An Act to Join the Dentist and Dental Hygienist Compact
Maine Legislature, Session 131, LD 2137
Committee Amendment CA_A_H949 (House)

COMMITTEE AMENDMENT" flr" to H.P. 1361, L.D. 2137, "An Act to Join the 
Dentist and Dental Hygienist Compact'" 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 32 MRSA c. 143, sub-c. 6 is enacted to read: 
SUBCHAPTER 6 
DENTIST AND DENTAL HYGIENIST COMP ACT 
§18431. Short title 
This subchapter may be known and cited as "the Dentist and Dental Hygienist 
Compact." 
§18432. Purpose and objectives 
1. Purpose. The purpose of the compact is to facilitate the interstate practice of 
dentistry and dental hygiene and improve public access to dentistry and dental hygiene 
services by providing dentists and dental hygienists who are licensed in a participating state 
the ability to practice in participating states in which they are not licensed by establishing 
a pathway for dentists and dental hygienists who are licensed in a participating state to 
obtain a compact privilege that authorizes them to practice in another participating state in 
which they are not licensed, The compact enables participating states to protect the public 
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health and safety with respect to the practice of such dentists and dental hygienists, through 
the state's authority to regulate the practice of dentistry and dental hygiene in the state. 
2. Objectives, The compact is designed to achieve the following objectives: 
A. Enable dentists and dental hygienists who qualify for a compact privilege to practice 
in participating states without satisfying bul'densome and duplicative requirements 
associated with securing a license to practice in those states; 
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B. Promote mobility and address workforce shortages through each participating 
state's acceptance of a compact privilege to practice in that state; 
C. Increase public access to qualified, licensed dentists and dental hygienists by 
creating a responsible, streamlined pathway for licensees to practice in participating 
states; 
D. Enhance the ability of participating states to protect the public's health and safety; 
E. Operate without interfering with licensure requirements established by participating 
states; 
F. Facilitate the sharing of licensure and disciplinary information among participating 
states; 
G. Requil'e dentists and dental hygienists who practice in a paiticipating state pursuant 
to a compact privilege to practice within the scope of practice authorized in that state; 
H. Extend the authority of a paiticipating state to regulate the practice of dentistry and 
dental hygiene within its borders to dentists and dental hygienists who practice in the 
state through a compact privilege; 
I. Promote the cooperation of paiticipating states in regulating the practice of dentistly 
and dental hygiene within those states; and 
J. Facilitate the relocation of militaiy members and their spouses who are licensed to 
practice dentistry or dental hygiene. 
§18433, Definitions 
As used in this subchapter, unless the context otherwise indicates, the following terms 
have the following meanings. 
1. Active military member. 
11Active military member
means an individual with full-
time duty status in the active uniformed service of the United States, including members of 
the National Guard and Reserves of the United States Armed Forces on active duty orders. 
2. Adverse action. 
11Adverse action
means any administrative, civil, equitable or 
criminal action permitted by a state's laws that is imposed by a licensing board or other 
authority against a dental or dental hygienist license, license application or privilege to 
practice, such as a license denial, censure, revocation, suspension. probation, monitoring 
of the licensee or restriction on the licensee's practice. 
3, Alternative program. 
11Alternative program
means a nondisciplinaty monitoring 
or practice remediation process applicable to a dentist or dental hygienist approved by a 
state licensing authority of a paiticipating state in which the dentist or dental hygienist is 
licensed, including, but not limited to, programs to which licensees with substance use 
disorder or addiction issues are referred in lieu of adverse action. 
4. Clinical assessment. 
11Clinical assessment
means an examination or process, 
required for licensure as a dentist or dental hygienist as applicable, that provides evidence 
of clinical competence in dentistly or dental hygiene. 
5. Commissioner. 
11Commissioner
means the individual appointed by a participating 
state to serve as the member of the commission for that participating state. 
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6. Compact. "Compact" means the Dentist and Dental Hygienist Compact enacted in 
this subchapter. 
7, Compact privilege. "Compact privilege
means the authorization granted by a 
remote state to allow a licensee from another pa1ticipating state to practice as a dentist or 
dental hygienist in a remote state. 
8. Continuing professional development. "Continuing professional development" 
means a requirement. as a condition of license renewal to provide evidence of successful 
pa1ticipation in educational or professional activities relevant to practice or area of work. 
9. Criminal background check. "Criminal background check" means the submission 
of fingerprints or other biometric-based information for a license applicant for the purpose 
of obtaining that applicant1s criminal histo1y record information, as defined in 28 Code of 
Federal Regulations, Section 20.3(d). from the state's criminal histo1y record reposit01y, as 
defined in 28 Code of Federal Regulations. Section 20.3(f). 
10. Data system. "Data system" means the commission's repository of information 
about licensees, including, but not limited to, examination, licensure, investigative, 
compact privilege, adverse action and alternative program information. 
11. Dental hygienist. "Dental hygienist" means an individual who is licensed by a state 
licensing authority to practice dental hygiene. 
12, Dentist. "Dentist" means an individual who is licensed by a state licensing authority 
to practice dentistry. 
13. Dentist and Dental Hygienist Compact Commission, "Dentist and Dental 
Hygienist Compact Commission
or 
11commission
means a joint government agency 
established by this compact comprised of each state that has enacted the compact and a 
national administrative body comprised of a commissioner from each state that has enacted 
the compact. 
14. Encumbered license, "Encumbered license" means a license that a state licensing 
authority has limited in any way other than through an alternative program. 
15. Executive board. "Executive board" means the chair, vice-chair, secretary and 
treasurer and any other commissioners as may be determined by commission rules or 
bylaws. 
16. Jurisprudence requirement. "Jurisprudence requirement" means the assessment 
of an individual's knowledge of the laws and rules governing the practice of dentistty or 
dental hygiene, as applicable, in a state. 
17. License. 
11License
means the current authorization by a state other than 
authorization pursuant to a compact privilege, or other privilege, for an individual to 
practice dentistry or dental hygiene, as applicable, in a state. 
18. Licensee, "Licensee" means an individual who holds an unrestricted license from 
a participating state to practice as a dentist or dental hygienist in that state. 
19. Licensing board. "Licensing board
means any state entity authorized to license 
and otherwise regulate dentists or dental hygienists, as applicable, in a state. 
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20, Model compact. "Model compact" means the model for the Dentist and Dental 
Hygienist Compact on file with the Council of State Governments, or its successor 
organization, or other entity designated by the commission. 
