(a) In addition to the general qualifications for licensure contained in §103.1 of this chapter (relating to General Qualifications for Licensure), an applicant for dental hygienist licensure by examination must present proof that the applicant has taken and passed the appropriate live patient or hands-on simulation clinical examination administered by a regional examining board designated by the Board.(b) Designated regional examining boards.(1) The following regional examining boards have been designated as acceptable by the Board as of the effective dates shown:(A) The Commission on Dental Competency Assessments-The Western Regional Examining Board-The Council of Interstate Testing Agencies (CDCA-WREB-CITA), August 1, 2022;(B) Central Regional Dental Testing Service (CRDTS), January 1, 2002; and(C) States Resources for Testing and Assessments (SRTA), January 1, 2005.(2) Examination results will be accepted for seven years from the date of the examination.(c) Remediation.(1) If an applicant for Texas dental hygienist licensure fails three dental hygiene live patient or hands-on simulation clinical examination attempts, the applicant must complete 40 hours of clinical remediation through a CODA-accredited dental hygiene program before approval will be issued to take another live patient or hands-on simulation clinical examination.(2) If an applicant fails four or more dental hygiene live patient or hands-on simulation clinical examination attempts, the applicant must complete 150 hours of clinical remediation through a CODA-accredited dental hygiene program before approval will be issued to take another live patient or hands-on simulation clinical examination.(3) All programs of clinical remediation require prior approval by the Board. Applicants will be responsible for locating, identifying and obtaining approval from the Board prior to registration for any program.(4) Re-examination must be accomplished within 18 months following the date the Board approves a remediation program for the applicant.