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Regulatory Compliance

Keep ahead of the compliance process with our customizable Regulatory Compliance Manual. Plus, learn about CURES and opioid pain management, review upcoming regulation deadlines and check your practice’s compliance.


August 21, 2019: Hazardous pharmaceutical waste prohibited from disposal down the drain.

EPA’s newest rule requires healthcare facilities and other businesses that generate pharmaceutical hazardous waste to properly dispose of the waste. The first part of the rule, the prohibition on “sewering” hazardous pharmaceutical waste, is effective August 21. All nonhazardous pharmaceutical waste that are not controlled substances must be disposed as regulated medical waste. See Dental Office Waste Management Options.

April 1, 2019: The DFEH has released a new notice.

Employers are required to post the updated and renamed Family Care and Medical Leave and Pregnancy Disability Leave notice (DFEH-100-21 / March 2019). Formerly known as, the Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability notice. Effective April 1, 2019, California employers covered by the California Family Rights Act (CFRA) and the NPLA are required to post this new notice. Employers with 20 to 49 employees will need to post the Family Care and Medical Leave and Pregnancy Disability Leave notice in their workplace, and employers with 50 or more employees will need to replace their existing notice with the new version.

March 12, 2019: Transition period to new controlled substances prescription forms

Prescribers of controlled substances may use 2018-compliant prescription forms as well as prescription forms with serial numbers through the end of 2020. SB 149 provides a transition period to new prescription forms that will be required starting January 1, 2021. The legislation, which became effective as soon as it was signed by the governor, resolves the unintended issues created when AB 1753 became effective Jan. 1, 2019. The effective date of AB 1753 left prescribers with very little time to order new forms and it was learned that the format of the serial number did not conform to industry standards. Prescribers in need of new controlled substance prescription forms should ensure they order from an approved printer listed on the DOJ website. New prescription forms with serial numbers formatted in the manner prescribed by SB 149 may be available by 2020. Consider moving to e-prescribing for controlled substances.

January 1, 2019: Enroll in or opt out of Medicare

Dentists who order or provide Medicare-covered items and services (clinical laboratory services, imaging services or durable medical equipment, prosthetics, orthotics and supplies) will need to either enroll in Medicare using form CMS-855-I (PDF) or the shorter enrollment form CMS-855-O (PDF) or formally opt out of Medicare by Jan. 1, 2019. To assure one's status with Medicare and that patients' Medicare benefits do not lapse, dentists should allow sufficient time for processing whichever form is submitted. Learn more about enrollment requirements by visiting the ADA’s Facts and FAQ on Medicare.

January 1, 2019: Update standard mileage reimbursement rate for 2019 (released by Internal Revenue Service)

See the IRS’s press release. For business expense reimbursement, the 2019 rate is $0.58 per mile. That’s up $0.035 from last year. California employers need to reimburse such common expenses as work-related travel, dining expenses and mileage when an employee uses a personal car for work-related business. However, employees who can prove they spend more than $0.58 per mile to operate their personal vehicles for business use may be entitled to reimbursement of the actual expense. It’s up to the employees to prove their expenses, however.


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Regulatory Compliance Manual

This manual provides sample written plans and forms to assist a dental practice in Cal/OSHA compliance. It also has information on waste management.

CURES and Opioid Pain Management

CDA continues to promote best practices and compliance with state and federal laws regarding opioid pain management.

Resource Library

Access an online library of downloadable articles, guides, templates, checklists and forms.

Regulatory Compliance News

Image of wood blocks with the words: Rules, Law, Standards, Polices, Regulations. Dentists: Are you in compliance with current regulations and aware of upcoming deadlines?

CDA members can rely on CDA Practice Support’s “Are You In Compliance?” webpage for details about current and future laws and regulations that apply to dental practices. Entries span all areas of dental practice, from employment practices to general business.

Image includes a sign that reads: OSHA, Occupational Safety and Health Administration Federal OSHA's rule requiring COVID-19 vaccination or testing for large employers delayed

Citing the need for further review, the U.S. Court of Appeals for the Fifth Circuit on Nov. 12 granted a motion to suspend federal OSHA’s COVID-19 Vaccination and Testing Emergency Temporary Standard that was due to take effect Jan. 4.

Federal rules require COVID-19 vaccination for more workers by Jan. 4 with no testing option for health care workers in Medicare and Medicaid facilities

Two new federal rules require more U.S. workers to be vaccinated against COVID-19 by Jan. 4. The rules support President Biden's pandemic plan and apply to workers at medium and large companies and to workers in certain health care settings that receive Medicare and Medicaid funding.