21. Participating state, "Participating state" means a state that has enacted the 
compact and been admitted to the commission in accordance with this subchapter and 
commission rules. 
22, Qualifying license. 
11Qualifying license" means a license that is not an encumbered 
license issued by a participating state to practice dentistry or dental hygiene. 
23. Remote state. 
11Remote state" means a participating state where a licensee who is 
not licensed as a dentist or dental hygienist is exercising or seeking to exercise the compact 
privilege. 
24. Rule. 
11Rule" means a regulation promulgated by an entity that has the force of 
law. 
25. Scope of practice. "Scope of practice" means the procedures, actions and processes 
a dentist or dental hygienist licensed in a state is permitted to unde1iake in that state and 
the circumstances under which the licensee is permitted to unde1iake those procedures, 
actions and processes. Such procedures, actions and processes and the circumstances under 
which they may be unde1iaken may be established through means, including, but not 
limited to, statute, regulations, case law and other processes available to the state licensing 
board or other government agency. 
26. Significant investigative information, "Significant investigative information" 
means information, records and documents received or generated by a state licensing 
authority pursuant to an investigation for which a determination has been made that there 
is probable cause to believe that the licensee has violated a statute or regulation that is 
considered more than a minor infraction for which the state licensing authority could pursue 
adverse action against the licensee. 
27. State. "State" means any state, commonwealth, district or territory of the United 
States of America that regulates the practices of dentistry and dental hygiene. 
28, State licensing authority, "State licensing authority" means an agency or other 
entity of a state that is responsible for the licensing and regulation of dentists or dental 
hygienists. 
§18434. State participation in the compact 
1. Participation requirements. To patiicipate in the compact, a state shall: 
A. Enact a compact that is not materially different from the model compact as 
determined in accordance with commission rules; 
B. Pmiicipate fully in the commission's data system; 
C, Have a mechanism in place for receiving and investigating complaints about its 
licensees and license applicants; 
D. Notify the commission, in compliance with the terms of the compact and 
commission rules, of any adverse action or the availability of significant investigative 
information regarding a licensee and license applicant; 
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E. Fully implement a criminal background check requirement, within a time frame 
established by commission rule, by receiving the results of a qualifying criminal 
background check; 
F. Comply with the commission rules applicable to a paiticipating state; 
G. Accept the national board examinations of the Joint Commission on National Dental 
Examinations or another examination accepted by commission rule as a licensure 
examination: 
H. Accept for licensure that applicants for a dentist license graduate from a predoctoral 
dental education program accredited by the Commission on Dental Accreditation, or 
another accrediting agency recognized by the United States Depaitment of Education 
for the accreditation of dentist1y and dental hygiene education programs, leading to the 
doctor of dental surgery or doctor of dental medicine degree: 
I. Accept for licensure that applicants for a dental hygienist license graduate from a 
dental hygiene education program accredited by the Commission on Dental 
Accreditation or another accrediting agency recognized by the United States 
Depa1tment of Education for the accreditation of dentistry and dental hygiene 
education programs: 
J. Require for licensure that applicants successfully complete a clinical assessment: 
K. Have continuing professional development requirements as a condition for license 
renewal: and 
L. Pay a patticipation fee to the commission as established by commission rule. 
2, Alternative pathway for licensure, Providing an altemative pathway for an 
individual to obtain an unrestricted license does not disqualify a state from patticipating in 
the compact. 
3, Criminal background check, When conducting a criminal background check, a 
state licensing authority shall: 
A. Consider that information in making a licensure decision: 
B. Maintain documentation of completion of the criminal background check and 
background check inf01mation to the extent allowed by state and federal law: and 
C. Repott to the commission whether the licensing authority has completed the 
criminal background check and whether the individual was granted or denied a license. 
4, Remote state issuance of compact privilege, A licensee of a pa1ticipating state who 
has a qualifying license in that state and does not hold an encumbered license in any other 
participating state must be issued a compact privilege in a remote state in accordance with 
the terms of the compact and commission rules. If a remote state has a jurisprudence 
requirement, a compact privilege may not be issued to the licensee unless the licensee has 
satisfied the jurisprudence requirement. 
§18435, Compact privilege 
1. Requirements, To obtain and exercise a compact privilege, a licensee must: 
A. Have a qualifying license as a dentist or dental hygienist in a patticipating state: 
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B. Be eligible for a compact privilege in any remote state in accordance with this 
subchapter: 
C. Submit to an application process whenever the licensee is seeking a compact 
privilege; 
D, Pay any applicable commission and remote state fees for a compact privilege in the 
remote state; 
E. Meet any iurispmdence requirement established by a remote state in which the 
licensee is seeking a compact privilege; 
F. Have passed a national board examination of the Joint Commission on National 
Dental Examinations or its successor organization or another examination accepted by 
commission rule: 
G. For a dentist, have graduated from a predoctoral dental education program 
accredited by the Commission on Dental Accreditation, or another accrediting agency 
recognized by the United States Department of Education for the accreditation of 
dentistry and dental hygiene education programs, leading to the doctor of dental 
surgery or doctor of dental medicine degree: 
H. For a dental hygienist, have graduated from a dental hygiene education program 
accredited by the Commission on Dental Accreditation or another accrediting agency 
recognized by the United States Depa1tment of Education for the accreditation of 
dentistry and dental hygiene education programs: 
I. Have successfully completed a clinical assessment for licensure; 
J, Rep01t to the commission adverse action taken by any nonpaiticipating state when 
applying for a compact privilege and, otherwise, within 30 days from the date the 
adverse action is taken: 
K. Repott to the commission when applying for a compact privilege the address of the 
licensee's primary residence and thereafter immediately rep01t to the commission any 
change in the address of the licensee's primary residence; and 
L. Consent to accept service of process by mail at the licensee's primary residence on 
record with the commission with respect to any action brought against the licensee by 
the commission or a pa1ticipating state, and consent to accept service of a subpoena by 
mail at the licensee's prima1y residence on record with the commission with respect to 
any action brought or investigation conducted by the commission or a participating 
state. 
2. Compliance. The licensee must comply with all of the requirements of subsection 
to maintain the compact privilege in a remote state. If those requirements are met, the 
compact privilege continues as long as the licensee maintains a qualifying license in the 
state through which the licensee applied for the compact privilege and pays any applicable 
compact privilege renewal fees. 
3. Scope of practice. A licensee providing dentistry or dental hygiene in a remote state 
under the compact privilege shall function within the scope of practice authorized by the 
remote state for a dentist or dental hygienist licensed in that state. A licensee providing 
dentistry or dental hygiene pursuant to a compact privilege in a remote state is subject to 
that state's regulatory authority. 
