Maine
Should Maine allow associate dentists without doctoral degrees? Dentists don’t think so
Lawmakers are considering two bills that attempt to increase access to dental care in Maine by studying ways to establish specialist residency programs in the state and creating a new license tier with lower educational requirements, a measure that multiple dentists opposed.
LD 2206 would establish an associate dentist license, which would allow a dentist without the equivalent of a U.S. doctoral degree in dentistry — such as a dentist with a bachelor’s degree who trained outside of the U.S. — to practice dentistry under supervision of a licensed dentist.
Under this new license, associate dentists would have a pathway to full licensure if they were in good standing for six consecutive years. There is currently a pathway for foreign-trained dentists to work in Maine, but it requires additional education.
The bill comes as access to Maine dentists has declined. The ranks of dentists decreased from 590 in 2019 to 530 in 2023. Most children in Maine don’t get an annual checkup and cleaning from a dentist, according to a study last year from the University of Southern Maine Muskie School of Public Service and Catherine E. Cutler Institute.
Penobscot Community Health Care, Maine’s largest federally qualified health center, brought the issue to lawmakers after two “very highly qualified” dentists the center hoped to hire were denied licensure by the Maine Board of Dental Practice because they didn’t meet current educational equivalency requirements.
The health center estimated those dentists could have provided 8,000 appointments with patients, according to testimony from Lori Dwyer, president and CEO of Penobscot Community Health Care.
Penobscot Community Health Care, which said it operates the largest dental center in Maine and has a network of 51 workspaces for dental care, emphasized that federally qualified health centers are subject to strict federal oversight, reporting requirements and high standards.
“[Penobscot Community Health Care] would never support a pathway that compromises safety, and they would never hire a clinician that would provide unsafe treatment to patients,” Dwyer wrote in testimony that was read on her behalf to the Legislature’s Health Coverage, Insurance and Financial Services committee.
Northern Light Health also submitted testimony in support, saying the bill would help address workforce shortages and reduce emergency room visits for dental conditions.
“Like most hospitals in Maine, Northern Light Health members are challenged with inappropriate utilization of our emergency rooms by individuals seeking care for dental/tooth pain,” Lisa Harvey-McPherson, vice president of government relations, wrote in her testimony. “Patients generally present with cracked teeth, abscesses, dental caries or tooth eruptions, leading to thousands of emergency room claims for dental related diagnosis codes each year.”
Multiple dentists and dentistry representatives testified against the bill, arguing that there are existing pathways for foreign-trained dentists and that lower standards could set up a two-tiered system in which poorer and more rural residents receive care from dentists with less training.
Dr. Kailee Jorgenson, a licensed dentist who is the clinical director at Portland-based Mainely Teeth and president of the Maine Oral Health Centers Alliance, said the patients most likely to receive care under the proposed pathway are MaineCare recipients, rural residents and children. These patients often have the most complex needs, she said.
“Maine should not create one standard of dentistry for those with resources and another for those without,” Jorgenson told the committee.
Jorgenson and others who testified against the measure said they instead support a second bill, LD 2209, which would study how to expand access to dental care.
LD 2209 would direct the Maine Department of Health and Human Services to consider how to establish dental specialist residency programs in Maine, including for pediatric dentists, oral surgeons and orthodontists. The bill would also require the department to study ways to create a hub-and-spoke model to expand access to services across the state.
“We have a shortage of specialists in Maine, and it doesn’t matter how you’re trying to pay,” said Therese Cahill, executive director of the Maine Dental Association, which represents dentists. “To see an oral surgeon, to see a periodontist, to see an orthodontist, or a pediatric dentist, you’re waiting.”
No one spoke against the bill or submitted testimony in opposition.
The committee will consider both bills during upcoming work sessions when it will decide whether to forward them to the full Legislature. The work sessions had not been scheduled as of Wednesday.
This story was originally published by The Maine Monitor, a nonprofit and nonpartisan news organization. To get regular coverage from The Monitor, sign up for a free Monitor newsletter here.
Maine
Maine could face $50M in penalties from federal food assistance policy changes
Maine could face up to $50 million in penalties next year due to errors in its payments for federal food benefits under the Supplemental Nutrition Assistance Program.
Newly released data from the U.S. Department of Agriculture find that Maine’s error rate last year was nearly 11%, the bulk of which were overpayments. That’s in line with the U.S. average. But starting in October of next year, states with error rates above 6% must cover a portion of the SNAP benefits.
