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90_HB1861 New Act 5 ILCS 80/4.18 new 30 ILCS 105/5.449 new 225 ILCS 25/4 from Ch. 111, par. 2304 225 ILCS 25/5 from Ch. 111, par. 2305 225 ILCS 25/6 from Ch. 111, par. 2306 225 ILCS 25/15 from Ch. 111, par. 2315 225 ILCS 25/16 from Ch. 111, par. 2316 225 ILCS 25/16.1 from Ch. 111, par. 2316.1 225 ILCS 25/19 from Ch. 111, par. 2319 225 ILCS 25/20 from Ch. 111, par. 2320 225 ILCS 25/21 from Ch. 111, par. 2321 225 ILCS 25/23 from Ch. 111, par. 2323 225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/34 from Ch. 111, par. 2334 225 ILCS 25/35 from Ch. 111, par. 2335 225 ILCS 25/36 from Ch. 111, par. 2336 225 ILCS 25/41 from Ch. 111, par. 2341 225 ILCS 25/55 from Ch. 111, par. 2355 225 ILCS 25/12 rep. 225 ILCS 25/13 rep. 225 ILCS 25/14 rep. 225 ILCS 25/18 rep. 225 ILCS 25/24 rep. Creates the Dental Hygiene Practice Act. Provides for the licensure and regulation of dental hygienists. Provides penalties for violations. Preempts home rule. Amends the Regulatory Agency Sunset Act to repeal this Act January 1, 2008. Amends the State Finance Act to create the Dental Hygiene Disciplinary Fund. Amends the Illinois Dental Practice Act to repeal provisions regulating dental hygienists. Effective January 1, 1998. LRB9004606LDdv LRB9004606LDdv 1 AN ACT in relation to the practice of dental hygiene, 2 amending named Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 1. Short title. This Act may be cited as the 6 Illinois Dental Hygiene Practice Act. 7 Section 5. Legislative declaration of public policy. 8 The practice of dental hygiene in the State of Illinois is 9 declared to affect the public health, safety, and welfare and 10 is subject to State regulation and control in the public 11 interest. It is further declared to be a matter of public 12 interest and concern that the dental hygiene profession merit 13 and receive the confidence of the public and that only 14 qualified persons be permitted to practice dental hygiene in 15 the State of Illinois. This Act shall be liberally construed 16 to carry out these objects and purposes. 17 Section 10. Home rule. The licensing of dental 18 hygienists is the exclusive power and function of the State. 19 A home rule unit may not regulate or license dental 20 hygienists. This Section is a denial and limitation of home 21 rule powers under subsection (h) of Section 6 of Article VII 22 of the Illinois Constitution. 23 Section 15. Severability. The provisions of this Act 24 are severable under Section 1.31 of the Statute on Statutes. 25 Section 20. Definitions. In this Act: 26 "Board" means the Board of Dental Hygiene established 27 under Section 30 of this Act. 28 "Dental Hygienist" means a person licensed to practice -2- LRB9004606LDdv 1 dental hygiene under this Act. 2 "Department" means the Department of Professional 3 Regulation. 4 "Director" means the Director of Professional Regulation. 5 "Dentist" means a person licensed to practice dentistry 6 under the Illinois Dental Practice Act. 7 "Dental Assistant" means an appropriately trained person 8 who, under supervision of a dentist or dental hygienist 9 provides dental services as authorized under Section 17 of 10 the Illinois Dental Practice Act. 11 "General supervision" means supervision of a dental 12 hygienist by a dentist. General supervision requires that a 13 dentist authorize the procedures that are being carried out, 14 but does not require that a dentist be present when the 15 authorized procedures are being performed. The authorized 16 procedures may be performed at a place other than the dental 17 hygienist's and dentist's usual place of practice. 18 "The practice of dental hygiene" means the science and 19 practice of the prevention and treatment of oral disease 20 through the provision of educational, clinical, and 21 therapeutic services. These services include, but are not 22 limited to: oral examination and charting; dental hygiene 23 assessment, treatment planning and evaluation; administration 24 of appropriate pain control therapy; oral prophylaxis 25 consisting of removing calcareous deposits, stains, and 26 accumulated accretions from the surfaces of the teeth by 27 scaling, root planing, and polishing; application of pit and 28 fissure sealants; removal of diseased crevicular tissue; the 29 application to the teeth or gums of medicaments or agents for 30 the prevention of dental cavities or periodontal disease; and 31 any additional related duties supplemental to the practice of 32 dental hygiene as defined in this Act and added by rule or 33 regulation of the Department. -3- LRB9004606LDdv 1 Section 25. Powers and duties of the Department. Subject 2 to the provisions of this Act, the Department shall exercise 3 the following functions, powers, and duties: 4 (1) Conduct or authorize examinations to ascertain the 5 fitness and qualifications of applicants for dental hygiene 6 licenses, pass upon the qualifications of applicants for 7 license by endorsement, and issue licenses to the applicants 8 found to be fit and qualified. 9 (2) Establish rules for a method of examination of 10 candidates. 