Public Act 93-0113

SB190 Enrolled                       LRB093 03426 AMC 03446 b

    AN ACT concerning dentistry.

    Be it  enacted  by  the  People  of  the  State  of  Illinois,
represented in the General Assembly:

    Section 5.  The Illinois Dental Practice Act  is  amended
by changing Section 18 and adding Section 37.1 as follows:

    (225 ILCS 25/18) (from Ch. 111, par. 2318)
    (Section scheduled to be repealed on January 1, 2006)
    Sec.  18.   Acts  Constituting  the  Practice  of  Dental
Hygiene.   Limitations. A dental hygienist may be employed or
engaged only:
         (a)  Under the supervision of a dentist:
              (1)  In the office of a dentist;
              (2)  By a federal, State, county  or  municipal
         agency or institution;
              (3)  By a public or private school; or
              (4)  By  a  public  clinic  operating under the
         direction of a hospital or federal,  State,  county,
         municipal or other public agency or institution.
    When employed or engaged pursuant to this paragraph (a) a
dental  hygienist  may  perform  the following procedures and
acts:
              (i)  the operative procedure of dental hygiene,
         consisting of oral prophylactic procedures;
              (ii)  the  exposure  and  processing  of  X-Ray
         films of the teeth and surrounding structures;
              (iii)  the application to the surfaces  of  the
         teeth  or  gums of chemical compounds designed to be
         desensitizing agents  or  effective  agents  in  the
         prevention of dental caries or periodontal disease;
              (iv)  all  services which may be performed by a
         dental assistant as specified by  rule  pursuant  to
         Section 17;
              (v)  administration  and  monitoring of nitrous
         oxide  upon  successful  completion  of  a  training
         program approved by the Department;
              (vi)  administration of local anesthetics  upon
         successful completion of a training program approved
         by the Department; and
              (vii) such  other  procedures and acts as shall
         be  prescribed  by  rule  or   regulation   of   the
         Department.
         (b)  Under the general supervision of a dentist in a
    long-term   care   facility  licensed  by  the  State  of
    Illinois, or a mental health or developmental  disability
    facility operated by the Department of Human Services, if
    the  patient  is  unable  to  travel  to  a dental office
    because of  illness  or  infirmity.   The  dentist  shall
    personally examine and diagnose the patient and determine
    which services are necessary to be performed, which shall
    be  contained  in a written order to the hygienist.  Such
    order must be implemented  within  120  90  days  of  its
    issuance,   and  an  updated  medical  history  and  oral
    inspection must be performed by the hygienist immediately
    prior to beginning the  procedures  to  ensure  that  the
    patient's health has not changed in any manner to warrant
    a reexamination by the dentist.
         (c)  Without  the supervision of a dentist, a dental
    hygienist may perform dental health  education  functions
    and   may  record  case  histories  and  oral  conditions
    observed.
    The number of dental hygienists practicing  in  a  dental
office  shall not exceed, at any one time, 4 times the number
of dentists practicing in the office at the time.
(Source: P.A. 91-594, eff. 1-1-00; 91-689, eff. 1-1-01.)
    (225 ILCS 25/37.1)
    (Section scheduled to be repealed on January 1, 2006)
    Sec. 37.1.  Cease and desist orders.  If  the  Department
has  reason  to  believe  that  a  person  has  violated  any
provision  of Section 8 or 12 of this Act, the Department may
issue a rule to show cause why an order to cease  and  desist
should  not  be  entered against that person.  The rule shall
clearly set forth the grounds relied upon by  the  Department
and  shall  provide  a  period of 7 days from the date of the
rule to file an answer to the satisfaction of the Department.
Failure to answer to the satisfaction of the Department shall
cause an order to cease and desist to be issued immediately.