Sen. Julie A. Morrison

Filed: 3/1/2024





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2    AMENDMENT NO. ______. Amend Senate Bill 2822 by replacing
3everything after the enacting clause with the following:
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7    (Section scheduled to be repealed on January 1, 2026)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



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1Professional Regulation.
2    "Secretary" means the Secretary of Financial and
3Professional Regulation.
4    "Board" means the Board of Dentistry.
5    "Dentist" means a person who has received a general
6license pursuant to paragraph (a) of Section 11 of this Act and
7who may perform any intraoral and extraoral procedure required
8in the practice of dentistry and to whom is reserved the
9responsibilities specified in Section 17.
10    "Dental hygienist" means a person who holds a license
11under this Act to perform dental services as authorized by
12Section 18.
13    "Dental assistant" means an appropriately trained person
14who, under the supervision of a dentist, provides dental
15services as authorized by Section 17.
16    "Expanded function dental assistant" means a dental
17assistant who has completed the training required by Section
1817.1 of this Act.
19    "Dental laboratory" means a person, firm, or corporation
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



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1    provide 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
5dental assistant requiring that a dentist authorize the
6procedure, remain in the dental facility while the procedure
7is performed, and approve the work performed by the dental
8hygienist or dental assistant before dismissal of the patient,
9but does not mean that the dentist must be present at all times
10in the treatment room.
11    "General supervision" means supervision of a dental
12hygienist requiring that the patient be a patient of record,
13that the dentist examine the patient in accordance with
14Section 18 prior to treatment by the dental hygienist, and
15that the dentist authorize the procedures which are being
16carried out by a notation in the patient's record, but not
17requiring that a dentist be present when the authorized
18procedures are being performed. The issuance of a prescription
19to a dental laboratory by a dentist does not constitute
20general supervision.
21    "Public member" means a person who is not a health
22professional. For purposes of board membership, any person
23with a significant financial interest in a health service or
24profession is not a public member.
25    "Dentistry" means the healing art which is concerned with
26the examination, diagnosis, treatment planning, and care of



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1conditions within the human oral cavity and its adjacent
2tissues and structures, as further specified in Section 17.
3    "Branches of dentistry" means the various specialties of
4dentistry which, for purposes of this Act, shall be limited to
5the following: endodontics, oral and maxillofacial surgery,
6orthodontics and dentofacial orthopedics, pediatric dentistry,
7periodontics, prosthodontics, oral and maxillofacial
8radiology, and dental anesthesiology.
9    "Specialist" means a dentist who has received a specialty
10license pursuant to Section 11(b).
11    "Dental technician" means a person who owns, operates, or
12is employed by a dental laboratory and engages in making,
13providing, repairing, or altering dental prosthetic appliances
14and other artificial materials and devices which are returned
15to a dentist for insertion into the human oral cavity or which
16come in contact with its adjacent structures and tissues.
17    "Impaired dentist" or "impaired dental hygienist" means a
18dentist or dental hygienist who is unable to practice with
19reasonable skill and safety because of a physical or mental
20disability as evidenced by a written determination or written
21consent based on clinical evidence, including deterioration
22through the aging process, loss of motor skills, abuse of
23drugs or alcohol, or a psychiatric disorder, of sufficient
24degree to diminish the person's ability to deliver competent
25patient care.
26    "Nurse" means a registered professional nurse, a certified



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1registered nurse anesthetist licensed as an advanced practice
2registered nurse, or a licensed practical nurse licensed under
3the Nurse Practice Act.
4    "Patient of record" means a patient for whom the patient's
5most recent dentist has obtained a relevant medical and dental
6history and on whom the dentist has performed an examination
7and evaluated the condition to be treated.
8    "Dental responder" means a dentist or dental hygienist who
9is appropriately certified in disaster preparedness,
10immunizations, and dental humanitarian medical response
11consistent with the Society of Disaster Medicine and Public
12Health and training certified by the National Incident
13Management System or the National Disaster Life Support
15    "Mobile dental van or portable dental unit" means any
16self-contained or portable dental unit in which dentistry is
17practiced that can be moved, towed, or transported from one
18location to another in order to establish a location where
19dental services can be provided.
20    "Public health dental hygienist" means a hygienist who
21holds a valid license to practice in the State, has 2 years of
22full-time clinical experience or an equivalent of 4,000 hours
23of clinical experience, and has completed at least 42 clock
24hours of additional structured courses in dental education in
25advanced areas specific to public health dentistry.
26    "Public health setting" means a federally qualified health



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1center; a federal, State, or local public health facility;
2Head Start; a special supplemental nutrition program for
3Women, Infants, and Children (WIC) facility; a certified
4school-based health center or school-based oral health
5program; a prison; or a long-term care facility.
6    "Public health supervision" means the supervision of a
7public health dental hygienist by a licensed dentist who has a
8written public health supervision agreement with that public
9health dental hygienist while working in an approved facility
10or program that allows the public health dental hygienist to
11treat patients, without a dentist first examining the patient
12and being present in the facility during treatment, (1) who
13are eligible for Medicaid or (2) who are uninsured or whose
14household income is not greater than 300% of the federal
15poverty level.
16    "Teledentistry" means the use of telehealth systems and
17methodologies in dentistry and includes patient care and
18education delivery using synchronous and asynchronous
19communications under a dentist's authority as provided under
20this Act.
21    "Moderate sedation" means a drug-induced depression of
22consciousness during which: (1) patients respond purposefully
23to verbal commands, either alone or accompanied by light
24tactile stimulation; (2) no interventions are required to
25maintain a patient's airway and spontaneous ventilation is
26adequate; and (3) cardiovascular function is usually



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2    "Deep sedation" means a drug-induced depression of
3consciousness during which: (1) patients cannot be easily
4aroused, but respond purposefully following repeated or
5painful stimulation; (2) the ability to independently maintain
6ventilatory function may be impaired; (3) patients may require
7assistance in maintaining airways and spontaneous ventilation
8may be inadequate; and (4) cardiovascular function is usually
10    "General anesthesia" means a drug-induced loss of
11consciousness during which: (1) patients are not arousable,
12even by painful stimulation; (2) the ability to independently
13maintain ventilatory function is often impaired; (3) patients
14often require assistance in maintaining airways and positive
15pressure ventilation may be required because of depressed
16spontaneous ventilation or drug-induced depression of
17neuromuscular function; and (4) cardiovascular function may be
19    "Enteral route of administration" means administration of
20a drug that is absorbed through the gastrointestinal tract or
21through oral, rectal, or sublingual mucosa.
22    "Parenteral route of administration" means administration
23of a drug by which the drug bypasses the gastrointestinal
24tract through intramuscular, intravenous, intranasal,
25submucosal, subcutaneous, or intraosseous methods.
26(Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;



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1102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
21-1-24; revised 12-15-23.)
3    (225 ILCS 25/8.1)  (from Ch. 111, par. 2308.1)
4    (Section scheduled to be repealed on January 1, 2026)
5    Sec. 8.1. Permit for the administration of anesthesia and
7    (a) No licensed dentist shall administer general
8anesthesia, deep sedation, or moderate conscious sedation
9without first applying for and obtaining a permit for such
10purpose from the Department. The Department shall issue such
11permit only after ascertaining that the applicant possesses
12the minimum qualifications necessary to protect public safety.
13A person with a dental degree who administers anesthesia, deep
14sedation, or moderate conscious sedation in an approved
15hospital training program under the supervision of either a
16licensed dentist holding such permit or a physician licensed
17to practice medicine in all its branches shall not be required
18to obtain such permit.
19    (b) The minimum requirements for a permit to administer
20moderate sedation issued after the effective date of this
21amendatory Act of the 103rd General Assembly shall include the
22completion of a minimum of 75 hours of didactic and supervised
23clinical study in either:
24        (1) an American Dental Association Commission on
25    Dental Accreditation accredited dental specialty program,



