State Orders Regarding the Operation of Dental Practices

14:18 23 March in COVID-19
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Below is a summary of State Orders regarding the operation of dental practices. Please refer to your state’s website for the latest updates.

 

 

 

LAST UPDATED SUMMARY – STATE ORDERS

(Click on State name to launch the state’s Dental Board Website for additional information)

ALABAMA (as of 3/26/2020)

Pursuant to the State Health Officer, effective 3-19-20 all elective dental and medical procedures shall be delayed. Prior to 4-6-20, determination shall be made whether to extend this order. Shelter in place for Birmingham.

Click here for the State Order.

ALASKA (as of 3/26/2020)

Pursuant to the Governors 3-19-20 Health Mandate – In concurrence with recommendations from the Association (ADA), the Alaska Dental Society, and the Centers for Disease Control & Prevention, elective oral health care procedures are required to be postponed for a period of one month.

Click here for the Health Mandate.

ARIZONA (as of 3/26/2020)

Executive Order 3-19-20 delaying non-essential, elective medical and dental procedures be delayed.

Click here for the Executive Orders.

ARKANSAS (as of 3/26/2020)

The Secretary of Health, as of March 23, 2020, directs and mandates that all dental practitioners follow the recommendation of the Arkansas State Board of Dental Examiners and the American Dental Association that only urgent and emergent dental care take place, and that non-emergent dental care be suspended until April 17, 2020. This directive and mandate is subject to change as the COVID-19 pandemic progresses.

Click here for the Directive to Dentists.

CALIFORNIA (as of 3/26/2020)

The Board does not have authority to close businesses or practices. We strongly encourage you to assess whether your business is an essential job function as outlined by the Governor and follow the guidelines from the Centers for Disease Control and Prevention. Check with your local county health department to determine what activities are also considered essential and non-essential.

Click here for the Government Notice.

COLORADO (as of 3/26/2020)

On 3-19-20 Gov. Polis signed an executive order temporarily suspending elective and non-essential surgeries and procedures to preserve important medical equipment, like personal protective equipment and ventilators, needed to combat COVID-19. The executive order is in effect from March 23 to April 14, with the exception of rural and critical access hospitals. This includes all voluntary or elective surgeries or procedures, whether medical, dental, or veterinary.

Click here for more information.

CONNECTICUT (as of 3/26/2020)

No specific guidance.

DELAWARE (as of 3/26/2020)

No specific guidance.

DISTRICT OF COLUMBIA (as of 3/26/2020)

No specific guidance.

FLORIDA (as of 3/25/2020)

Governor Places Mandates on Dental Offices – All hospitals, ambulatory surgical centers, office surgery centers, dental, orthodontic and endodontic offices and other health care practitioners’ offices are directed to immediately cease performing elective services until May 8, 2020.Through issuance of Executive Order 20-72, Gov. Ron DeSantis has mandated the prohibition of any medically unnecessary, non-urgent or non-emergency procedure or surgery in the state of Florida. Dentists would still be required to see emergency patients. All non-essential elective medical and surgical procedures, including dental procedures, are included in order to conserve medical supplies and resources, preserve essential resources and control the potential spread of COVID-19. Stay at home orders for Alachua County; City of Miami Beach; Leon County; Orange County; Osceola County; Pinellas County; Tampa.

Click here for more information.

GEORGIA (as of 3/26/2020)

The Georgia Board of Dentistry recognizes the unprecedented and extraordinary circumstances dentists and their patients face during this National Emergency. Our desires are to mitigate transmission of the COVID-19 virus while also supporting emergency care for patients so as to help prevent overwhelming hospital emergency departments through April 15th, or the lifting of the Governor’s State of Emergency, if this crisis ends sooner. Under these circumstances, while urgent, emergency services will continue to be performed in dental offices, the Board recognizes that patients may be best served when telecommunication technology can be leveraged to support dental care. Stay at home/shelter in place orders for cities of Atlanta; Blakely; Carrollton; Savannah; and Athens-Clarke County.