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4. Revocation or limitation of compact privilege by remote state. A remote state 
may, in accordance with due process and that state's laws, by adverse action revoke or 
remove a licensee's compact privilege in the remote state for a specific period of time and 
impose fines or take any other necessary actions to protect the health and safety of its 
citizens. If a remote state imposes an adverse action against a compact privilege that limits 
the compact privilege, that adverse action applies to all compact privileges in all remote 
states. A licensee whose compact privilege in a remote state is revoked or removed for a 
specified period of time is not eligible for a compact privilege in any other remote state 
until the specific time for revocation or removal of the compact privilege has passed and 
all encumbrance requirements are satisfied, 
5. Encumbered license, If a license in a participating state is an encumbered license, 
the licensee loses the compact privilege in a remote state and is not eligible for a compact 
privilege in any remote state until the license is no longer encumbered, 
A. Once an encumbered license in a patticipating state is restored to good standing, the 
licensee must meet the requirements of subsection 1 to obtain a compact privilege in a 
remote state. 
B. If a licensee's compact privilege in a remote state is revoked or removed by the 
remote state, the individual shall lose or be ineligible for the compact privilege in any 
remote state until the following occur: 
(1) The specific period of time for which the compact privilege was revoked or 
removed has ended: and 
(2) All conditions for revocation or removal of the compact privilege have been 
satisfied. 
C. Once the requirements of paragraph B have been met, the licensee must meet the 
requirements in subsection 1 to obtain a compact privilege in a remote state. 
§18436. Active military member and that member's spouse 
An active militaiy membet' and that member's spouse may not be required to pay to the 
commission for a compact privilege the fee otherwise charged by the commission, If a 
remote state chooses to charge a fee for a compact privilege, the remote state may choose 
to charge a reduced fee or no fee to an active military member and that member's spouse 
for a compact privilege. 
§18437. Adverse actions 
1. Participating state authority. A pa1ticipating state in which a licensee is licensed 
shall have exclusive power to impose adverse action against the qualifying license issued 
by that pa1ticipating state. 
2. Adverse action based on remote state findings. A pa1ticipating state may take 
adverse action based on the significant investigative info11nation of a remote state as long 
as the patticipating state follows its own procedures for taking the adverse action, 
3. Alternative program in lieu of adverse action. Nothing in this compact overrides 
a pa1ticipating state's decision that patticipation in an alternative program may be used in 
lieu of adverse action and that such patticipation shall remain nonpublic if required by the 
pa1ticipating state's laws, Patticipating states must require licensees who enter any 
alternative program in lieu of discipline to agree not to practice pursuant to a compact 
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privilege in any other pa1ticipating state during the te1111 of the alternative program without 
prior authorization from such other paiticipating state. 
4. Investigation by participating state. Any pa1ticipating state in which a licensee is 
applying to practice or is practicing pursuant to a compact privilege may investigate actual 
or alleged violations of the statutes and regulations authorizing the practice of dentist1y or 
dental hygiene in any other participating state in which the dentist or dental hygienist holds 
a license or compact privilege. 
5. Remote state authority. A remote state has the authority, in accordance with 
existing state due process law, to: 
A. Take adverse action against a licensee's compact privilege within that state: 
B. Issue subpoenas for both hearings and investigations that require the attendance and 
testimony of witnesses as well as the production of evidence. Subpoenas issued by a 
licensing board in a pmticipating state for the attendance and testimony of witnesses or 
the production of evidence from another paiticipating state must be enforced in the 
latter state by any comt of competent jurisdiction, according to the practice and 
procedure of that comt applicable to subpoenas issued in proceedings pending before 
it. The issuing authority shall pay any witness fees, travel expenses, mileage and other 
fees required by the service statutes of the state in which the witnesses or evidence are 
located: and 
C. Recover from the licensee the costs of investigations and dispositions of cases 
resulting from any adverse action taken against that licensee. 
6. Joint investigations. In addition to the authority granted to a paiticipating state by 
its respective state dentist or dental hygienist licensure act or other applicable state law, 
any paiticipating state may jointly investigate with other pa1ticipating states. Pa1ticipating 
states shall share any significant investigative information or litigation or compliance 
materials in fmtherance of any joint or individual investigation initiated under the compact. 
7. Continuation of investigation. After a licensee's compact privilege in a remote 
state is terminated, the remote state may continue an investigation of the licensee that began 
when the licensee had a compact privilege in that remote state. If the investigation yields 
what would be significant investigative information had the licensee continued to have a 
compact privilege in that remote state, the remote state shall repmt the presence of such 
information to the data system as if it was significant investigative inf01mation. 
§18438. Establishment of commission 
1. Commission established. The pa1ticipating states hereby create and establish a 
joint government agency whose membership consists of all participating states that have 
enacted the compact. The commission is an instrumentality of the compact states acting 
jointly and is not an instrumentality of any one state. The commission comes into existence 
on or after the effective date of the compact as set fo1th in section 18442. 
2. 
Membership, voting and meetings. 
Membership, voting and meetings are 
governed by this subsection. 
A. Each pa1ticipating state has and is limited to one commissioner selected by that 
participating state's licensing board or, if the state has more than one licensing board, 
selected collectively by the participating state's licensing boards. 
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B. The commissioner must be a member or designee of a participating state's licensing 
boards. 
C. The commission may by rule establish a term of office for commissioners and may 
by rule or bylaw establish tenn limits. 
D. The commission may recommend to a state licensing board or boards, as applicable, 
that a commissioner be removed or suspended as a participating state's commissioner. 
E. The participating state licensing board or boards, as applicable, shall fill any 
vacancy of its commissioner on the commission within 60 days of the vacancy. 
F. Each commissioner is entitled to one vote on all matters that are voted on by the 
commission. 
G, A delegate shall vote in person or by such other means as provided in the bylaws. 
The 
bylaws 
may 
provide 
for 
delegates' 
participation 
in 
meetings 
by 
telecommunication, videoconference or other means of communication. 
