SB2822 EnrolledLRB103 36437 AWJ 66539 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, 8.1, 17, 19.2, and 45 as follows:
6    (225 ILCS 25/4)
7    (Section scheduled to be repealed on January 1, 2026)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
10by the Department in the applicant's or licensee's application
11file or license file as maintained by the Department's
12licensure maintenance unit. It is the duty of the applicant or
13licensee to inform the Department of any change of address and
14those changes must be made either through the Department's
15website or by contacting the Department.
16    "Department" means the Department of Financial and
17Professional Regulation.
18    "Secretary" means the Secretary of Financial and
19Professional Regulation.
20    "Board" means the Board of Dentistry.
21    "Dentist" means a person who has received a general
22license pursuant to paragraph (a) of Section 11 of this Act and
23who may perform any intraoral and extraoral procedure required



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1in the practice of dentistry and to whom is reserved the
2responsibilities specified in Section 17.
3    "Dental hygienist" means a person who holds a license
4under this Act to perform dental services as authorized by
5Section 18.
6    "Dental assistant" means an appropriately trained person
7who, under the supervision of a dentist, provides dental
8services as authorized by Section 17.
9    "Expanded function dental assistant" means a dental
10assistant who has completed the training required by Section
1117.1 of this Act.
12    "Dental laboratory" means a person, firm, or corporation
14        (i) engages in making, providing, repairing, or
15    altering dental prosthetic appliances and other artificial
16    materials and devices which are returned to a dentist for
17    insertion into the human oral cavity or which come in
18    contact with its adjacent structures and tissues; and
19        (ii) utilizes or employs a dental technician to
20    provide such services; and
21        (iii) performs such functions only for a dentist or
22    dentists.
23    "Supervision" means supervision of a dental hygienist or a
24dental assistant requiring that a dentist authorize the
25procedure, remain in the dental facility while the procedure
26is performed, and approve the work performed by the dental



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1hygienist or dental assistant before dismissal of the patient,
2but does not mean that the dentist must be present at all times
3in the treatment room.
4    "General supervision" means supervision of a dental
5hygienist requiring that the patient be a patient of record,
6that the dentist examine the patient in accordance with
7Section 18 prior to treatment by the dental hygienist, and
8that the dentist authorize the procedures which are being
9carried out by a notation in the patient's record, but not
10requiring that a dentist be present when the authorized
11procedures are being performed. The issuance of a prescription
12to a dental laboratory by a dentist does not constitute
13general supervision.
14    "Public member" means a person who is not a health
15professional. For purposes of board membership, any person
16with a significant financial interest in a health service or
17profession is not a public member.
18    "Dentistry" means the healing art which is concerned with
19the examination, diagnosis, treatment planning, and care of
20conditions within the human oral cavity and its adjacent
21tissues and structures, as further specified in Section 17.
22    "Branches of dentistry" means the various specialties of
23dentistry which, for purposes of this Act, shall be limited to
24the following: endodontics, oral and maxillofacial surgery,
25orthodontics and dentofacial orthopedics, pediatric dentistry,
26periodontics, prosthodontics, oral and maxillofacial



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1radiology, and dental anesthesiology.
2    "Specialist" means a dentist who has received a specialty
3license pursuant to Section 11(b).
4    "Dental technician" means a person who owns, operates, or
5is employed by a dental laboratory and engages in making,
6providing, repairing, or altering dental prosthetic appliances
7and other artificial materials and devices which are returned
8to a dentist for insertion into the human oral cavity or which
9come in contact with its adjacent structures and tissues.
10    "Impaired dentist" or "impaired dental hygienist" means a
11dentist or dental hygienist who is unable to practice with
12reasonable skill and safety because of a physical or mental
13disability as evidenced by a written determination or written
14consent based on clinical evidence, including deterioration
15through the aging process, loss of motor skills, abuse of
16drugs or alcohol, or a psychiatric disorder, of sufficient
17degree to diminish the person's ability to deliver competent
18patient care.
19    "Nurse" means a registered professional nurse, a certified
20registered nurse anesthetist licensed as an advanced practice
21registered nurse, or a licensed practical nurse licensed under
22the Nurse Practice Act.
23    "Patient of record" means a patient for whom the patient's
24most recent dentist has obtained a relevant medical and dental
25history and on whom the dentist has performed an examination
26and evaluated the condition to be treated.



