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| [ House Amendment 001 ] |
92_HB3788
LRB9211204ACdv
1 AN ACT concerning dental hygienists.
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 Sec. 18. Acts constituting the practice of dental
8 hygiene;. limitations.
9 (1) A dental hygienist may be employed or engaged only:
10 (a) Under the supervision of a dentist: (1) in the
11 office of a dentist.;
12 (2) By a federal, State, county or municipal agency
13 or institution;
14 (3) By a public or private school; or
15 (4) By a public clinic operating under the
16 direction of a hospital or federal, State, county,
17 municipal or other public agency or institution.
18 When employed or engaged pursuant to this paragraph (a) a
19 dental hygienist may perform the following procedures and
20 acts:
21 (i) the operative procedure of dental hygiene,
22 consisting of oral prophylactic procedures;
23 (ii) the exposure and processing of X-Ray
24 films of the teeth and surrounding structures;
25 (iii) the application to the surfaces of the
26 teeth or gums of chemical compounds designed to be
27 desensitizing agents or effective agents in the
28 prevention of dental caries or periodontal disease;
29 (iv) all services which may be performed by a
30 dental assistant as specified by rule pursuant to
31 Section 17;
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1 (v) administration and monitoring of nitrous
2 oxide upon successful completion of a training
3 program approved by the Department;
4 (vi) administration of local anesthetics upon
5 successful completion of a training program approved
6 by the Department; and
7 (vii) such other procedures and acts as shall
8 be prescribed by rule or regulation of the
9 Department.
10 (b) Under the general supervision of a dentist (i)
11 in a long-term care facility licensed by the State of
12 Illinois, (ii) in or a mental health or developmental
13 disability facility operated by the Department of Human
14 Services, (iii) in a public or private school, (iv) in a
15 hospital, (v) in a prison, (vi) in a community health
16 center or clinic, (vii) in a mobile unit, or (viii) in a
17 home health setting if the patient is unable to travel to
18 a dental office because of illness or infirmity. The
19 dentist shall personally examine and diagnose the patient
20 and determine which services are necessary to be
21 performed, which shall be contained in a written order to
22 the hygienist. Such order must be implemented within 90
23 days of its issuance, and An updated medical history and
24 oral inspection must be performed by the hygienist
25 immediately prior to beginning the procedures to ensure
26 that the patient's health has not changed in any manner
27 to warrant a reexamination by the dentist. The
28 authorizing dentist shall be responsible for providing
29 the dental examination in a reasonable and suitable time
30 frame to ensure the patient's overall oral health.
31 (2)(c) Without the supervision of a dentist, a dental
32 hygienist may perform dental health education functions and
33 may record case histories and oral conditions observed.
34 (3) The number of dental hygienists practicing in a
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1 dental office shall not exceed, at any one time, 4 times the
2 number of dentists practicing in the office at the time.
3 (4) When employed or engaged pursuant to paragraph (a)
4 or (b) of subsection (1) of this Section, a dental hygienist
5 may perform the following procedures and acts:
6 (a) the operative procedure of dental hygiene,
7 consisting of oral prophylactic procedures;
8 (b) the exposure and processing of X-Ray films of
9 the teeth and surrounding structures;
10 (c) the application to the surfaces of the teeth or
11 gums of chemical compounds designed to be desensitizing
12 agents or effective agents in the prevention of dental
13 caries or periodontal disease;
14 (d) all services which may be performed by a dental
15 assistant as specified by rule pursuant to Section 17;
16 and
17 (e) such other procedures and acts as shall be
18 prescribed by rule or regulation of the Department.
19 (5) A dental hygienist may only perform the following
20 procedures and acts upon successful completion of a training
21 program approved by the Department under the supervision of a
22 dentist:
23 (a) administration and monitoring of nitrous oxide;
24 and
25 (b) administration of local anesthetics.
26 (Source: P.A. 91-594, eff. 1-1-00; 91-689, eff. 1-1-01.)