[i] Minnesota Department of Health, Minnesota Board of Dentistry, “Early Impacts of Dental Therapists in Minnesota: Report to the Legislature, 2014” (February 2014) http://www.health.state.mn.us/divs/orhpc/workforce/oral/dtlegisrpt.pdf
[ii] Data provided by Michael Scandrett, MS Strategies research group to Jane Koppelman, Pew Dental Campaign on January 29, 2019.
[iii] “DHAT: Alaska and Beyond!” Presentation to the National Indian Health Board, June 8, 2017, https://www.nihb.org/docs/07182017_tphs/thursday/DHAT%27s%20Improving%20Both%20Oral%20Health%20Outcomes%20&%20Access-%20New%20Research%20from%20Alaska%20&%20New%20Policies.pdf
[iv] Pew analysis based on EDSDT utilization, MN Children (1-20 eligible for 90 days) who received dental care went from 183,773 in 2011 to 228,148 in 2016.
[v] Minnesota Department of Health, Minnesota’s Dentists Workforce, 2014-2015, at http://www.health.state.mn.us/divs/orhpc/workforce/oral/2016dentists.pdf
[vi] Letter from Diane Rydrych, and Prasida Khana, Minnesota Dept. of Health, to Wisconsin legislators, January 31, 2018.
[vii] Pew Charitable Trusts analysis using DHPSA data by county, accessed January 24, 2019, https://data.hrsa.gov/hdw/tools/DataByGeography.aspx . Using Minnesota counties in the 33460 Minneapolis-St. Paul-Bloomington, MN-WI Metropolitan Statistical Area. Population in Twin-City area DHPSAs using federal HRSA data of DHPSAs by county, based on same Minnesota counties in the 33460 Minneapolis-St. Paul-Bloomington, MN-WI Metro Area. Population count based on population-group designated HPSAs only. Population designations in Mille Lacs County excluded due to their rural and partial-rural designations.
[viii] Minnesota Department of Health and the Minnesota Board of Dentistry, “Dental Therapy in Minnesota, Issue Brief, 2018, http://www.health.state.mn.us/divs/orhpc/workforce/oral/2018dtbrief.pdf
[ix] Buchmueller, T. et. Al., “THE EFFECT OF MEDICAID PAYMENT RATES ON ACCESS TO DENTAL CARE AMONG CHILDREN,” NBER Working Paper 19218 (July, 2013). Available at https://www.nber.org/papers/w19218.pdf
[x] Minnesota Department of Health, Minnesota Department of Human Services, and Health Reform Minnesota, “Dental Therapy Toolkit: A Resource for Potential Employers,” February 2017, http://www.health.state.mn.us/divs/orhpc/workforce/emerging/dt/2017dttool.pdf
[xi] Email correspondence from Michael Scandrett, J.D., MS Strategies to Jane Koppelman, Pew Dental Campaign on January 3, 2018.
[xii] Wisconsin Capital Bud Facts:get Funding for Marquette School of Dentistry Expansion https://legis.wisconsin.gov/lab/media/1162/13-13full.pdf
[xiii] See https://legis.wisconsin.gov/lab/reports/11-dentaleducationcontract_ltr.pdf
[xiv] American Dental Association, “Dental Education, Report 3: Finances, Table 1 a. Fiscal Statistics for All Dental Schools, FYE 2006 to 2016,” accessed January 24, 2019, https://www.ada.org/en/science-research/health-policy-institute/data-center/dental-education .
Opponents' Arguments Don't Hold Up
Opponents SAY: Wisconsin doesn’t need dental therapists. Dentists can solve the access problem if the state only increased Medicaid reimbursement rates
Opponents SAY: Training dental therapists will be a drain on the state budget
Opponents SAY: Dental therapists have not increased access to care where they are working
Opponents SAY: DTs in Minnesota are not improving children’s access to care, as evidenced by the declining percent of Medicaid children receiving dental care in Minnesota
Opponents SAY:In Minnesota dental therapists have been concentrated in the Twin Cities instead of the rural areas they are intended to serve.
Dental therapists are geographically distributed in proportion to the state’s population: