Unofficial Summary of Actions

1998 CDA House of Delegates


1. RESOLVED, THAT THE CDA BYLAWS, CHAPTER II, SECTION 110-C BE AMENDED AS FOLLOWS:

CHAPTER II - MEMBERSHIP

...

SECTION 110 - DUES AND ASSESSMENTS

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C. Exempt Dues for Members who Suffer Severe Financial Hardship: An active or retired member who has suffered financial hardship due to catastrophe or medical illness of the member or the member's family shall be exempt from the payment of dues up to for a one-year period and shall be a member in good standing during the period of hardship. In order to receive entitlement to dues exemption, a member must submit through the member's component to this association a certificate attesting to severe financial hardship. During the period of exemption from dues, further such certificates shall be presented on request to this association.

AND BE IT FURTHER

RESOLVED, THAT THE COUNCIL ON MEMBERSHIP SERVICES BE DIRECTED TO MAKE THE NECESSARY REVISIONS TO THE MEMBERSHIP POLICIES AND PROCEDURES MANUAL TO IMPLEMENT THE PARENTAL LEAVE DUES WAIVER.

Resolution 1 as submitted by the Board of Trustees was adopted by 2/3rds vote.


2. RESOLVED, THAT THE CDA BYLAWS, CHAPTER 150 BE AMENDED TO INCLUDE ADA DELEGATE VOTING PROCEDURES LANGUAGE:

CHAPTER IV - HOUSE OF DELEGATES

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Section 150. ELECTION PROCEDURES: The elected officers (other than the president and the immediate past president), delegates and alternate delegates to the American Dental Association, and members of councils shall be elected, and the board of directors of CDA Holding Company, Inc. and the nominee for the office of thirteenth district trustee to the American Dental Association shall be selected by the House of Delegates except as otherwise provided in these Bylaws. Nominations for delegates and alternate delegates to the American Dental Association, the board of directors of CDA Holding Company, Inc. and for all councils shall be made by the Board of Trustees as provided in Chapter V, Section 80; Chapter VIII, Section 20; and Chapter XIV, Section 40 of these Bylaws. Nominations for elected officers shall be made by the Nominating Committee comprised of the elected trustees as provided in Chapter V, Section 80 and Chapter IX, Section 30 of these Bylaws. Additional nominations for elected officers, for all councils, the board of directors of CDA Holding Company, Inc., and for delegates and alternate delegates to the American Dental Association may be made by an officially certified delegate, provided each such nomination is supported by the endorsing signatures of twenty-five (25) delegates. (Amended: June 1991, 1993, 1995)

Voting shall be by ballot, except that when there is only one candidate for membership on a council or for an elective office, such candidate shall be declared elected by the speaker, and except that when the number of candidates for the board of directors of CDA Holding Company, Inc. or delegates and alternate delegates to the American Dental Association equal the number of terms available, such candidates shall be declared elected/selected, as appropriate, by the speaker. The secretary shall provide facilities for voting. The majority of ballots cast shall elect council members and elective officers. In the event no candidate for such offices receives a majority of the votes cast on the first ballot, the two (2) candidates receiving the greatest number of votes shall be balloted upon again. (Amended: June 1993)

As to the board of directors of CDA Holding Company, Inc. and delegates and alternate delegates to the American Dental Association, the candidates receiving the greatest number of votes cast shall be declared elected/selected. (Amended: June 1993) See Attachment A for ADA Delegate Voting Procedures which provide specific instruction as to ballot format and impact of a contested ADA delegate vote on the ADA alternate delegate slate.

AND BE IT FURTHER

RESOLVED, THAT THE RULES OF THE BOARD OF TRUSTEES, MANUAL OF THE HOUSE OF DELEGATES AND CDA POLICY MANUAL BE AMENDED TO REFLECT THIS BYLAWS REVISION.

Resolution 2 as submitted by the Board of Trustees was adopted by 2/3rds vote.

3. RESOLVED, THAT THE CDA BYLAWS, CHAPTER IV, SECTION 20 BE AMENDED AS FOLLOWS:

CHAPTER IV - HOUSE OF DELEGATES

...

Section 20. EX OFFICIO MEMBERS: The elected and appointed officers, the voting members of the Board of Trustees and each past president of this association shall be an ex officio members of the house, without the right to vote or propose motions unless elected as delegates. Such members may participate in debate. unless elected as a delegate. The term "past president" includes past presidents of former CDA and SCDA as well as of this corporation. Ex officio members of the house are not counted as delegates unless elected as delegates. (Amended: June 1991)

AND BE IT FURTHER

RESOLVED, THAT THE RULES OF THE BOARD OF TRUSTEES AND MANUAL OF THE HOUSE OF DELEGATES BE AMENDED TO REFLECT THIS BYLAWS REVISION.

Resolution 3 was adopted on the consent calendar.


4. RESOLVED, THAT CDA BYLAWS, CHAPTER XI, SECTION 10, BE AMENDED AS FOLLOWS:

CHAPTER XI - PRINCIPLES OF ETHICS AND JUDICIAL PROCEDURES

Section 10. PROFESSIONAL CONDUCT OF MEMBERS: The professional conduct of a member of this association, and student, affiliate, allied dental professional and associate members, shall be governed by the Principles of Ethics and Code of Professional Conduct of the American Dental Association, the Code of Ethics of this association and the codes of ethics of the component societies within whose jurisdiction he/she practices, or conducts or participates in other professional dental activities. (Amended: June 1993)

Resolution 4 as submitted by the Board of Trustees was adopted by 2/3rds vote.


5. Resolved, that pregnant member dentists anticipating a leave of work due to that pregnancy be allowed a temporary dues reduction of California Dental Association dues, and be it further

Resolved, that this dues reduction be offered on a pilot basis, with results to be tracked over a three-year period through the year 2001 to determine the financial impact on California Dental Association, and be it further

Resolved, that a report on the impact of the temporary dues reduction be submitted to the California Dental Association Board of Trustees in the year 2001.

Resolution 5 as submitted by the Marin County Dental Society was withdrawn.


