97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
SB1602

 

Introduced 2/9/2011, by Sen. Michael W. Frerichs

 

SYNOPSIS AS INTRODUCED:
 
225 ILCS 25/4  from Ch. 111, par. 2304
225 ILCS 25/5.1 new
225 ILCS 25/9  from Ch. 111, par. 2309
225 ILCS 25/16  from Ch. 111, par. 2316
225 ILCS 25/16.1  from Ch. 111, par. 2316.1
225 ILCS 25/17  from Ch. 111, par. 2317

    Amends the Illinois Dental Practice Act. Provides a definition for "mobile dental van or portable dental unit". Creates a provision that requires the Department of Financial and Professional Regulation and Department of Healthcare and Family Services to establish rules for the regulation and registration of all entities or individuals who own or operate a mobile dental van or portable dental unit that provides restorative, screening, or preventative care to patients in schools and other Illinois settings. Provides that the State Board may approve other state or regional board exams if other state or regional board exams are deemed to meet the minimal requirements for licensure in Illinois. Permits the Department to accept up to 4 hours of continuing education credit hours per license renewal period for volunteers who provide clinical services at or sponsored by, a nonprofit community clinic, local or state health departments, or at a charity event sponsored by an approved dental organization. Makes other changes. Effective January 1, 2012.


LRB097 02876 CEL 42900 b

 

 

A BILL FOR

 

SB1602LRB097 02876 CEL 42900 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Dental Practice Act is amended by
5changing Sections 4, 9, 16, 16.1, and 17 and by adding Section
65.1 as follows:
 
7    (225 ILCS 25/4)   (from Ch. 111, par. 2304)
8    (Section scheduled to be repealed on January 1, 2016)
9    Sec. 4. Definitions. As used in this Act:
10    (a) "Department" means the Illinois Department of
11Professional Regulation.
12    (b) "Director" means the Director of Professional
13Regulation.
14    (c) "Board" means the Board of Dentistry established by
15Section 6 of this Act.
16    (d) "Dentist" means a person who has received a general
17license pursuant to paragraph (a) of Section 11 of this Act and
18who may perform any intraoral and extraoral procedure required
19in the practice of dentistry and to whom is reserved the
20responsibilities specified in Section 17.
21    (e) "Dental hygienist" means a person who holds a license
22under this Act to perform dental services as authorized by
23Section 18.

 

 

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1    (f) "Dental assistant" means an appropriately trained
2person who, under the supervision of a dentist, provides dental
3services as authorized by Section 17.
4    (g) "Dental laboratory" means a person, firm or corporation
5which:
6        (i) engages in making, providing, repairing or
7    altering dental prosthetic appliances and other artificial
8    materials and devices which are returned to a dentist for
9    insertion into the human oral cavity or which come in
10    contact with its adjacent structures and tissues; and
11        (ii) utilizes or employs a dental technician to provide
12    such services; and
13        (iii) performs such functions only for a dentist or
14    dentists.
15    (h) "Supervision" means supervision of a dental hygienist
16or a dental assistant requiring that a dentist authorize the
17procedure, remain in the dental facility while the procedure is
18performed, and approve the work performed by the dental
19hygienist or dental assistant before dismissal of the patient,
20but does not mean that the dentist must be present at all times
21in the treatment room.
22    (i) "General supervision" means supervision of a dental
23hygienist requiring that the patient be a patient of record,
24that the dentist examine the patient in accordance with Section
2518 prior to treatment by the dental hygienist, and that the
26dentist authorize the procedures which are being carried out by

 

 