H. The commission shall meet at least once during each calendar year. Additional 
meetings must be held as set fo1th in this compact and the bylaws. The commission 
may meet by telecommunication, videoconferencing or other similar electronic means, 
3. Powers and duties. The commission has the following powers and duties: 
A. Establish a code of ethics for the commission: 
B. Establish the fiscal year of the commission: 
C, Adopt rules and bylaws: 
D. Maintain its financial records in accordance with the bylaws: 
E. Meet and take actions that are consistent with the provisions of this compact, 
commission rules and the bylaws: 
F. Initiate and conclude legal proceedings or actions in the name of the commission, 
as long as the standing of any state licensing board to sue or be sued under applicable 
law is not affected: 
G, Maintain and certify records and info1111ation provided to a pa1ticipating state as the 
authenticated business records of the commission and designate a person to do so on 
the commission's behalf: 
H. Purchase and maintain insurance and bonds: 
I. Borrow, accept or contract for services of personnel, including, but not limited to, 
employees of a pa1ticipating state: 
J. Conduct an annual financial review: 
K. Hire employees, elect or appoint officers, fix compensation, define duties and grant 
such individuals appropriate authority to carry out the purposes of the compact and 
establish the commission's personnel policies and programs relating to conflicts of 
interest, qualifications of personnel and other related personnel matters; 
L. Charge a fee, as provided in commission rules, to a licensee for the grant of a 
compact privilege in a remote state and thereafter. as may be established by 
commission rule. charge the licensee a compact privilege renewal fee for each renewal 
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period in which that licensee exercises or intends to exercise the compact privilege in 
that remote state. This paragraph may not be construed to prevent a remote state from 
charging a licensee a fee for a compact privilege or renewals of a compact privilege, 
or a fee for the jurisprudence requirement if the remote state imposes such a 
requirement for the grant of a compact privilege; 
M. Accept appropriate gifts, donations, grants of money or other sources of revenue 
or supplies, materials and services and receive, utilize and dispose of the same, as long 
as at all times the commission avoids any appearance of impropriety or conflict of 
interest; 
N. Lease, purchase, retain, own, hold, improve or use any property, real, personal or 
mixed, or any undivided interest therein; 
0. Sell, convey, mo1tgage, pledge, lease, exchange, abandon or otherwise dispose of 
any property, real, personal or mixed; 
P. Establish a budget and make expenditures; 
O. Borrow money; 
R. Appoint committees, including standing committees composed of members, state 
regulators, state legislators or their representatives and consumer representatives and 
such other interested persons as may be designated in this compact and the bylaws; 
S. 
Provide and receive information from, and cooperate with, law enforcement 
agencies; 
T. Elect a chair, vice-chair, secreta1y and treasurer and such other officers of the 
commission as provided in the bylaws; 
U. Establish and elect an executive board; 
V. Determine whether a state's enacted compact legislation is materially different from 
the model compact language such that a state would not qualify for patticipation in the 
compact; 
W. Adopt and provide to the pa1ticipating states an annual repo1t; and 
X. Perform any other functions as may be necessary or appropriate to achieve the 
purposes of this compact. 
4, Meetings of the commission, Meetings of the commission are governed by this 
subsection. 
A. Except as provided in paragraphs B and C, all meetings must be open to the public. 
and public notice of meetings must be posted on the commission's publicly accessible 
website at least 30 days prior to a public meeting. 
B. The commission may convene a public meeting for any of the reasons it may 
dispense with notice of proposed rulemaking under section 18440 by providing at least 
hours' notice on the commission's publicly accessible website and by any other 
means described in the rules. 
C. The commission may convene in a closed, nonpublic meeting or convene in a closed 
meeting for patt of an othe1wise public meeting to receive legal advice or to discuss: 
(1) Noncompliance of a paiticipating state with its obligations under the compact; 
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(2) The employment, compensation, discipline or other matters, practices or 
procedures related to specific employees or other matters related to the 
commission's internal personnel practices and procedures; 
(3) Current or threatened discipline of a licensee or compact privilege holder by 
the commission or by a paiticipating state's licensing authority; 
(4) Current, threatened or reasonably anticipated litigation: 
(5) Negotiation of contracts for the purchase, lease or sale of goods, services or 
real estate; 
(6) Accusing any person of a crime or formally censuring any person; 
(7) Disclosure of trade secrets or commercial or financial information that is 
privileged or confidential; 
(8) 
Disclosure of information of a personal nature when disclosure would 
constitute a clearly unwarranted invasion of personal privacy; 
(9) Disclosure of investigative records compiled for law enforcement purposes; 
(10) Disclosure of information related to any investigative rep01ts prepared by or 
on behalf of or for use of the commission or other committee charged with 
responsibility of investigation or determination of compliance issues pursuant to 
the compact; 
(11) Legal advice; 
(12) Matters specifically exempted from disclosure by federal or participating state 
statute; or 
(13) Other matters as promulgated by commission rule. 
D. If a meeting, or po1tion of a meeting, is closed pursuant to paragraph B, the 
presiding officer of the meeting shall state that the meeting is closed and shall reference 
each relevant exempting provision and that reference must be recorded in the minutes. 
E. The commission shall keep minutes that fully and clearly describe all matters 
discussed in a meeting and shall provide a full and accurate summary of actions taken, 
and the reasons therefor, including a description of the views expressed. All documents 
considered in connection with an action must be identified in the minutes. All minutes 
and documents of a closed meeting must remain under seal, subject to release by a 
majority vote of the commission or order of a couit of competent jurisdiction. 
5. Financing of the commission. Financing of the commission is governed by this 
subsection. 
A. The commission shall pay, or provide for the payment of. the reasonable expenses 
of its establishment, organization and ongoing activities. 
B. The commission may receive revenue from any appropriate sources and accept 
donations and grants of money, equipment, supplies, materials and services. 
C. 
The commission may levy on and collect an annual assessment from each 
pa1ticipating state or impose compact privilege fees on licensees of pa1ticipating states 
to whom a compact privilege is granted to cover the cost of the operations and activities 
of the commission and its staff, which must be in a total amount sufficient to cover its 
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annual budget as approved each fiscal year for which revenue is not provided by other 
sources. The aggregate annual assessment amount levied on participating states must 
be allocated based upon a formula to be determined by commission rule. 
D. The commission may not incur obligations of any kind prior to securing the funds 
adequate to meet those obligations. and the commission may not pledge the credit of 
any of the pmticipating states. except by and with the authority of the pmticipating 
state. 
E. The commission shall keep accurate accounts of all receipts and disbursements. 
The receipts and disbursements of the commission are subject to the financial review 
and accounting procedures established under its bylaws. All receipts and disbursements 
of funds handled by the commission are subject to an annual financial review by a 
ce1tified or licensed public accountant. and the repo1t of the financial review must be 
included in and become patt of the annual repo1t of the commission. 
6. Executive board. The establishment of an executive board is governed by this 
subsection. 