6. Resolved, that dentists married to dentists will each pay 75% of the active membership dues rate, which will include all benefits of membership for both spouses, and be it further

Resolved, that this dues rate be offered on a pilot basis, with results to be tracked over a three-year period through the year 2001, to determine whether the dues reduction results in an increase in the number of married dentist members, and be it further

Resolved, that a report on the impact of the dues reduction on membership of dentists married to dentists be submitted to the CDA Board of Trustees in the year 2002.

Resolution 6 as submitted by the Marin County Dental Society was defeated.


7. RESOLVED, THAT THE 1998 HOUSE OF DELEGATES ADOPT THE PROPOSED BUDGET FOR THE YEAR 1999.

Resolution 7 as submitted by the Board of Trustees was adopted.


8. Resolved, that the Manual of the House of Delegates, Chapter V, Section A, be amended to include the following language:

V. Voting and Election Procedures

A. Voting Procedures: The time and method of voting in the House of Delegates is determined by the speaker of the house, who may call for a voice vote, show of hands, standing vote, roll call or written ballot of the delegates.

If the result of a vote is uncertain or if a division is called for, the speaker will first ask all voting affirmatively to stand. The count will be made by tellers appointed by the speaker and reported to the secretary. It is essential that voters remain standing until the speaker has indicated that the count is completed. The same procedure is then followed for recording the negative vote.

All votes taken which will directly increase the dues to the California Dental Association membership will be voted on by a standing vote.

The Committee on Credentials is charged with supervising the count of votes in the House of Delegates.

Resolution 8 as submitted by the Marin County Dental Society was defeated.


9-S1. RESOLVED, THAT EFFECTIVE IMMEDIATELY, NONUNANIMOUS BOARD OF TRUSTEES VOTES BE RECORDED INDICATING THE NUMBER OF VOTES FOR SPLIT DECISIONS, AND BE IT FURTHER

RESOLVED, THAT THE BOARD OF TRUSTEES CONSIDER A RULES OF THE BOARD OF TRUSTEES REVISION TO FORMALLY REFLECT THIS CHANGE.

Resolution 9S1 was substituted for Resolution 9 as submitted by the Alameda County Dental Society, and adopted by the House of Delegates.


10. Resolved, that the CDA Vision Statement be approved by the 1998 CDA House of Delegates:

Vision Statement

The California Dental Association is entering the 21st Century as one of the leading professional associations in the world. As an organization, CDA is refining the processes of continuous learning and communication -- processes it is using to anticipate, influence and effect change.

Through unwavering dedication to service to the public and the profession, CDA will continue to establish itself as the trusted source of dental information and quality dental care advocacy.

Resolution 10 as submitted by the Board of Trustees was defeated.


11. RESOLVED, THAT THE RESEARCH FUND OF THE CALIFORNIA DENTAL ASSOCIATION BE ACTIVATED.

Resolution 11 as submitted by the Board of Trustees was adopted. The background of the resolution was editorially amended.


12. RESOLVED, THAT THE ASSOCIATION RESERVE ACCOUNT POLICY AS DIRECTED BY RESOLUTION #16RC-1997-H, BE INCORPORATED INTO THE CDA POLICY MANUAL, PAGE 57:

Reserves: Reserves are cash or its equivalent maintained to meet obligations/liabilities of the association for which current surplus funds are not available. An affirmative vote of at least thirty (30) members of the Board of Trustees is required to authorize use of reserves for any purpose.

The goal for unrestricted reserve balances shall be equal to four months operating budget, and be funded from surplus funds annually at the first meeting of the Board of Trustees following receipt of the association's annual audited financial statement. All interest and dividends earned on the association's unrestricted reserve accounts are to be included as an addition to reserves until the goal of four-months operating balance is achieved. Once that goal is met, interest and dividends earned on unrestricted reserves may be utilized towards general operating expenses. The level of reserves goals shall be reviewed every three years. (Res. 34RC-1992)

Resolution 12 as submitted by the Board of Trustees was adopted.


13. RESOLVED, THAT AN APPLICANT FOR CDA MEMBERSHIP BE ALLOWED TO PAY THE REQUIRED CDA DUES ON AN INSTALLMENT PLAN, AND BE IT FURTHER

RESOLVED, THAT THE COUNCIL ON MEMBERSHIP SERVICES BE DIRECTED TO DEVELOP GUIDELINES AND PROCEDURES FOR IMPLEMENTATION OF AN APPLICANT PAYMENT PLAN, AND BE IT FURTHER

RESOLVED, THAT AMENDMENT OF HOUSE OF DELEGATES RESOLUTION #9RC-1994-H AS EMBODIED IN THE CDA POLICY MANUAL BE APPROVED:

Resolved, that applicants who avail themselves of the membership benefits of TDIC professional liability insurance and/or attendance at a CDA Scientific Sessions be required to pay CDA dues as an applicant, and be it further

Resolved, that these two membership benefits shall not be granted to any individual until such time as the required CDA dues have been paid in full or the applicant has signed a contractual agreement with CDA promising to pay the required CDA dues in full on a prearranged installment plan.

Resolution 13 was adopted on the consent calendar.


14. RESOLVED, THAT THE RELEASE OF ALL CLAIMS FORM (ATTACHMENT A) AND THE RELATED REVISIONS TO THE PATIENT AGREEMENT FORM - FORM #4 (ATTACHMENT B) BE APPROVED FOR INCORPORATION WITHIN THE CDA PEER REVIEW MANUAL AND UTILIZATION WITHIN THE CDA PEER REVIEW SYSTEM.

Resolution 14 was adopted on the consent calendar.

15. Resolved, that the House of Delegates approves the recommendations of the ad hoc Council on Insurance Review Committee to suspend the duties of the Council on Insurance for a period not to exceed two years (1999 and 2000) during which time their duties will be assumed by TDCIS, and be it further

Resolved, that in order to achieve the foregoing, the House of Delegates recommends to the Board of Trustees that:

1. All references to the Council on Insurance within the Board of Trustees Standing Rules for Councils be suspended for the CDA administrative years 1999 and 2000.

