How one hygienist turned patient frustration into legislative change

When a patient with Parkinson’s could no longer access care, one hygienist decided the system—not the patient—needed to change. Here’s how that moment led to direct access laws, Medicaid reimbursement, and a broader model for care.

Key Takeaways

  • Advocacy often starts with one patient story.
    Danielle’s journey began when a patient with Parkinson’s lost access to in-office care, highlighting systemic limitations.
  • Direct access changes care delivery—but sustainability requires reimbursement.
    Passing legislation is only the first step; Medicaid recognition enables long-term program viability.
  • Professional associations amplify your voice.
    Legislators respond differently when clinicians speak on behalf of a collective, not just personal experience.
  • The “hygiene shortage” is often a retention issue.
    Workplace conditions, autonomy, and scope utilization play a major role in workforce participation.
  • You don’t need expertise to get involved.
    Advocacy begins with showing up, asking questions, and participating in events like “Day at the Capitol.”
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What happens when the system prevents you from delivering the care your patients need?

In this episode of A Tale of Two Hygienists , Jessica Atkinson and David Torres sit down with Danielle Evans, RDH—an experienced clinician, mobile practice owner, and legislative leader—who turned a moment of patient heartbreak into meaningful change at the state level.

Danielle shares how her experience with an aging patient losing access to care sparked her involvement in advocacy, ultimately leading to direct access legislation and Medicaid reimbursement for hygienists in Utah. She breaks down what clinicians often misunderstand about policy, why professional associations matter, and how everyday hygienists can begin influencing change—without prior experience.

This episode explores:

  • The real barriers to access to care—and why they persist
  • How direct access and mobile hygiene models expand patient reach
  • Why Medicaid reimbursement is essential for sustainability
  • The difference between a “shortage” and a retention problem in hygiene
  • Practical ways to get involved in advocacy at the state level

If you’ve ever felt constrained by traditional practice models or wondered how to make a broader impact, this conversation offers both perspective and direction.

More on advocacy in dental hygiene

From burnout to purpose: How one hygienist rebuilt her career

This piece was created with the help of generative AI tools and edited by our content team for clarity and accuracy.

About the Author

David Torres, CRDH

David Torres, CRDH, cohost of A Tale of Two Hygienists, is an experienced dental hygienist with over a decade of clinical expertise, specializing in patient education, preventive care, and the integration of modern dental technologies. Known for his passion for teaching, campus recruiting, and coaching, David is dedicated to elevating patient experiences while helping dental professionals improve efficiency, workflow, and long-term success.

Jessica Atkinson, MEd, BSDH, RDH

Jessica Atkinson, MEd, BSDH, RDH

Jessica Atkinson, MEd, BSDH, RDH, is the COO of Hygiene Edge and an assistant professor of dental hygiene at Utah Tech University. She has been in the dental field for 23 years with experience in the front office, dental assisting, hygiene, and education. Jessica has presented nationally and internationally, is the recipient of the St. George Area Chamber of Commerce Element Award and the Utah Tech College of Health Sciences Outstanding Service Award, is a past president of the Utah Dental Hygienists’ Association, and a member of the ADHA.

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