Anna Korsen, executive director of Full Plates, Full Potential, said the overpayments aren’t fraud — they’re human error. She said this new cost-shifting policy enacted last year under the Trump administration further complicates the SNAP application process.
“Instead, we could make this program more accessible and more efficient,” Korsen said. “And that would reduce the number of errors and also ensure that Mainers who are eligible for SNAP have access to it.”
She’s urging Congress to delay or reverse the policy under the farm bill that’s currently under consideration.
Maine’s Department of Health and Human Services said it’s taking steps to reduce the error rate, including modernizing its systems and hiring an additional 40 eligibility specialists.
This story appears through a media partnership with Maine Public.
Maine
Maine driver to honor friend Kyle Busch during Celebration of America 300
PORTLAND (WGME) — The third annual Celebration of America 300 is set for Thursday night at Oxford Plains Speedway.
This race was a favorite of NASCAR star Kyle Busch, who tragically passed away back in May. He was just 41.
Now, a Maine-born driver who worked on Busch’s team is ready to take the 8 car into victory lane.
For the past five years, Windham native Derek Kneeland was Busch’s eye in the sky, working as a spotter for the cup star. Kneeland says his relationship with Busch was like a brotherhood.
“I was fortunate enough where I got to have a personal relationship with him,” Kneeland said. “He came up, and he ran several races with me in late models and stuff at Oxford and Lee Speedway, and we got to do a lot of cool things together.”
Kneeland says dealing with the sudden loss has been both painful and difficult.
“It’s still hard,” Kneeland said. “I’m having a hard time with it. The weekdays are the hardest. At the track is where I’m most comfortable.”
Kneeland will be at the track and behind the wheel Thursday night, competing in the Celebration of America 300, driving the number 8 car.
“You know, a few days after everything went down, his dad called me, and his dad is a man of very few words, and I said, ‘You know, I’m thinking about running the 8 or 51 as long as I have your guys’ blessing, I would like to do that.’ And he said, ‘Short track world knows him as 51, but the world knows him as 8,’” Kneeland said.
Kneeland says it will be an emotional race, but he’s confident he’ll have a special co-pilot leading the way.
“Hoping he’s going to be on my shoulder and give me the guiding way and but to win it for Kyle, I think that would put the stamp on it,” Kneeland said.
Maine
ICE arrests operator of midcoast Maine market
FRIENDSHIP, Maine — A federal judge has ordered U.S. Immigration and Customs Enforcement not to relocate a Friendship man who ICE agents arrested Saturday.
Dhavalkumar Kalidas Patel was seized by four ICE agents at Wallace’s Market, which Patel and his wife operate on Harbor Road in Friendship.
His wife said the agents did not say why he was being taken away in handcuffs.
Attorney Audrey Richardson of Greater Boston Legal Services filed a motion for habeas corpus, meaning he is to be brought to a court in person.
U.S. District Court Judge Indira Talwani of Massachusetts issued an emergency order hours after Patel was seized that prohibits him from being moved elsewhere.
“To provide a fair opportunity for the judge who will be randomly assigned to this case to review the merits of the petition and to rule on any contested issues of jurisdiction, unless otherwise ordered by the assigned judge, respondents will not remove the petitioner from the jurisdiction of the United States or transfer petitioner to a judicial district outside that of Massachusetts for a period of at least 72 hours from the time this Order is docketed,” Talwani wrote.
Patel is being held at the Plymouth County Correctional Facility in Plymouth, Massachusetts.
The petition filed by the attorney representing Patel argues that he is being held unlawfully.
No further hearing dates have been scheduled, but the federal government has until July 6 to file a response.
Richardson issued a statement on the arrest.
“This is another example of ICE illegally and illegitimately taking someone who is working hard to support their family,” she said, including a child born in the United States. “The family is a critical part of the fabric of a small community.”
The Patels have operated the store since 2024. The attorney said ICE agents initially did not even identify themselves. They did not say where he was being taken but he was allowed to make a call when they stopped in Scarborough.
Rob Sample, a customer of the store, said he could not understand why such an action was taken.
“We appreciate them,” he said of the Patel family, adding that they work hard to provide a community service by operating the store.
Knox County Sheriff Patrick Polky said ICE notified his department after its action. He noted the agency is not required to notify the department.
Patel is a native of India.
This story appears through a media partnership with Midcoast Villager.
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