2. As a result of the suspension of the Standing Rules of Councils, the Council on Insurance shall be considered to be in an inactive status with no requirements to meet any of the administrative obligations contained in the Rules nor to perform the duties and objectives assigned to it by the Board of Trustees and contained in the council's mission statement and listing of primary duties.

3. That for the administrative years 1999 and 2000, the activities of the Screening Committee related to selection and nomination to the Council on Insurance shall be suspended.

and be it further,

Resolved, that the ad hoc Council on Insurance Review Committee be reinstated in 2000 to conduct an evaluation of how the process for selecting, monitoring and renewing CDA-sponsored insurance plans has been accomplished during the two-year suspension of the Council on Insurance and to make a final recommendation to the 2000 CDA House of Delegates.

Resolution 15 as submitted by the ad hoc Council on Insurance Review Committee was defeated.


16. Resolved, that the CDA Holding Company, Inc. be directed to request that for the administrative years 1999 and 2000, TDCIS assume all duties and objectives previously assigned to the Council on Insurance and contained in the Council on Insurance's mission statement and listing of primary duties, and be it further

Resolved, that the Holding Company be directed to strongly encourage TDCIS to engage the services of an outside consulting firm at a level consistent with consultant services provided to the Council on Insurance in 1998 to assist with those duties and objectives during the administrative years 1999 and 2000.

Resolution 16 as submitted by the ad hoc Council on Insurance Review Committee was defeated.


17. Resolved, that the CDA House of Delegates recommends to the Board of Trustees that the Rules of the Board of Trustees be amended in Chapter V, Section 70-F, Item 6 to read as follows:

CHAPTER V - NOMINATION POLICIES

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Section 70. SCREENING COMMITTEE:

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F. DUTIES: It shall be the duty of the Screening Committee:

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6. To recommend in the report to the September Board of Trustees that a minimum of two (2) and a maximum of three (3) members of the CDA officer corps (trustees and CDA treasurer) be nominated to the TDC and TDCIS Boards of Directors to be comprised of:

(a) CDA treasurer
(b) One or two (1 or 2) members of the CDA Board of Trustees

The committee shall also recommend in the report to the September Board of Trustees that five (5) to seven (7) members of the CDA Council on Insurance be nominated to serve on the TDCIS Board of Directors for the CDA administrative years 1999 and 2000.

Resolution 17 as submitted by the ad hoc Council on Insurance Review Committee was defeated.


18RC. RESOLVED, THAT GRADUATE DENTAL STUDENTS MEMBERS BE ELIGIBLE FOR PEER REVIEW AT NO CHARGE FOR INCIDENTS THAT OCCUR WHILE PRACTICING GENERAL DENTISTRY OUTSIDE OF THE DENTAL SCHOOL PROGRAM, AND BE IT FURTHER

RESOLVED, THAT THE REVISIONS TO THE GRADUATE STUDENT MEMBERSHIP APPLICATION BE APPROVED, AND BE IT FURTHER

RESOLVED, THAT THE GRADUATE PEER REVIEW ACKNOWLEDGMENT FORM BE UTILIZED AS PART OF THE GRADUATE STUDENT MEMBERSHIP APPLICATION PROCESS.

Upon recommendation of the Reference Committee, Resolution 18RC was substituted for Resolution 18, as submitted by the Board of Trustees and subsequently amended and adopted.


19RC. RESOLVED, THAT IT IS CDA POLICY TO ENSURE ITS CONTINUED COMMITMENT TO DIRECT REIMBURSEMENT (DR) AS A MEMBERSHIP BENEFIT, WITH THE AWARENESS OF THE DR PROGRAM'S INABILITY TO GENERATE REVENUE, AND BE IT FURTHER

RESOLVED, THAT WITH OVERSIGHT PROVIDED BY THE DR COMMITTEE, CDA WILL CONTINUE TO PROMOTE DR IN ITS TRADITIONAL FORM AND MARKET DR VIA CDA'S BROKER NETWORK, AND BE IT FURTHER

RESOLVED, THAT DR MARKETING EFFORTS BE EXPANDED AT THIS TIME INTO SMALL AND MID-SIZED EMPLOYER MARKET SEGMENTS, AND OTHER ASSOCIATION/AFFINITY GROUPS, THAT A TRAINED BROKER NETWORK BE SUPPORTED AND EXPANDED WITHIN THESE MARKETING EFFORTS, AND OTHER EXTERNAL MARKETING METHODS BE EXPLORED, AND BE IT FURTHER

RESOLVED, THAT FUNDING BE MAINTAINED TO OVERSEE OTHER DR ACTIVITIES SUCH AS MEMBER EDUCATION, MEMBER LEAD FOLLOW-UP, COMPONENT RESOURCE AND PROMOTION OF DR TO COMPANIES NOT WILLING TO WORK WITH A THIRD-PARTY ADMINISTRATOR (TPA) OR BROKER, AND BE IT FURTHER

RESOLVED, THAT CDAHCI THROUGH ITS INFORMATION TECHNOLOGY DEPARTMENT, WORK TO EVALUATE AND/OR DEVELOP THE CONCEPT CURRENTLY IDENTIFIED AS "ELECTRONIC DR," AND BE IT FURTHER

RESOLVED, THAT THE HOUSE OF DELEGATES RECOMMENDS THAT THE DR COMMITTEE AND STAFF, AND ANY NECESSARY CONSULTANTS, RESEARCH AND REPORT BACK TO THE 1999 HOUSE OF DELEGATES THE FEASIBILITY OF TRANSITIONING THE BROKER NETWORK, THIRD-PARTY ADMINISTRATION AND MARKETING OF DR TO A CDAHCI FOR-PROFIT SUBSIDIARY AS A SELF-SUSTAINING BUSINESS BY THE YEAR 2002, AND BE IT FURTHER

RESOLVED, THAT THE CDA DR COMMITTEE CONTINUE TO WORK WITH DR STAFF AND SERVE AS A LIAISON BETWEEN THE CDAHCI FOR-PROFIT SUBSIDIARY THROUGH THE CDA BOARD OF TRUSTEES, CDA MEMBERS AND STAFF.

