Dental Hygienist Requirements by State
Direct-access provisions for 51 states, taken from the ADHA’s Direct Access chart (revised February 2025).
Each page quotes the source in full and links to that state’s board.
Rules change — confirm current requirements with the board before relying on them.
Alabama0 provisionsAlaska2 provisionsArizona2 provisionsArkansasCollaborative AgreementCalifornia2 provisionsColoradoUnsupervised PracticeConnecticutPublic Health Dental HygienistDelaware0 provisionsDistrict of Columbia0 provisionsFlorida2011 provisionGeorgia2017 provisionHawaii0 provisionsIdahoExtended Access Endorsement (EAE)IllinoisPublic Health Dental HygienistIndianaAccess Practice AgreementIowaPublic Health Dental HygienistKansasExtended Care Permit I, II & III (ECP)Kentucky2 provisionsLouisiana0 provisionsMaine2 provisionsMarylandGeneral SupervisionMassachusettsPublic Health Dental HygienistMichiganPA 161 Dental HygienistMinnesotaCollaborative PracticeMississippi0 provisionsMissouriPublic Health Dental HygienistMontanaPublic Health Dental Hygienist/Limited Access Permit (LAP)NebraskaPublic Health Dental HygienistNevadaPublic Health Dental HygienistNew Hampshire2 provisionsNew Jersey0 provisionsNew Mexico2 provisionsNew York2 provisionsNorth CarolinaDental Hygiene Limited Supervision StatuteNorth Dakota0 provisionsOhio2 provisionsOklahomaGeneral SupervisionOregon2 provisionsPennsylvaniaPublic Health Dental Hygiene PractitionerRhode Island2 provisionsSouth CarolinaGeneral SupervisionSouth Dakota2011 provisionTennessee2013 provisionTexasGeneral SupervisionUtahPublic Health Dental HygienistVermontPublic-Health HygienistsVirginiaSupervisionWashington2 provisionsWest VirginiaPublic Health Dental HygienistWisconsin2007/2017 provisionWyoming2017 provision
A state missing from this list has no direct-access provision recorded in the ADHA chart.
That is not a statement that hygienists cannot practise there.