11 (3) Establish rules defining what constitutes an 12 accredited school, college, or department of a university. 13 No school, college, or department of a university, however, 14 that refuses admittance to applicants solely on account of 15 race, color, creed, sex, or national origin shall be 16 approved. 17 (4) Conduct hearings or proceedings to revoke, suspend, 18 restrict, or refuse to issue a license under this Act. 19 (5) Promulgate rules required for the administration of 20 this Act. 21 Section 30. Board of Dental Hygiene; report by majority 22 required. There is created within the Department of 23 Professional Regulation a Board of Dental Hygiene to be 24 composed of 5 persons who shall be appointed by the Director, 25 4 of whom have been a dental hygienist for a period of 5 26 years or more and one public member who has never been 27 licensed as a dentist or a dental hygienist. All members of 28 the Board shall reside in Illinois. The members of the Board 29 shall not be employed by or be an officer of any dental 30 hygiene department of any institution of learning. The Board 31 shall annually elect a chairman from among its members. 32 Terms for all Board members shall be for 4 years. 33 Partial terms over 2 years in length shall be considered as -4- LRB9004606LDdv 1 full terms. A member may be appointed for a successive term, 2 but no member shall serve more than 2 full terms in his or 3 her lifetime. 4 For initial appointments under this Act, the Director 5 shall appoint one member to a term of 2 years, 2 members to a 6 term of 3 years, and 2 members to a term of 4 years. 7 Thereafter, terms for all 5 members shall be for 4 years. 8 The membership of the Board shall include residents from 9 various geographic areas of this State. The Director shall 10 give due consideration to recommendations by the Illinois 11 Dental Hygienists' Association for appointment to the Board 12 and shall promptly give due notice to that organization of 13 any vacancy in the membership of the Board. The Director may 14 terminate the appointment of any member for cause. 15 All actions taken by the Board must be by majority vote 16 of the membership. A vacancy in the membership of the Board 17 shall not impair the right of a quorum to exercise all the 18 rights and perform all the duties of the Board. The Board 19 shall meet at least quarterly. The Board may recommend to 20 the Department rules to be adopted for the administration of 21 this Act. 22 The members of the Board shall receive as compensation a 23 reasonable sum as determined by the Director, for each day 24 actually engaged in the duties of the office and all 25 legitimate and necessary expense incurred in attending the 26 meetings of the Board. 27 Members of the Board shall be immune from suit in an 28 action based upon disciplinary proceedings or other 29 activities performed in good faith as members of the Board. 30 Section 35. Recommendations by Board of Dental Hygiene. 31 The Director shall consider the recommendations of the Board, 32 establishing guidelines for professional conduct, for the 33 conduct of formal disciplinary proceedings brought under this -5- LRB9004606LDdv 1 Act, and for establishing guidelines for qualifications of 2 applicants. Notice of proposed rulemaking shall be 3 transmitted to the Board, and the Department shall review the 4 response of the Board and its recommendation. Upon the vote 5 of at least 3/5 of the members of the Board, the Department 6 shall adopt the recommendations of the Board in any 7 rulemaking under this Act. The Department may, at any time, 8 seek the expert advise and knowledge of the Board on any 9 matter relating to the administration or enforcement of this 10 Act. The action or report in writing of a majority of the 11 Board shall be sufficient authority upon which the Director 12 may act. 13 Whenever the Director is satisfied that substantial 14 justice has not been done either in an examination or in the 15 revocation or suspension of a license or the refusal to issue 16 a license, the Director may order a reexamination or 17 rehearing. 18 Section 40. License required. No person may practice 19 dental hygiene in this State, except (i) a person licensed in 20 this State as a dentist or dental hygienist, or (ii) a 21 student enrolled in an accredited dental hygiene program or 22 school, as recognized in this Act, who is performing patient 23 services within a clinic operated within the school as an 24 integral part of the dental hygiene curriculum. 25 The Department shall issue a license authorizing practice 26 as a dental hygienist to any person who qualifies for a 27 license under this Act. 28 In addition to the license authorized by this Section, 29 the Department shall deliver to each dental hygienist a 30 separate certificate of identification in a form specified by 31 the Department. 32 Section 45. Unlicensed practice; violation; civil -6- LRB9004606LDdv 1 penalty. 