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1    "Dental responder" means a dentist or dental hygienist who
2is appropriately certified in disaster preparedness,
3immunizations, and dental humanitarian medical response
4consistent with the Society of Disaster Medicine and Public
5Health and training certified by the National Incident
6Management System or the National Disaster Life Support
8    "Mobile dental van or portable dental unit" means any
9self-contained or portable dental unit in which dentistry is
10practiced that can be moved, towed, or transported from one
11location to another in order to establish a location where
12dental services can be provided.
13    "Public health dental hygienist" means a hygienist who
14holds a valid license to practice in the State, has 2 years of
15full-time clinical experience or an equivalent of 4,000 hours
16of clinical experience, and has completed at least 42 clock
17hours of additional structured courses in dental education in
18advanced areas specific to public health dentistry.
19    "Public health setting" means a federally qualified health
20center; a federal, State, or local public health facility;
21Head Start; a special supplemental nutrition program for
22Women, Infants, and Children (WIC) facility; a certified
23school-based health center or school-based oral health
24program; a prison; or a long-term care facility.
25    "Public health supervision" means the supervision of a
26public health dental hygienist by a licensed dentist who has a



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1written public health supervision agreement with that public
2health dental hygienist while working in an approved facility
3or program that allows the public health dental hygienist to
4treat patients, without a dentist first examining the patient
5and being present in the facility during treatment, (1) who
6are eligible for Medicaid or (2) who are uninsured or whose
7household income is not greater than 300% of the federal
8poverty level.
9    "Teledentistry" means the use of telehealth systems and
10methodologies in dentistry and includes patient care and
11education delivery using synchronous and asynchronous
12communications under a dentist's authority as provided under
13this Act.
14    "Moderate sedation" means a drug-induced depression of
15consciousness during which: (1) patients respond purposefully
16to verbal commands, either alone or accompanied by light
17tactile stimulation; (2) no interventions are required to
18maintain a patient's airway and spontaneous ventilation is
19adequate; and (3) cardiovascular function is usually
21    "Deep sedation" means a drug-induced depression of
22consciousness during which: (1) patients cannot be easily
23aroused, but respond purposefully following repeated or
24painful stimulation; (2) the ability to independently maintain
25ventilatory function may be impaired; (3) patients may require
26assistance in maintaining airways and spontaneous ventilation



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1may be inadequate; and (4) cardiovascular function is usually
3    "General anesthesia" means a drug-induced loss of
4consciousness during which: (1) patients are not arousable,
5even by painful stimulation; (2) the ability to independently
6maintain ventilatory function is often impaired; (3) patients
7often require assistance in maintaining airways and positive
8pressure ventilation may be required because of depressed
9spontaneous ventilation or drug-induced depression of
10neuromuscular function; and (4) cardiovascular function may be
12    "Venipuncture" means the puncture of a vein as part of a
13medical procedure, typically to withdraw a blood sample or for
14an intravenous catheter for the administration of medication
15or fluids.
16    "Enteral route of administration" means administration of
17a drug that is absorbed through the gastrointestinal tract or
18through oral, rectal, or sublingual mucosa.
19    "Parenteral route of administration" means administration
20of a drug by which the drug bypasses the gastrointestinal
21tract through intramuscular, intravenous, intranasal,
22submucosal, subcutaneous, or intraosseous methods.
23(Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;
24102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
251-1-24; revised 12-15-23.)



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1    (225 ILCS 25/8.1)  (from Ch. 111, par. 2308.1)
2    (Section scheduled to be repealed on January 1, 2026)
3    Sec. 8.1. Permit for the administration of anesthesia and
5    (a) No licensed dentist shall administer general
6anesthesia, deep sedation, or moderate conscious sedation
7without first applying for and obtaining a permit for such
8purpose from the Department. The Department shall issue such
9permit only after ascertaining that the applicant possesses
10the minimum qualifications necessary to protect public safety.
11A person with a dental degree who administers anesthesia, deep
12sedation, or moderate conscious sedation in an approved
13hospital training program under the supervision of either a
14licensed dentist holding such permit or a physician licensed
15to practice medicine in all its branches shall not be required
16to obtain such permit.
17    (b) The minimum requirements for a permit to administer
18moderate sedation issued after the effective date of this
19amendatory Act of the 103rd General Assembly shall include the
20completion of a minimum of 75 hours of didactic and supervised
21clinical study in either:
22        (1) an American Dental Association Commission on
23    Dental Accreditation accredited dental specialty program,
24    general practice residency, or advanced education in
25    general dentistry residency that includes training and
26    documentation in moderate sedation techniques appropriate



