Full Text of HB2676 101st General Assembly
HB2676eng 101ST GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning regulation.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Dental Practice Act is amended by | 5 | | changing Section 4 and by adding Sections 13.5 and 13.10 as | 6 | | follows:
| 7 | | (225 ILCS 25/4)
(from Ch. 111, par. 2304)
| 8 | | (Section scheduled to be repealed on January 1, 2026)
| 9 | | Sec. 4. Definitions. As used in this Act:
| 10 | | "Address of record" means the designated address recorded | 11 | | by the Department in the applicant's or licensee's application | 12 | | file or license file as maintained by the Department's | 13 | | licensure maintenance unit. It is the duty of the applicant or | 14 | | licensee to inform the Department of any change of address and | 15 | | those changes must be made either through the Department's | 16 | | website or by contacting the Department. | 17 | | "Department" means the Department of Financial and | 18 | | Professional Regulation.
| 19 | | "Secretary" means the Secretary of Financial and | 20 | | Professional Regulation.
| 21 | | "Board" means the Board of Dentistry.
| 22 | | "Dentist" means a person who has received a general license | 23 | | pursuant
to paragraph (a) of Section 11 of this Act and who may |
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| 1 | | perform any intraoral
and extraoral procedure required in the | 2 | | practice of dentistry and to whom is
reserved the | 3 | | responsibilities specified in Section 17.
| 4 | | "Dental hygienist" means a person who holds a license under | 5 | | this Act to
perform dental services as authorized by Section | 6 | | 18.
| 7 | | "Dental assistant" means an appropriately trained person
| 8 | | who, under the supervision of a dentist, provides dental | 9 | | services
as authorized by Section 17.
| 10 | | "Expanded function dental assistant" means a dental | 11 | | assistant who has completed the training required by Section | 12 | | 17.1 of this Act. | 13 | | "Dental laboratory" means a person, firm or corporation | 14 | | which:
| 15 | | (i) engages in making, providing, repairing or | 16 | | altering dental
prosthetic appliances and other artificial | 17 | | materials and devices which are
returned to a dentist for | 18 | | insertion into the human oral cavity or which
come in | 19 | | contact with its adjacent structures and tissues; and
| 20 | | (ii) utilizes or employs a dental technician to provide | 21 | | such services; and
| 22 | | (iii) performs such functions only for a dentist or | 23 | | dentists.
| 24 | | "Supervision" means supervision of a dental hygienist or a | 25 | | dental
assistant requiring that a dentist authorize the | 26 | | procedure, remain in the
dental facility while the procedure is |
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| 1 | | performed, and approve the work
performed by the dental | 2 | | hygienist or dental assistant before dismissal of
the patient, | 3 | | but does not mean that the dentist must be present at all
times | 4 | | in the treatment room.
| 5 | | "General supervision" means supervision of a dental | 6 | | hygienist
requiring that the patient be a patient of record,
| 7 | | that the dentist
examine the patient in accordance with Section | 8 | | 18 prior to treatment by the
dental hygienist, and that the
| 9 | | dentist authorize the procedures which
are being carried
out by | 10 | | a notation in the patient's record, but not requiring that a | 11 | | dentist
be present when the authorized
procedures are being | 12 | | performed. The
issuance of a prescription to a dental | 13 | | laboratory by a
dentist does not constitute general | 14 | | supervision.
| 15 | | "Public member" means a person who is not a health | 16 | | professional.
For purposes of board membership, any person with | 17 | | a significant financial
interest in a health service or | 18 | | profession is not a public member.
| 19 | | "Dentistry" means the healing art which is concerned with | 20 | | the
examination, diagnosis, treatment planning and care of | 21 | | conditions within
the human oral cavity and its adjacent | 22 | | tissues and structures, as further
specified in Section 17.
| 23 | | "Branches of dentistry" means the various specialties of | 24 | | dentistry
which, for purposes of this Act, shall be limited to | 25 | | the following:
endodontics, oral and maxillofacial surgery, | 26 | | orthodontics and dentofacial
orthopedics, pediatric dentistry,
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| 1 | | periodontics, prosthodontics, and oral and maxillofacial
| 2 | | radiology.
| 3 | | "Specialist" means a dentist who has received a specialty | 4 | | license
pursuant to Section 11(b).
| 5 | | "Dental technician" means a person who owns, operates or is
| 6 | | employed by a dental laboratory and engages in making, | 7 | | providing, repairing
or altering dental prosthetic appliances | 8 | | and other artificial materials and
devices which are returned | 9 | | to a dentist for insertion into the human oral
cavity or which | 10 | | come in contact with its adjacent structures and tissues.
| 11 | | "Impaired dentist" or "impaired dental hygienist" means a | 12 | | dentist
or dental hygienist who is unable to practice with
| 13 | | reasonable skill and safety because of a physical or mental | 14 | | disability as
evidenced by a written determination or written | 15 | | consent based on clinical
evidence, including deterioration | 16 | | through the aging process, loss of motor
skills, abuse of drugs | 17 | | or alcohol, or a psychiatric disorder, of sufficient
degree to | 18 | | diminish the person's ability to deliver competent patient | 19 | | care.
| 20 | | "Nurse" means a registered professional nurse, a certified | 21 | | registered
nurse anesthetist licensed as an advanced practice
| 22 | | registered nurse, or a licensed practical nurse licensed under | 23 | | the Nurse Practice Act.
| 24 | | "Patient of record" means a patient for whom the patient's | 25 | | most recent
dentist has obtained
a
relevant medical and dental | 26 | | history and on whom the dentist has performed an
examination |
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| 1 | | and evaluated the condition to be treated.