2 (a) A person who practices, offers to practice, attempts 3 to practice, or holds oneself out to practice dental hygiene 4 without being licensed under this Act shall, in addition to 5 any other penalty provided by law, pay a civil penalty to the 6 Department in an amount determined by the Department that 7 shall not exceed $5,000 for each offense. The civil penalty 8 shall be assessed by the Department after a hearing is held 9 in accordance with the provisions set forth in this Act 10 regarding the provision of a hearing for the discipline of a 11 licensee. 12 (b) The Department has the authority and power to 13 investigate any and all unlicensed practice. 14 (c) The civil penalty shall be paid within 60 days after 15 the order imposing the civil penalty. The order shall 16 constitute a judgement and may be filed and execution had 17 thereon in the same manner as any judgment from any court of 18 record. 19 Section 50. Qualifications for applicants as dental 20 hygienists. A person who desires to obtain a license as a 21 dental hygienist shall apply to the Department in writing 22 upon forms prepared and furnished by the Department. Each 23 application shall contain proof of the particular 24 qualifications required of the applicant, shall be verified 25 by the applicant under oath, and shall be accompanied by the 26 required examination fee. 27 The Department shall require that every applicant for a 28 license as a dental hygienist shall meet all of the following 29 requirements: 30 (1) Be a citizen of the United States or be a lawfully 31 admitted alien. 32 (2) Be a graduate of a high school or its equivalent. 33 (3) Present satisfactory evidence of having successfully -7- LRB9004606LDdv 1 completed 2 years of college level credit in an institution 2 of higher education of dental hygiene, each year's work to 3 consist of at least 32 weeks in a college in good standing 4 whose dental hygiene program is accredited by a national 5 accrediting agency recognized by the United States Department 6 of Education. 7 (4) Submit evidence that he or she holds a current valid 8 certification to perform cardiopulmonary resuscitation. The 9 Department shall adopt rules establishing criteria for 10 certification in cardiopulmonary resuscitation. The rules of 11 the Department shall provide for variances only in instances 12 where the applicant is physically disabled and therefore 13 unable to secure the certification. 14 (5) Submit fingerprints for the files of the Department. 15 (6) Pass an examination authorized or given by the 16 Department in the subjects usually taught in approved schools 17 of dental hygiene that determine the qualifications of an 18 applicant to perform the operative procedures of dental 19 hygiene. The Department may recognize a certificate granted 20 by a nationally recognized testing agency in lieu of any part 21 or all of the written examination. 22 Section 55. Examination for licensure as a dental 23 hygienist. The Department shall conduct or authorize an 24 examination of applicants for licensure as dental hygienists 25 at the times and places it may determine. The examination 26 shall include both practical demonstrations and written and 27 oral tests encompassing the subjects usually taught in 28 accredited schools of dental hygiene. 29 Section 60. List of dental hygienists. The Department 30 shall maintain a list of the names and addresses of all 31 dental hygienists and of all dental hygienists whose licenses 32 have been suspended or revoked, together with any other -8- LRB9004606LDdv 1 information relative to the enforcement of this Act. These 2 lists shall also be mailed by the Department to any person 3 upon request and payment of the required fee. In addition, 4 the Department shall keep available for inquiry or inspection 5 a similar list of all persons whose licenses have been 6 suspended or revoked in the interim between published lists. 7 All lists required to be published or kept by this Section 8 shall be arranged alphabetically. 9 Section 65. Expiration; renewal; restoration of 10 licenses. The expiration and renewal date for each license 11 issued under this Act shall be set by rule. A dental 12 hygienist may renew a license during the month preceding its 13 expiration date by paying the required fee and providing 14 proof of current cardiopulmonary resuscitation certification 15 and completion of any continuing education programs required 16 by Department rule. The Department shall require a minimum 17 of 24 hours of study in approved courses for dental 18 hygienists during each 2 year period. The continuing 19 education rules shall only apply to licenses renewed after 20 November 1, 1998. 21 The Department shall approve only courses that are 22 relevant to the treatment and care of patients including, but 23 not limited to, clinical courses in dentistry and dental 24 hygiene and nonclinical courses including, but not limited 25 to, patient management, legal and ethical responsibilities, 26 and stress management. Approved courses may include, but 27 shall not be limited to, courses that are offered or 28 sponsored by approved colleges, universities, and hospitals 29 and by recognized national, State, and local dental and 30 dental hygiene organizations. 