A. The executive board has the power to act on behalf of the commission according to 
the terms of this compact and commission rules. 
B. The executive board is composed ofup to 7 members: 
(1) The chair. vice-chair, secreta1y and treasurer of the commission and any other 
members of the commission who serve on the executive board are voting members 
of the executive board; and 
(2) Other than the chair, vice-chair, secretary and treasurer. the commission may 
elect up to 3 voting members from the current membership of the commission. 
C. The commission may remove any member of the executive board as provided in 
the bylaws. 
D. The executive board shall meet at least once annually. 
E. The executive board shall: 
(1) 
Oversee the day-to-day activities of the administration of the compact 
including compliance with the provisions of the compact, the commission's rules 
and bylaws; 
(2) Recommend to the commission changes to the rules or bylaws. changes to this 
compact legislation. fees charged to pa1ticipating states, fees charged to licensees 
and other fees; 
(3) Ensure compact administration services are appropriately provided. including 
by contract; 
(4) Prepare and recommend the budget; 
(5) Maintain financial records on behalf of the commission; 
(6) Monitor compact compliance of patticipating states and provide compliance 
repo1ts to the commission; 
(7) Establish additional committees as necessa1y: 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "Pr" to H.P. 1361, L,D, 2137 
(8) Exercise the powers and duties of the commission during the interim between 
commission meetings, except for adopting or amending commission rules or 
bylaws, or exercising any other powers and duties exclusively reserved to the 
commission by the commission's rules 01· bylaws; and 
(9) Perform other duties as provided in rnles or bylaws. 
7. Qualified immunity, defense and indemnification. Qualified immunity, defense 
and indemnification are governed by this subsection. 
A. The members, officers, executive director, employees and representatives of the 
commission are immune from suit and liability, either personally or in their official 
capacity, for any claim for damage to or loss of property or personal injmy or other 
civil liability caused by or arising out of any actual or alleged act. error or omission 
that occurred, or that the person against whom the claim is made had a reasonable basis 
for believing occurred. within the scope of commission employment. duties or 
responsibilities, except that nothing in this paragraph may be construed to protect any 
such person from suit or liability for any damage. loss. injmy or liability caused by the 
intentional or willful or wanton misconduct of that person. The procurement of 
insurance of any type by the commission may not in any way compromise or limit the 
immunity granted under this subsection. 
B. The commission shall defend any member. officer, executive director, employee or 
representative of the commission in any civil action seeking to impose liability arising 
out of any actual or alleged act, error or omission that occurred within the scope of 
commission employment, duties or responsibilities, or as determined by the 
commission that the person against whom the claim is made had a reasonable basis for 
believing occurred within the scope of commission employment. duties or 
responsibilities. except that nothing in this paragraph may be construed to prohibit that 
person from retaining that person's own counsel, and as long as the actual or alleged 
act, error or omission did not result from that person's intentional or willful or wanton 
misconduct, 
C. Notwithstanding paragraph A. if any member, officer. executive directot', employee 
or representative of the commission is held liable for the amount of any settlement or 
judgment arising out of any settlement or judgment obtained against that person arising 
out of any actual or alleged act, error or omission that occurred within the scope of 
commission employment, duties or responsibilities, or that such person had a 
reasonable basis for believing occurred within the scope of commission employment. 
5 
duties or responsibilities. the commission shall indemnify and hold harmless that 
individual as long as the actual or alleged act. error or omission did not result from the 
7 
intentional or willful or wanton misconduct of that person. 
8 
D. This subsection may not be construed as a limitation on the liability of any licensee 
for professional malpractice or misconduct. which shall be governed solely by any 
other applicable state laws. 
E. This compact may not be interpreted to waive or otherwise abrogate a participating 
state's state action immunity or state action affirmative defense with respect to antitrust 
claims under the Sherman Act. Clayton Act or any other state or federal antitrust or 
anticompetitive law or regulation. 
COMMITTEE AMENDMENT 
~os 
COMMITTEE AMENDMENT "/f" to H.P. 1361, L.D. 2137 
F. This compact may not be construed to be a waiver of sovereign immunity by the 
participating states or by the commission. 
§18439. Data system 
1. Data and reporting system. The commission shall provide for the development. 
maintenance. operation and utilization of a coordinated data and reporting system 
containing licensure, adverse action and the repo1ting of any significant investigative 
infonnation on all licensees and applicants for a license in pa1ticipating states. 
2. Uniform dataset submission. Notwithstanding any provision of state law to the 
contra1y. a participating state shall submit a uniform dataset to the data system on all 
individuals to whom this compact is applicable as required by the rules of the commission, 
including: 
A. Identifying information; 
B. Li censure data; 
C. Adverse actions against a licensee, license applicant or compact privilege and any 
related infonnation; 
D. 
Nonconfidential information related to alternative program participation. the 
beginning and ending dates of such participation, and other information related to such 
pa1ticipation; 
E. Any denial of application for licensure and the reasons for that denial. excluding 
the repo1ting of any criminal histo1y record information when prohibited by law; 
F. The existence of significant investigative information; and 
G. 
Other information that may facilitate the administration of this compact, as 
determined by the rules of the commission. 
4. 
Significant investigative information availability. 
Significant investigative 
information pe1taining to a licensee in any patticipating state may be made available only 
to other pa1ticipating states. 
5. Adverse action information. It is the responsibility of the pa1ticipating states to 
monitor the data system to determine whether adverse action has been taken against a 
licensee or license applicant. Adverse action information pe1taining to a licensee or license 
applicant in any pa1ticipating state must be available to any other paiticipating state. 
6. Confidential information. Participating states contributing information to the data 
system may, in accordance with state or federal law. designate information that may not be 
shared with the public without the express permission of the contributing state. 
7. Information expungement. Any information submitted to the data system that is 
subsequently required to be expunged pursuant to federal law or by the laws of the 
pa1ticipating state contributing the information must be removed from the data system. 
§18440. Rulemaking 
1. Promulgation. The commission shall promulgate reasonable rules in orde1· to 
effectively and efficiently implement and administer this compact and achieve its purpose. 
A commission is invalid and has no force or effect only if a comt of competent jurisdiction 
holds that the rule is invalid because the commission exercised its rule-making authority in 
COMMITTEE AMENDMENT 
y..,OS 
COMMITTEE AMENDMENT" f)(' to H.P. 1361, L.D, 2137 
a manner that is beyond the scope of the purposes of the compact, or the powers granted 
hereunder, or based upon another applicable standard of review, 
2, Rule conflict with law. The rules of the commission have the force of law in each 
paiticipating state, except that when the rnles of the commission conflict with the laws of 
the paiticipating state that establish the scope of practice as held by a comt of competent 
jurisdiction, the rnles of the commission are ineffective in that state to the extent of the 
conflict. 