Click here for more information.

HAWAII (as of 3/26/2020)

No specific guidance.

IDAHO (as of 3/26/2020)

In order to protect staff and preserve personal protective equipment and patient care supplies, as well as expand available hospital capacity during the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) recommends that dental facilities postpone elective procedures, surgeries, and non-urgent dental visits, and prioritize urgent and emergency visits and procedures now and for the coming several weeks. This aligns with the American Dental Association(ADA)’s March 16, 2020 recommendation that dentists nationwide postpone elective procedures, as well the Centers for Medicare and Medicaid Services (CMS)’s March 19, 2020 guidance that all non-essential dental exams and procedures be postponed until further notice.

ILLINOIS (as of 3/26/2020)

The Illinois Department of Public Health is recommending cancelling ALL elective surgeries and procedures to immediately decompress the healthcare system during the COVID-19 response that are considered non-emergent or elective. “Elective” is defined as those procedures that are pre-planned by both the patient and the physician that are advantageous to the patient but are NOT urgent or emergent. Physicians should use their medical judgement to determine the need for surgery.

Click here for more information.

INDIANA (as of 3/26/2020)

On Monday, March 23, Indiana Governor Eric Holcomb issued an executive order calling for all individuals living in Indiana to stay at home or their place of residence. The order goes into effect at midnight on Tuesday, March 24, and remains in effect until 11:59 p.m. on Monday, April 6. Exceptions are made for securing food and other “essential services.” Dental offices are included on the essential services list, but the governor went on clarify that nonessential medical and dental care are not exempted and should be postponed. The order has the same intent as the recommendations issued by both the ADA and IDA last week, which advised that nonessential dental services should be postponed for three weeks.

Click here for more information.

IOWA (as of 3/26/2020)

On March 26, 2020, Governor Reynolds issued a new proclamation continuing the State Public Health Emergency Declaration. As part of this proclamation, there is now a mandate for all dentists and their staff to refrain from performing elective dental procedures and nonessential or elective surgeries, effective at 5:00 p.m. on March 27, 2020, and continuing through 12:00 a.m. on April 16, 2020. Emergency dental services are still permitted. The Dental Board will issue additional guidance as needed in the coming days.

Click here for more information.

KANSAS (as of 3/26/2020)

The KDHE “strongly recommends that dental practitioners practicing in Kansas voluntarily suspend nonessential or non-urgent dental care for the next 14 days and is providing guidance per the AMA. The Kansas Dental Board is not authorized, statutorily or otherwise, to close dental offices or suspend certain dental procedures in Kansas due to COVID-19. These decisions may only be ordered by the exercise of executive or emergency powers, including, but not limited to, those powers held by the President of the United States or Governor. Each licensee should remain informed of current developments.** Stay at home orders for the following counties: Doniphan; Douglas; Johnson; Leavenworth; Miami; Sedgwick; Wyandotte.

Click here for more information.

KENTUCKY (as of 3/26/2020)

On March 18, the Cabinet for Health and Family Services issued the following memo in response to the COVID-19 outbreak in Kentucky. It requires all healthcare providers, including dentists, to suspend elective procedures that will not result in harm to the patient. This directive replaces the governor’s previous request to voluntarily postpone non-emergency medical procedures.

Click here for more information.

LOUISIANA (as of 3/26/2020)

Per the State of Louisiana DOH all non-essential dental visits and all routine, non-essential procedures/surgeries are prohibited for 30 days beginning 3-18-20.

Click here for more information.

MAINE (as of 3/26/2020)

No specific guidance. Stay at home order for the city of Portland.

MARYLAND (as of 3/26/2020)

“Pursuant to the Executive Order of March 16, 2020 relating to various health care matters and in accordance with the guidance issued by MDH and posted on its website, all providers of health care licensed, certified, or otherwise authorized under the Health Occupations Article shall perform only medical procedures that are critically necessary for the maintenance of health for a patient. All elective and nonurgent medical procedures and appointments shall cease effective at 5 p.m., Tuesday, March 24, 2020 and shall not be performed for the duration of the catastrophic health emergency.

