RT Journal Article SR Electronic T1 The Origins of Minnesota's Mid-Level Dental Practitioner: Alignment of Problem, Political and Policy Streams JF American Dental Hygienists Association JO J Dent Hyg FD American Dental Hygienists Association SP 49 OP 49 VO 89 IS suppl 2 A1 Anne E. Gwozdek A1 Renee Tetrick A1 H. Luke Shaefer YR 2015 UL http://jdh.adha.org/content/89/suppl_2/49.abstract AB Purpose: Using John Kingdon's agenda-setting model, this paper explores how Minnesota came to legislate a mid-level dental practitioner to its oral health workforce. Using a pluralist framework embracing the existence of various interests and convictions, this analysis highlights the roles of issue formation, agenda setting and politics in policymaking.Methods: Using Kingdon's agenda-setting model as a theoretical lens, and applying case study methodology, this paper analyzes how Minnesota came to legislate a mid-level dental practitione to its oral health workforce. Data have come from scholarly research, governmental and foundation agency reports, interviews with leaders involved in the mid-level dental practitioner initiative, news articles, and Minnesota statute.Results: After 2 years of contentious and challenging legislative initiatives, the problem, policy and political streams converged and aligned with the compromise passage of a bill legalizing mid-level dental practitioner practice. The Minnesota Dental Therapist Law was the first-in-the-nation licensing law to develop a new dental professional workforce model to address access to oral health care.Conclusion: The Minnesota mid-level dental practitioner initiative demonstrates the important convergence and alignment of the access to oral health care problem and the subsequent collaboration between political interest groups and policymakers. Through partnerships and pluralist compromise, mid-level dental practitioner champions were able to open the policy window to move this legislation to law, enhancing the oral health workforce in Minnesota.