3. Powers, The commission shall exercise its rule-making powers pursuant to the 
criteria set fo1th in this section and the rnles adopted thereunder. Rules and amendments 
become binding as of the date specified in each rule or amendment. 
4. Rule rejection. If a majority of the legislatures of the pa1ticipating states rejects a 
rule or a po1tion of a commission rule, by enactment of a statute or resolution in the same 
manner used to adopt the compact within 4 years of the date of adoption of the rule, then 
that rule has no fu1ther force and effect in any pa1ticipating state or to any state applying to 
patticipate in the compact. 
5, Rule adoption procedure. Rules or amendments to the rules must be adopted at a 
regular or special meeting of the commission. 
6. Public comment. Prior to adoption of a proposed rule, the commission shall hold 
a public hearing and allow persons to provide oral and written comments, data, facts, 
opinions and arguments. 
7. Notice of proposed rule. Prior to adoption of a prnposed rule, and at least 30 days 
in advance of the meeting at which the commission will hold a public hearing on the 
proposed rule, the commission shall prnvide a notice of prnposed rulemaking: 
A On the publicly accessible website of the commission or other publicly accessible 
platform: 
B, To persons who have requested notice of the commission's notices of proposed 
rulemaking: and 
C. In any other ways the commission may specify by rule. 
8. Notice requirements. The notice of proposed rulemaking must include: 
A. The time, date and location of the public hearing in which the commission will hear 
public comments on the proposed rule and, if different, the time, date and location of 
the meeting in which the commission will consider and vote upon the proposed rule; 
B. If the hearing is held via telecommunication, videoconference or other electronic 
means, the commission shall include the mechanism for access to the hearing; 
C, The text of the proposed rule and the reason for the proposed rule; 
D. A request for comments on the proposed rule from any interested person and the 
date by which written comments must be received; and 
E. The manner in which interested persons may submit written comments. 
9. Hearings. All hearings must be recorded, A copy of the recording and all written 
comments and documents received in response to the prnposed rulemaking must be made 
available to the public. Nothing in this section may be constrned as requiring a separate 
COMMITTEE AMENDMENT 
~oC?> 
COMMITTEE AMENDMENT" P<' to H.P. 1361, L.D, 2137 • 
hearing on each rule. Rules may be grouped for the convenience of the commission at 
hearings required by this section. 
10. Final action. The commission shall, by maiority vote of all members, take final 
action on the proposed rule based on the rule-making record. 
A. The commission may adopt changes to the proposed rule as long as the changes do 
not enlarge the original purpose of the proposed rule. 
B. The commission shall provide on its publicly accessible website an explanation of 
the reasons for substantive changes made to the proposed rule as well as reasons for 
substantive changes not made that were recommended by commenters. 
C. The commission shall determine a reasonable effective date for the rule. Except for 
an emergency as provided in subsection 13, the effective date of the rule may not be 
sooner than 30 days after the commission issued the notice that it adopted the rule. 
11. Emergency rulemaking. Upon determination that an emergency exists, the 
commission may consider and adopt an emergency rule with 24 hours' notice, without the 
opportunity for comment or hearing, as long as the usual rule-making procedures provided 
in the compact and in this section are retroactively applied to the rule as soon as reasonably 
possible, in no event later than 90 days after the effective date of the rule. For the purposes 
of this subsection, "emergency rule" means a rule that must be adopted immediately in 
order to: 
A. Meet an imminent threat to public health. safety or welfare; 
B. Prevent a loss of commission funds or paiticipating state funds; 
C. Meet a deadline for the promulgation of an administrative rule that is established 
by federal law or rule; or 
D. Protect public health and safety. 
12. Rule revisions. The commission or an authorized committee of the commission 
may direct revisions to a previously adopted rule for purposes of correcting typographical 
errors, errors in format. errors in consistency or grammatical errors. Public notice of any 
revisions must be posted on the publicly accessible website of the commission. The 
revision is subject to challenge by any person for a period of 30 days after posting. The 
revision may be challenged only on grounds that the revision results in a material change 
to a rule, A challenge must be made in writing and delivered to the commission prior to 
the end of the notice period. If no challenge is made, the revision takes effect without 
further action. If the revision is challenged, the revision may not take effect without the 
approval of the commission, 
13. Application of participating state requirements. Notwithstanding any provision 
of law to the contra1y, a patticipating state's rulemaking requirements do not apply under 
this compact. 
§18441. Oversight, dispute resolution and enforcement 
1. Oversight. Oversight of the compact is govemed by this subsection. 
A. 
The executive, legislative and judicial branches of state government in each 
pa1ticipating state shall enforce this compact and take all actions necessa1y and 
appropriate to implement the compact. 
COMMITTEE AMENDMENT 
oc.:» 
~ 
COMMITTEE AMENDMENT"/\" to H.P. 1361, L.D. 2137 
B. Venue is proper and judicial proceedings by or against the commission must be 
brought solely and exclusively in a court of competent jurisdiction where the principal 
office of the commission is located. The commission may waive venue and 
jurisdictional defenses to the extent it adopts or consents to participate in alternative 
dispute resolution proceedings, Nothing in this paragraph affects or limits the selection 
or propriety of venue in any action against a licensee for professional malpractice, 
misconduct or any simila1· matter, 
C, The commission is entitled to receive service of process in any proceeding regarding 
the enforcement or interpretation of the compact or the commission's rules and has 
standing to intervene in such a proceeding for all purposes. Failure to provide the 
commission with service of process renders a judgment or order in such proceeding 
void as to the commission, this compact, or commission rules. 
2, Default and technical assistance, Default and technical assistance are governed 
by this subsection. 
A. 
If the commission determines that a pa1ticipating state has defaulted in the 
performance of its obligations or responsibilities under this compact or the commission 
rules, the commission shall: 
{1) Provide written notice to the defaulting state and other pa1ticipating states. The 
notice must describe the default, the proposed means of curing the default and any 
other action that the commission may take: and 
(2) Offer remedial trnining and specific technical assistance regarding the default. 
3, Termination from compact, If a state in default fails to cure the default, the 
defaulting state may be terminated from the compact upon an affirmative vote of a majority 
of the commissioners, and all rights, privileges and benefits conferred on that state by this 
compact may be terminated on the effective date of termination. A cure of the default does 
not relieve the offending state of obligations or liabilities incurred during the period of 
default. 