Click here for more information.

MASSACHUSETTS (as of 3/26/2020)

No specific guidance.

MICHIGAN (as of 3/25/2020)

March 20, Gov. Gretchen Whitmer released Executive Order 2020-17. This order bans all nonessential or elective dental procedures. This means every dentist in Michigan must not perform any nonessential or elective procedures. If you do, consequences could include an ethics violation, loss of your license and/or criminal charges. This is no longer a choice or a recommendation. Dentists must all follow what is included in the order, which prohibits all non-essential and/or elective procedures.

Click here to view EO 2020-17

Click here to view EO 2020-21

MINNESOTA (as of 3/26/2020)

Per Governors executive Order – Beginning no later than March 23, 2020 at 5:00 pm, and continuing for the duration of the peacetime emergency declared in Executive Order 20-01 or until this Executive Order is rescinded, all non-essential or elective surgeries and procedures, including non-emergent or elective dental care, that utilize PPE or ventilators must be postponed indefinitely. The Health Dept is asking dentists to make their practice available to care for patients who are experiencing dental emergencies and to provide emergent dental care that is needed, based on their clinical judgment.” The Minnesota Board of Dentistry told its licensees “it’s not acceptable” to state on a voice mail greeting that the office is closed without providing a way to reach the dentist in emergency cases: “This practice defers an otherwise healthy patient to seek dental emergency treatment in the ER.

Click here for more information.

MISSISSIPPI (as of 3/26/2020)

The MSDH advises that all elective and non-essential medical visits must be postponed as this time. Dentists must delay non-emergency or routine dental procedures. Stay in place order for the City of Oxford.

Click here for more information.

MISSOURI (as of 3/26/2020)

The CDC and the American Dental Association (ADA) have recommended that elective, or non-urgent dental procedures be postponed to help reduce the risk of spreading COVID-19. The Missouri Dental Board supports these recommendations and urges Missouri dentists to adhere to them. Dentists are strongly encouraged to take the necessary steps to insure the safety of their patients, staff and themselves by limiting opportunities for this virus to continue to spread. We must all work together and do our part to help manage this serious risk to public health. Stay at home orders for Boone County; Clay County; Jackson County; St. Louis; St. Louis County; Kansas City.

Click here for the Dental Board Update.

Click here for more information.

MONTANA (as of 3/26/2020)

The American Dental Association, all of the parent dental specialty organizations, and the Nebraska Dental Association recommend suspending routine dental care, across many states including ours, through the 1st of April. With enough due diligence it is hoped that the infection curve will flatten, at least locally, and we can get back to business as usual. Additionally, these recommendations could change as information from the CDC, ADA, and the NDA changes.

Click here for more information.

NEBRASKA (as of 3/26/2020)

The American Dental Association, all of the parent dental specialty organizations, and the Nebraska Dental Association recommend suspending routine dental care, across many states including ours, through the 1st of April. With enough due diligence it is hoped that the infection curve will flatten, at least locally, and we can get back to business as usual. Additionally, these recommendations could change as information from the CDC, ADA, and the NDA changes.

Click here for more information.

NEVADA (as of 3/26/2020)

The Nevada State Board of Dental Examiners concurs with ADA (American Dental Association) that our healthcare practitioners do their part to mitigate the spread of Covid-19 by recommending that our dental healthcare providers postpone elective procedures for the next two weeks.

Click here for more information.

NEW HAMPSHIRE (as of 3/26/2020)

In order to protect the public health, safety, and welfare, and any person practicing dentistry in New Hampshire, the NH Board of Dental Examiners (Board) supports the March 16, 2020 statement from the American Dental Association. Specifically, in order to mitigate the spread of COVID-19, the Board concurs with the recommendation dentists postpone elective procedures concurrent with the state of emergency in New Hampshire. Concentrating on emergency dental care will allow the dental community to care for emergency patients and alleviates the burden that dental emergencies would place on hospital emergency departments.