Upon recommendation of the Reference Committee, Resolution 19RC was substituted for Resolution 19 and Resolution 45, as submitted by the Board of Trustees and Santa Barbara-Ventura County Dental Society, respectively, and adopted by the House of Delegates.


20. RESOLVED, THAT THE ATTACHED SUNSET REVIEW PROPOSAL RECOMMENDATIONS ARE APPROVED.

Resolution 20 was adopted on the consent calendar.


21RC. RESOLVED, THAT THE MANUAL OF THE HOUSE OF DELEGATES, CHAPTER II, BE AMENDED WITH THE ADDITION OF LEADERSHIP RECOGNITION GUIDELINES:

Chapter II - General Information for Delegates and Alternates

...

I. Leadership Recognition Guidelines: Leadership recognition plaques, awards and gifts will be presented following the Leadership Recognition Guidelines appended to this document.

AND BE IT FURTHER

RESOLVED, THAT THE LEADERSHIP RECOGNITION GUIDELINES BE AMENDED BY STAFF TO MAKE IT GENDER-NEUTRAL.

Upon recommendation of the Reference Committee, Resolution 21RC was substituted for Resolution 21, as submitted by the Board of Trustees and adopted by the House of Delegates. The attachment has been editorially amended as directed.


22RC. RESOLVED, THAT CDA SUPPORT ONLY THOSE REGISTERED DENTAL HYGIENE EDUCATION PROGRAMS THAT ARE ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION.

Upon recommendation of the Reference Committee, Resolution 22RC was substituted for Resolution 22, as submitted by the Board of Trustees, and subsequently amended and adopted.

23. RESOLVED, THAT CDA OPPOSE RECIPROCITY AS A MEANS OF LICENSURE IN CALIFORNIA, AND BE IT FURTHER

RESOLVED, THAT THIS CDA POSITION BE EMBODIED IN THE NEXT REVISION OF THE CDA POLICY MANUAL.

Resolution 23 as submitted by the Board of Trustees was adopted.


24. RESOLVED, THAT SECTION 20 OF THE CODE OF ETHICS BE AMENDED AS FOLLOWS TO INCLUDE LANGUAGE ADDRESSING THE CONFLICT OF INTEREST THAT MAY OCCUR WHEN DENTISTS ACT AS EXPERT WITNESSES:

SECTION 20. EXPERT TESTIMONY

Dentists may provide expert testimony when that testimony is essential to a just and fair disposition of a judicial or administrative action.

Dentists shall avoid placing themselves in a position where personal or professional interests may conflict with their duties as expert witnesses. Dentists shall also avoid using information learned as expert witnesses for personal gain or advantage.

If a dentist accepts a request from an attorney to provide an expert opinion about a person who is not a patient of the dentist, the dentist shall not accept that person as a patient into his or her practice until the litigation or other proceeding, if any, involving that person has concluded.

A dentist has the right to speak out against any policies espoused by organized dentistry, provided the dentist does not misrepresent such policies. It is unethical, however, for dentists to represent their views as those of the dental society or as those of the majority of the dentists of the community when, in fact, those views are opposed to those of the society or the majority of dentists in the community.

. . .

Resolution 24 was adopted on the consent calendar.


25. RESOLVED, THAT AREAS OF POTENTIAL CONFLICT OF INTEREST POLICY (#15-1992-H), AS SHOWN IN ATTACHMENT A, BE APPROVED AS AMENDED.

Resolution 25 was adopted on the consent calendar.


26. RESOLVED, THAT SECTION 7 OF THE CODE OF ETHICS BE AMENDED TO BRING IT INTO CONFORMITY WITH STATE LAW AS FOLLOWS:

SECTION 7. USE OF PROFESSIONAL TITLES AND DEGREES

A dentist may use the degrees conferred upon him or her by diploma from a recognized dental college or school legally empowered to confer the same, the letters "D.D.S." as permitted by state law, and/or the titles, Doctor and/or Dentist, and any additional advanced academic degrees earned in health service areas on cards, letterheads, announcements and advertisements

. . .

Resolution 26 was adopted on the consent calendar.

27-S1. RESOLVED, THAT THE STRATEGIC GOALS AND OBJECTIVES OF THE CALIFORNIA DENTAL ASSOCIATION AS EDITED TO INCLUDE SUGGESTIONS MADE AT THE 1997 CDA HOUSE OF DELEGATES BE APPROVED SUBJECT TO FUTURE MODIFICATION, AND BE IT FURTHER

RESOLVED, THAT THE EXECUTIVE COMMITTEE AND BOARD OF TRUSTEES USE THIS DOCUMENT AS A STARTING POINT TO EVALUATE AND MODIFY THESE GOALS TO DEVELOP A MEANINGFUL STRATEGIC PLAN, WITH A REPORT BACK TO THE 1999 HOUSE OF DELEGATES.

Resolution 27-S1 was substituted for Resolution 27 as submitted by the Board of Trustees, and adopted by the House of Delegates.


28RC. RESOLVED, THAT THE DENTISTS INSURANCE COMPANY (TDIC) DIVIDEND REPORT AS PROVIDED TO THE BOARD OF TRUSTEES AND HOUSE OF DELEGATES THROUGH CDA HOLDING COMPANY, INC. IS HEREBY RECEIVED WITH THE UNDERSTANDING THAT NO INCREASE IN THE 1998 DIVIDEND IS PROPOSED.

Upon recommendation of the Reference Committee, Resolution 28RC was substituted for Resolution 28, as submitted by the Board of Trustees and adopted by the House of Delegates.


29. RESOLVED, THAT CDA ACTIVE DUES BE ESTABLISHED AT $57069 PER MEMBER PER YEAR.

Resolution 29 as submitted by the Board of Trustees was adopted as amended, to include the financial impact of Resolution 51-S1.


