H.R. 9829 (119th)Bill Overview

ORTHO Act

domestic policy
Cosponsors
Support
Republican
Introduced
Jul 22, 2026
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The ORTHO Act requires the Federal Trade Commission to issue regulations that generally require an in-person dental examination before a dentist may provide dental services or medical devices via teledentistry, with limited exceptions for emergent care, public health programs, and initial orthodontic diagnosis subject to dentist confirmation and an in-person radiographic review. Violations are enforced by the FTC as unfair or deceptive acts and by State attorneys general through civil actions, with statutory damages of $1,000 per violating remote visit (tripled for willful violations).

Why people may split

Progressives emphasize patient safety and curbing algorithmic orthodontics.

Watch point

Relative to its intended legislative type, this bill establishes a specific substantive regulatory change with defined exceptions and enforcement paths, integrates with existing enforcement law, and sets an implementation deadline, but it omits fiscal/resourcing acknowledgement and ongoing measurement/reporting requirements.

The ORTHO Act requires the Federal Trade Commission to issue regulations that generally require an in-person dental examination before a dentist may provide dental services or medical devices via teledentistry, with limited exceptions for emergent care, public health programs, and initial orthodontic diagnosis subject to dentist confirmation and an in-person radiographic review.

Violations are enforced by the FTC as unfair or deceptive acts and by State attorneys general through civil actions, with statutory damages of $1,000 per violating remote visit (tripled for willful violations).

The rulemaking is exempted from Magnuson-Moss procedural requirements, and States may adopt supplemental consistent laws.

Passage40/100

Narrow health-sector regulation improves odds, but industry opposition, litigation risk, and Senate procedural realities reduce probability.

CredibilityPartially aligned

Relative to its intended legislative type, this bill establishes a specific substantive regulatory change with defined exceptions and enforcement paths, integrates with existing enforcement law, and sets an implementation deadline, but it omits fiscal/resourcing acknowledgement and ongoing measurement/reporting requirements.

Contention62/100

Progressives emphasize patient safety and curbing algorithmic orthodontics.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
ConsumersConsumers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitIncreases patient safety by requiring in-person exams before most teledentistry services, reducing misdiagnosis risks.
  • Potential benefitEnsures radiographic review and dentist clinical judgment prior to orthodontic appliance use, potentially reducing devi…
  • ConsumersAuthorizes FTC and state enforcement with statutory damages, strengthening consumer protection tools against deceptive…
Likely burdened
  • Potential burdenIncreases access barriers for rural or mobility-limited patients who rely on remote-only teledentistry services.
  • Potential burdenImposes additional costs and travel burdens on patients who must attend in-person exams before treatment.
  • ConsumersCreates regulatory and compliance burdens for telehealth dental companies, potentially raising operational and consumer…
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize patient safety and curbing algorithmic orthodontics.
Progressive80%

Likely supportive overall because the bill prioritizes patient safety and limits algorithm-only orthodontic care.

It addresses consumer protection against direct-to-consumer teledentistry that bypasses clinical exams, though it may raise concerns about reduced access in underserved areas.

Leans supportive
Centrist55%

Cautiously supportive of the bill's safety goals but wary about regulatory scope and implementation.

Will likely seek clearer exemptions, evidence-based standards, coordination with state dental boards, and attention to access and cost tradeoffs.

Split reaction
Conservative25%

Likely skeptical or opposed because it expands FTC regulatory authority into medical practice and may constrain telehealth innovation and state regulatory primacy.

Views it as federal overreach that could raise costs and reduce access.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood40/100

Narrow health-sector regulation improves odds, but industry opposition, litigation risk, and Senate procedural realities reduce probability.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Substantive content and strictness of FTC regulations to be promulgated
  • Intensity and success of industry and professional association lobbying
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives emphasize patient safety and curbing algorithmic orthodontics.

Narrow health-sector regulation improves odds, but industry opposition, litigation risk, and Senate procedural realities reduce probability.

Unlocked analysis

Relative to its intended legislative type, this bill establishes a specific substantive regulatory change with defined exceptions and enforcement paths, integrates with existing enforcement law, and sets an implementati…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis