Chapter 2Colorado Laws and Regulations

Our goal was to deliver care that works for people who have been left out of the traditional dental care system by using the oral health workforce differently. Nationally, Colorado is a leader in expanding access to oral health care to communities with limited resources by broadening dental hygienists’ scope of practice.

To facilitate implementation of the SMILES Dental Project, the Colorado General Assembly passed new laws to expand dental hygienists’ scope of practice by allowing them to place Interim Therapeutic Restorations (ITR) under the supervision of a dentist via telehealth. House Bill 15-1309 (Interim Therapeutic Restorations) was signed into law on May 6, 2015. Learn more about Colorado’s first class of dental hygienists trained in this expanded scope. Previously, the passage of House Bill 15-1029 (Telehealth) on March 20, 2015 permitted the delivery of health care statewide via telemedicine.

On March 22, 2018, dental hygienists’ scope of practice was further expanded by the passage of House Bill 18-1045 (Silver Diamine Fluoride), which allows dental hygienists to apply silver diamine fluoride in collaboration with a dentist.

To review these bills in detail and to learn more about the expanded scope of practice for dental hygienists, please review the included resources.