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1    for each specialty or an American Dental Association
2    Commission on Dental Accreditation accredited dental
3    anesthesiology residency program and proof of completion
4    of 20 individually managed patients utilizing appropriate
5    routes of administration, in which the applicant is the
6    sole provider, which can include, but are not limited to,
7    intravenous, oral, intranasal, or intramuscular or
8    combinations thereof; or
9        (2) a structured course of study provided by an
10    approved continuing education provider that includes
11    training and documentation in moderate sedation, physical
12    evaluation, venipuncture, advanced airway management,
13    technical administration, recognition and management of
14    complications and emergencies and monitoring with
15    additional supervised experience and documentation
16    demonstrating competence in providing moderate sedation
17    utilizing enteral and parenteral routes of administration
18    of medications to competency to 20 individual patient
19    experiences on a 1 to 1 ratio with an instructor, in which
20    the applicant is the sole provider of sedation over a
21    continuous time frame as set by the Department and as
22    provided in the American Dental Association's Guidelines
23    for Teaching Pain Control and Sedation to Dentists and
24    Dental Students.
25    (b-5) The minimum requirements for a permit to administer
26deep sedation and general anesthesia issued after the



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1effective date of this amendatory Act of the 103rd General
2Assembly shall include:
3        (1) the completion of a minimum of 2 years of advanced
4    training in anesthesiology beyond the pre-doctoral level
5    in a training program approved by the American Dental
6    Association's Council on Dental Education and Licensure,
7    as outlined in Guidelines for Teaching Pain Control and
8    Sedation to Dentists and Dental Students, as published by
9    the American Dental Association's Council on Dental
10    Education and Licensure;
11        (2) a specialty license in oral and maxillofacial
12    surgery;
13        (3) completion of an accredited oral or maxillofacial
14    surgery residency program; or
15        (4) the completion of an American Dental Association
16    Commission on Dental Accreditation accredited dental
17    anesthesiology residency program.
18    (b-10) The Department may establish, by rule, additional
19training programs and training requirements consistent with
20this Section to ensure patient safety in dental offices
21administering anesthesia, which shall include, but not be
22limited to the following In determining the minimum permit
23qualifications that are necessary to protect public safety,
24the Department, by rule, shall:
25        (1) (blank); establish the minimum educational and
26    training requirements necessary for a dentist to be issued



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1    an appropriate permit;
2        (2) establish the standards for properly equipped
3    dental facilities (other than licensed hospitals and
4    ambulatory surgical treatment centers) in which general
5    anesthesia, deep sedation, or moderate conscious sedation
6    is administered, as necessary to protect public safety;
7        (3) establish minimum requirements for all persons who
8    assist the dentist in the administration of general
9    anesthesia, deep sedation, or moderate conscious sedation,
10    including minimum training requirements for each member of
11    the dental team, monitoring requirements, recordkeeping
12    requirements, and emergency procedures;
13        (4) ensure that the dentist has completed and
14    maintains current certification in advanced cardiac life
15    support or pediatric advanced life support and all persons
16    assisting the dentist or monitoring the administration of
17    general anesthesia, deep sedation, or moderate conscious
18    sedation maintain current certification in Basic Life
19    Support (BLS); and
20        (5) establish continuing education requirements in
21    sedation techniques and airway management for dentists who
22    possess a permit under this Section.
23    The Department shall adopt rules that ensure that a
24continuing education course designed to meet the permit
25requirements for moderate sedation training is reviewed and
26certified by the Department if the course is not accredited by



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1the American Dental Association Commission on Dental
3    When establishing requirements under this Section, the
4Department shall consider the current American Dental
5Association guidelines on sedation and general anesthesia, the
6current "Guidelines for Monitoring and Management of Pediatric
7Patients During and After Sedation for Diagnostic and
8Therapeutic Procedures" established by the American Academy of
9Pediatrics and the American Academy of Pediatric Dentistry,
10and the current parameters of care and Office Anesthesia
11Evaluation (OAE) Manual established by the American
12Association of Oral and Maxillofacial Surgeons.
13    (c) A licensed dentist must hold an appropriate permit
14issued under this Section in order to perform dentistry while
15a nurse anesthetist administers moderate conscious sedation,
16and a valid written collaborative agreement must exist between
17the dentist and the nurse anesthetist, in accordance with the
18Nurse Practice Act.
19    A licensed dentist must hold an appropriate permit issued
20under this Section in order to perform dentistry while a nurse
21anesthetist administers deep sedation or general anesthesia,
22and a valid written collaborative agreement must exist between
23the dentist and the nurse anesthetist, in accordance with the
24Nurse Practice Act.
25    For the purposes of this subsection (c), "nurse
26anesthetist" means a licensed certified registered nurse



