Rep. Angelo Saviano
Filed: 6/20/2007
 
 

 




 

 		












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AMENDMENT TO SENATE BILL 360




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    AMENDMENT NO. ______. Amend Senate Bill 360, AS AMENDED, 
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with reference to page and line numbers of House Amendment No. 
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1, as follows:
 
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on page 52, immediately below line 6, by inserting the 
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following:
 
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    "Section 106. If and only if Senate Bill 214 of the 95th 
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General Assembly becomes law, the Illinois Dental Practice Act 
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is amended  by changing Section 8.1 as follows:

 



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    (225 ILCS 25/8.1)  (from Ch. 111, par. 2308.1)


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    (Section scheduled to be repealed on January 1, 2016)

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    Sec. 8.1. Permit for the administration of anesthesia and 
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sedation.


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    (a) No licensed dentist shall administer general 
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anesthesia, deep sedation, or
conscious sedation without first 
 


 






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applying for and obtaining a
permit for such purpose from the 
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Department.  The Department shall issue
such permit only after 
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ascertaining that the applicant possesses the
minimum 
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qualifications necessary to protect public safety.  A person 
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with a
dental degree who administers anesthesia, deep sedation,

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or conscious sedation
in an
approved
hospital training program 
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under the supervision of either a licensed
dentist holding such 
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permit or a physician licensed to practice medicine in
all its 
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branches shall not be required to obtain such permit.

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    (b) In determining the minimum permit qualifications that 
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are necessary to protect public safety, the Department, by 
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rule, shall:
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        (1) establish the minimum educational and training 
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    requirements necessary for a dentist to be issued an 
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    appropriate permit;
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        (2) establish the standards for properly equipped 
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    dental facilities (other than licensed hospitals and 
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    ambulatory surgical treatment centers) in which general 
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    anesthesia, deep sedation, or conscious sedation is 
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    administered, as necessary to protect public safety;
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        (3) establish minimum requirements for all persons who 
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    assist the dentist in the administration of general 
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    anesthesia, deep sedation, or conscious sedation, 
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    including minimum training requirements for each member of 
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    the dental team, monitoring requirements, recordkeeping 
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    requirements, and emergency procedures; and
 


 






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        (4) ensure that the dentist and all persons assisting 
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    the dentist or monitoring the administration of general 
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    anesthesia, deep sedation, or conscious sedation maintain 
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    current certification in Basic Life Support (BLS).
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        (5) establish continuing education requirements in 
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    sedation techniques for dentists who possess a permit under 
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    this Section.
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When establishing requirements under this Section, the 
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Department shall consider the current American Dental 
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Association guidelines on sedation and general anesthesia, the 
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current "Guidelines for Monitoring and Management of Pediatric 
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Patients During and After Sedation for Diagnostic and 
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Therapeutic Procedures" established by the American Academy of 
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Pediatrics and the American Academy of Pediatric Dentistry, and 
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the current parameters of care and Office Anesthesia Evaluation 
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(OAE) Manual established by the American Association of Oral 
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and Maxillofacial Surgeons.
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    (c) A licensed dentist must hold an appropriate permit 
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issued under this Section in order to perform dentistry while a 
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nurse anesthetist administers conscious sedation, and a valid 
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written collaborative
practice agreement must exist between 
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the dentist and the nurse anesthetist, in accordance with the 
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Nursing and Advanced Practice Nursing Act.
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    A licensed dentist must hold an appropriate permit issued 
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under this Section in order to perform dentistry while a nurse 
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anesthetist administers deep sedation or general anesthesia, 
 


 






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and a valid written collaborative
practice agreement must exist 
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between the dentist and the nurse anesthetist, in accordance 
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with the Nursing and Advanced Practice Nursing Act.
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    For the purposes of this subsection (c), "nurse 
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anesthetist" means a licensed certified registered nurse 
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anesthetist who holds a license as an advanced practice nurse.

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(Source: 95SB0214enr.)"; and


 
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on page 108, line 21, by replacing "(b)" with "(b-5)"; and
 
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by replacing line 24 on page 108 through line 2 on page 109 
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with the following:
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"filing the application, the application shall be denied. The

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However, the applicant must enroll in and complete an approved 
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practical nursing education program prior to submitting an 
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additional
may make a new application for the licensure exam

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accompanied by the required fee and provide evidence of meeting 
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the requirements in force at the time of the new application."; 
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and 
 
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on page 109, line 11, by replacing  "registered nursing program 
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or" with "registered nursing program or"; and
 
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on page 109, line 12, by replacing ", as appropriate," with ", 
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as appropriate,"; and
 
 


 






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on page 123, by replacing lines 6 and 7 with the following:
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        "(1) Collecting data and collaborating in the 
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    assessment of the health status of a"; and
 
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on page 128, line 2, after "application", by inserting ", on 
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forms provided by the Department,"; and
 
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on page 129, line 3, by replacing "(b)" with "(b-5)"; and
 
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on page 129, by replacing lines 5 through 9 with the following:
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"examination for a license within 3 years after filing the 
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application, the application shall be denied.  The applicant may 
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make a new application accompanied by the required fee, 
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evidence of meeting the requirements in force at the time of 
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the new application, and proof of the successful completion of 
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at"; and 

 
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on page 134, lines 2 and 4, by replacing "2" with "3" each time 
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it appears; and
 
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on page 146, immediately below line 16, by inserting the 
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following:
 
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    "(225 ILCS 65/60-40 new)

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    Sec. 60-40. Continuing education for RN licensees. The 
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Department may adopt rules of continuing education for 
 


 






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registered professional  nurses licensed under this Act that 
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require 20 hours of continuing education per 2-year license 
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renewal cycle.  The rules shall address variances in part or in 
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whole for good cause, including without limitation illness or 
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hardship.  The continuing education rules must ensure that 
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licensees are given the opportunity to participate in programs 
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sponsored by or through their State or national professional 
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associations, hospitals, or other providers of continuing 
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education.  Each licensee is responsible for maintaining 
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records of completion of continuing education and shall be 
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prepared to produce the records when requested by the 
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Department."; and
 
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on page 161, lines 23 and 24, by deleting "operating" each time 
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it appears; and
 
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on page 163, by deleting lines 11 through 14; and
 
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on page 163, line 15, by replacing "(f)" with "(e)"; and
 
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on page 163, line 19, by replacing "(g)" with "(f)"; and
 
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on page 201, by replacing lines 1 through 3 with the following:
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    "Nursing and Advanced Practice Nursing Act and the rules at

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    the time of renewal to all persons licensed by the

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    Department under this Act."; and
 
 


 






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on page 278, line 11, after "law", by inserting ", except that 
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the provisions changing Section 8.1 of the Illinois Dental 
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Practice Act take effect January 1, 2008".