30. RESOLVED, THAT THE CALIFORNIA DENTAL ASSOCIATION SUPPORTS THE 1998 HOUSE OF DELEGATES ACTION AS FOLLOWS:

Resolved, that the ADA strongly encourage all government-sponsored dental programs to support the concept of patient/enrollee freedom of choice in selection of dental benefit plans, and be it further

Resolved, that all government-sponsored programs allow for patient/enrollee selection of dental benefits plans independent from their selection of other health/medical benefit plans, and be it further

Resolved, that all government-sponsored dental benefit programs include a fee-for-service dental benefit option, where the patient/enrollee may use the services of any licensed dentist of their choice.

Resolution 30 was removed from the consent calendar. Resolution 30 as submitted by the Board of Trustees was adopted as amended.


31. RESOLVED, THAT THE ADA POLICY ENTITLED, GUIDELINES ON THE USE OF IMAGES IN DENTAL BENEFIT PROGRAMS, BE ADOPTED AS CDA POLICY, AND BE IT FURTHER

RESOLVED, THAT THE DENTAL PROFESSION ADHERE TO STATE LAW AND THE CDA CODE OF ETHICS AND ADA PRINCIPLES OF ETHICS AND CODE OF PROFESSIONAL CONDUCT WHETHER SUBMITTING OR REVIEWING DENTAL IMAGES FOR THE PURPOSE OF THIRD-PARTY REIMBURSEMENT.

Resolution 31 was adopted on the consent calendar.


32. RESOLVED, THAT THE WORD "IMAGES" BE SUBSTITUTED FOR THE WORD "RADIOGRAPHS" IN THE FOLLOWING POLICY STATEMENTS:

Interpretation of Radiographs Images by Third Party Carriers (25-1979)

Resolved, that any and all interpretation of radiographs images by third party carriers be conducted by a qualified consultant of the carrier, and be it further

Resolved, that at no time should interpretation of these radiographs images requiring professional judgment be conducted by anyone other than a licensed dentist, and be it further

Resolved, that any evidence which demonstrates violations of this policy should be forwarded to the Council on Dental Care for investigation and appropriate action.

Importance of Radiographs Images as Benefit in Dental Care Plan (29S2-1989)

Resolved, that the California Dental Association communicate to third party payors and to dental benefit purchasers the importance of radiographic examinations images in patient diagnosis and comprehensive treatment, and that radiographs all images be included as a benefit whenever clinically indicated, and be it further

Resolved, that this resolution be presented to the ADA House of Delegates for their approval.

Third Party Denti-Cal Review of Radiographs Images (27-1983)

Resolved, that CDA investigate qualifications of Denti-Cal and all other third party carrier personnel who are making clinical determinations on the basis of submitted radiographs images and other clinical data, and seek compliance with the California State Dental Practice Act, and be it further


Resolved, that CDA seek legislation requiring the identification of all dental consultants and further require the identification and signature of the dental consultant on all dental insurance claim forms that are altered or denied on the basis of radiographs images or other clinical findings.

Resolution 32 was adopted on the consent calendar.


33. RESOLVED, THAT THE FOLLOWING MISSION STATEMENT, PRIMARY DUTIES AND QUALIFICATIONS FOR THE COUNCIL ON DENTAL RESEARCH AND DEVELOPMENTS BE APPROVED:

COUNCIL ON DENTAL RESEARCH AND DEVELOPMENTS:

A. Mission Statement: To evaluate and monitor scientific, technical and regulatory matters for the purpose of recommending association policy and apprising the membership of the significance of these issues to the practice of dentistry.

B. Primary Duties:

1. Evaluate and monitor matters concerning issues of a scientific nature and/or new advances in dentistry and related fields, i.e., e.g., biocompatibility of dental materials, temporomandibular disorders, infectious diseases in the dental office, matters concerning infection control/hazardous waste/medical waste/hazardous materials.

2. Advise the CDA Journal CDA Publications by identifying "expert" consultants in specific subject matter, serve as referees for Journal and other articles, and develop Journal and other articles.

3. Promote the dissemination of current scientific and research information to the membership and public.

4. Develop instructional and training materials in areas under the purview of the council for dissemination to members.

C. Qualification, Special Skills and Knowledge:

1. Dentists with an academic/research background, with a strong emphasis on representation from dental schools.

2. Ability to critically evaluate scientific literature and write accurate and timely responses.

Resolution 33 was adopted on the consent calendar.


34-S1 RESOLVED, THAT THE COUNCIL ON DENTAL RESEARCH AND DEVELOPMENTS DEVELOP A NEW CDA POLICY ON ALTERNATIVE MODES OF DENTAL CARE AND UNPROVEN THERAPIES, AND BE IT FURTHER

RESOLVED, THAT THE COUNCIL BRING THIS POLICY TO THE 1999 HOUSE OF DELEGATES FOR APPROVAL.

Resolution 34-S1 was substituted for Resolution 34 as submitted by the Board of Trustees, and adopted by the House of Delegates.


35RC. RESOLVED, THAT CDA SUPPORT LICENSURE BY CREDENTIAL UNDER THE PARAMETERS INDICATED IN THE POSITION PAPER ON LICENSURE BY CREDENTIAL AS AMENDED, AND BE IT FURTHER

RESOLVED, THAT THE COUNCIL ON EDUCATION AND PROFESSIONAL RELATIONS WORK WITH THE BOARD OF DENTAL EXAMINERS TO DEVELOP A MODEL OF LICENSURE BY CREDENTIAL THAT WOULD INCLUDE THE CONDITIONS OUTLINED IN THE POSITION PAPER.

Upon recommendation of the Reference Committee, Resolution 35RC was substituted for Resolution 35 as submitted by the Board of Trustees, and adopted by the House of Delegates. Motions to refer and further amend the attachment were defeated.


36RC. RESOLVED, THAT THE REVISED CDA POSITION PAPER ON CONTINUED COMPETENCY BE ADOPTED AS AMENDED AS ATTACHMENT B, AND BE IT FURTHER

RESOLVED, THAT THIS DOCUMENT BE INCLUDED IN THE NEXT REVISION OF THE CDA POLICY MANUAL.