NEW JERSEY (as of 3/26/2020)

As part of the state’s effort to preserve the capacity of the health care system to respond to COVID-19, Governor Phil Murphy today signed Executive Order No. 109, directing the suspension of all elective surgeries and invasive procedures performed on adults that are scheduled to take place after 5:00 p.m. on Friday, March 27. The Governor’s Executive Order applies to all medical and dental operations that can be delayed without undue risk to the current or future health of the patient, as determined by the patient’s physician or dentist. Protecting the capacity of hospitals: Physicians and dentists, who are planning to perform surgery or invasive procedures in their offices, must consider the potential burden of post-surgery complications on local hospitals prior to performing any operation.

Paragraph 7 of EO 109 above states: Any business or non-hospital health care facility, including but not limited to dental facilities, construction facilities, research facilities, office-based healthcare or veterinary practices, and institutions of higher learning, in possession of PPE, ventilators, respirators, or anesthesia machines that are not required for the provision of critical health care services should undertake an inventory of such supplies and send that information to the State by no later than 5:00 p.m. on Friday, March 27, 2020. The Office of Emergency Management shall establish a process by which entities subject to this provision can submit this information. Guidance was just released on the inventory requirement, including an online Personal Protective and Medical Equipment Intake Form at https://covid19.nj.gov/ppereport.

Click here for more information.

Click here for guidance determining whether business enterprise is subject to a workforce reduction under the recent executive orders.

NEW MEXICO (as of 3/26/2020)

Since the number of current viral pandemic cases are growing into our state, the New Mexico Board of Dental Health Care recommends the following guidelines for dental offices and clinics in order reduce the further spread of COVID-19 (Coronavirus). Limit all dental care to urgent and/or emergent needs. If patients are in need of immediate dental care, do not refer them to urgent care centers or hospital emergency departments. We do not want to overburden an already crowded medical facility with dental issues. You have an obligation to care for those that are in need. Do not abandon patients, as it may be considered a violation of the NM Administrative Code. Postpone all dental care (including dental hygiene) that can wait and that would not significantly change the patient’s condition or cause further harm.

Click here for more information.

On March 23, 2020, the New Mexico Department of Health issued an order announcing that dental facilities providing care for emergencies are considered essential by the order. Click here for more information.

NEW YORK (as of 3/26/2020)

As of this Sunday, March 22, you will be in violation if you are treating anything other than emergencies in your office, and can be subject to a fine. Click here for more information.

Click here for guidance on determining whether business enterprise is subject to a workforce reduction under the recent executive orders.

NORTH CAROLINA (as of 3/26/2020)

The NC State Board of Dental Examiners has received numerous requests for the Board to mandate the closure of all NC dental offices in response to the coronavirus pandemic. However, the Dental Board lacks the authority to mandate the closure of dental offices. Notwithstanding certain federal authority, the authority to close North Carolina businesses resides with the Governor, certain state agencies, and county and local governments under the emergency powers of the state. Should the Board learn of the Governor or another state agency mandating the closure of dental offices, that information will be published to you as soon as possible. Re-scheduling or postponing non-urgent, routine, and elective procedures is advised to lessen the risk of an inadvertent spread of the virus. Stay in place orders for the following counties: Durham; Madison; Mecklenburg; Pitt.

Click here for more information.

NORTH DAKOTA (as of 3/26/2020)

The North Dakota Board of Dental Examiners encourages dental practitioners within the state, to discontinue providing routine, non-essential, and elective procedures through effective March 19, 2020, at the end of the business day, through April 4, 2020. During this time all practitioners must continue to provide patients emergency care. Providing emergency care means more than just providing patients access to phone number or another healthcare institution but rather to facilitate the emergency care. Failure to provide the appropriate emergency contact information or emergency care for your patients of record may result in disciplinary action.