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1    general practice residency, or advanced education in
2    general dentistry residency that includes training and
3    documentation in moderate sedation techniques appropriate
4    for each specialty or an American Dental Association
5    Commission on Dental Accreditation accredited dental
6    anesthesiology residency program and proof of completion
7    of up to 20 sedation cases; or
8        (2) a structured course of study provided by an
9    approved continuing education provider that includes
10    training and documentation in moderate sedation, physical
11    evaluation, venipuncture, advanced airway management,
12    technical administration, recognition and management of
13    complications and emergencies and monitoring with
14    additional supervised experience and documentation
15    demonstrating competence in providing moderate sedation to
16    20 individual patient experiences utilizing enteral and
17    parenteral routes of administration of drugs to
18    competency, over a continuous time frame as set by the
19    Department and as provided in the American Dental
20    Association's Guidelines for Teaching Pain Control and
21    Sedation to Dentists and Dental Students.
22    (b-5) The minimum requirements for a permit to administer
23deep sedation and general anesthesia issued after the
24effective date of this amendatory Act of the 103rd General
25Assembly shall include:
26        (1) the completion of a minimum of 2 years of advanced



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



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



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1Department shall consider the current American Dental
2Association guidelines on sedation and general anesthesia, the
3current "Guidelines for Monitoring and Management of Pediatric
4Patients During and After Sedation for Diagnostic and
5Therapeutic Procedures" established by the American Academy of
6Pediatrics and the American Academy of Pediatric Dentistry,
7and the current parameters of care and Office Anesthesia
8Evaluation (OAE) Manual established by the American
9Association of Oral and Maxillofacial Surgeons.
10    (c) A licensed dentist must hold an appropriate permit
11issued under this Section in order to perform dentistry while
12a nurse anesthetist administers moderate conscious sedation,
13and a valid written collaborative agreement must exist between
14the dentist and the nurse anesthetist, in accordance with the
15Nurse Practice Act.
16    A licensed dentist must hold an appropriate permit issued
17under this Section in order to perform dentistry while a nurse
18anesthetist administers deep sedation or general anesthesia,
19and a valid written collaborative agreement must exist between
20the dentist and the nurse anesthetist, in accordance with the
21Nurse Practice Act.
22    For the purposes of this subsection (c), "nurse
23anesthetist" means a licensed certified registered nurse
24anesthetist who holds a license as an advanced practice
25registered nurse.
26(Source: P.A. 100-201, eff. 8-18-17; 100-513, eff. 1-1-18;



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1101-162, eff. 7-26-19.)
2    (225 ILCS 25/17)
3    (Section scheduled to be repealed on January 1, 2026)
4    Sec. 17. Acts constituting the practice of dentistry. A
5person practices dentistry, within the meaning of this Act:
6        (1) Who represents himself or herself as being able to
7    diagnose or diagnoses, treats, prescribes, or operates for
8    any disease, pain, deformity, deficiency, injury, or
9    physical condition of the human tooth, teeth, alveolar
10    process, gums, or jaw; or
11        (2) Who is a manager, proprietor, operator, or
12    conductor of a business where dental operations are
13    performed; or
14        (3) Who performs dental operations of any kind; or
15        (4) Who uses an X-Ray machine or X-Ray films for
16    dental diagnostic purposes; or
17        (5) Who extracts a human tooth or teeth, or corrects
18    or attempts to correct malpositions of the human teeth or
19    jaws; or
20        (6) Who offers or undertakes, by any means or method,
21    to diagnose, treat, or remove stains, calculus, and
22    bonding materials from human teeth or jaws; or
23        (7) Who uses or administers local or general
24    anesthetics in the treatment of dental or oral diseases or
25    in any preparation incident to a dental operation of any



