Full Text of HB2676 101st General Assembly
HB2676ham001 101ST GENERAL ASSEMBLY | Rep. Michael J. Zalewski Filed: 3/25/2019
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| 1 | | AMENDMENT TO HOUSE BILL 2676
| 2 | | AMENDMENT NO. ______. Amend House Bill 2676 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Illinois Dental Practice Act is amended by | 5 | | changing Section 4 and by adding Section 13.5 as follows:
| 6 | | (225 ILCS 25/4)
(from Ch. 111, par. 2304)
| 7 | | (Section scheduled to be repealed on January 1, 2026)
| 8 | | Sec. 4. Definitions. As used in this Act:
| 9 | | "Address of record" means the designated address recorded | 10 | | by the Department in the applicant's or licensee's application | 11 | | file or license file as maintained by the Department's | 12 | | licensure maintenance unit. It is the duty of the applicant or | 13 | | licensee to inform the Department of any change of address and | 14 | | those changes must be made either through the Department's | 15 | | website or by contacting the Department. | 16 | | "Department" means the Department of Financial and |
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| 1 | | Professional Regulation.
| 2 | | "Secretary" means the Secretary of Financial and | 3 | | Professional Regulation.
| 4 | | "Board" means the Board of Dentistry.
| 5 | | "Dentist" means a person who has received a general license | 6 | | pursuant
to paragraph (a) of Section 11 of this Act and who may | 7 | | perform any intraoral
and extraoral procedure required in the | 8 | | practice of dentistry and to whom is
reserved the | 9 | | responsibilities specified in Section 17.
| 10 | | "Dental hygienist" means a person who holds a license under | 11 | | this Act to
perform dental services as authorized by Section | 12 | | 18.
| 13 | | "Dental assistant" means an appropriately trained person
| 14 | | who, under the supervision of a dentist, provides dental | 15 | | services
as authorized by Section 17.
| 16 | | "Expanded function dental assistant" means a dental | 17 | | assistant who has completed the training required by Section | 18 | | 17.1 of this Act. | 19 | | "Dental laboratory" means a person, firm or corporation | 20 | | which:
| 21 | | (i) engages in making, providing, repairing or | 22 | | altering dental
prosthetic appliances and other artificial | 23 | | materials and devices which are
returned to a dentist for | 24 | | insertion into the human oral cavity or which
come in | 25 | | contact with its adjacent structures and tissues; and
| 26 | | (ii) utilizes or employs a dental technician to provide |
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| 1 | | such services; and
| 2 | | (iii) performs such functions only for a dentist or | 3 | | dentists.
| 4 | | "Supervision" means supervision of a dental hygienist or a | 5 | | dental
assistant requiring that a dentist authorize the | 6 | | procedure, remain in the
dental facility while the procedure is | 7 | | performed, and approve the work
performed by the dental | 8 | | hygienist or dental assistant before dismissal of
the patient, | 9 | | but does not mean that the dentist must be present at all
times | 10 | | in the treatment room.
| 11 | | "General supervision" means supervision of a dental | 12 | | hygienist
requiring that the patient be a patient of record,
| 13 | | that the dentist
examine the patient in accordance with Section | 14 | | 18 prior to treatment by the
dental hygienist, and that the
| 15 | | dentist authorize the procedures which
are being carried
out by | 16 | | a notation in the patient's record, but not requiring that a | 17 | | dentist
be present when the authorized
procedures are being | 18 | | performed. The
issuance of a prescription to a dental | 19 | | laboratory by a
dentist does not constitute general | 20 | | supervision.
| 21 | | "Public member" means a person who is not a health | 22 | | professional.
For purposes of board membership, any person with | 23 | | a significant financial
interest in a health service or | 24 | | profession is not a public member.
| 25 | | "Dentistry" means the healing art which is concerned with | 26 | | the
examination, diagnosis, treatment planning and care of |
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| 1 | | conditions within
the human oral cavity and its adjacent | 2 | | tissues and structures, as further
specified in Section 17.
| 3 | | "Branches of dentistry" means the various specialties of | 4 | | dentistry
which, for purposes of this Act, shall be limited to | 5 | | the following:
endodontics, oral and maxillofacial surgery, | 6 | | orthodontics and dentofacial
orthopedics, pediatric dentistry,
| 7 | | periodontics, prosthodontics, and oral and maxillofacial
| 8 | | radiology.
| 9 | | "Specialist" means a dentist who has received a specialty | 10 | | license
pursuant to Section 11(b).
| 11 | | "Dental technician" means a person who owns, operates or is
| 12 | | employed by a dental laboratory and engages in making, | 13 | | providing, repairing
or altering dental prosthetic appliances | 14 | | and other artificial materials and
devices which are returned | 15 | | to a dentist for insertion into the human oral
cavity or which | 16 | | come in contact with its adjacent structures and tissues.
| 17 | | "Impaired dentist" or "impaired dental hygienist" means a | 18 | | dentist
or dental hygienist who is unable to practice with
| 19 | | reasonable skill and safety because of a physical or mental | 20 | | disability as
evidenced by a written determination or written | 21 | | consent based on clinical
evidence, including deterioration | 22 | | through the aging process, loss of motor
skills, abuse of drugs | 23 | | or alcohol, or a psychiatric disorder, of sufficient
degree to | 24 | | diminish the person's ability to deliver competent patient | 25 | | care.
| 26 | | "Nurse" means a registered professional nurse, a certified |
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| 1 | | registered
nurse anesthetist licensed as an advanced practice
| 2 | | registered nurse, or a licensed practical nurse licensed under | 3 | | the Nurse Practice Act.