Click here for more information.

OHIO (as of 3/26/2020)

ODB has ordered a ban of all non-essential or elective procedures.

Click here for more information.

OKLAHOMA (as of 3/26/2020)

Safer at Home order of 3-24-20 – The order suspends elective surgeries, minor medical procedures, and non-emergency dental procedures beginning March 25 for the next two weeks to preserve medical supplies and PPE for COVID-19 response. Stay at home order for Norman City.

Click here for more information.

OREGON (as of 3/26/2020)

By Executive Order of the Gov. dated 3-19-20 – No later than 3-23-20, all elective and non-urgent procedures across all care settings that utilize PPE, including but not limited to hospitals, ambulatory, surgery centers, outpatient clinics (including community health clinics and student health centers), dental clinics, and veterinary clinics, shall be cancelled, or rescheduled no earlier than June 15, 2020, for the purpose of conserving and redirecting PPE for the state’s COVID-19 emergency response.

Click here for more information.

PENNSYLVANIA (as of 3/26/2020)

Revised guidance on COVID-19 for Dental Health Care Personal is accessible here.

Guidance on COVID-19 for Dental Health Care Personnel in Pennsylvania – With the Governor’s authorization as conferred in the Proclamation of Disaster Emergency issued on March 6, 2020, effective immediately the Pennsylvania Department of Health (DOH) directs facilities to cease all dental treatment except emergencies within the provided guidelines below until further notice. We ask providers who will need to close due to this notice to remain available to speak to patients and triage calls for dental emergencies. Stay at home order for the following counties: Allegheny; Bucks; Chester; Delaware; Erie; Lehigh; Monroe; Montgomery; North Hampton; Philadelphia.

Click here for more information.

RHODE ISLAND (as of 3/26/2020)

Per the RIDOH – Guidance for dental providers also continues to evolve. Dental care providers should not perform routine or elective care, but should be available for patients with urgent or emergent needs. The Rhode Island Department of Health continues to provide the following guidance: Dentists should cancel or postpone any elective procedure or “routine” service until at least April 6, 2020, to limit exposure to and transmission of the virus and help preserve and extend the supply of personal protective equipment. This policy will be reevaluated on that date. Dentists should provide emergency care to their existing patients and others seeking urgent care. Patients must be able to reach their dental provider, who should assess the issue/condition and determine whether there is a need for emergency treatment. Dentists should maintain open lines of communication for patients, whether by website, email, text and/or office voicemail, advising of limited operations during the state of emergency.

Click here for more information.

SOUTH CAROLINA (as of 3/26/2020)

The SCDB is urging licensees to review current recommendations from the ADA and CDC. Stay at home orders for Charleston County.

Click here for more information.

SOUTH DAKOTA (as of 3/26/2020)

Providers appear to be asked to follow the recommendations of the SD DOH, ADA and CDC and postpone routine dental visits.

Click here for more information.

TENNESSEE (as of 3/26/2020)

No specific guidance. Stay at home orders for the following counties: Franklin; Davidson; Knox; Shelby.

TEXAS (as of 3/26/2020)

Per Executive Order No. GA-09, “beginning now and continuing until 11:59 p.m. on April 21, 2020, all licensed health care professionals and all licensed health care facilities shall postpone all surgeries and procedures that are not immediately medically necessary to correct a serious medical condition of, or to preserve the life of, a patient who without immediate performance of the surgery or procedure would be at risk for serious adverse medical consequences or death, as determined by the patient’s physician;” “PROVIDED, however, that this prohibition shall not apply to any procedure that, if performed in accordance with the commonly accepted standard of clinical practice, would not deplete the hospital capacity or the personal protective equipment needed to cope with the COVID- 19 disaster.