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



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1    the use of teeth whitening materials with a consumer
2    purchasing these materials; or (iii) provides appropriate
3    equipment on-site to the consumer for the consumer to
4    self-apply teeth whitening materials.
5    The fact that any person engages in or performs, or offers
6to engage in or perform, any of the practices, acts, or
7operations set forth in this Section, shall be prima facie
8evidence that such person is engaged in the practice of
10    The following practices, acts, and operations, however,
11are exempt from the operation of this Act:
12        (a) The rendering of dental relief in emergency cases
13    in the practice of his or her profession by a physician or
14    surgeon, licensed as such under the laws of this State,
15    unless he or she undertakes to reproduce or reproduces
16    lost parts of the human teeth in the mouth or to restore or
17    replace lost or missing teeth in the mouth; or
18        (b) The practice of dentistry in the discharge of
19    their official duties by dentists in any branch of the
20    Armed Services of the United States, the United States
21    Public Health Service, or the United States Veterans
22    Administration; or
23        (c) The practice of dentistry by students in their
24    course of study in dental schools or colleges approved by
25    the Department, when acting under the direction and
26    supervision of dentists acting as instructors; or



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



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1        For purposes of this paragraph (g), "dental service"
2    is defined to mean any intraoral procedure or act which
3    shall be prescribed by rule or regulation of the
4    Department. "Dental service", however, shall not include:
5            (1) Any and all diagnosis of or prescription for
6        treatment of disease, pain, deformity, deficiency,
7        injury, or physical condition of the human teeth or
8        jaws, or adjacent structures.
9            (2) Removal of, restoration of, or addition to the
10        hard or soft tissues of the oral cavity, except for the
11        placing, carving, and finishing of amalgam
12        restorations and placing, packing, and finishing
13        composite restorations by dental assistants who have
14        had additional formal education and certification.
15            A dental assistant may place, carve, and finish
16        amalgam restorations, place, pack, and finish
17        composite restorations, and place interim restorations
18        if he or she (A) has successfully completed a
19        structured training program as described in item (2)
20        of subsection (g) provided by an educational
21        institution accredited by the Commission on Dental
22        Accreditation, such as a dental school or dental
23        hygiene or dental assistant program, or (B) has at
24        least 4,000 hours of direct clinical patient care
25        experience and has successfully completed a structured
26        training program as described in item (2) of



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1        subsection (g) provided by a statewide dental
2        association, approved by the Department to provide
3        continuing education, that has developed and conducted
4        training programs for expanded functions for dental
5        assistants or hygienists. The training program must:
6        (i) include a minimum of 16 hours of didactic study and
7        14 hours of clinical manikin instruction; all training
8        programs shall include areas of study in nomenclature,
9        caries classifications, oral anatomy, periodontium,
10        basic occlusion, instrumentations, pulp protection
11        liners and bases, dental materials, matrix and wedge
12        techniques, amalgam placement and carving, rubber dam
13        clamp placement, and rubber dam placement and removal;
14        (ii) include an outcome assessment examination that
15        demonstrates competency; (iii) require the supervising
16        dentist to observe and approve the completion of 8
17        amalgam or composite restorations; and (iv) issue a
18        certificate of completion of the training program,
19        which must be kept on file at the dental office and be
20        made available to the Department upon request. A
21        dental assistant must have successfully completed an
22        approved coronal polishing and dental sealant course
23        prior to taking the amalgam and composite restoration
24        course.
25            A dentist utilizing dental assistants shall not
26        supervise more than 4 dental assistants at any one



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



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



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1        needs and (B) intracoronal temporization of a tooth.
2        The training program must: (I) include a minimum of 32
3        hours of instruction in both didactic and clinical
4        manikin or human subject instruction; all training
5        programs shall include areas of study in dental
6        anatomy, public health dentistry, medical history,
7        dental emergencies, and managing the pediatric
8        patient; (II) include an outcome assessment
9        examination that demonstrates competency; (III)
10        require the supervising dentist to observe and approve
11        the completion of 6 full mouth supragingival scaling
12        procedures unless the training was received as part of
13        a Commission on Dental Accreditation approved dental
14        assistant program; and (IV) issue a certificate of
15        completion of the training program, which must be kept
16        on file at the dental office and be made available to
17        the Department upon request. A dental assistant must
18        have successfully completed an approved coronal
19        polishing course prior to taking the coronal scaling
20        course. A dental assistant performing these functions
21        shall be limited to the use of hand instruments only.
22        In addition, coronal scaling as described in this
23        paragraph shall only be utilized on patients who are
24        eligible for Medicaid, who are uninsured, or whose
25        household income is not greater than 300% of the
26        federal poverty level. A dentist may not supervise