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1anesthetist who holds a license as an advanced practice
2registered nurse.
3(Source: P.A. 100-201, eff. 8-18-17; 100-513, eff. 1-1-18;
4101-162, eff. 7-26-19.)
5    (225 ILCS 25/17)
6    (Section scheduled to be repealed on January 1, 2026)
7    Sec. 17. Acts constituting the practice of dentistry. A
8person practices dentistry, within the meaning of this Act:
9        (1) Who represents himself or herself as being able to
10    diagnose or diagnoses, treats, prescribes, or operates for
11    any disease, pain, deformity, deficiency, injury, or
12    physical condition of the human tooth, teeth, alveolar
13    process, gums, or jaw; or
14        (2) Who is a manager, proprietor, operator, or
15    conductor of a business where dental operations are
16    performed; or
17        (3) Who performs dental operations of any kind; or
18        (4) Who uses an X-Ray machine or X-Ray films for
19    dental diagnostic purposes; or
20        (5) Who extracts a human tooth or teeth, or corrects
21    or attempts to correct malpositions of the human teeth or
22    jaws; or
23        (6) Who offers or undertakes, by any means or method,
24    to diagnose, treat, or remove stains, calculus, and
25    bonding materials from human teeth or jaws; or



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1        (7) Who uses or administers local or general
2    anesthetics in the treatment of dental or oral diseases or
3    in any preparation incident to a dental operation of any
4    kind or character; or
5        (8) Who takes material or digital scans for final
6    impressions of the human tooth, teeth, or jaws or performs
7    any phase of any operation incident to the replacement of
8    a part of a tooth, a tooth, teeth, or associated tissues by
9    means of a filling, a crown, a bridge, a denture, or other
10    appliance; or
11        (9) Who offers to furnish, supply, construct,
12    reproduce, or repair, or who furnishes, supplies,
13    constructs, reproduces, or repairs, prosthetic dentures,
14    bridges, or other substitutes for natural teeth, to the
15    user or prospective user thereof; or
16        (10) Who instructs students on clinical matters or
17    performs any clinical operation included in the curricula
18    of recognized dental schools and colleges; or
19        (11) Who takes material or digital scans for final
20    impressions of human teeth or places his or her hands in
21    the mouth of any person for the purpose of applying teeth
22    whitening materials, or who takes impressions of human
23    teeth or places his or her hands in the mouth of any person
24    for the purpose of assisting in the application of teeth
25    whitening materials. A person does not practice dentistry
26    when he or she discloses to the consumer that he or she is



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1    not licensed as a dentist under this Act and (i) discusses
2    the use of teeth whitening materials with a consumer
3    purchasing these materials; (ii) provides instruction on
4    the use of teeth whitening materials with a consumer
5    purchasing these materials; or (iii) provides appropriate
6    equipment on-site to the consumer for the consumer to
7    self-apply teeth whitening materials.
8    The fact that any person engages in or performs, or offers
9to engage in or perform, any of the practices, acts, or
10operations set forth in this Section, shall be prima facie
11evidence that such person is engaged in the practice of
13    The following practices, acts, and operations, however,
14are exempt from the operation of this Act:
15        (a) The rendering of dental relief in emergency cases
16    in the practice of his or her profession by a physician or
17    surgeon, licensed as such under the laws of this State,
18    unless he or she undertakes to reproduce or reproduces
19    lost parts of the human teeth in the mouth or to restore or
20    replace lost or missing teeth in the mouth; or
21        (b) The practice of dentistry in the discharge of
22    their official duties by dentists in any branch of the
23    Armed Services of the United States, the United States
24    Public Health Service, or the United States Veterans
25    Administration; or
26        (c) The practice of dentistry by students in their



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1    course of study in dental schools or colleges approved by
2    the Department, when acting under the direction and
3    supervision of dentists acting as instructors; or
4        (d) The practice of dentistry by clinical instructors
5    in the course of their teaching duties in dental schools
6    or colleges approved by the Department:
7            (i) when acting under the direction and
8        supervision of dentists, provided that such clinical
9        instructors have instructed continuously in this State
10        since January 1, 1986; or
11            (ii) when holding the rank of full professor at
12        such approved dental school or college and possessing
13        a current valid license or authorization to practice
14        dentistry in another country; or
15        (e) The practice of dentistry by licensed dentists of
16    other states or countries at meetings of the Illinois
17    State Dental Society or component parts thereof, alumni
18    meetings of dental colleges, or any other like dental
19    organizations, while appearing as clinicians; or
20        (f) The use of X-Ray machines for exposing X-Ray films
21    of dental or oral tissues by dental hygienists or dental
22    assistants; or
23        (g) The performance of any dental service by a dental
24    assistant, if such service is performed under the
25    supervision and full responsibility of a dentist. In
26    addition, after being authorized by a dentist, a dental