Upon recommendation of the Reference Committee, Resolution 36RC was substituted for Resolution 36 as submitted by the Board of Trustees, and adopted by the House of Delegates. The attachment was severally amended.


37. RESOLVED, THAT THE PURSUIT OF MULTIPLE CARRIERS FOR CDA-SPONSORED INSURANCE PROGRAMS ON A CASE-BY-CASE BASIS FOLLOWING APPROPRIATE REVIEW AND EVALUATION BY THE COUNCIL ON INSURANCE WITH FINAL APPROVAL OF ALL CARRIERS AND PROGRAMS BY THE BOARD OF TRUSTEES, BE APPROVED.

Resolution 37 was adopted on the consent calendar.


38RC. RESOLVED, THAT A CHANGE IN THE COMMENCEMENT DATE FOR DUES REDUCTION ELIGIBILITY FOR RECENT GRADUATES, TO COMMENCE FROM THE YEAR OF FIRST LICENSURE IN THE UNITED STATES OR THE DATE OF SATISFACTORY COMPLETION OF AN ADA ACCREDITED POST-GRADUATE DENTAL STUDIES PROGRAM BE APPROVED, AND BE IT FURTHER

RESOLVED, THAT UPON SATISFACTORY COMPLETION OF THE POST-GRADUATE PROGRAM, DUES WILL RESUME AT THE LEVEL PAID AT THE TIME POST-GRADUATE STUDIES COMMENCED, AND BE IT FURTHER

RESOLVED, THAT THE CDA POLICY MANUAL, RESOLUTION #11-1988-H, BE AMENDED AS FOLLOWS:

Resolved, that eligibility for CDA recent graduate reduced dues be based solely upon year of graduation from dental school or completion of graduate studies, the year of first licensure in the United States, or the date of satisfactory completion of an ADA-accredited post-graduate dental studies program. Upon satisfactory completion of the post-graduate program, dues will be resumed at the level paid at the time post-graduate studies commenced.

Upon recommendation of the Reference Committee, Resolution 38RC was substituted for Resolution 38, as submitted by the Board of Trustees and adopted by the House of Delegates.


39RC. RESOLVED, THAT REVISIONS TO THE MISSION STATEMENT OF THE COUNCIL ON MEMBERSHIP SERVICES BE APPROVED.

Upon recommendation of the Reference Committee, Resolution 39RC was substituted for Resolution 39, as submitted by the Board of Trustees and adopted by the House of Delegates.


40. RESOLVED, THAT THE FOLLOWING CANDIDATES ARE SELECTED AS NOMINEES TO SERVE AS DIRECTORS OF THE FOLLOWING SUBSIDIARY OPERATING COMPANIES:

TDC Board of Directors

*Steven D. Chan, D.D.S.
Southern Alameda County

Timothy F. Comstock
Executive Director

*Thornton A. D'Arc, D.D.S.
Orange County

*Thomas H. Stewart, D.D.S.
Kern County

Bruce G. Toy, D.D.S.
San Joaquin

*Nicholas E. Smith, D.D.S.
San Joaquin

*Betty S. Vodzak, D.D.S.
Contra Costa

*Marvin S. Waldman, D.D.S.
Los Angeles

Craig B. Dever, D.D.S.
San Diego County

William L. Marble, D.D.S.
Sacramento District

*Robert L. Witt
Nondentist - Orinda

TDCIS Board of Directors

*Steven D. Chan, D.D.S.
Southern Alameda County

Timothy F. Comstock
Executive Director

*Russell E. Haag, D.D.S.
San Diego County

*Philip J. Abeldt, D.D.S.
San Joaquin

*Joseph P. Sciarra, D.D.S.
San Fernando Valley

*James M. Osaki, D.D.S.
Santa Barbara-Ventura County

*Robert F. Emigh, D.D.S.
Harbor

*Charles R. Bocks, III, D.D.S.
Santa Clara County

*Martyn F. Rosa, D.D.S.
Sacramento District

*Norman Plotkin, D.D.S.
San Francisco

*Michael A. Kvarme, Esq
Nondentist - Sacramento

TDCMS Board of Directors

Timothy F. Comstock
Executive Director

Gene B. Welling, D.D.S.
Humboldt-Del Norte

Jack S. Broussard, Jr., D.D.S.
San Gabriel Valley

*A. Robert Linscheid
Nondentist - Chico

TDIC Board of Directors

Dennis M. Kalebjian, D.D.S.
Fresno Madera

Timothy F. Comstock
Executive Director

*Richard F. Bauerfeind, D.D.S.
San Diego County

*William J. Comport, D.D.S.
Santa Clara County

*Stephen Flanders, D.D.S.
San Gabriel Valley

*Kenneth G. Neal, Jr., D.D.S.
Tulare-Kings

*Donald M. Schinnerer, D.D.S.
Contra Costa

Dennis L. Roginson, D.D.S.
San Fernando Valley

James A. Abbott, D.D.S.
Redwood Empire

*Martin D. Craven, D.D.S., M.D.
Central Coast

*Ivan C. Neubauer, M.D.
Non-Dentist - San Jose

* Denotes Incumency

AND BE IT FURTHER

RESOLVED, THAT THIS SLATE OF NOMINEES IS RECOMMENDED TO THE CDA HOLDING COMPANY, INC. BOARD OF DIRECTORS, AS SHAREHOLDER, FOR ELECTION TO THE SUBSIDIARY OPERATING COMPANY BOARDS NOTED.

Resolution 40 was adopted on the consent calendar.


41. RESOLVED, THAT THE FOLLOWING PERSONS ARE SELECTED AS NOMINEES TO SERVE AS DIRECTORS OF CDA HOLDING COMPANY, INC.:

*Gene B. Welling, D.D.S.
Humboldt-Del Norte

*Kenneth E. Lange, D.D.S.
Northern California

*Kent Farnsworth, D.D.S.
Sacramento District

Jack S. Broussard, Jr., D.D.S.
San Gabriel Valley

Timothy F. Comstock
Executive Director

*Roddy N. Feldman, D.D.S.
Napa-Solano

*Robert P. Kelly, D.D.S.
Orange County

Michael R. Miller, D.D.S.
Tri-County

A. Robert Linscheid
Non-Dentist - Chico

*Denotes Incumbency

Resolution 41 was adopted on the consent calendar.