4. Termination regulation. Termination of paiticipation in the compact may be 
imposed only after all other means of securing compliance have been exhausted. Notice 
of intent to suspend or tenninate must be given by the commission to the governor, the 
majority and minority leaders of the defaulting state's legislature, the defaulting state's 
licensing boards and to the licensing boards of each of the pa1ticipating states. 
5, Responsibilities after termination. A state that has been terminated is responsible 
for all assessments, obligations and liabilities incurred tl1l'ough the effective date of 
termination, including obligations that extend beyond the effective date of termination. 
6. Costs, The commission may not bear any costs related to a state that is found to be 
in default or that has been terminated from the compact, unless agreed upon in writing 
between the commission and the defaulting state. 
7, Appeal, The defaulting state may appeal its termination from the compact by the 
commission by petitioning the United States District Court for the District of Columbia or 
the federal district where the commission has its principal offices, The prevailing member 
must be awarded all costs of that litigation, including reasonable attorney's fees. 
COMMITTEE AMENDMENT 
~ 
-~O 
COMMITTEE AMENDMENT" Ff to H.P. 1361, L.D. 2137 
8. Notice of termination to licensees. Upon the termination of a state's participation 
in the compact, the state shall immediately provide notice to all licensees within that state 
and licensees of other participating states who have been issued a compact privilege within 
that state, of such termination that licensees who have been granted a compact privilege in 
that state retain the compact privilege for 180 days following the effective date of such 
termination. 
9. Dispute resolution. Dispute resolution is governed by this subsection. 
A. Upon request by a patticipating state, the commission shall attempt to resolve 
disputes related to the compact that arise among patticipating states and between 
pa1ticipating and nonpa1ticipating states. 
B. The commission shall promulgate a rule providing for both mediation and binding 
dispute resolution for disputes as appropriate. 
10. Enforcement, Enforcement of the compact is governed by this subsection. 
A. The commission, in the reasonable exercise of its discretion, shall enforce the 
provisions of the compact and rules of the commission. 
B. By majority vote, the commission may initiate legal action in the United States 
District Comt for the District of Columbia or the federal district where the commission 
has its principal offices, against a participating state in default to enforce compliance 
with the provisions of this compact and the commission's promulgated rules and 
bylaws. The relief sought may include both injunctive relief and damages. In the event 
judicial enforcement is necessary, the prevailing party must be awarded all costs of 
such litigation, including reasonable attorney's fees. 
C. The remedies herein must not be the exclusive remedies of the commission. The 
commission may pursue any other remedies available under federal or state law. 
11. Legal action against the commission. Legal action against the commission is 
governed by this subsection. 
A. A pa1ticipating state may initiate legal action against the commission in the United 
States District Comt for the District of Columbia or the federal district where the 
commission has its principal offices to enforce compliance with the provisions of the 
compact and its rules. The relief sought may include both injunctive relief and 
damages. In the event judicial enforcement is necessary, the prevailing patty must be 
awarded all costs of such litigation, including reasonable attorney's fees. 
B. No individual or entity other than a pa1ticipating state may enforce this compact 
against the commission. 
§18442. Effective date; withdrawal; amendment 
1. Effective date, The compact takes effect on the date the compact statute is enacted 
into law in the 7th patticipating state. 
A. On or after the effective date of the compact. the commission shall convene and 
review the enactment of each of the states that enacted the compact prior to the 
commission convening, referred to in this section as "the chatter pa1ticipating states," 
to determine if the statute enacted by each chatter participating state is materially 
different than the model compact. 
COMMITTEE AMENDMENT 
!o 
~o 
COMMITTEE AMENDMENT "Pr" to H.P. 1361, L.D. 2137 
(1) A charter participating state whose enactment is found to be materially different 
from the model compact is entitled to the default process set fo1th in section 18441, 
subsection 2. 
(2) If any pa1ticipating state is later found to be in default, or is terminated or 
withdraws from the compact, the commission shall remain in existence and the 
compact must remain in effect even if the number of pa1ticipating states is less than 
1. 
B. Pa1ticipating states enacting the compact subsequent to the chatter pa1ticipating 
states are subject to the process set fo1th in section 18438, subsection 3, paragraph V 
to determine if their enactments are materially different from the model compact and 
whether they qualify for participation in the compact. 
C. All actions taken for the benefit of the commission or in fmtherance of the purposes 
of the administration of the compact prior to the effective date of the compact or the 
commission coming into existence must be considered to be actions of the commission 
unless specifically repudiated by the commission. 
2, Subsequent member states, Any state that joins the compact subsequent to the 
commission's initial adoption of the rules and bylaws is subject to the mles and bylaws as 
they exist on the date on which the compact becomes law in that state. Any rule that has 
been previously adopted by the commission has the full force and effect of law on the day 
the compact becomes law in that state, 
3, Withdrawal. Any pa1ticipating state may withdraw from this compact by enacting 
a statute repealing that state's enactment of the compact. 
A. A pa1ticipating state
1s withdrawal does not take effect until 180 days after enactment 
of the repealing statute, 
B. Withdrawal does not affect the continuing requirement of the state licensing board 
or boards of the withdrawing state to comply with the investigative and adverse action 
repo1ting requirements of this compact prior to the effective date of withdrawal. 
C, Upon the enactment of a statute withdrawing a state from this compact, the state 
shall immediately provide notice of such withdrawal to all licensees within that state, 
Notwithstanding any subsequent statutmy enactment to the contra1y, such withdrawing 
state shall continue to recognize all compact privileges to practice within that state 
granted pursuant to this compact for a minimum of 180 days after the date of such 
notice of withdrawal. 
4. Other agreements or arrangements, Nothing contained in this compact may be 
construed to invalidate or prevent any licensure agreement or other cooperative 
arrangement between a pa1ticipating state and a nonpa1ticipating state that does not conflict 
with the provisions of this compact. 
5, Amendment, This compact may be amended by the patticipating states. An 
amendment to this colnpact does not become effective and binding upon any patticipating 
state until it is enacted into the laws of all pa1ticipating states, 
§18443. Construction and severability 
1. Construction, This compact and the commission
1s rule-making authority must be 
liberally construed so as to effectuate the purposes and the implementation and 
COMMITTEE AMENDMENT 
0<2> 
~ 
COMMITTEE AMENDMENT "{t" to H.P. 1361, L.D. 2137 
administration of the compact. Provisions of the compact expressly authorizing or requiring 
the promulgation of rules may not be construed to limit the commission's rule-making 
authority solely for those purposes. 