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1    assistant may, for the purpose of eliminating pain or
2    discomfort, remove loose, broken, or irritating
3    orthodontic appliances on a patient of record.
4        For purposes of this paragraph (g), "dental service"
5    is defined to mean any intraoral procedure or act which
6    shall be prescribed by rule or regulation of the
7    Department. "Dental service", however, shall not include:
8            (1) Any and all diagnosis of or prescription for
9        treatment of disease, pain, deformity, deficiency,
10        injury, or physical condition of the human teeth or
11        jaws, or adjacent structures.
12            (2) Removal of, restoration of, or addition to the
13        hard or soft tissues of the oral cavity, except for the
14        placing, carving, and finishing of amalgam
15        restorations and placing, packing, and finishing
16        composite restorations by dental assistants who have
17        had additional formal education and certification.
18            A dental assistant may place, carve, and finish
19        amalgam restorations, place, pack, and finish
20        composite restorations, and place interim restorations
21        if he or she (A) has successfully completed a
22        structured training program as described in item (2)
23        of subsection (g) provided by an educational
24        institution accredited by the Commission on Dental
25        Accreditation, such as a dental school or dental
26        hygiene or dental assistant program, or (B) has at



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1        least 4,000 hours of direct clinical patient care
2        experience and has successfully completed a structured
3        training program as described in item (2) of
4        subsection (g) provided by a statewide dental
5        association, approved by the Department to provide
6        continuing education, that has developed and conducted
7        training programs for expanded functions for dental
8        assistants or hygienists. The training program must:
9        (i) include a minimum of 16 hours of didactic study and
10        14 hours of clinical manikin instruction; all training
11        programs shall include areas of study in nomenclature,
12        caries classifications, oral anatomy, periodontium,
13        basic occlusion, instrumentations, pulp protection
14        liners and bases, dental materials, matrix and wedge
15        techniques, amalgam placement and carving, rubber dam
16        clamp placement, and rubber dam placement and removal;
17        (ii) include an outcome assessment examination that
18        demonstrates competency; (iii) require the supervising
19        dentist to observe and approve the completion of 8
20        amalgam or composite restorations; and (iv) issue a
21        certificate of completion of the training program,
22        which must be kept on file at the dental office and be
23        made available to the Department upon request. A
24        dental assistant must have successfully completed an
25        approved coronal polishing and dental sealant course
26        prior to taking the amalgam and composite restoration



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1        course.
2            A dentist utilizing dental assistants shall not
3        supervise more than 4 dental assistants at any one
4        time for placing, carving, and finishing of amalgam
5        restorations or for placing, packing, and finishing
6        composite restorations.
7            (3) Any and all correction of malformation of
8        teeth or of the jaws.
9            (4) Administration of anesthetics, except for
10        monitoring of nitrous oxide, moderate conscious
11        sedation, deep sedation, and general anesthetic as
12        provided in Section 8.1 of this Act, that may be
13        performed only after successful completion of a
14        training program approved by the Department. A dentist
15        utilizing dental assistants shall not supervise more
16        than 4 dental assistants at any one time for the
17        monitoring of nitrous oxide.
18            (5) Removal of calculus from human teeth.
19            (6) Taking of material or digital scans for final
20        impressions for the fabrication of prosthetic
21        appliances, crowns, bridges, inlays, onlays, or other
22        restorative or replacement dentistry.
23            (7) The operative procedure of dental hygiene
24        consisting of oral prophylactic procedures, except for
25        coronal polishing and pit and fissure sealants, which
26        may be performed by a dental assistant who has



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1        successfully completed a training program approved by
2        the Department. Dental assistants may perform coronal
3        polishing under the following circumstances: (i) the
4        coronal polishing shall be limited to polishing the
5        clinical crown of the tooth and existing restorations,
6        supragingivally; (ii) the dental assistant performing
7        the coronal polishing shall be limited to the use of
8        rotary instruments using a rubber cup or brush
9        polishing method (air polishing is not permitted); and
10        (iii) the supervising dentist shall not supervise more
11        than 4 dental assistants at any one time for the task
12        of coronal polishing or pit and fissure sealants.
13            In addition to coronal polishing and pit and
14        fissure sealants as described in this item (7), a
15        dental assistant who has at least 2,000 hours of
16        direct clinical patient care experience and who has
17        successfully completed a structured training program
18        provided by (1) an educational institution including,
19        but not limited to, a dental school or dental hygiene
20        or dental assistant program, (2) a continuing
21        education provider approved by the Department, or (3)
22        a statewide dental or dental hygienist association
23        that has developed and conducted a training program
24        for expanded functions for dental assistants or
25        hygienists may perform: (A) coronal scaling above the
26        gum line, supragingivally, on the clinical crown of