LARGE COUNTY EO – DENTAL IMPACT:
Bexar County – Dentists are listed under Exempted Businesses, and thus able to continue in-person operations, except that elective dental procedures are not permitted.
Collin County – Although the order states “All persons in Collin County are hereby ordered to stay home, except for travel related to essential activities” it also states, “This order does not prohibit any person from leaving his or her home to seek necessary medical or emergency care.”
Dallas County – Dentists are listed under Essential Businesses and thus able to continue in-person operations, except that elective dental procedures are not permitted.
Denton County – Dentists are listed under Essential Businesses, and thus able to continue in-person operations, except that elective dental procedures are not permitted.
Harris County – Dentists are listed under Essential Businesses, and thus able to continue in-person operations. No specific elective procedure prohibition in the Harris Co. order, but the statewide prohibition would still apply.
Tarrant County – Dentists are listed under Essential Businesses, and thus able to continue in-person operations, except that elective dental procedures are not permitted.
Travis County – Dentists are listed under Essential Businesses, and thus able to continue in-person operations, except that elective dental procedures are not permitted.

Stay at home orders for the following counties: Bell; Bexar; Collin; Dallas; Denton; El Paso; Harris; Hunt; McLennan; Robertson; Tarrant; Travvis; Williamson.

Click here for more information.

UTAH (as of 3/26/2020)

No specific guidance. Stay at home order for Summit County.

VERMONT (as of 3/26/2020)

No specific guidance.

VIRGINIA (as of 3/26/2020)

Governor and State Health Commissioner hereby issue this Order prohibiting all inpatient and outpatient surgical hospitals licensed under 12 VAC 5-410, free-standing endoscopy centers, physicians’ offices, and dental, orthodontic, and endodontic offices in the Commonwealth from providing procedures and surgeries that require PPE, which if delayed, are not anticipated to cause harm to the patient by negatively affecting the patient’s health outcomes, or leading to disability or death. This does not include outpatient visits delivered in hospital-based clinics. This Order does not apply to the full suite of family planning services and procedures nor to treatment for patients with emergency or urgent needs. Inpatient and outpatient surgical hospitals licensed under 12 VAC 5-410, free-standing endoscopy centers, physicians’ offices, and dental, orthodontic, and endodontic offices may perform any procedure or surgery that if delayed or canceled would result in the patient’s condition worsening. Outpatient surgical hospitals are encouraged to work with their local inpatient hospitals to assist with surge capacity needs.

Click here for more information.

WASHINGTON (as of 3/26/2020)

The Governor has signed a proclamation that prohibits all hospitals, ambulatory surgical facilities, dental, orthodontic and endodontic offices in Washington State from providing health care services, procedures, and surgeries that, if delayed, are not anticipated to cause harm to the patient within the next three months. Read proclamation for exceptions.

Click here for more information.

WEST VIRGINIA (as of 3/26/2020)

Due in large part to the first instance of community spread in West Virginia, the West Virginia Board of Dentistry would like to adjust its current recommendations regarding COVID-19. The Board requests the cooperation of its licensees to limit their practice to EMERGENT procedures only, while also keeping aerosol formation to a minimum, until at least April 3, 2020.

Click here for more information.

WISCONSIN (as of 3/26/2020)

Healthcare workers – including dentists and members of the dental team – are considered “essential” under the “Safer at Home” order Gov. Evers issued on Tuesday, March 24. The governor’s order is NOT a mandate to close dental offices – dental professionals remain available to provide emergency care to the public. However, previously issued guidance by the state, CDC and ADA strongly recommends that all elective, non-emergency procedures be suspended. Dental offices should only be seeing emergency cases.

Click here for more information.

WYOMING (as of 3/25/2020)

WBDE published the following: “In light of recent events, several licensees have asked the Board to advise them how best to continue their practice and have specifically asked for the Board’s guidance on potential office closures. The Board of Dental Examiners cannot close your office due to COVID-19. If there would be any mandatory closures, it would not come from our office. We also cannot advise you on the correct course of action. Licensees are still required to adhere to the Board’s Rules, Practice Act, and professional standards related to their professions.”

Click here for Wyoming COVID-19 Information.

 

 

 

 

 

 

 



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