republic-os/legislation/us/states/va/2017/hb-1474.md

---
type: "Bill"
title: "Dental hygienist; remote supervision."
description: "Eliminates the requirement that a dental hygienist providing dental hygiene services under remote supervision be employed by the supervising dentist; clarifies continuing education requirements for dental hygienists practicing under remote supervision; eliminates the requirement for written permission to treat a patient from a dentist who has treated the patient in the previous 12 months; and allows a dental hygienist practicing under remote supervision to treat a patient who provides verbal confirmation that he does not have a dentist of record whom he is seeing regularly. The bill eliminates the requirement that a dental hygienist practicing under remote supervision consult with the supervising dentist prior to providing further dental hygiene services if the patient is medically compromised or has periodontal disease and allows a dental hygienist practicing under remote supervision to provide further dental hygiene services in accordance with a written practice protocol developed and provided by the supervising dentist, which shall consider, at minimum, the medical complexity of the patient and the presenting signs and symptoms of oral disease. The bill requires a supervising dentist who conducts the examination of the patient or refers the patient to another dentist for examination following the 90-day period during which a dental hygienist is permitted to provide dental hygiene services under remote supervision to develop a diagnosis and treatment plan for the patient. The bill directs the Board of Dentistry to promulgate regulations to implement the provisions of the act within 280 days of its enactment."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2017"
identifier: "HB 1474"
citation: "Virginia HB 1474 (2017)"
classification: ["bill"]
subjects: ["Commissions", "Boards and Institutions Generally", "Professions and Occupations"]
status: "enacted"
primary_sponsors: ["Robert D. Orrock, Sr."]
version_count: 3
action_count: 20
vote_count: 6
first_action: "2016-12-13"
last_action: "2017-03-13"
source: "openstates"
source_identifier: "ocd-bill/db697ab5-36c6-47e3-ae7d-20de071cd2f1"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?171+sum+HB1474"
source_hash: "2d3622fbc001d47cf9aa9b04557a6d05cf18a2228e3357835c25de5ad03186a9"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-va"]
---

# Virginia HB 1474 (2017) — Dental hygienist; remote supervision.

Eliminates the requirement that a dental hygienist providing dental hygiene services under remote supervision be employed by the supervising dentist; clarifies continuing education requirements for dental hygienists practicing under remote supervision; eliminates the requirement for written permission to treat a patient from a dentist who has treated the patient in the previous 12 months; and allows a dental hygienist practicing under remote supervision to treat a patient who provides verbal confirmation that he does not have a dentist of record whom he is seeing regularly. The bill eliminates the requirement that a dental hygienist practicing under remote supervision consult with the supervising dentist prior to providing further dental hygiene services if the patient is medically compromised or has periodontal disease and allows a dental hygienist practicing under remote supervision to provide further dental hygiene services in accordance with a written practice protocol developed and provided by the supervising dentist, which shall consider, at minimum, the medical complexity of the patient and the presenting signs and symptoms of oral disease. The bill requires a supervising dentist who conducts the examination of the patient or refers the patient to another dentist for examination following the 90-day period during which a dental hygienist is permitted to provide dental hygiene services under remote supervision to develop a diagnosis and treatment plan for the patient. The bill directs the Board of Dentistry to promulgate regulations to implement the provisions of the act within 280 days of its enactment.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Governor: Acts of Assembly Chapter text (CHAP0410)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+CHAP0410)
2. **House: Bill text as passed House and Senate (HB1474ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB1474ER)
3. **House: Prefiled and ordered printed; offered 01/11/17 17100868D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB1474)

## Votes

- Constitutional reading dispensed — **39–0** (pass) · legislature
- Reported from Health, Welfare and Institutions — **22–0** (pass) · legislature
- Senate amendment agreed to by House — **97–0** (pass) · legislature
- Passed Senate with amendment — **40–0** (pass) · legislature
- Reported from Education and Health with amendment — **15–0** (pass) · legislature
- Read third time and passed House BLOCK VOTE — **92–0** (pass) · legislature

## Sponsors

- Robert D. Orrock, Sr. — primary (person)
- Kaye Kory — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2016-12-13** Prefiled and ordered printed; offered 01/11/17 17100868D `introduction`
- **2016-12-13** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2017-01-18** Read first time `reading-1`
- **2017-01-19** Read second time and engrossed `reading-2`
- **2017-01-20** Read third time and passed House BLOCK VOTE (92-Y 0-N) `passage, reading-3`
- **2017-01-23** Constitutional reading dispensed
- **2017-01-23** Referred to Committee on Education and Health `referral-committee`
- **2017-02-06** Assigned Education sub: Health Professions `referral-committee`
- **2017-02-13** Read third time `reading-3`
- **2017-02-13** Reading of amendment waived
- **2017-02-13** Committee amendment agreed to
- **2017-02-13** Engrossed by Senate as amended
- **2017-02-15** Placed on Calendar
- **2017-02-15** Senate amendment agreed to by House (97-Y 0-N)
- **2017-02-17** Enrolled
- **2017-02-17** Signed by Speaker
- **2017-02-20** Signed by President
- **2017-02-21** Enrolled Bill communicated to Governor on 2/21/17
- **2017-02-21** Governor's Action Deadline Midnight, March 27, 2017
- **2017-03-13** Approved by Governor-Chapter 410 (effective 7/1/17) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/db697ab5-36c6-47e3-ae7d-20de071cd2f1`. Confidence: reported (aggregated from official Virginia legislature records).