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1a notation in the patient's record, but not requiring that a
2dentist be present when the authorized procedures are being
3performed. The issuance of a prescription to a dental
4laboratory by a dentist does not constitute general
5supervision.
6    (j) "Public member" means a person who is not a health
7professional. For purposes of board membership, any person with
8a significant financial interest in a health service or
9profession is not a public member.
10    (k) "Dentistry" means the healing art which is concerned
11with the examination, diagnosis, treatment planning and care of
12conditions within the human oral cavity and its adjacent
13tissues and structures, as further specified in Section 17.
14    (l) "Branches of dentistry" means the various specialties
15of dentistry which, for purposes of this Act, shall be limited
16to the following: endodontics, oral and maxillofacial surgery,
17orthodontics and dentofacial orthopedics, pediatric dentistry,
18periodontics, prosthodontics, and oral and maxillofacial
19radiology.
20    (m) "Specialist" means a dentist who has received a
21specialty license pursuant to Section 11(b).
22    (n) "Dental technician" means a person who owns, operates
23or is employed by a dental laboratory and engages in making,
24providing, repairing or altering dental prosthetic appliances
25and other artificial materials and devices which are returned
26to a dentist for insertion into the human oral cavity or which

 

 

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1come in contact with its adjacent structures and tissues.
2    (o) "Impaired dentist" or "impaired dental hygienist"
3means a dentist or dental hygienist who is unable to practice
4with reasonable skill and safety because of a physical or
5mental disability as evidenced by a written determination or
6written consent based on clinical evidence, including
7deterioration through the aging process, loss of motor skills,
8abuse of drugs or alcohol, or a psychiatric disorder, of
9sufficient degree to diminish the person's ability to deliver
10competent patient care.
11    (p) "Nurse" means a registered professional nurse, a
12certified registered nurse anesthetist licensed as an advanced
13practice nurse, or a licensed practical nurse licensed under
14the Nurse Practice Act.
15    (q) "Patient of record" means a patient for whom the
16patient's most recent dentist has obtained a relevant medical
17and dental history and on whom the dentist has performed an
18examination and evaluated the condition to be treated.
19    (r) "Dental emergency responder" means a dentist or dental
20hygienist who is appropriately certified in emergency medical
21response, as defined by the Department of Public Health.
22    (s) "Mobile dental van or portable dental unit" means any
23self-contained or portable dental unit in which dentistry is
24practiced that can be moved, towed, or transported from one
25location to another in order to establish a location where
26dental services can be provided.

 

 

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1(Source: P.A. 94-409, eff. 12-31-05; 95-639, eff. 10-5-07.)
 
2    (225 ILCS 25/5.1 new)
3    Sec. 5.1. Mobile dental van or portable dental unit;
4regulations. The Department, in conjunction with the
5Department of Healthcare and Family Services, shall establish
6by rule a program for the regulation and registration of all
7entities or individuals owning or operating a mobile dental van
8or portable dental unit that provides restorative, screening,
9and preventative care to patients in schools and other settings
10in Illinois. These rules shall include license information and
11address and follow up contact information of the entity owning
12or otherwise using a mobile dental van or portable dental unit.
13The Department shall establish rules on record retention and
14access by patients treated by a mobile dental van or portable
15dental unit.
 
16    (225 ILCS 25/9)  (from Ch. 111, par. 2309)
17    (Section scheduled to be repealed on January 1, 2016)
18    Sec. 9. Qualifications of Applicants for Dental Licenses.
19The Department shall require that each applicant for a license
20to practice dentistry shall:
21        (a) (Blank).
22        (b) Be at least 21 years of age and of good moral
23    character.
24        (c) (1) Present satisfactory evidence of completion of

 

 

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1    dental education by graduation from a dental college or
2    school in the United States or Canada approved by the
3    Department. The Department shall not approve any dental
4    college or school which does not require at least (A) 60
5    semester hours of collegiate credit or the equivalent in
6    acceptable subjects from a college or university before
7    admission, and (B) completion of at least 4 academic years
8    of instruction or the equivalent in an approved dental
9    college or school that is accredited by the Commission on
10    Dental Accreditation of the American Dental Association;
11    or
12        (2) Present satisfactory evidence of completion of
13    dental education by graduation from a dental college or
14    school outside the United States or Canada and provide
15    satisfactory evidence that:
16            (A) (blank);
17            (B) the applicant has completed a minimum of 2
18        academic years of general dental clinical training at a
19        dental college or school in the United States or Canada
20        approved by the Department, however, an accredited
21        advanced dental education program approved by the
22        Department of no less than 2 years may be substituted
23        for the 2 academic years of general dental clinical
24        training and an applicant who was enrolled for not less
25        than one year in an approved clinical program prior to
26        January 1, 1993 at an Illinois dental college or school

