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Allow dental hygienists to expand scope of practice under guidance

The following testimony was submitted by the Grassroot Institute of Hawaii for consideration by the House Committee on Consumer Protection & Commerce on Feb. 24, 2026.
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Feb. 24, 2026 2 p.m.
Hawaii State Capitol
Conference Room 329 and Videoconference

To: House Committee on Consumer Protection & Commerce
       Rep. Scot Z. Matayoshi, Chair
       Rep. Tina Nakada Grandinetti, Vice Chair

From: Grassroot Institute of Hawaii
            Ted Kefalas, Director of Strategic Campaigns

TESTIMONY IN SUPPORT OF HB1671 HD1 — RELATING TO HEALTH

Aloha Chair, Vice Chair and other Committee members,

The Grassroot Institute of Hawaii supports HB1671 HD1, which would allow licensed dental hygienists to place interim therapeutic restorations under the general supervision of a licensed dentist.

Hawaii continues to suffer from healthcare shortages and a lack of access to care, especially for vulnerable populations. This bill would help address that issue by expanding the scope of practice for dental hygienists.

Research shows that strict state scope-of-practice restrictions for dental hygienists are associated with higher preventable dental emergency visits.[1]

Increasing the scope of practice for dental hygienists could improve outcomes and alleviate the burdens caused by lack of access to care.

Thank you for the opportunity to testify.

Ted Kefalas
Director of Strategic Campaigns
Grassroot Institute of Hawaii
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[1] Marvellous A. Akinlotan, et al., “Dental hygienists’ scope of practice regulations and preventable non-traumatic dental emergency department visits: A cross-sectional study of 10 U.S. states,” Community Dentistry and Oral Epidemiology, March 5, 2022.

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