2, Severability. The provisions of this compact are severable and, if any phrase, clause, 
sentence or provision of this compact is held by a comt of competent jurisdiction to be 
contrary to the constitution of any patticipating state, a state seeking participation in the 
compact, or of the United States, or the applicability thereof to any government, agency, 
person or circumstance is held to be unconstitutional by a comt of competent jurisdiction, 
the validity of the remainder of this compact and the applicability thereof to any other 
govemment, agency, person or circumstance may not be affected. 
3, Denial of participation, Notwithstanding this section, the commission may deny a 
state's patticipation in the compact or, in accordance with the requirements of section 
18441, terminate a patticipating state's patticipation in the compact if it determines that a 
constitutional requirement of a patticipating state is a material depatture from the compact. 
Otherwise, if this compact is held to be contrary to the constitution of any patticipating 
state, the compact remains in full force and effect as to the remaining patticipating states 
and in full force and effect as to the patiicipating state affected as to all severable matters. 
§18444. Consistent effect and conflict with other state laws 
1. Enforcement. Nothing in this subchapter prevents or inhibits the enforcement of 
any law of a patticipating state that is not inconsistent with the compact. 
2, Conflict, Any laws, rules or other legal requirements in a patticipating state in 
conflict with the compact are superseded to the extent of the conflict. 
3. Binding agreements. All permissible agreements between the commission and the 
patticipating states are binding in accordance with the terms of the agreement. 
§18445, Legislative intent 
This compact is the Maine enactment of the Dentist and Dental Hygienist Compact. 
The form, format and text of the compact have been changed minimally so as to conform 
to Maine statut01y conventions. The changes are technical in nature, and it is the intent of 
the Legislature that this compact be interpreted as substantively the same as the Dentist and 
Dental Hygienist Compact that is enacted by other patticipating states. 
Sec, 2, 
Appropriations and allocations. The following appropriations and 
allocations are made. 
PROFESSIONAL AND FINANCIAL REGULATION, DEPARTMENT OF 
Administrative Services - Professional and Financial Regulation 0094 
Initiative: Allocates ongoing funds for the STA-CAP, service center support and 
technology costs associated with implementing the compact for licensing dentists and 
dental hygienists. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Office of Professional and Occupational Regulation 0352 
2023-24 
$0 
$0 
COMMITTEE AMENDMENT 
2024-25 
$9,236 
$9,236 
COMMITTEE AMENDMENT" It" to H,P, 1361, L.D. 2137 
Initiative: Allocates funds for one Comprehensive Health Planner II position and one 
Health Services Consultant position and related All Other costs to manage increased 
responsibilities, including application review for compact privilege, compact compliance, 
compact repo1ting and joint investigations. 
OTHER SPECIAL REVENUE FUNDS 
POSITIONS - LEGISLATIVE COUNT 
Personal Services 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Office of Professional and Occupational Regulation 0352 
2023-24 
0.000 
$0 
$0 
$0 
2024-25 
2.000 
$191,292 
$13,060 
$204,352 
Initiative: Allocates funds for the STA-CAP and rulemaking costs associated with 
implementing the compact for licensing dentists and dental hygienists. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PROFESSIONAL AND FINANCIAL 
REGULATION, DEPARTMENT OF 
DEPARTMENT TOTALS 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
2023-24 
$0 
$0 
2023-24 
$0 
$0 
2024-25 
$5,753 
$5,753 
2024-25 
$219,341 
$219,341 
Amend the bill by relettering or renumbering any nonconsecutive Pait letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill, which is a concept draft. The amendment enacts the 
Dentist and Dental Hygienist Compact to facilitate the interstate practice of dentist1y and 
dental hygiene by improving public access to dentistry and dental hygiene services 
provided by dentists and dental hygienists practicing in pa1ticipating states in which they 
are not licensed. The compact preserves the regulatory authority of a state to protect public 
5 
health and safety through that state's current system of state licensure and promote mobility 
6 
and address workforce shortages by eliminating the necessity for licenses in multiple states 
by providing fol' the n.rntual recognition of other member state licenses. 
8 
The form, fo11nat and text of the Dentist and Dental Hygienist Compact have been 
changed minimally so as to conform to Maine statut01y conventions, The changes are 
technical in nature, and it is the intent of the Legislature that this compact be interpreted as 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" k" to H.P. 1361, L.D. 2137 
substantively the same as the Dentist and Dental Hygienist Compact that is enacted by 
other member states. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/29/24 feac:,. 
LD 2137 
LR2881(02) 
An Act to Join the Dentist and Dental Hygienist Compact 
Fiscal Note for Bill as Amended by Committee Amendment 'Pf-' { H_qLiq) 
Committee: ~ealth Coverage~ Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
CuITent biennium revenue increase - Other Special Revenue Funds 
FY 2023-24 
FY 2024-25 
Projections 
FY 2025-26 
Projections 
FY 2026-27 
.. ppropriations/ Allocations 
Other Special Revenue Funds 
$0 
$219,341 
$241,496 
$251,358 
Fiscal Detail and Notes 
This legislation adds the State of Maine to the Compact for Licensing Dentists and Dental Hygienists contingent upon 
states enacting it into law. This fiscal note assumes that at least 7 states will enact the compact and it will become 
effective during the 2024-25 fiscal year, 
Given this assumption, this bill includes ongoing Other Special Revenue Funds allocations totaling $219,341 in fiscal 
year 2024-25 to the Department of Professional and Financial Regulation (DPFR) to join and participate in the dentist 
and dental hygienists compact. Of that amount, $204,352 is allocated to the Office of Professional and Occupational 
Regulation (OPOR) for one Comprehensive Health Plantier II position and one Health Services Consultant.position 
and related All Other costs to manage the increase in responsibilities of the Board of Dental Practice, including the 
review of applications fo1· compact privilege, compact compliance, joint investigations and reporting requirements. 
Additionally, $5,753 is allocated to OPOR for STA-CAP and rulemaking costs, Finally, $9,236 is allocated on an 
ongoing basis to the Administrative Services - Professional and Financial Regulation program within DPFR for STA-
CAP, service center support and technology costs that are reimbursed by transfers from the board, 
According to DPFR, the Board of Dental Practice does not have sufficient resources to supp01t the costs associated 
with this bill within the amount of revenue currently received and will need to increase fees to suppott the additonal 
costs.