Regular Session
Government Affairs & Regulatory Compliance Analysis
HB4070 effectively dismantles the remote-only clear aligner business model in Texas by mandating in-person examinations and x-ray reviews prior to the sale or manufacture of orthodontic devices. Manufacturers and dental laboratories are now legally required to act as compliance gatekeepers, verifying and retaining proof of these clinical prerequisites before fulfilling any orders.
Rep. Ann Johnson·House Bill·Regular Session
Texas Department of State Health Services • Texas State Board of Dental Examiners
This legislation has regulatory implications for the following Texas businesses and organizations:
Significant regulatory changes (effective 2025-09-01). Review with your legal and compliance teams to understand implications.
Affected business types:
highSignificant operational investment may be required.
JD Key Consulting provides government affairs and regulatory strategy services. We help businesses navigate Texas agencies, understand legislative impacts, and advocate for their interests.
JD Key Consulting provides strategic guidance on Texas regulatory compliance and legislative impact for your business.
Key implementation requirements and action items for compliance with this legislation
JD Key Consulting specializes in Texas regulatory compliance strategy. Work directly with James Dickey—former Chairman of the Republican Party of Texas—to understand this bill's impact on your operations and develop an actionable compliance plan.
Schedule a ConsultationInformation presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.
This bill's path through the Texas Legislature
Explore more bills from this author and on related topics
Common questions about HB4070
HB4070 effectively dismantles the remote-only clear aligner business model in Texas by mandating in-person examinations and x-ray reviews prior to the sale or manufacture of orthodontic devices. Manufacturers and dental laboratories are now legally required to act as compliance gatekeepers, verifying and retaining proof of these clinical prerequisites before fulfilling any orders.
HB4070 was authored by Texas Representative Ann Johnson during the Regular Session.
HB4070 was signed into law by Governor Greg Abbott on June 20, 2025.
HB4070 is enforced by Texas Department of State Health Services and Texas State Board of Dental Examiners.
The regulatory priority for HB4070 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB4070 is estimated as "high". This may vary based on industry and implementation requirements.
HB4070 addresses topics including health, health--general, health--other diseases & medical conditions, occupational regulation and occupational regulation--health occupations.
Key dates for HB4070: Effective date is 2025-09-01. Consult with legal counsel regarding applicability.
HB4070 establishes the following penalties: administrative/civil penalty of Unspecified (Governed by existing Health and Safety Code Ch. 431) for Selling an orthodontic device or providing design/manufacturing services without verifying the patient received an in-person exam, x-rays, and prescription from a dentist.. Consult with legal counsel for specific applicability to your situation.
HB4070 primarily affects healthcare providers and medical facilities, Texas businesses and commercial enterprises. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.
JD Key Consulting is an Austin, Texas-based government affairs firm led by James Dickey, former Chairman of the Republican Party of Texas. We specialize in Texas regulatory compliance and legislative strategy for data centers, energy, banking, and manufacturing.
