093_HB3219

 
                                     LRB093 11089 AMC 11816 b

 1        AN ACT concerning dentistry.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.   The Illinois Dental Practice Act is amended
 5    by changing Section 18 as follows:

 6        (225 ILCS 25/18) (from Ch. 111, par. 2318)
 7        (Section scheduled to be repealed on January 1, 2006)
 8        Sec.  18.   Acts  Constituting  the  Practice  of  Dental
 9    Hygiene.  Limitations. A dental hygienist may be employed  or
10    engaged only:
11             (a)  Under the supervision of a dentist:
12                  (1)  In the office of a dentist;
13                  (2)  By  a  federal, State, county or municipal
14             agency or institution;
15                  (3)  By a public or private school; or
16                  (4)  By a public  clinic  operating  under  the
17             direction  of  a hospital or federal, State, county,
18             municipal or other public agency or institution.
19        When employed or engaged pursuant to this paragraph (a) a
20    dental hygienist may perform  the  following  procedures  and
21    acts:
22                  (i)  the operative procedure of dental hygiene,
23             consisting of oral prophylactic procedures;
24                  (ii)  the  exposure  and  processing  of  X-Ray
25             films of the teeth and surrounding structures;
26                  (iii)  the  application  to the surfaces of the
27             teeth or gums of chemical compounds designed  to  be
28             desensitizing  agents  or  effective  agents  in the
29             prevention of dental caries or periodontal disease;
30                  (iv)  all services which may be performed by  a
31             dental  assistant  as  specified by rule pursuant to
 
                            -2-      LRB093 11089 AMC 11816 b
 1             Section 17;
 2                  (v)  administration and monitoring  of  nitrous
 3             oxide  upon  successful  completion  of  a  training
 4             program approved by the Department;
 5                  (vi)  administration  of local anesthetics upon
 6             successful completion of a training program approved
 7             by the Department; and
 8                  (vii) such other procedures and acts  as  shall
 9             be   prescribed   by   rule  or  regulation  of  the
10             Department.
11             (b)  Under the general supervision of a dentist in a
12        long-term  care  facility  licensed  by  the   State   of
13        Illinois,  or a mental health or developmental disability
14        facility operated by the Department of Human Services, if
15        the patient is  unable  to  travel  to  a  dental  office
16        because  of  illness  or  infirmity.   The  dentist shall
17        personally examine and diagnose the patient and determine
18        which services are necessary to be performed, which shall
19        be contained in a written order to the  hygienist.   Such
20        order  must  be  implemented  within  120  90 days of its
21        issuance,  and  an  updated  medical  history  and   oral
22        inspection must be performed by the hygienist immediately
23        prior  to  beginning  the  procedures  to ensure that the
24        patient's health has not changed in any manner to warrant
25        a reexamination by the dentist.
26             (c)  Without the supervision of a dentist, a  dental
27        hygienist  may  perform dental health education functions
28        and  may  record  case  histories  and  oral   conditions
29        observed.
30        The  number  of  dental hygienists practicing in a dental
31    office shall not exceed, at any one time, 4 times the  number
32    of dentists practicing in the office at the time.
33    (Source: P.A. 91-594, eff. 1-1-00; 91-689, eff. 1-1-01.)