 

 

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1        shall be required to complete only that program; and
2            (C) the applicant has received certification from
3        the dean of an approved dental college or school in the
4        United States or Canada or the program director of an
5        approved advanced dental education program stating
6        that the applicant has achieved the same level of
7        scientific knowledge and clinical competence as
8        required of all graduates of the college, school, or
9        advanced dental education program.
10        Nothing in this Act shall be construed to prevent
11    either the Department or any dental college or school from
12    establishing higher standards than specified in this Act.
13        (d) (Blank).
14        (e) Present satisfactory evidence that the applicant
15    has passed both parts of the National Board Dental
16    Examination administered by the Joint Commission on
17    National Dental Examinations and has successfully
18    completed an examination conducted by one of the following
19    regional testing services: the Central Regional Dental
20    Testing Service, Inc. (CRDTS), the Southern Regional
21    Testing Agency, Inc. (SRTA), the Western Regional
22    Examining Board (WREB), or the North East Regional Board
23    (NERB). In addition, the State Board may approve other
24    state or regional board exams if other state or regional
25    board exams are deemed to meet the minimal requirements for
26    licensure in Illinois. For purposes of this Section,

 

 

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1    successful completion shall mean that the applicant has
2    achieved a minimum passing score as determined by the
3    applicable regional testing service. The Secretary of the
4    Department may suspend a regional testing service under
5    this subsection (e) if, after proper notice and hearing, it
6    is established that (i) the integrity of the examination
7    has been breached so as to make future test results
8    unreliable or (ii) the test is fundamentally deficient in
9    testing clinical competency.
10    In determining professional capacity under this Section,
11any individual who has not been actively engaged in the
12practice of dentistry, has not been a dental student, or has
13not been engaged in a formal program of dental education during
14the 5 years immediately preceding the filing of an application
15may be required to complete such additional testing, training,
16or remedial education as the Board may deem necessary in order
17to establish the applicant's present capacity to practice
18dentistry with reasonable judgment, skill, and safety.
19(Source: P.A. 96-14, eff. 6-19-09; 96-1000, eff. 7-2-10;
2096-1222, eff. 7-23-10.)
 
21    (225 ILCS 25/16)  (from Ch. 111, par. 2316)
22    (Section scheduled to be repealed on January 1, 2016)
23    Sec. 16. Expiration, renewal and restoration of licenses.
24The expiration date and renewal date for each license issued
25under this Act shall be set by rule. The renewal period for

 

 

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1each license issued under this Act shall be 3 years. A dentist
2or dental hygienist may renew a license during the month
3preceding its expiration date by paying the required fee. A
4dentist shall certify to the Department at the time of renewal
5that he or she possesses current certification by an
6organization that has adopted the American Heart Association's
7guidelines on Basic Life Support (BLS) intended for healthcare
8providers. The Department shall provide exemptions from this
9requirement in the case of a physical disability that would
10preclude the dentist from performing BLS. A dental hygienist
11shall provide proof of current Basic Life Support
12cardiopulmonary resuscitation certification at the time of
13renewal. Basic Life Support Cardiopulmonary resuscitation
14certification training taken as a requirement of this Section
15shall be counted for no more than 4 hours during each licensure
16period towards the continuing education hours under Section
1716.1 of this Act.
18    Any dentist or dental hygienist whose license has expired
19or whose license is on inactive status may have his license
20restored at any time within 5 years after the expiration
21thereof, upon payment of the required fee and a showing of
22proof of compliance with current continuing education
23requirements, as provided by rule.
24    Any person whose license has been expired for more than 5
25years or who has had his license on inactive status for more
26than 5 years may have his license restored by making

 

 