31 No license shall be renewed unless the renewal 32 application is accompanied by an affidavit indicating that 33 the applicant has completed the required minimum number of -9- LRB9004606LDdv 1 hours of continuing education in approved courses as required 2 by this Section. The affidavit shall not require a listing 3 of courses. The affidavit shall be a prima facie evidence 4 that the applicant has obtained the minimum number of 5 required continuing education hours in approved courses. The 6 Department shall not be obligated to conduct random audits or 7 otherwise independently verify that an applicant has met the 8 continuing education requirement. If the Department, 9 however, receives a complaint that a licensee has not 10 completed the required continuing education or if the 11 Department is investigating another alleged violation of this 12 Act by a licensee, the Department may demand and shall be 13 entitled to receive specific evidence from the licensee of 14 completion of required continuing education courses for the 15 most recently completed 2 year licensing period. The 16 Department may provide exemptions from continuing education 17 requirements. The exemptions shall include, but shall not be 18 limited to, dental hygienists who agree not to practice 19 within the State during the licensing period because they are 20 retired from practice. 21 A dental hygienist whose license has expired or whose 22 license is on inactive status may have his or her license 23 restored at any time within 5 years after its expiration, 24 upon payment of the required fee. 25 A person whose license has expired or who has had his or 26 her license on inactive status for more than 5 years may have 27 his or her license restored by making application to the 28 Department and filing proof acceptable to the Department of 29 fitness to have the license restored, including sworn 30 evidence certifying to active practice in another 31 jurisdiction, and by paying the required restoration fee. A 32 person practicing on an expired license is considered to be 33 practicing without a license. 34 If a person whose license has expired or who has had a -10- LRB9004606LDdv 1 license on inactive status for more than 5 years has not 2 maintained an active practice satisfactory to the Department, 3 the Department shall determine, by an evaluation process 4 established by rule, his or her fitness to resume active 5 status and may require the person to complete a period of 6 evaluated clinical experience and may require the person to 7 successfully complete a practical examination. 8 However, a person whose license has expired while he or 9 she has been engaged: (i) in federal or State service active 10 duty or (ii) in training or education under the supervision 11 of the United States preliminary to induction into military 12 service may have his or her license restored without paying 13 any lapsed renewal or restoration fee if, within 2 years 14 after termination of the service, training, or education 15 other than by dishonorable discharge, the person furnishes 16 the Department with satisfactory proof that he or she has 17 been so engaged and that the service, training, or education 18 has been so terminated. 19 Section 70. Limitations on the practice of dental 20 hygienists. A dental hygienist shall practice under the 21 general supervision of a dentist, except that a dental 22 hygienist may perform oral health education functions and may 23 record case histories and oral conditions observed without 24 the supervision of a dentist. 25 Section 75. Licensing applicants from other states. A 26 person who (i) has been lawfully licensed to practice dental 27 hygiene in another state or territory that maintains a 28 standard for the practice of dental hygiene at least equal to 29 that now maintained in this State, (ii) has been lawfully 30 engaged in the practice of dental hygiene for at least 3 of 31 the last 5 years before the filing of his or her application 32 to practice in this State, and (iii) deposits with the -11- LRB9004606LDdv 1 Department a duly attested certificate from the Board of the 2 state or territory in which he or she is licensed certifying 3 that he or she is licensed and that he or she is a person of 4 good moral character may, upon payment of the required fee, 5 be granted a license to practice dental hygiene in this 6 State. 7 Applicants have 3 years from the date of application to 8 complete the application process. If the process has not 9 been completed in 3 years, the application shall be denied, 10 the fee forfeited, and, in order to practice in this State, 11 the applicant must reapply and meet the requirements in 12 effect at the time of reapplication. 13 Section 80. Display of licenses. A person licensed to 14 practice dental hygiene in this State shall at all times 15 display the license or a duplicate original of the license in 16 a conspicuous place in the office where he or she practices 17 and shall further, whenever requested, exhibit the license to 18 any member of the Department or any authorized agent of the 19 Department. Upon proof by affidavit, the Department shall 20 provide a duplicate license if a person establishes that his 21 or her license is lost or stolen or that he or she practices 22 at multiple locations. 