This bill amends RCW 18.32.640 to require that any dental procedure that requires deep sedation or analgesia be performed by a multiprovider system and to give the referenced commission authority to adopt rules necessary to carry out the chapter. A "multiprovider system" is defined as a system in which the dentist performing the dental procedure and the person sedating and monitoring the patient are two distinct individuals with separate tasks. The bill also requires that the person who administers deep sedation be a licensed health care provider acting within the scope of their practice. The commission is authorized to adopt rules governing administration of sedation and general anesthesia by persons licensed under the chapter, including rules on training, education, equipment, and issuance of permits, certificates, or registrations. The change is a procedural and regulatory modification of existing law affecting the commission, dentists and other persons licensed under the chapter, licensed health care providers who administer deep sedation, and patients undergoing these dental procedures. It does not create a new crime or specify new penalties in the text provided. Important context is missing from the extracted text: the full name of "the commission," the broader chapter text, which specific licenses or provider types are covered, any enforcement mechanisms or penalties, and any effective dates or implementation deadlines. The bill is identified as S-3913.1 / Senate Bill 6138 (69th Legislature, 2026 Regular Session) and was read for the first time on 01/14/26.

If enacted, dental procedures that require deep sedation would have to be done with two separate people: the dentist performing the procedure and a different licensed health care provider who administers and monitors the deep sedation. The state dental commission could then set rules about training, equipment, and permits, so dental offices that now rely on a single person for both roles will likely need to hire or contract additional licensed providers, invest in training and equipment upgrades, and complete any new permitting or certification steps the commission requires. The immediate impacts fall most on dental practices that provide deep sedation, the dentists who run them, and the licensed providers who would staff sedation roles; those practices should expect higher staffing and administrative costs, changes in scheduling or referral patterns, and a clearer division of clinical responsibility that may reduce patient safety risks. Key practical details are missing from the text provided—specifically which exact licenses qualify, when rules would take effect, and how enforcement or penalties would be applied—so the timing and full cost implications are uncertain.