42RC. RESOLVED, THAT THE CALIFORNIA DENTAL ASSOCIATION SUPPORTS THE AMERICAN DENTAL ASSOCIATION 1998 HOUSE OF DELEGATES ACTION AS FOLLOWS:

Resolved, that active duty military dentists and component dental society members be urged to establish and maintain regular channels of communication, including participation by the active duty military in local dental societies, and be it further

Resolved, that active duty military dentists be urged to keep local civilian dental officials informed of military activities, current or pending of relevance to area dentists where such information is not restricted, and be it further

Resolved, that the American Dental Association continue to monitor and assure that military contracts which will affect dental practices in the area of a military base are established with proper adherence to existing government policies and guidelines. The American Dental Association will also notify the local dentists, through the auspices at the local branch or organized dentistry, as well as the constituent societies and facilitate the establishment of a process for input.

Upon recommendation of the Reference Committee, Resolution 42RC was substituted for Resolution 42, as submitted by the Board of Trustees and was defeated. A motion to reconsider was approved. Resolution 42RC was adopted by the House of Delegates with a minor editorial correction.


43. RESOLVED, THAT CDA STAFF BE COMMENDED FOR THEIR EXEMPLARY EFFORTS IN SUSTAINING THE ACTIVITIES OF THE CALIFORNIA DENTAL ASSOCIATION THROUGHOUT 1998, AND BE IT FURTHER

RESOLVED, THAT SPECIAL COMMENDATION BE EXTENDED TO EXECUTIVE STAFF WHOSE PARTICULAR CARE, GUIDANCE AND OVERSIGHT HAVE MAINTAINED THE ASSOCIATION WITH MINIMAL DISTURBANCE.

Resolution 43 as submitted by the Board of Trustees and San Diego County Dental Society was adopted. Staff received a standing ovation.


44. RESOLVED, THAT PURSUANT TO CDA BYLAWS, CHAPTER II, SECTION 60, HONORARY MEMBERSHIP IN THE CALIFORNIA DENTAL ASSOCIATION IS HEREBY BESTOWED UPON CONTRA COSTA DENTAL SOCIETY EXECUTIVE DIRECTOR JOAN STEVENSON, C.A.E.

Resolution 44 as submitted by the Board of Trustees was adopted. Ms. Stevenson received a standing ovation.


45. Resolved, that it is CDA policy to ensure its continued commitment to Direct Reimbursement (DR) as a membership benefit mindful of the DR program's inability to generate revenue, and be it further

Resolved, that if DR activities such as use of brokers and TPA services are delegated to a CDAHCI for-profit subsidiary, funding be maintained for CDA staff to oversee other DR activities such as member education, member lead follow-up, component resource and promotion of DR to companies not willing to work with a TPA or broker, and be it further

Resolved, that CDA DR staff develop and maintain a pertinent database with reports to be submitted to the House of Delegates on an annual basis, and be it further

Resolved, that if DR activities such as use of brokers and TPA services are delegated to a CDAHCI for-profit subsidiary, that the CDA DR Committee continue to work with DR staff and serve as a
liaison between the CDAHCI for-profit subsidiary through the CDA Board of Trustees and CDA members and staff.

Resolution 45 and Resolution 19 were substituted by Resolution 19RC which was subsequently adopted. See Resolution 19RC.


46. Resolved, that the invocation held during the opening session of the annual CDA House of Delegates be nondenominational or secular in nature, and be it further

Resolved, that the CDA Manual of the House of Delegates, Section IV-S, be amended by addition of the following:

IV. Rules of the House of Delegates

...

S. The Invocation, held during the first session of the House of Delegates, will be nondenominational or secular in nature.

Resolution 46 as submitted by the Berkeley Dental Society was defeated.


47RC. RESOLVED, THAT THE 1998 CDA HOUSE OF DELEGATES RECOMMENDS TO THE BOARD OF TRUSTEES THAT AN ADDITIONAL METHOD OF FUNDING THE UNRESTRICTED RESERVE FUND BE NON-BUDGETED INCOME SOURCES WHICH ARE RECEIVED BY THE ASSOCIATION, (E.G., SIGNING BONUSES, WINDFALLS, UNEXPECTED INCOME), THE AMOUNTS OF WHICH ARE TO BE EARMARKED DIRECTLY TO THE FUND, AND BE IT FURTHER

RESOLVED, THAT THE HOUSE OF DELEGATES DIRECTS THE TREASURER TO CONTINUE TO PROVIDE A DETAILED ACCOUNTING OF THE UNRESTRICTED RESERVE FUND ACTIVITY ANNUALLY TO THE HOUSE OF DELEGATES.

Upon recommendation of the Reference Committee, Resolution 47RC was substituted for Resolution 47, as submitted by the San Fernando Valley Dental Society, and adopted by the House of Delegates.


48RC. RESOLVED, THAT THE CALIFORNIA DENTAL ASSOCIATION WILL WORK WITH LOCAL COMPONENTS TO ENSURE THAT REGULATIONS AND FEES IMPLEMENTED BY LOCAL REGULATORY AGENCIES ARE REASONABLE AND APPROPRIATE, AND BE IT FURTHER

RESOLVED, THAT CHALLENGE WILL BE CONSIDERED AND UNDERTAKEN IF NECESSARY.

Upon recommendation of the Reference Committee, Resolution 48RC was substituted for Resolution 48, as submitted by the Sacramento District Dental Society and adopted by the House of Delegates.


49RC. Resolved, that the CDA House of Delegates refer to the Board of Trustees a request that CDAHCI retain an independent financial consultant to review the dividend paid by TDIC and to determine the maximum dividend that can be awarded to CDAHCI from TDIC without jeopardy to either organization, and be it further

Resolved, that the report from the financial consultant be presented to the CDAHCI board in sufficient time for a report to the May 1999 CDA Board of Trustees meeting.

