Across late December 2025 and early January 2026, multiple developments point to a broad tightening of standards and oversight that directly affects DSOs as they scale. At the industry level, the ADA’s decision to launch a...more
Dental support organizations (DSOs) sustained notable expansion activity in late 2025. The November 2025 DSO Deal Roundup highlights that multiple platforms grew through both affiliations and de novo practice openings in...more
In October, California Governor Gavin Newsom signed into law two bills that create additional hurdles for investors in healthcare businesses. AB 1415 and SB 351 are both set to take effect on January 1, 2026, and transacting...more
Private equity investment in dental practices and DSOs remains robust, with deal volume notably high in recent years despite broader economic uncertainty. There are several key takeaways from recent PitchBook outlooks and...more
California Governor Gavin Newsom recently signed two new bills into law that formalize restrictions on medical and dental practice management platforms operated by private equity groups and hedge funds and increase the...more
On October 6, 2025, after multiple rounds of amendments, California Governor Gavin Newsom signed into law Senate Bill 351 (SB 351), a significant measure that strengthens restrictions on the corporate practice of medicine...more
On October 11, 2025, Governor Newsom signed Assembly Bill 1415 (“AB 1415”) into law. Effective January 1, 2026, AB 1415 expands the existing review process by the Office of Health Care Affordability (“OHCA”) to require...more
California Governor Gavin Newsom signed Senate Bill (SB) 351 into law on October 6, 2025, codifying certain elements of the state’s restrictions on the corporate practice of medicine (CPOM) and corporate practice of dentistry...more
The ADA will cut $20 million from its 2025 budget to balance finances and recover from years of deficit spending. These cuts, approved in July, will affect multiple programs, reduce staff, change outreach strategies and lower...more
Assembly Bill (AB) 1415 and Senate Bill (SB) 351 continue to evolve as they progress through the California State Legislature. On August 21, 2025, the California State Senate amended AB 1415 by revising the definition of...more
As government scrutiny of the healthcare industry intensifies, enforcement agencies are casting wider nets to recover funds based on narrowly interpreted violations. This puts not only healthcare providers but also those...more
AI is not the only thing that could change the dental industry. The dental industry is finding itself in an increasingly complex landscape of regulatory reform, increased oversight and surprising policy changes. Economic...more
Key Takeaways - Shareholder disputes arise from circumstances both anticipated and unanticipated at the time of formation of a business relationship....more
Indiana currently has a reporting requirement related to health care entity mergers and acquisitions that requires parties to covered health care entity transactions—including Dental Support Organization (“DSO”)...more
DSOs have experienced several challenges amid the slowing private equity space in the years since the COVID-19 pandemic and the tightening of the private equity space, however, there are signs of a shift, with a number of...more
ADA Advocating for Fluoridation, Says Medical Devices Should Not Be Subjected to Tariffs - The dental industry and DSOs are experiencing change as both continue to embrace technology, including AI. The political and...more
The New York State Department of Health (DOH) has published a set of Frequently Asked Questions (FAQs) to provide guidance on the "Disclosure of Material Transactions" law that took effect on Aug. 1, 2023. Pursuant to Article...more
The second Trump administration is planning changes that will impact the dental industry, and ADA and other outfits are concerned. The FDA also approved suzetrigine, a non-opiod pain manager, and DSOs are expected to see...more
In Florida, the corporate practice of dentistry is subject to stringent regulations designed to ensure that only licensed dentists have control over dental practices. This regulatory framework is crucial for maintaining the...more
The California legislature has introduced a bill that would implement some of the same restrictions on private equity health care investments as last year’s AB 3129....more
Moving into 2025, the dental industry faces a series of transformative shifts driven by evolving patient expectations, the rise of Dental Support Organizations (DSOs) and persistent operational challenges. The industry will...more
Dental organizations see benefits from embracing sustainable practices - Dentsply Sirona highlighted its progress in ESG initiatives in its sustainability report, which can give DSOs a competitive edge and build brand...more
In August, Illinois Gov. J.B. Pritzker signed into law HB 4891 that amends the Illinois Dental Practice Act to include significant guardrails for dental practices looking to offer third-party financing in dental offices in...more
Dentologie shares thoughts on growth by building on its unique brand identity - While other DSOs have focused on growth through acquisitions, Dentologie instead builds on its unique culture, modern aesthetic, and consumer...more
Guardian Dentistry leads among fastest growing DSOs and has emphasized its commitment to continuous learning - Guardian Dentistry Partners ranked highest among DSOs on the Inc. 5000 list of fastest-growing companies. As a...more