| 4 | | "Patient of record" means a patient for whom the patient's | 5 | | most recent
dentist has obtained
a
relevant medical and dental | 6 | | history and on whom the dentist has performed an
examination | 7 | | and evaluated the condition to be treated.
| 8 | | "Dental responder" means a dentist or dental hygienist who | 9 | | is appropriately certified in disaster preparedness, | 10 | | immunizations, and dental humanitarian medical response | 11 | | consistent with the Society of Disaster Medicine and Public | 12 | | Health and training certified by the National Incident | 13 | | Management System or the National Disaster Life Support | 14 | | Foundation.
| 15 | | "Mobile dental van or portable dental unit" means any | 16 | | self-contained or portable dental unit in which dentistry is | 17 | | practiced that can be moved, towed, or transported from one | 18 | | location to another in order to establish a location where | 19 | | dental services can be provided. | 20 | | "Public health dental hygienist" means a hygienist who | 21 | | holds a valid license to practice in the State, has 2 years of | 22 | | full-time clinical experience or an equivalent of 4,000 hours | 23 | | of clinical experience and has completed at least 42 clock | 24 | | hours of additional structured courses in dental education | 25 | | approved by rule by the Department in advanced areas specific | 26 | | to public health dentistry , including, but not limited to, |
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| 1 | | emergency procedures for medically compromised patients, | 2 | | pharmacology, medical recordkeeping procedures, geriatric | 3 | | dentistry, pediatric dentistry, pathology, and other areas of | 4 | | study as determined by the Department, and works in a public | 5 | | health setting pursuant to a written public health supervision | 6 | | agreement as defined by rule by the Department with a dentist | 7 | | working in or contracted with a local or State government | 8 | | agency or institution or who is providing services as part of a | 9 | | certified school-based program or school-based oral health | 10 | | program . | 11 | | "Public health setting" means a federally qualified health | 12 | | center; a federal, State, or local public health facility; Head | 13 | | Start; a special supplemental nutrition program for Women, | 14 | | Infants, and Children (WIC) facility; or a certified | 15 | | school-based health center or school-based oral health | 16 | | program. | 17 | | "Public health supervision" means the supervision of a | 18 | | public health dental hygienist by a licensed dentist who has a | 19 | | written public health supervision agreement with that public | 20 | | health dental hygienist while working in an approved facility | 21 | | or program that allows the public health dental hygienist to | 22 | | treat patients, without a dentist first examining the patient | 23 | | and being present in the facility during treatment, (1) who are | 24 | | eligible for Medicaid or (2) who are uninsured and whose | 25 | | household income is not greater than 200% of the federal | 26 | | poverty level. |
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| 1 | | (Source: P.A. 99-25, eff. 1-1-16; 99-492, eff. 12-31-15; | 2 | | 99-680, eff. 1-1-17; 100-215, eff. 1-1-18; 100-513, eff. | 3 | | 1-1-18; 100-863, eff. 8-14-18.)
| 4 | | (225 ILCS 25/13.5 new) | 5 | | Sec. 13.5. Training programs for public health dental | 6 | | hygienists. | 7 | | (a) With respect to the requirement that a public health | 8 | | dental hygienist have additional structured courses in dental | 9 | | education in advanced areas specific to public health | 10 | | dentistry, education in advanced areas specific to public | 11 | | health dentistry must include emergency procedures for | 12 | | medically compromised patients (5 hours), pharmacology (5 | 13 | | hours), medical recordkeeping procedures (4 hours), geriatric | 14 | | dentistry (5 hours), pediatric dentistry (5 hours), and | 15 | | pathology (5 hours) provided by: | 16 | | (1) an educational institution accredited by the | 17 | | Commission on Dental Accreditation, such as a dental school | 18 | | or dental hygiene program; or | 19 | | (2) a statewide dental association or dental hygiene | 20 | | association, approved by the Department to provide | 21 | | continuing education, that has developed and conducted | 22 | | training programs for expanded functions for dental | 23 | | assistants and hygienists. | 24 | | (b) Training programs for a public health dental hygienist | 25 | | must: |
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| 1 | | (1) include a minimum 29 hours of didactic study as | 2 | | described in subsection (a), which may be taken in an | 3 | | online structured format and in compliance with the | 4 | | continued learning education requirements of 68 Illinois | 5 | | Administrative Code 1220.440; | 6 | | (2) require completion of 5 hours of didactic courses | 7 | | in the following topic areas: special needs dentistry, | 8 | | teledentistry, nutritional needs of geriatric and low | 9 | | income patients, communication techniques with non-English | 10 | | speaking patients, cultural competency, and professional | 11 | | ethics; | 12 | | (3) require completion of an 8 hour in-person classroom | 13 | | review that includes a comprehension exam on the subjects | 14 | | required in subsection (a) and submit certification of | 15 | | successful completion to the supervising dentist; | 16 | | (4) issue a certificate of completion of the training | 17 | | program requirement, which must be kept on file at the | 18 | | supervising dentist's office and with the public health | 19 | | dental hygienist which will be made available to the | 20 | | Department upon request; and | 21 | | (5) operate in a public health setting pursuant to a | 22 | | written public health supervision agreement with a dentist | 23 | | who is working in or has contracted with a local or State | 24 | | government agency or institution or who is providing | 25 | | services as part of a certified school-based program or | 26 | | school-based oral health program.
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| 1 | | Section 99. Effective date. This Act takes effect upon | 2 | | becoming law.".
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