Upon recommendation of the Reference Committee, Resolution 49RC was substituted for Resolution 49 and Resolution 52, as submitted by the Harbor Dental Society and Los Angeles Dental Society, and was subsequently amended and defeated.


50. RESOLVED, THAT THE CALIFORNIA DENTAL ASSOCIATION ENDORSE THE FOLLOWING ORAL HEALTH CARE POLICY ON INFANT ORAL HEALTH CARE:

The infant oral health care visit should be seen as the foundation on which a lifetime of preventive education and dental care can be build, in order to help assure optimal oral health into childhood. Oral examination, anticipatory guidance including preventive education, and appropriate therapeutic intervention for the infant can enhance the opportunity for a lifetime of freedom from preventable oral disease.

Recommendations:

1. Infant oral health care education begins ideally with prenatal oral health counseling for parents. A postnatal initial oral evaluation visit should occur within six months of the eruption of the first primary tooth and no later than twelve months of age.

2. At the infant oral evaluation visit, when feasible, the dentist should:

a. Record a thorough medical and dental history, covering the prenatal, perinatal and postnatal periods;

b. Complete a thorough oral examination;

c. Assess the patient's risk of developing oral and dental disease, and determine an appropriate interval for periodic reevaluation based on that assessment;

d. Discuss and provide anticipatory guidance regarding dental and oral development, fluoride status, non-nutritive oral habits, injury prevention, oral hygiene, and effects of diet on the dentition.

Resolution 50 as submitted by the Council on Community Health was amended and adopted.


51-S1 RESOLVED, THAT CDA ENCOURAGE EACH COMPONENT TO APPOINT A REPRESENTATIVE TO ATTEND THE CALIFORNIA STATE BOARD OF DENTAL EXAMINERS MEETINGS, AND BE IT FURTHER

RESOLVED, THAT TO SUPPORT THIS ACTIVITY EACH COMPONENT MAY REQUEST UP TO $200 ANNUALLY IN MATCHING FUNDS TO OFFSET THE EXPENSES INCURRED BY THE COMPONENT, AND BE IT FURTHER

RESOLVED, THAT THE BOARD OF TRUSTEES BE DIRECTED TO ALLOCATE UP TO $6,400 TO SUPPORT THIS PROGRAM.

Resolution 51-S1 was substituted for Resolution 51, as submitted by the Orange County Dental Society and adopted by the House of Delegates.


52. Resolved, that the CDA House of Delegates direct the Board of Trustees to direct the CDA Holding Company to direct that an additional 1% dividend (paid out as a percentage of assets) be paid by TDIC to CDA through the holding company (pending receipt of the independent audit report), and be it further

Resolved, that the additional dividend be distributed to CDA as early in 1999 as possible.

Upon recommendation of the Reference Committee, Resolutions 49 and 52 were combined and replaced by substitute Resolution 49RC. See Resolution 49RC.


53RC. RESOLVED, THAT THE CALIFORNIA DENTAL ASSOCIATION OPPOSE THE ESTABLISHMENT OF ON-BASE DENTAL FACILITIES FOR MILITARY DEPENDENTS UNTIL THE MILITARY BASE IN QUESTION SATISFACTORILY ESTABLISHES:

REMOTE STATUS (THAT IS, LOCATION REMOTE FROM ADEQUATE CIVILIAN FACILITIES) AND

LACK OF AN ADEQUATE SUPPLY OF DENTISTS WITHIN 30 MILES OF THE BASE.

Upon recommendation of the Reference Committee, Resolution 53RC was substituted for Resolution 53, as submitted by the San Diego County Dental Society and adopted by the House of Delegates.


54. Resolved, that the CDA House of Delegates urge the Board of Trustees to instruct the editor to publish in the CDA Journal or the CDA Update, the article entitled, "DR - Its Role in Financing Dental Benefits" by Dale F. Redig, D.D.S., FACD, published in the 1998 Spring issue of the Journal of the American College of Dentists, and be it further

Resolved, that the attached article be published by June 1, 1999.

Resolution 54 as submitted by the Orange County Dental Society was defeated.


55. RESOLVED, THAT IN CONSULTATION WITH THE SPEAKER, THE PROPOSED CONSENT CALENDAR FOR THE REFERENCE COMMITTEE ON PRESIDENT'S ADDRESS AND SUBSIDIARY MATTERS BE APPROVED.

Resolution 55 was adopted.


56. RESOLVED, THAT IN CONSULTATION WITH THE SPEAKER, THE PROPOSED CONSENT CALENDAR FOR THE REFERENCE COMMITTEE ON COUNCIL MATTERS BE APPROVED.

Resolution 56 was amended with removal of Resolution 30, and subsequently adopted.


57. RESOLVED, THAT IN CONSULTATION WITH THE SPEAKER, THE PROPOSED CONSENT CALENDAR FOR THE REFERENCE COMMITTEE ON BUDGET AND COMMUNICATIONS BE APPROVED.

Resolution 57 was adopted.


58. RESOLVED, THAT THE ISSUE OF INCREASING VOLUNTEER PARTICIPATION IN GENERAL BE CONSIDERED FOR INCORPORATION INTO CDA'S STRATEGIC GOALS.

Resolution 58 as submitted by the Sacramento District Dental Society was adopted.

59. Resolved, that the House of Delegates direct the Board of Trustees to urge the executive director to identify known or planned expenditures and liabilities for the next five years and develop a long range planning model, and be it further

Resolved, that the model must present a plan for dues and program changes to meet those expenditures and liabilities, and be it further

Resolved, that the Finance Committee develop a mechanism whereby board and House of Delegates actions have a dues impact implication notation as a caveat to approval, and be it further

Resolved, that this model be presented to the August 1999 Board of Trustees for report to the 1999 CDA House of Delegates.

Resolution 59 was amended and then subsequently defeated.