23 Each person shall also have his or her identification 24 available at all times and whenever requested shall exhibit 25 the identification to the Department. 26 Section 85. Fees. The Department is authorized to 27 impose the following nonrefundable fees: 28 (1) Application for initial licensure as a dental 29 hygienist: $30. 30 (2) Applicants for any examination shall be required to 31 pay, either to the Department or to the designated testing 32 service, a fee covering the costs of initial screening to -12- LRB9004606LDdv 1 determine eligibility and of providing the examination. 2 (3) Application for a license from a person licensed as 3 a dental hygienist under the laws of another state or 4 territory of the United States: $50. 5 (4) Application for renewal of license: $25 per year. 6 (5) Application for restoration of a license: $10 plus 7 payment of all lapsed renewal fees, but not to exceed $85. 8 (6) Application for inactive status: $10. 9 (7) Application for restoration from inactive status: 10 the current renewal fee. 11 (8) Application for a duplicate license: $20. 12 (9) Application for certification of a registrant's 13 record for any purpose: $20. 14 (10) Application to have the scoring of an examination 15 administered by the Department reviewed and verified: $20 16 plus any fees charged by the applicable testing service. 17 (11) The fee for a wall certificate showing a license: 18 the actual cost of producing the certificate. 19 (12) The fee for a roster of persons licensed as dental 20 hygienists in this State: the actual cost of producing the 21 roster. 22 (13) The fee for dental hygiene licensing, disciplinary, 23 or investigative records under a subpoena: $1 per page. 24 Section 90. Returned checks; penalties. A person who 25 issues or delivers a check or other order to the Department 26 that is not honored on 2 occasions by the financial 27 institution upon which it is drawn because of insufficient 28 funds on account, the account is closed, or a stop payment 29 has been placed on the check or order shall pay to the 30 Department, in addition to the amount owing upon the check or 31 other order, a fine of $50. If the check or other order was 32 issued or delivered in payment of a renewal or issuance fee 33 and the person whose license has lapsed continues to practice -13- LRB9004606LDdv 1 without paying the renewal or issuance fee and fine due, an 2 additional fine of $100 shall be imposed for practicing 3 without a current license. The fees and fines imposed by 4 this Section are in addition to any other disciplinary 5 provision under this Act prohibiting practice on an expired 6 or unrenewed license. The Department shall notify the person 7 whose license has lapsed, within 30 days of discovery, that 8 the person is engaged in unauthorized practice and of the 9 amount due to the Department, which shall include the lapsed 10 renewal fee and the amount of fines imposed. If a person 11 whose license has lapsed seeks a current license after the 12 expiration of 30 days from the date of mailing of the 13 notification, he or she shall thereafter apply to the 14 Department for reinstatement of the license and pay all fees 15 and fines due to the Department. The Department may 16 establish a fee that allows the Department to pay all costs 17 and expenses incident to the processing of an application. 18 The Director may waive the fines due under this Section in 19 individual cases where he or she finds that the fine would be 20 unreasonable or unnecessarily burdensome. 21 Section 95. Practice as danger to public. The Director 22 may, upon receipt of a written communication from the 23 Secretary of Human Services, the Director of Public Aid, or 24 the Director of Public Health that continuation of practice 25 by a person licensed under this Act constitutes an immediate 26 danger to the public, immediately suspend the license of that 27 person without a hearing. In instances in which the Director 28 immediately suspends a license under this Section, a hearing 29 upon the person's license must be convened by the Board 30 within 15 days after the suspension and completed without 31 appreciable delay. The hearing shall be held to determine 32 whether to recommend to the Director that the persons' 33 license be revoked, suspended, placed on probationary status, -14- LRB9004606LDdv 1 reinstated, or that the person be subject to other 2 disciplinary action. In the hearing, the written 3 communication and any other evidence submitted with it may be 4 introduced as evidence against the person; provided however, 5 that the person or his or her counsel has the opportunity to 6 discredit or impeach the evidence and submit rebuttal 7 evidence. 