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1        more than 2 dental assistants at any one time for the
2        task of coronal scaling. This paragraph is inoperative
3        on and after January 1, 2026.
4        The limitations on the number of dental assistants a
5    dentist may supervise contained in items (2), (4), and (7)
6    of this paragraph (g) mean a limit of 4 total dental
7    assistants or dental hygienists doing expanded functions
8    covered by these Sections being supervised by one dentist;
9    or
10        (h) The practice of dentistry by an individual who:
11            (i) has applied in writing to the Department, in
12        form and substance satisfactory to the Department, for
13        a general dental license and has complied with all
14        provisions of Section 9 of this Act, except for the
15        passage of the examination specified in subsection (e)
16        of Section 9 of this Act; or
17            (ii) has applied in writing to the Department, in
18        form and substance satisfactory to the Department, for
19        a temporary dental license and has complied with all
20        provisions of subsection (c) of Section 11 of this
21        Act; and
22            (iii) has been accepted or appointed for specialty
23        or residency training by a hospital situated in this
24        State; or
25            (iv) has been accepted or appointed for specialty
26        training in an approved dental program situated in



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1        this State; or
2            (v) has been accepted or appointed for specialty
3        training in a dental public health agency situated in
4        this State.
5        The applicant shall be permitted to practice dentistry
6    for a period of 3 months from the starting date of the
7    program, unless authorized in writing by the Department to
8    continue such practice for a period specified in writing
9    by the Department.
10        The applicant shall only be entitled to perform such
11    acts as may be prescribed by and incidental to his or her
12    program of residency or specialty training and shall not
13    otherwise engage in the practice of dentistry in this
14    State.
15        The authority to practice shall terminate immediately
16    upon:
17            (1) the decision of the Department that the
18        applicant has failed the examination; or
19            (2) denial of licensure by the Department; or
20            (3) withdrawal of the application.
21(Source: P.A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;
22103-425, eff. 1-1-24; 103-431, eff. 1-1-24; revised 12-15-23.)
23    (225 ILCS 25/19.2)
24    (Section scheduled to be repealed on January 1, 2026)
25    Sec. 19.2. Temporary permit for free dental care.



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



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1    of Illinois on patients for the welfare of Illinois
2    residents pursuant to subsection (a-5) and is in
3    compliance with the provisions of this Act;
4        (4) the applicant will be working pursuant to a
5    collaborative agreement with and under the direct
6    supervision of an Illinois licensed dentist, who is in
7    good standing, during the duration of the program. The
8    supervising dentist must be physically present during all
9    clinical training courses; and
10        (5) payment of a fee established by rule.
11    The Department may adopt rules to implement this
13    (a-5) Upon Board recommendation, after the filing of an
14application, the Department may allow approved continuing
15education sponsors to be licensed to provide live patient
16continuing education clinical training courses if the
17following requirements are met:
18        (1) the continuing education course provides services,
19    without compensation, that will improve the welfare of
20    Illinois residents as described in paragraph (1) of
21    subsection (a). The application to the Board must include
22    the following information for review and approval by the
23    Department:
24            (i) a plan of follow-up care and training models;
25            (ii) any and all documentation to be signed by the
26        patients, including, but not limited to, waivers,