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1application to the Department and filing proof acceptable to
2the Department of taking continuing education and of his
3fitness to have the license restored, including sworn evidence
4certifying to active practice in another jurisdiction, and by
5paying the required restoration fee. A person practicing on an
6expired license is deemed to be practicing without a license.
7However, a holder of a license may renew the license within 90
8days after its expiration by complying with the requirements
9for renewal and payment of an additional fee. A license renewal
10within 90 days after expiration shall be effective
11retroactively to the expiration date.
12    If a person whose license has expired or who has had his
13license on inactive status for more than 5 years has not
14maintained an active practice satisfactory to the department,
15the Department shall determine, by an evaluation process
16established by rule, his or her fitness to resume active status
17and may require the person to complete a period of evaluated
18clinical experience and may require successful completion of a
19practical examination.
20    However, any person whose license has expired while he has
21been engaged (1) in federal or state service active duty, or
22(2) in training or education under the supervision of the
23United States preliminary to induction into the military
24service, may have his license restored without paying any
25lapsed renewal or restoration fee, if within 2 years after
26termination of such service, training or education other than

 

 

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1by dishonorable discharge, he furnishes the Department with
2satisfactory proof that he has been so engaged and that his
3service, training or education has been so terminated.
4(Source: P.A. 96-617, eff. 8-24-09.)
 
5    (225 ILCS 25/16.1)  (from Ch. 111, par. 2316.1)
6    (Section scheduled to be repealed on January 1, 2016)
7    Sec. 16.1. Continuing education. The Department shall
8promulgate rules of continuing education for persons licensed
9under this Act. In establishing rules, the Department shall
10require a minimum of 48 hours of study in approved courses for
11dentists during each 3-year licensing period and a minimum of
1236 hours of study in approved courses for dental hygienists
13during each 3-year licensing period.
14    The Department shall approve only courses that are relevant
15to the treatment and care of patients, including, but not
16limited to, clinical courses in dentistry and dental hygiene
17and nonclinical courses such as patient management, legal and
18ethical responsibilities, and stress management. The
19Department shall allow up to 4 hours of continuing education
20credit hours per license renewal period for volunteer hours
21spent providing clinical services at, or sponsored by, a
22nonprofit community clinic, local or state health department,
23or a charity event sponsored by an approved dental
24organization. Courses shall not be approved in such subjects as
25estate and financial planning, investments, or personal

 

 

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1health. Approved courses may include, but shall not be limited
2to, courses that are offered or sponsored by approved colleges,
3universities, and hospitals and by recognized national, State,
4and local dental and dental hygiene organizations.
5    No license shall be renewed unless the renewal application
6is accompanied by an affidavit indicating that the applicant
7has completed the required minimum number of hours of
8continuing education in approved courses as required by this
9Section. The affidavit shall not require a listing of courses.
10The affidavit shall be a prima facie evidence that the
11applicant has obtained the minimum number of required
12continuing education hours in approved courses. The Department
13shall not be obligated to conduct random audits or otherwise
14independently verify that an applicant has met the continuing
15education requirement. The Department, however, may not
16conduct random audits of more than 10% of the licensed dentists
17and dental hygienists in any one licensing cycle to verify
18compliance with continuing education requirements. If the
19Department, however, receives a complaint that a licensee has
20not completed the required continuing education or if the
21Department is investigating another alleged violation of this
22Act by a licensee, the Department may demand and shall be
23entitled to receive evidence from any licensee of completion of
24required continuing education courses for the most recently
25completed 3-year licensing period. Evidence of continuing
26education may include, but is not limited to, canceled checks,

 

 

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1official verification forms of attendance, and continuing
2education recording forms, that demonstrate a reasonable
3record of attendance. The Illinois State Board of Dentistry
4shall determine, in accordance with rules adopted by the
5Department, whether a licensee or applicant has met the
6continuing education requirements. Any dentist who holds more
7than one license under this Act shall be required to complete
8only the minimum number of hours of continuing education
9required for renewal of a single license. The Department may
10provide exemptions from continuing education requirements. The
11exemptions shall include, but shall not be limited to, dentists
12and dental hygienists who agree not to practice within the
13State during the licensing period because they are retired from
14practice.
15(Source: P.A. 94-409, eff. 12-31-05.)
 