8 Section 100. Refusal, suspension, or revocation of 9 dental hygienist license. The Department may refuse to issue 10 or renew, revoke, or suspend a license issued under this Act 11 or place on probation, reprimand, or take other disciplinary 12 action against a licensee that the Department may consider 13 proper, including fines not to exceed $2,500 per violation, 14 with regard to any dental hygienist licensee for any one or 15 any combination of the following causes: 16 (1) Fraud in procuring a license. 17 (2) Performing any operation not authorized by this Act. 18 (3) Practicing dental hygiene other than under the 19 supervision of a licensed dentist as provided by this Act. 20 (4) The willful violation of knowingly assisting in the 21 violation of any Act relating to the use of habit forming 22 drugs or the willful procuring of those habit forming drugs. 23 (5) Obtaining or attempting to obtain a license, money, 24 or any other thing of value by fraudulent representation. 25 (6) Gross negligence in practicing dental hygiene. 26 (7) Active practice of dental hygiene while knowingly 27 having any infectious, communicable, or contagious disease as 28 prescribed by rule of the Department. 29 (8) Habitual intoxication or addiction to the use of 30 habit forming drugs. 31 (9) Conviction in this State, another state, or in 32 federal court of a felony if the Department determines, after 33 investigation, that the person has not been sufficiently -15- LRB9004606LDdv 1 rehabilitated to warrant the public trust. 2 (10) Aiding or abetting the unlicensed practice of 3 dentistry or dental hygiene. 4 (11) Discipline by another U.S. jurisdiction or a 5 foreign nation if at least one of the grounds for the 6 discipline is the same or substantially equivalent to those 7 set forth in this Act. 8 Section 105. Investigations; notice of hearing. Upon 9 the motion of the Department or the Board or upon the 10 verified written complaint of a person setting forth facts 11 that, if proven, would constitute grounds for refusal, 12 suspension, or revocation of a license under this Act, the 13 Board shall investigate the actions of any person, hereafter 14 called the accused, who holds or represents that he or she 15 holds a license. All motions or complaints under this 16 Section shall be brought to the Board. 17 Before suspending, revoking, placing on probationary 18 status, or taking any other disciplinary action the Director 19 may consider proper with regard to a licensee, at least 30 20 days before the date set for the hearing, the Department 21 shall (i) notify the accused in writing of the charges made 22 and the time and place for a hearing of the charges before 23 the Board, (ii) direct the accused to file a written answer 24 with the Board under oath within 20 days after the service of 25 the notice, and (iii) inform the accused that failure to file 26 an answer will result in default being taken against him or 27 her and that his or her license may be suspended, revoked, 28 placed on probationary status, or that other disciplinary 29 action may be taken, including limiting the scope, nature, or 30 extent of his or her practice, as the Director may consider 31 proper. 32 The written notice and any notice in the proceedings 33 thereafter may be served by personal delivery or by -16- LRB9004606LDdv 1 registered or certified mail to the address last specified by 2 the accused in his or her last notification to the Director. 3 Section 110. Disciplinary actions. 4 (a) In case an accused person, after receiving notice, 5 fails to file an answer, the Director, in his or her 6 discretion and after having received the recommendation of 7 the Board, may suspend or revoke the person's license, place 8 the person's license on probationary status, or take whatever 9 other disciplinary action the Director may consider proper, 10 including limiting the scope, nature, or extent of the 11 person's practice or imposing a fine, without hearing, if the 12 act or acts charged constitute sufficient grounds for that 13 action under this Act. 14 (b) The Director may temporarily suspend the license of 15 a dental hygienist without a hearing simultaneous to the 16 institution of proceedings for a hearing under this Act if 17 the Director finds that evidence in his or her possession 18 indicates that the dental hygienist's continuation in the 19 practice would constitute an immediate danger to the public. 20 In the event that the Director temporarily suspends the 21 license of a dental hygienist without a hearing, a hearing by 22 the Board must be held within 15 days after the suspension 23 has occurred. 