Full Text of HB6710 093rd General Assembly
HB6710 93RD GENERAL ASSEMBLY
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93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004 HB6710
Introduced 02/09/04, by Ed Sullivan Jr. - William B. Black - Angelo Saviano SYNOPSIS AS INTRODUCED: |
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225 ILCS 25/18 |
from Ch. 111, par. 2318 |
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Amends the Illinois Dental Practice Act. Changes the circumstances under
which a dental hygienist may be employed or engaged. Provides the procedures
and acts that a dental hygienist may perform under specified circumstances.
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A BILL FOR
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HB6710 |
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LRB093 18353 AMC 44060 b |
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| AN ACT concerning dental hygienists.
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| Be it enacted by the People of the State of Illinois, | 3 |
| represented in the General Assembly:
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| Section 5. The Illinois Dental Practice Act is amended by | 5 |
| changing Section 18 as follows:
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| (225 ILCS 25/18) (from Ch. 111, par. 2318)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 18. Acts constituting the practice of dental hygiene ; .
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| limitations.
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| (1)
A dental hygienist may be employed or engaged only:
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| (a) Under the supervision of a dentist :
(1) in the | 12 |
| office of a dentist . ;
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| (2) By a federal, State, county or municipal agency or | 14 |
| institution;
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| (3) By a public or private school; or
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| (4) By a public clinic operating under the direction of | 17 |
| a hospital or
federal, State, county, municipal or other | 18 |
| public agency or
institution.
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| When employed or engaged pursuant to this paragraph (a) a | 20 |
| dental
hygienist may perform the following procedures and acts:
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| (i) the operative procedure of dental hygiene, | 22 |
| consisting of oral
prophylactic procedures;
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| (ii) the exposure and processing of X-Ray films of | 24 |
| the teeth and
surrounding structures;
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| (iii) the application to the surfaces of the teeth | 26 |
| or gums of chemical
compounds designed to be | 27 |
| desensitizing agents or effective agents in the
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| prevention of dental caries or periodontal disease;
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| (iv) all services which may be performed by a
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| dental assistant as specified by rule pursuant to | 31 |
| Section 17;
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| (v) administration and monitoring of nitrous oxide |
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HB6710 |
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LRB093 18353 AMC 44060 b |
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| upon successful
completion of a
training program | 2 |
| approved by the Department;
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| (vi) administration of local anesthetics upon | 4 |
| successful completion of
a
training program approved | 5 |
| by the Department; and
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| (vii) such other procedures and acts as shall be | 7 |
| prescribed
by
rule or regulation of the Department.
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| (b) Under the general supervision of a dentist (i) in | 9 |
| the office of a dentist, (ii) in a long-term care
facility
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| licensed by the State of Illinois, (iii) in
or a mental | 11 |
| health or developmental
disability facility operated by | 12 |
| the Department of Human Services, (iv) in a public or
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| private school,
(v) in a
hospital, (vi) in a prison,
(vii) | 14 |
| in a community health center or clinic, (viii) in a mobile | 15 |
| unit, or
(ix) in a home health setting if the
patient is | 16 |
| unable
to travel to a dental office because of illness or | 17 |
| infirmity. The dentist
shall personally examine and | 18 |
| diagnose the patient and determine which
services are | 19 |
| necessary to be performed, which shall be contained in a
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| written order to the hygienist. Such order must be | 21 |
| implemented within 120 days
of its issuance, and An updated | 22 |
| medical history and oral inspection
must be performed by | 23 |
| the hygienist immediately prior to beginning the
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| procedures to ensure that the patient's health has not | 25 |
| changed in any
manner to warrant a reexamination by the | 26 |
| dentist . The authorizing
dentist shall be responsible for | 27 |
| providing the dental examination in a
reasonable and | 28 |
| suitable time frame to ensure the patient's overall oral
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| health.
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| Before a dental hygienist may be employed or engaged under | 31 |
| the general
supervision of a dentist, he or she must have been | 32 |
| actively engaged in the
practice of dental hygiene under the | 33 |
| direct supervision of a dentist for a
period of at least 12 | 34 |
| months. A dental hygienist who provides services under
the | 35 |
| general supervision of a dentist must show proof of | 36 |
| professional liability
insurance.
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HB6710 |
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LRB093 18353 AMC 44060 b |
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| (2)
(c) Without the supervision of a dentist, a dental | 2 |
| hygienist may perform
dental health education functions and may | 3 |
| record case histories and oral
conditions observed or, in a | 4 |
| public health setting, as defined jointly by the Department of | 5 |
| Public Health and the Illinois State Board of Dentistry, | 6 |
| provide fluoride treatments, cleanings, and sealants for | 7 |
| Medicaid eligible children. | 8 |
| Before a dental hygienist may be employed or engaged | 9 |
| without the supervision of a dentist, he or she must have been | 10 |
| actively engaged in the practice of dental hygiene under the | 11 |
| direct supervision of a dentist for a period of at least 24 | 12 |
| months. A dental hygienist who provides services without the | 13 |
| supervision of a dentist must show proof of professional | 14 |
| liability insurance .
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| (3) The number of dental hygienists practicing in a dental | 16 |
| office shall not
exceed, at any one time, 4 times the number of | 17 |
| dentists practicing in the
office at the time.
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| (4) When employed or
engaged pursuant to paragraph
(a) or | 19 |
| (b) of subsection (1) of this Section, a dental
hygienist may | 20 |
| perform the following procedures and acts: | 21 |
| (a) the operative procedure of dental hygiene, | 22 |
| consisting of oral
prophylactic procedures; | 23 |
| (b) the exposure and processing of X-Ray films of the | 24 |
| teeth and
surrounding structures; | 25 |
| (c) the application to the surfaces of the teeth or | 26 |
| gums of chemical
compounds designed to be desensitizing | 27 |
| agents or effective agents in the
prevention of dental | 28 |
| caries or periodontal disease; | 29 |
| (d) all services which may be performed by a
dental | 30 |
| assistant as specified by rule pursuant to Section 17; and | 31 |
| (e) such other procedures and acts as shall be | 32 |
| prescribed
by
rule or regulation of the Department.
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| (5) A dental hygienist may only perform the following | 34 |
| procedures and acts
upon
successful completion of a training | 35 |
| program approved by the Department under
the
supervision of a | 36 |
| dentist: |
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HB6710 |
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LRB093 18353 AMC 44060 b |
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| (a) administration and monitoring of nitrous oxide; | 2 |
| and | 3 |
| (b) administration of local anesthetics.
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| (Source: P.A. 93-113, eff. 1-1-04.)
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