16    (225 ILCS 25/17)  (from Ch. 111, par. 2317)
17    (Section scheduled to be repealed on January 1, 2016)
18    Sec. 17. Acts Constituting the Practice of Dentistry. A
19person practices dentistry, within the meaning of this Act:
20        (1) Who represents himself as being able to diagnose or
21    diagnoses, treats, prescribes, or operates for any
22    disease, pain, deformity, deficiency, injury, or physical
23    condition of the human tooth, teeth, alveolar process, gums
24    or jaw; or
25        (2) Who is a manager, proprietor, operator or conductor

 

 

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1    of a business where dental operations are performed; or
2        (3) Who performs dental operations of any kind; or
3        (4) Who uses an X-Ray machine or X-Ray films for dental
4    diagnostic purposes; or
5        (5) Who extracts a human tooth or teeth, or corrects or
6    attempts to correct malpositions of the human teeth or
7    jaws; or
8        (6) Who offers or undertakes, by any means or method,
9    to diagnose, treat or remove stains, calculus, and bonding
10    materials from human teeth or jaws; or
11        (7) Who uses or administers local or general
12    anesthetics in the treatment of dental or oral diseases or
13    in any preparation incident to a dental operation of any
14    kind or character; or
15        (8) Who takes impressions of the human tooth, teeth, or
16    jaws or performs any phase of any operation incident to the
17    replacement of a part of a tooth, a tooth, teeth or
18    associated tissues by means of a filling, crown, a bridge,
19    a denture or other appliance; or
20        (9) Who offers to furnish, supply, construct,
21    reproduce or repair, or who furnishes, supplies,
22    constructs, reproduces or repairs, prosthetic dentures,
23    bridges or other substitutes for natural teeth, to the user
24    or prospective user thereof; or
25        (10) Who instructs students on clinical matters or
26    performs any clinical operation included in the curricula

 

 

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1    of recognized dental schools and colleges; or
2        (11) Who takes impressions of human teeth or places his
3    or her hands in the mouth of any person for the purpose of
4    applying teeth whitening materials, or who takes
5    impressions of human teeth or places his or her hands in
6    the mouth of any person for the purpose of assisting in the
7    application of teeth whitening materials. A person does not
8    practice dentistry when he or she discloses to the consumer
9    that he or she is not licensed as a dentist under this Act
10    and (i) discusses the use of teeth whitening materials with
11    a consumer purchasing these materials; (ii) provides
12    instruction on the use of teeth whitening materials with a
13    consumer purchasing these materials; or (iii) provides
14    appropriate equipment on-site to the consumer for the
15    consumer to self-apply teeth whitening materials.
16    The fact that any person engages in or performs, or offers
17to engage in or perform, any of the practices, acts, or
18operations set forth in this Section, shall be prima facie
19evidence that such person is engaged in the practice of
20dentistry.
21    The following practices, acts, and operations, however,
22are exempt from the operation of this Act:
23        (a) The rendering of dental relief in emergency cases
24    in the practice of his or her profession by a physician or
25    surgeon, licensed as such under the laws of this State,
26    unless he undertakes to reproduce or reproduces lost parts

 

 

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1    of the human teeth in the mouth or to restore or replace
2    lost or missing teeth in the mouth; or
3        (b) The practice of dentistry in the discharge of their
4    official duties by dentists in any branch of the Armed
5    Services of the United States, the United States Public
6    Health Service, or the United States Veterans
7    Administration; or
8        (c) The practice of dentistry by students in their
9    course of study in dental schools or colleges approved by
10    the Department, when acting under the direction and
11    supervision of dentists acting as instructors; or
12        (d) The practice of dentistry by clinical instructors
13    in the course of their teaching duties in dental schools or
14    colleges approved by the Department:
15            (i) when acting under the direction and
16        supervision of dentists, provided that such clinical
17        instructors have instructed continuously in this State
18        since January 1, 1986; or
19            (ii) when holding the rank of full professor at
20        such approved dental school or college and possessing a
21        current valid license or authorization to practice
22        dentistry in another country; or
23        (e) The practice of dentistry by licensed dentists of
24    other states or countries at meetings of the Illinois State
25    Dental Society or component parts thereof, alumni meetings
26    of dental colleges, or any other like dental organizations,