24 (c) The entry of a judgment by a circuit court 25 establishing that a person holding a license under this Act 26 is subject to involuntary admission under the Mental Health 27 and Developmental Disabilities Code shall operate as a 28 suspension of that license. That person may resume his or 29 her practice only upon a finding by the Board that he or she 30 has been determined to be no longer subject to involuntary 31 admission by the court and upon the Board's recommendation to 32 the Director that he or she be permitted to resume his or her 33 practice. -17- LRB9004606LDdv 1 Section 115. Hearings. At the time and place fixed in 2 the notice under Section 105, the Board shall proceed to hear 3 charges brought under this Act and both the accused person 4 and the complainant shall be accorded ample opportunity to 5 present in person, or by counsel, any statements, testimony, 6 evidence, and argument that may be pertinent to the charges 7 or to his or her defense. The Board may continue the hearing 8 from time to time. If the Board is not sitting at the time 9 and place fixed in the notice or at the time and place to 10 which the hearing has been continued, the Department shall 11 continue the hearing for a period not to exceed 30 days. 12 The Board and Department shall have the power to subpoena 13 and bring before the Board any person in this State and to 14 take testimony either orally, by deposition, or both, with 15 the same fees and mileage and in the same manner as is 16 prescribed by law for judicial procedure in civil cases. 17 The Director and any member of the Board shall have power 18 to administer oaths at any hearing that the Department or 19 Board is authorized by law to conduct. 20 Section 120. Attendance of witnesses; production of 21 documents. Any circuit court, upon the application of the 22 accused, the complainant, the Department, or Board, may order 23 the attendance of witnesses and the production of relevant 24 books and papers before the Board in any investigation or 25 hearing relevant to the application for or refusal, recall, 26 suspension, or revocation of a license. The court may compel 27 obedience to its order by proceedings for contempt. 28 Section 125. Recommendations for disciplinary action; 29 action by Director. The Board may advise the Director that 30 probation be granted or that other disciplinary action, 31 including the limitation of the scope, nature, or extent of a 32 person's practice, be taken, as it considers proper. If -18- LRB9004606LDdv 1 disciplinary action other than suspension or revocation is 2 taken, the Board may advise that the Director impose 3 reasonable limitations and requirements upon the accused to 4 insure compliance with the terms of the probation or other 5 disciplinary action, including, but not limited to, regular 6 reporting by the accused to the Director of his or her 7 actions, the accused's placing himself or herself under the 8 care of a qualified physician for treatment, or limiting his 9 or her practice in the manner the Director may require. 10 The Board shall present to the Director a written report 11 of its findings and recommendations. A copy of the report 12 shall be served upon the accused, either personally or by 13 registered mail. Within 20 days after service, the accused 14 may present to the Department his or her motion in writing 15 for a rehearing, specifying the particular grounds for 16 rehearing. If the accused orders and pays for a transcript 17 of the record, the time elapsing thereafter and before the 18 transcript is ready for delivery to him or her shall not be 19 counted as part of the 20 days. 20 At the expiration of the time allowed for filing a motion 21 for rehearing the Director may take the action recommended by 22 the Board. Upon suspension, revocation, placement on 23 probationary status, or the taking of any other disciplinary 24 action, including the limiting of the scope, nature, or 25 extent of one's practice, considered proper by the Director 26 with regard to the license, the accused shall surrender his 27 or her license to the Department, if ordered to do so by the 28 Department. Upon his or her failure or refusal to do so, the 29 Department may seize the license. 30 In all instances under this Act in which the Board has 31 rendered a recommendation to the Director with respect to a 32 particular person, the Director shall, to the extent that he 33 or she disagrees with or takes action contrary to the 34 recommendation of the Board, file with the Board and the -19- LRB9004606LDdv 1 Secretary of State his or her specific written reasons of 2 disagreement. The reasons shall be filed within 30 days 3 after the Director has taken the contrary position. 4 Each order of revocation, suspension, or other 5 disciplinary action shall contain a brief, concise statement 6 of the ground or grounds upon which the Department's action 7 is based, as well as the specific terms and conditions of the 8 action. The original of this document shall be retained as a 9 permanent record by the Board and the Department. In those 10 instances where an order of revocation, suspension, or other 11 disciplinary action has been rendered by virtue of a dental 12 hygienist's physical illness, including, but not limited to 13 deterioration through the aging process or loss of motor 14 skill that results in an inability to practice with 15 reasonable judgment, skill, or safety, the Department shall 16 permit only this document and the record of the incident 17 hearing to be observed, inspected, viewed, or copied under 18 court order. 