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1        the tooth only on patients 17 years of age or younger
2        who have an absence of periodontal disease and who are
3        not medically compromised or individuals with special
4        needs and (B) intracoronal temporization of a tooth.
5        The training program must: (I) include a minimum of 32
6        hours of instruction in both didactic and clinical
7        manikin or human subject instruction; all training
8        programs shall include areas of study in dental
9        anatomy, public health dentistry, medical history,
10        dental emergencies, and managing the pediatric
11        patient; (II) include an outcome assessment
12        examination that demonstrates competency; (III)
13        require the supervising dentist to observe and approve
14        the completion of 6 full mouth supragingival scaling
15        procedures unless the training was received as part of
16        a Commission on Dental Accreditation approved dental
17        assistant program; and (IV) issue a certificate of
18        completion of the training program, which must be kept
19        on file at the dental office and be made available to
20        the Department upon request. A dental assistant must
21        have successfully completed an approved coronal
22        polishing course prior to taking the coronal scaling
23        course. A dental assistant performing these functions
24        shall be limited to the use of hand instruments only.
25        In addition, coronal scaling as described in this
26        paragraph shall only be utilized on patients who are



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1        eligible for Medicaid, who are uninsured, or whose
2        household income is not greater than 300% of the
3        federal poverty level. A dentist may not supervise
4        more than 2 dental assistants at any one time for the
5        task of coronal scaling. This paragraph is inoperative
6        on and after January 1, 2026.
7        The limitations on the number of dental assistants a
8    dentist may supervise contained in items (2), (4), and (7)
9    of this paragraph (g) mean a limit of 4 total dental
10    assistants or dental hygienists doing expanded functions
11    covered by these Sections being supervised by one dentist;
12    or
13        (h) The practice of dentistry by an individual who:
14            (i) has applied in writing to the Department, in
15        form and substance satisfactory to the Department, for
16        a general dental license and has complied with all
17        provisions of Section 9 of this Act, except for the
18        passage of the examination specified in subsection (e)
19        of Section 9 of this Act; or
20            (ii) has applied in writing to the Department, in
21        form and substance satisfactory to the Department, for
22        a temporary dental license and has complied with all
23        provisions of subsection (c) of Section 11 of this
24        Act; and
25            (iii) has been accepted or appointed for specialty
26        or residency training by a hospital situated in this



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1        State; or
2            (iv) has been accepted or appointed for specialty
3        training in an approved dental program situated in
4        this State; or
5            (v) has been accepted or appointed for specialty
6        training in a dental public health agency situated in
7        this State.
8        The applicant shall be permitted to practice dentistry
9    for a period of 3 months from the starting date of the
10    program, unless authorized in writing by the Department to
11    continue such practice for a period specified in writing
12    by the Department.
13        The applicant shall only be entitled to perform such
14    acts as may be prescribed by and incidental to his or her
15    program of residency or specialty training and shall not
16    otherwise engage in the practice of dentistry in this
17    State.
18        The authority to practice shall terminate immediately
19    upon:
20            (1) the decision of the Department that the
21        applicant has failed the examination; or
22            (2) denial of licensure by the Department; or
23            (3) withdrawal of the application.
24(Source: P.A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;
25103-425, eff. 1-1-24; 103-431, eff. 1-1-24; revised 12-15-23.)



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1    (225 ILCS 25/19.2)
2    (Section scheduled to be repealed on January 1, 2026)
3    Sec. 19.2. Temporary permit for free dental care.
4    (a) Upon Board recommendation, the Department may issue a
5temporary permit authorizing the practice in this State,
6without compensation, of dentistry to an applicant who is
7licensed to practice dentistry in another state, if all of the
8following apply:
9        (1) the Department determines that the applicant's
10    services will improve the welfare of Illinois residents
11    who are eligible for Medicaid or who are uninsured and
12    whose household income is not greater than 200% of the
13    federal poverty level;
14        (2) the applicant has graduated from a dental program
15    approved by the American Dental Association's Commission
16    on Dental Accreditation and maintains an equivalent
17    authorization to practice dentistry in good standing in
18    his or her native licensing jurisdiction during the period
19    of the temporary visiting dentist permit and can furnish
20    the Department a certified letter upon request from that
21    jurisdiction attesting to the fact that the applicant has
22    no pending action or violations against his or her
23    license;
24        (3) the applicant has received an invitation to
25    perform dental care by a charitable organization or has
26    received an invitation to study or receive training on