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1        consent forms, and releases;
2            (iii) information related to the facilities being
3        utilized, staffing plans, and emergency plans;
4            (iv) the process by which patients will be
5        contacted before, during, and after treatment;
6            (v) the intended population that will be receiving
7        treatment; and
8            (vi) proof of valid malpractice insurance for the
9        approved continuing education sponsor that extends
10        coverage to clinical staff, trainees, and out-of-state
11        permit holders that meet the requirements of
12        subsection (a);
13        (2) a valid written collaborative agreement must exist
14    between the temporary visiting dentist and the Illinois
15    licensed dentist co-treating patients under this Section.
16    The collaborative agreement must include a description of
17    the care to be provided and procedures to be performed by
18    the temporary visiting dentist. There shall be no more
19    than 5 trainees per supervising dentist. A copy of this
20    agreement shall become part of the patient's dental record
21    and shall be made available upon request to the
22    Department; and
23        (3) payment of a fee established by rule.
24    A continuing education sponsor license issued under this
25Section shall be valid for a period of time as provided by



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1    The Department shall adopt rules to implement this
3    (b) (Blank).
4    (c) A temporary permit shall be valid for no longer than 5
5consecutive clinical days within 6 months from the date of
6issuance. The temporary permit may be issued once per year to a
7visiting dentist. Temporary permits under subsection (a) may
8be restored no more than one time within 5 years of the initial
9permits issuance. The Department may require an applicant to
10pay a fee for the issuance or restoration of a permit under
11this Section.
12    (d) (Blank).
13    (e) The temporary permit shall only permit the holder to
14practice dentistry within the scope of the dental studies and
15in conjunction with one of the following:
16        (1) the charitable organization; or
17        (2) a continuing education program provided by a
18    continuing education sponsor approved by the Department
19    pursuant to this Section that the permit holder is
20    attending.
21    (f) The temporary visiting dentist may not administer
22moderate conscious sedation, deep sedation, or general
24    (g) A patient who seeks treatment from a temporary
25visiting dentist must sign a consent form acknowledging that
26the care the patient will receive will be provided by a dentist



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1not licensed in the State of Illinois and that the Illinois
2licensed dentist who has the collaborative agreement with the
3temporary visiting dentist will be responsible for all the
4follow-up care associated with the treatment rendered to the
6    (h) An application for the temporary permit shall be made
7to the Department in writing on forms prescribed by the
8Department and shall be accompanied by a nonrefundable fee
9established by rule.
10    (i) An applicant for a temporary permit may be requested
11to appear before the Board to respond to questions concerning
12the applicant's qualifications to receive the permit. An
13applicant's refusal to appear before the Board may be grounds
14for denial of the application by the Department.
15    (j) The Secretary may summarily cancel any permit or
16license issued pursuant to this Section without a hearing if
17the Secretary finds that evidence in his or her possession
18indicates that a continuing education sponsor licensed under
19this Section or a temporary permit holder's continuation in
20practice would constitute an imminent danger to the public or
21violate any provision of this Act or its rules. If the
22Secretary summarily cancels a permit or license issued
23pursuant to this Section, the permit holder or licensee may
24petition the Department for a hearing in accordance with the
25provisions of subsection (b) of Section 26 of this Act to
26reinstate his or her permit or license.



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



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



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



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1    secure dental patronage. Dentists may advertise or offer
2    free examinations or free dental services; it shall be
3    unlawful, however, for any dentist to charge a fee to any
4    new patient for any dental service provided at the time
5    that such free examination or free dental services are
6    provided.
7        (5) Use the term "sedation dentistry" or similar terms
8    in advertising unless the advertising dentist holds a
9    valid and current permit issued by the Department to
10    administer either general anesthesia, deep sedation, or
11    moderate conscious sedation as required under Section 8.1
12    of this Act.
13    This Act does not authorize the advertising of dental
14services when the offeror of such services is not a dentist.
15Nor shall the dentist use statements which contain false,
16fraudulent, deceptive or misleading material or guarantees of
17success, statements which play upon the vanity or fears of the
18public, or statements which promote or produce unfair
20    A dentist shall be required to keep a copy of all
21advertisements for a period of 3 years. All advertisements in
22the dentist's possession shall indicate the accurate date and
23place of publication.
24    The Department shall adopt rules to carry out the intent
25of this Section.
26(Source: P.A. 99-329, eff. 1-1-16.)



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1    Section 99. Effective date. This Act takes effect upon
2becoming law.".