recommendations
• Reduce the size of the board from 15 to nine members and adjust its composition to consist of four
dentists, two dental hygienists, and three public members.
• Allow the board’s statutory advisory groups to expire and direct the board to establish clearer processes
for stakeholder input in rule.
RECOMMENDATION 1.2: Allow the board’s statutory advisory groups to expire and direct theboard to establish clearer processes for stakeholder input in rule.
The agency takes no position on this recommendation. While the agency acknowledges that
dental hygienists do have representation on the dental board, the Dental Hygiene Advisory
Committee (DHAC) has been underutilized. The current DHAC members are engaged and eager
to become more active. Unlike dental hygienists, dental laboratories have no representation on
the board. The Dental Laboratory Certification Council (DLCC) serves as the official
representation of dental laboratories in Texas before the board. Agency staff acknowledges that
DLCC members have essential experience and knowledge that is beneficial to the board and its
protection of the public. Agency staff also recognizes that the roles of DLCC members could be
refined in statute or rule to allow staff to facilitate routine license and renewal matters.
If the Legislature allows the statutory committees to expire, the agency will work with
stakeholder groups, including dental hygienists and dental laboratories when their expertise is
needed.
- Collecting the consensus of the Texas Dental Laboratory Industry regarding pending legislation.
- Writing talking points for when we visit legislators.
- Consulting with NADL/NBC in preparation for any future legislative action.
- Keeping an eye on all bills introduced regarding the Dental industry looking fo wordage that will affect us as a lab industry.