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1    specific dental or clinical subjects or techniques by a
2    licensed continuing education sponsor who is approved by
3    the Department to provide clinical training in the State
4    of Illinois on patients for the welfare of Illinois
5    residents pursuant to subsection (a-5) and is in
6    compliance with the provisions of this Act;
7        (4) the applicant will be working pursuant to a
8    collaborative agreement with and under the direct
9    supervision of an Illinois licensed dentist, who is in
10    good standing, during the duration of the program. The
11    supervising dentist must be physically present during all
12    clinical training courses; and
13        (5) payment of a fee established by rule.
14    The Department may adopt rules to implement this
16    (a-5) Upon Board recommendation, after the filing of an
17application, the Department may allow approved continuing
18education sponsors to be licensed to provide live patient
19continuing education clinical training courses if the
20following requirements are met:
21        (1) the continuing education course provides services,
22    without compensation, that will improve the welfare of
23    Illinois residents as described in paragraph (1) of
24    subsection (a). The application to the Board must include
25    the following information for review and approval by the
26    Department:



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1            (i) a plan of follow-up care and training models;
2            (ii) any and all documentation to be signed by the
3        patients, including, but not limited to, waivers,
4        consent forms, and releases;
5            (iii) information related to the facilities being
6        utilized, staffing plans, and emergency plans;
7            (iv) the process by which patients will be
8        contacted before, during, and after treatment;
9            (v) the intended population that will be receiving
10        treatment; and
11            (vi) proof of valid malpractice insurance for the
12        approved continuing education sponsor that extends
13        coverage to clinical staff, trainees, and out-of-state
14        permit holders that meet the requirements of
15        subsection (a);
16        (2) a valid written collaborative agreement must exist
17    between the temporary visiting dentist and the Illinois
18    licensed dentist co-treating patients under this Section.
19    The collaborative agreement must include a description of
20    the care to be provided and procedures to be performed by
21    the temporary visiting dentist. There shall be no more
22    than 5 trainees per supervising dentist. A copy of this
23    agreement shall become part of the patient's dental record
24    and shall be made available upon request to the
25    Department; and
26        (3) payment of a fee established by rule.



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1    A continuing education sponsor license issued under this
2Section shall be valid for a period of time as provided by
4    The Department shall adopt rules to implement this
6    (b) (Blank).
7    (c) A temporary permit shall be valid for no longer than 5
8consecutive clinical days within 6 months from the date of
9issuance. The temporary permit may be issued once per year to a
10visiting dentist. Temporary permits under subsection (a) may
11be restored no more than one time within 5 years of the initial
12permits issuance. The Department may require an applicant to
13pay a fee for the issuance or restoration of a permit under
14this Section.
15    (d) (Blank).
16    (e) The temporary permit shall only permit the holder to
17practice dentistry within the scope of the dental studies and
18in conjunction with one of the following:
19        (1) the charitable organization; or
20        (2) a continuing education program provided by a
21    continuing education sponsor approved by the Department
22    pursuant to this Section that the permit holder is
23    attending.
24    (f) The temporary visiting dentist may not administer
25moderate conscious sedation, deep sedation, or general



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1    (g) A patient who seeks treatment from a temporary
2visiting dentist must sign a consent form acknowledging that
3the care the patient will receive will be provided by a dentist
4not licensed in the State of Illinois and that the Illinois
5licensed dentist who has the collaborative agreement with the
6temporary visiting dentist will be responsible for all the
7follow-up care associated with the treatment rendered to the
9    (h) An application for the temporary permit shall be made
10to the Department in writing on forms prescribed by the
11Department and shall be accompanied by a nonrefundable fee
12established by rule.
13    (i) An applicant for a temporary permit may be requested
14to appear before the Board to respond to questions concerning
15the applicant's qualifications to receive the permit. An
16applicant's refusal to appear before the Board may be grounds
17for denial of the application by the Department.
18    (j) The Secretary may summarily cancel any permit or
19license issued pursuant to this Section without a hearing if
20the Secretary finds that evidence in his or her possession
21indicates that a continuing education sponsor licensed under
22this Section or a temporary permit holder's continuation in
23practice would constitute an imminent danger to the public or
24violate any provision of this Act or its rules. If the
25Secretary summarily cancels a permit or license issued
26pursuant to this Section, the permit holder or licensee may



