As a Member of the Statewide Oral Health Coalition, You

As a member of the statewide oral health coalition, you are on a committee to review the statewide oral health surveillance system. The purpose is to make recommendations for a statewide oral health survey to be implemented as part of the statewide surveillance system.
-All of the following EXCEPT one are future considerations for oral health surveillance that should be considered in making decisions for this state initiative. Which one is the EXCEPTION?

A) Changes are occurring rapidly in oral health surveillance because of the inclusion of relevant provisions in the 2010 Affordable Care Act (ACA) .
B) New oral health surveillance techniques are needed to reflect changes in dentistry such as technology, diagnostic codes, and an emphasis on protective and risk factors.
C) Public health infrastructure, funding, and workforce are sufficient to implement effective oral health surveillance efforts in the future.
D) Collaboration among states is needed to explore cost-effective surveillance techniques such as using self-report in place of "open-mouth" screening and using dental hygienists and other non-dental personnel to collect relevant data.