REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 21, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Contract with Center for Oral Health for Registered Dental Hygienist in Alternative Practice Services
End
RECOMMENDATION(S)
Recommendation
Approve Contract with Center for Oral Health, to provide Registered Dental Hygienist in Alternative Practice Services, in an amount not to exceed $262,185, for the contract period of October 21, 2025 through October 20, 2026.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item will not result in the use of Discretionary General Funding (Net County Cost). The not to exceed cost of $262,185 for Registered Dental Hygienist in Alternative Practice (RDHAP) services is funded by the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) and existing ongoing 1991 Realignment funds. Adequate appropriation and revenue have been included in the Department of Public Health's (DPH) 2025-26 budget and will be included in the 2026-27 recommended budget.
BACKGROUND INFORMATION
HRSA has designated areas throughout California as health professional shortage areas. To meet the dental care needs of the state, California Business and Professions Code Section 1900 et seq. permits RDHAPs to provide preventative oral health services, without the direct supervision of a dentist, in locations other than a dental office, such as schools, hospitals, and residential facilities. Preventative oral health services include basic dental screenings and recommendations, oral hygiene instruction and health education, oral prophylaxis (i.e., teeth cleaning), topical application of fluorides, and application of sealants.
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