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1petition the Department for a hearing in accordance with the
2provisions of subsection (b) of Section 26 of this Act to
3reinstate his or her permit or license.
4    (k) In addition to terminating any permit or license
5issued pursuant to this Section, the Department may impose a
6monetary penalty not to exceed $10,000 upon the temporary
7permit holder or licensee and may notify any state in which the
8temporary permit holder or licensee has been issued a license
9that his or her Illinois permit or license has been terminated
10and the reasons for the termination. The monetary penalty
11shall be paid within 60 days after the effective date of the
12order imposing the penalty. The order shall constitute a
13judgment and may be filed and execution had thereon in the same
14manner as any judgment from any court of record. It is the
15intent of the General Assembly that a permit or license issued
16pursuant to this Section shall be considered a privilege and
17not a property right.
18(Source: P.A. 102-582, eff. 1-1-22.)
19    (225 ILCS 25/45)  (from Ch. 111, par. 2345)
20    (Section scheduled to be repealed on January 1, 2026)
21    Sec. 45. Advertising. The purpose of this Section is to
22authorize and regulate the advertisement by dentists of
23information which is intended to provide the public with a
24sufficient basis upon which to make an informed selection of
25dentists while protecting the public from false or misleading



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1advertisements which would detract from the fair and rational
2selection process.
3    Any dentist may advertise the availability of dental
4services in the public media or on the premises where such
5dental services are rendered. Such advertising shall be
6limited to the following information:
7        (a) The dental services available;
8        (b) Publication of the dentist's name, title, office
9    hours, address and telephone;
10        (c) Information pertaining to his or her area of
11    specialization, including appropriate board certification
12    or limitation of professional practice;
13        (d) Information on usual and customary fees for
14    routine dental services offered, which information shall
15    include notification that fees may be adjusted due to
16    complications or unforeseen circumstances;
17        (e) Announcement of the opening of, change of, absence
18    from, or return to business;
19        (f) Announcement of additions to or deletions from
20    professional dental staff;
21        (g) The issuance of business or appointment cards;
22        (h) Other information about the dentist, dentist's
23    practice or the types of dental services which the dentist
24    offers to perform which a reasonable person might regard
25    as relevant in determining whether to seek the dentist's
26    services. However, any advertisement which announces the



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1    availability of endodontics, pediatric dentistry,
2    periodontics, prosthodontics, orthodontics and
3    dentofacial orthopedics, oral and maxillofacial surgery,
4    or oral and maxillofacial radiology by a general dentist
5    or by a licensed specialist who is not licensed in that
6    specialty shall include a disclaimer stating that the
7    dentist does not hold a license in that specialty.
8    Any dental practice with more than one location that
9enrolls its dentist as a participating provider in a managed
10care plan's network must verify electronically or in writing
11to the managed care plan whether the provider is accepting new
12patients at each of the specific locations listing the
13provider. The health plan shall remove the provider from the
14directory in accordance with standard practices within 10
15business days after being notified of the changes by the
16provider. Nothing in this paragraph shall void any contractual
17relationship between the provider and the plan.
18    It is unlawful for any dentist licensed under this Act to
19do any of the following:
20        (1) Use claims of superior quality of care to entice
21    the public.
22        (2) Advertise in any way to practice dentistry without
23    causing pain.
24        (3) Pay a fee to any dental referral service or other
25    third party who advertises a dental referral service,
26    unless all advertising of the dental referral service



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1    makes it clear that dentists are paying a fee for that
2    referral service.
3        (4) Advertise or offer gifts as an inducement to
4    secure dental patronage. Dentists may advertise or offer
5    free examinations or free dental services; it shall be
6    unlawful, however, for any dentist to charge a fee to any
7    new patient for any dental service provided at the time
8    that such free examination or free dental services are
9    provided.
10        (5) Use the term "sedation dentistry" or similar terms
11    in advertising unless the advertising dentist holds a
12    valid and current permit issued by the Department to
13    administer either general anesthesia, deep sedation, or
14    moderate conscious sedation as required under Section 8.1
15    of this Act.
16    This Act does not authorize the advertising of dental
17services when the offeror of such services is not a dentist.
18Nor shall the dentist use statements which contain false,
19fraudulent, deceptive or misleading material or guarantees of
20success, statements which play upon the vanity or fears of the
21public, or statements which promote or produce unfair
23    A dentist shall be required to keep a copy of all
24advertisements for a period of 3 years. All advertisements in
25the dentist's possession shall indicate the accurate date and
26place of publication.



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1    The Department shall adopt rules to carry out the intent
2of this Section.
3(Source: P.A. 99-329, eff. 1-1-16.)
4    Section 99. Effective date. This Act takes effect upon
5becoming law.