| 2 | | "Dental responder" means a dentist or dental hygienist who | 3 | | is appropriately certified in disaster preparedness, | 4 | | immunizations, and dental humanitarian medical response | 5 | | consistent with the Society of Disaster Medicine and Public | 6 | | Health and training certified by the National Incident | 7 | | Management System or the National Disaster Life Support | 8 | | Foundation.
| 9 | | "Mobile dental van or portable dental unit" means any | 10 | | self-contained or portable dental unit in which dentistry is | 11 | | practiced that can be moved, towed, or transported from one | 12 | | location to another in order to establish a location where | 13 | | dental services can be provided. | 14 | | "Public health dental hygienist" means a hygienist who | 15 | | holds a valid license to practice in the State, has 2 years of | 16 | | full-time clinical experience or an equivalent of 4,000 hours | 17 | | of clinical experience and has completed at least 42 clock | 18 | | hours of additional structured courses in dental education | 19 | | approved by rule by the Department in advanced areas specific | 20 | | to public health dentistry , including, but not limited to, | 21 | | emergency procedures for medically compromised patients, | 22 | | pharmacology, medical recordkeeping procedures, geriatric | 23 | | dentistry, pediatric dentistry, pathology, and other areas of | 24 | | study as determined by the Department, and works in a public | 25 | | health setting pursuant to a written public health supervision | 26 | | agreement as defined by rule by the Department with a dentist |
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| 1 | | working in or contracted with a local or State government | 2 | | agency or institution or who is providing services as part of a | 3 | | certified school-based program or school-based oral health | 4 | | program . | 5 | | "Public health setting" means a federally qualified health | 6 | | center; a federal, State, or local public health facility; Head | 7 | | Start; a special supplemental nutrition program for Women, | 8 | | Infants, and Children (WIC) facility; or a certified | 9 | | school-based health center or school-based oral health | 10 | | program. | 11 | | "Public health supervision" means the supervision of a | 12 | | public health dental hygienist by a licensed dentist who has a | 13 | | written public health supervision agreement with that public | 14 | | health dental hygienist while working in an approved facility | 15 | | or program that allows the public health dental hygienist to | 16 | | treat patients, without a dentist first examining the patient | 17 | | and being present in the facility during treatment, (1) who are | 18 | | eligible for Medicaid or (2) who are uninsured and whose | 19 | | household income is not greater than 200% of the federal | 20 | | poverty level. | 21 | | (Source: P.A. 99-25, eff. 1-1-16; 99-492, eff. 12-31-15; | 22 | | 99-680, eff. 1-1-17; 100-215, eff. 1-1-18; 100-513, eff. | 23 | | 1-1-18; 100-863, eff. 8-14-18.)
| 24 | | (225 ILCS 25/13.5 new) | 25 | | Sec. 13.5. Training programs for public health dental |
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| 1 | | hygienists. | 2 | | (a) With respect to the requirement that a public health | 3 | | dental hygienist have additional structured courses in dental | 4 | | education in advanced areas specific to public health | 5 | | dentistry, education in advanced areas specific to public | 6 | | health dentistry must include emergency procedures for | 7 | | medically compromised patients (5 hours), pharmacology (5 | 8 | | hours), medical recordkeeping procedures (4 hours), geriatric | 9 | | dentistry (5 hours), pediatric dentistry (5 hours), and | 10 | | pathology (5 hours) provided by: | 11 | | (1) an educational institution accredited by the | 12 | | Commission on Dental Accreditation, such as a dental school | 13 | | or dental hygiene program; or | 14 | | (2) a statewide dental association or dental hygiene | 15 | | association, approved by the Department to provide | 16 | | continuing education, that has developed and conducted | 17 | | training programs for expanded functions for dental | 18 | | assistants and hygienists. | 19 | | (b) Training programs for a public health dental hygienist | 20 | | must: | 21 | | (1) include a minimum 29 hours of didactic study as | 22 | | described in subsection (a), which may be taken in an | 23 | | online structured format and in compliance with the | 24 | | continued learning education requirements of 68 Illinois | 25 | | Administrative Code 1220.440; | 26 | | (2) require completion of 5 hours of didactic courses |
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| 1 | | in the following topic areas: special needs dentistry, | 2 | | teledentistry, nutritional needs of geriatric and low | 3 | | income patients, communication techniques with non-English | 4 | | speaking patients, cultural competency, and professional | 5 | | ethics; | 6 | | (3) require completion of an 8 hour in-person classroom | 7 | | review that includes a comprehension exam on the subjects | 8 | | required in subsection (a) and submit certification of | 9 | | successful completion to the supervising dentist; and | 10 | | (4) issue a certificate of completion of the training | 11 | | program requirement, which must be kept on file at the | 12 | | supervising dentist's office and with the public health | 13 | | dental hygienist which will be made available to the | 14 | | Department upon request. | 15 | | (225 ILCS 25/13.10 new) | 16 | | Sec. 13.10. Public health dental hygienist supervision | 17 | | agreement. After completion of the requirements of Section | 18 | | 13.5, a public
health dental hygienist may operate in a public | 19 | | health setting
that meets the requirements of Section 18.1 with | 20 | | a dentist who
is working in or has contracted with a local or | 21 | | State
government agency or institution or who is providing | 22 | | services
as part of a certified school-based program or | 23 | | school-based
oral health program.
| 24 | | Section 99. Effective date. This Act takes effect upon | 25 | | becoming law.
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