TDA
A publication of the Texas Dental Association
April 2007 • Volume 8, Issue 4 TDA Today is available online at www.tda.org
T o d a y
TDA Legislative Priorities Addressed in Proposed Frew Lawsuit Settlement
Texas Dental Association Wins Four ADA Awards
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Top constituent dental society with highest dental student conversion for class of 2005 at end of year 2006 in the 3,501–7,500 member category. This award represents an 88.7 percent student conversion rate which equates to 141 dental students converted out of 159 dental students.
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Top constituent dental society to improve its retention rate percentage in 2006, in the 3,501–7,500 member category, from the ADA Department of Membership Information. This award represents a 96 percent association retention rate which is an increase of .9 percent from the previous year!
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Greatest Percentage Membership Net Gain of New Dentists in the 3,501–7,500 member category. Texas increased market share by 3.2 percent in 2006, which equates to 1,268 new dentist members!
By Dr. S. Jerry Long, Chair, TDA Council on Legislative and Regulatory Affairs
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mproving access to dental care is the goal of the Texas Dental Association’s (TDA) 2007 legislative priorities. Several of TDA’s 2007 legislative priorities are being achieved through the proposed settlement of the decade-old Frew v. Hawkins lawsuit, negotiated between attorneys for the plaintiffs and legislative leaders. On Monday, April 9, 2007, Federal district court Judge William Wayne Justice heard an 11-point outline of the proposed settlement, but delayed approval of the proposed settlement until the legislature passes the new state budget in order to confirm that the settlement had been fully funded.
Q: What is the Frew lawsuit and its relationship to dental care? The Frew lawsuit is a class-action lawsuit against the State of Texas, filed in federal court in 1993, on behalf of a group of children who were eligible for Medicaid and their parents. The lawsuit focused on various problems that these families encountered trying to obtain access to medical and dental care, including access to dental treatment in certain parts of the state. The State of Texas signed a consent decree to settle the lawsuit in 1996. Subsequently, the plaintiffs alleged that the State failed to fully implement the consent decree. This led to further litigation, including two trips to the U.S. Supreme Court, which ruled on behalf of the plaintiffs both times. Q: How would the proposed lawsuit settlement affect Texas dentists? Extremely low reimbursement rates have discouraged many Texas dentists from enrolling as Medicaid providers. Increasing the number of participating dentists is necessary to improve access to dental care. The proposed settlement would increase Medicaid reimbursement rates by 50 percent as an incentive to attract more dentists to become Medicaid providers. As this article went to press, details of the proposed settlement have not been finalized. However, increased use of mobile dental vans, to be operated by one or more of the state’s dental schools, is likely to be part of the settlement, as is increased state funding for dental loan repayments to encourage new dentists to locate in underserved areas. Q: When is the federal court likely to approve the proposed settlement? Attorneys for the plaintiffs asked Judge Justice not to approve the settlement until the legislature finally approves the state budget for the next biennium, which includes fiscal years 2008 and 2009, to ensure that the legislature fully funds the settlement. This final approval probably will not take place until mid May. Q: Did TDA have a role in the Frew lawsuit and does TDA have any obligations under the proposed settlement? TDA was not a party to the lawsuit and played no formal role in the litigation. However, TDA was consulted by legislative leaders during settlement talks regarding the level of Medicaid reimbursement rate necessary to attract more dentists to enroll as providers. TDA does not have any formal obligations under the proposed settlement. But, the legislature does expect TDA to publicize the fee increase and encourage more dentists to become Medicaid providers. TDA also hopes to work with state officials towards successful implementation of the settlement as it pertains to expanding access to dental care. ★
Happy, Healthy Smiles Across Texas By Judith Gonzalez, TXDDS Case Manager
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he Texas Dental Association Smiles Foundation is proud to create happy, healthy smiles across Texas through the Texas Donated Dental Services (TXDDS) program. TXDDS helps people with advanced age, permanent disability, or who are medically compromised to receive comprehensive dental care through volunteer dentists across the state. This month we highlight one of our new Judith Gonzalez, Texas Donated Dental volunteer dentists, Dr. Jon Williamson from Services case manager, and Dr. Jon Dallas. Dr. Williamson saw his first TXDDS Williamson, Dallas, TXDDS volunteer patient last year — a 61-year-old man with a back dentist. injury, high blood pressure, and severe asthma. The patient received a few extractions and a partial denture. Dr. Williamson said, “I’ve enjoyed donating my services to patients through the TXDDS program because it allows me to give back to the community and my profession.” Every TXDDS volunteer receives a plaque to display in their office. Upon receiving his plaque, he said, “the plaque was a very nice surprise, unexpected, and beautiful.” Thanks to you, Dr. Williamson and to all the TXDDS volunteers for creating happy, healthy smiles across Texas! ★
our Texas Dental Association is proud to report that Texas won the following four, very prestigious membership awards at the recent American Dental Association (ADA) Recruitment and Retention Conference held March 30–31, 2007 in Chicago.
Honorable Mention — Top constituent dental society to convert the highest percentage of non-members to membership in 2005 per the ADA End of Year 2006 National Recruitment and Retention Report. This award represents a 3.4 percent conversion of nonmembers which equates to 327 new members! The success in recruitment and retention is attributed to a variety of efforts, including the interim member category; an updated format for state sponsored events at the dental schools which began in 2001; and, most importantly, to the hard work and dedicated efforts of our local component societies, leaders, and staff. ★
Accepting the ADA awards for Texas are Ms. Jane Evans, executive director, Dallas County (5th) District Dental Society; Dr. Robbie Henwood, president, San Antonio (20th) District Dental Society; Dr. Sheryl Beltrane, president-elect, San Antonio (20th) District Dental Society; Ms. Alyson Riccardi, membership director, Dallas County (5th) District Dental Society; Ms. Evelina Stephenson, executive director, San Antonio (20th) District Dental Society, Dr. Debra Peters, chair, ADA Council on Membership; and Dr. Victor Rodriguez, Houston Hispanic Dental Society. Photo courtesy of ADA News ©2007 American Dental Association.
Our Public Image: What is it and What does it mean? By Jennifer Barrington, DDS, NE Vice President, TDA Board of Directors
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ake a moment to remember back to the summer of 2003, when a comprehensive membership survey of all Texas Dental Association (TDA) members was conducted, and a large diverse sampling of our membership was called together for a statewide retreat to establish a TDA strategic plan for the next 5 years. Every TDA member was represented by the diversity of those volunteers called to duty for our Association. Out of those 2 days, the areas of focus pertaining to the future of our profession and Association were determined and TDA 2009, the strategic plan, was born. After further refinement and analysis by the TDA Future Focus Committee and the TDA Board, the plan was approved by the House of Delegates in 2004. TDA 2009 consists of our core purpose, core values, and six goals with associated objectives to accomplish the goals, as well as metrics to measure success. Of those six goals, one in particular has eluded definition and created considerable frustration among the individuals intimately involved with the daily oversight of our strategic plan. That goal, and the number one concern of the members surveyed, is Public Image. Over the past 2 years, the TDA Board, councils and committees, and our staff worked tirelessly to determine what public image really meant, what it should look like, how should it sound, and who really cared. Despite these efforts, agreement was indefinable and therefore, no action could take place. The current trend used by associations and groups to target areas of concern is to identify them as “mega-issues” and gather interested parties together for comprehensive discussion and evaluation. Even our own American Dental Association (ADA) has used this format in the past to grapple with obscure thoughts, ideas, and concepts to arrive at agreement on matters that can mean different things to different people. Continued on page 4