Several US states have introduced new legislation designed to restrict corporate entities from owning dental practices and influencing clinical decision-making. The push reflects growing concern among dental organizations about protecting patient care and dentist autonomy in an industry increasingly shaped by dental service organizations (DSOs) and large corporate operators.

State-level restrictions on corporate ownership

Kentucky recently modified its Dental Practice Act to bar certain individuals from owning dental practices, marking one of the most recent state-level efforts to constrain corporate control. Other states are following similar paths, with legislatures introducing measures that would prevent non-dentists or corporate entities from holding majority stakes in dental practices. These bills typically require that licensed dentists maintain ownership and control of clinical operations, preventing DSOs from directing treatment decisions.

Why dentist autonomy matters for patient care

Dental organizations have spoken publicly against corporate ownership models, arguing that when non-clinical entities control practices, they may prioritize revenue over patient outcomes. By mandating dentist ownership and decision-making authority, these laws aim to ensure that clinical judgments remain independent from corporate profit incentives. The legislation reflects concerns that corporate-owned practices may push unnecessary treatments or limit access to care for less profitable patient populations.