 

 

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1    while appearing as clinicians; or
2        (f) The use of X-Ray machines for exposing X-Ray films
3    of dental or oral tissues by dental hygienists or dental
4    assistants; or
5        (g) The performance of any dental service by a dental
6    assistant, if such service is performed under the
7    supervision and full responsibility of a dentist.
8        For purposes of this paragraph (g), "dental service" is
9    defined to mean any intraoral procedure or act which shall
10    be prescribed by rule or regulation of the Department.
11    Dental service, however, shall not include:
12            (1) Any and all diagnosis of or prescription for
13        treatment of disease, pain, deformity, deficiency,
14        injury or physical condition of the human teeth or
15        jaws, or adjacent structures.
16            (2) Removal of, or restoration of, or addition to
17        the hard or soft tissues of the oral cavity, except for
18        the placing, carving, and finishing of amalgam
19        restorations by dental assistants who have had
20        additional formal education and certification as
21        determined by the Department.
22            (3) Any and all correction of malformation of teeth
23        or of the jaws.
24            (4) Administration of anesthetics, except for
25        application of topical anesthetics and monitoring of
26        nitrous oxide. Monitoring of nitrous oxide may be

 

 

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1        performed after successful completion of a training
2        program approved by the Department.
3            (5) Removal of calculus from human teeth.
4            (6) Taking of impressions for the fabrication of
5        prosthetic appliances, crowns, bridges, inlays,
6        onlays, or other restorative or replacement dentistry.
7            (7) The operative procedure of dental hygiene
8        consisting of oral prophylactic procedures, except for
9        coronal polishing, which may be performed by a dental
10        assistant who has successfully completed a training
11        program approved by the Department. Dental assistants
12        may perform coronal polishing under the following
13        circumstances: (i) the coronal polishing shall be
14        limited to polishing the clinical crown of the tooth
15        and existing restorations, supragingivally; (ii) the
16        dental assistant performing the coronal polishing
17        shall be limited to the use of rotary instruments using
18        a rubber cup or brush polishing method (air polishing
19        is not permitted); and (iii) the supervising dentist
20        shall not supervise more than 4 dental assistants at
21        any one time for the task of coronal polishing.
22        (h) The practice of dentistry by an individual who:
23            (i) has applied in writing to the Department, in
24        form and substance satisfactory to the Department, for
25        a general dental license and has complied with all
26        provisions of Section 9 of this Act, except for the

 

 

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1        passage of the examination specified in subsection
2        (e), of Section 9, of this Act; or
3            (ii) has applied in writing to the Department, in
4        form and substance satisfactory to the Department, for
5        a temporary dental license and has complied with all
6        provisions of subsection (c), of Section 11, of this
7        Act; and
8            (iii) has been accepted or appointed for specialty
9        or residency training by a hospital situated in this
10        State; or
11            (iv) has been accepted or appointed for specialty
12        training in an approved dental program situated in this
13        State; or
14            (v) has been accepted or appointed for specialty
15        training in a dental public health agency situated in
16        this State.
17        The applicant shall be permitted to practice dentistry
18    for a period of 3 months from the starting date of the
19    program, unless authorized in writing by the Department to
20    continue such practice for a period specified in writing by
21    the Department.
22        The applicant shall only be entitled to perform such
23    acts as may be prescribed by and incidental to their
24    program of residency or specialty training and shall not
25    otherwise engage in the practice of dentistry in this
26    State.

 

 

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1        The authority to practice shall terminate immediately
2    upon:
3            (1) the decision of the Department that the
4        applicant has failed the examination; or
5            (2) denial of licensure by the Department; or
6            (3) withdrawal of the application.
7(Source: P.A. 96-617, eff. 8-24-09.)
 
8    Section 99. Effective date. This Act takes effect on
9January 1, 2012.