19 Section 130. Appointment of a hearing officer. The 20 Director shall have the authority to appoint an attorney duly 21 licensed to practice law in the State of Illinois to serve as 22 a hearing officer in an action for refusal to issue or renew 23 a license or to discipline a licensee. The hearing officer 24 shall have full authority to conduct the hearing. The 25 hearing officer shall report his or her findings and 26 recommendations to the Board and the Director. The Board 27 shall have 60 days from receipt of the report to review the 28 report of the hearing officer and present its findings of 29 fact, conclusions of law, and recommendations to the 30 Director. If the Board fails to present its report within 31 the 60 day period, the Director shall issue an order based on 32 the report of the hearing officer. If the Director 33 determines that the Board's report is contrary to the -20- LRB9004606LDdv 1 manifest weight of the evidence, he or she may issue an order 2 in contravention of the Board's report. 3 Section 135. Restoration. At any time after the 4 suspension or revocation of a license or the placement of a 5 license on probationary status or the taking of any other 6 disciplinary action with regard to a licensee, the Department 7 may restore the license to the accused or may take any other 8 action to reinstate the license to good standing, without 9 examination, upon the written recommendation of the Board. 10 Section 140. Administrative Review Law; application. 11 All final administrative decisions of the Department are 12 subject to judicial review under the Administrative Review 13 Law and its rules. The term "administrative decision" is 14 defined as in Section 3-101 of the Code of Civil Procedure. 15 Proceedings for judicial review shall be commenced in the 16 circuit court of the county in which the party applying for 17 review resides, but if the party is not a resident of this 18 State then the venue shall be in Sangamon County. 19 The Department shall not be required to certify any 20 record to the court, file any answer in court, or otherwise 21 appear in any court in a judicial review proceeding unless 22 there is filed in the court with the complaint a receipt from 23 the Department acknowledging payment of the costs of 24 furnishing and certifying the record. Exhibits shall be 25 certified without cost. Failure on the part of the plaintiff 26 to file a receipt in court shall be grounds for dismissal of 27 the action. During the pendency and hearing of any and all 28 judicial proceedings incident to a disciplinary action any 29 sanctions imposed upon the accused by the Department shall 30 remain in full force and effect. 31 Section 145. Revocation orders. An order of revocation, -21- LRB9004606LDdv 1 suspension, placement on probationary status, or other formal 2 disciplinary action that the Department may consider proper, 3 or a certified copy thereof, over the seal of the Department 4 and purporting to be signed by the Director of the Department 5 is prima facie proof that: 6 (1) The signature is the genuine signature of the 7 Director. 8 (2) The Director is duly appointed and qualified. 9 (3) The Board and the Board members are qualified. This 10 proof may be rebutted. 11 Section 150. Confidential information; disclosure. In 12 all hearings conducted under this Act any information 13 acquired by a dental hygienist in attending a patient in a 14 professional character and necessary to professionally serve 15 the patient shall be considered strictly confidential and 16 shall only be made available either as part of the record of 17 a hearing under this Act or otherwise: 18 (1) when the record is required, in its entirety, for 19 the purposes of judicial review under this Act; or 20 (2) upon the express, written consent of the patient, or 21 in the case of his or her death or disability, his or her 22 personal representative. 23 Section 155. Unreasonable revocation orders. In the 24 event that the Department's order of revocation, suspension, 25 placement on probationary status, or other order of formal 26 disciplinary action is without any reasonable basis in fact, 27 the State of Illinois shall be liable to the injured dental 28 hygienist for special damages suffered as a direct result of 29 the order. A suit for damages must be filed in the Court of 30 Claims. 31 Section 160. Reports of violations; immunity. A person -22- LRB9004606LDdv 1 licensed under this Act, the Illinois State Dental Society, 2 the Illinois Dental Hygienists Association, or any other 3 similar group or component society or their members, or any 4 other person, may report to the Board any information that 5 person, association, or society may have that appears to show 6 that a dental hygienist or any other person is or may be in 7 violation of any provision of this Act. A person, 8 association, or society participating in good faith in the 9 making of a report under this Act shall have immunity from 10 any civil, criminal, or other liability that might result by 11 reason of the action. For purpose of any civil or criminal 12 proceedings, the good faith of a person, association, or 13 society shall be presumed. 14 A person who retaliates against or acts to cause the loss 15 of employment of a person who in good faith reports to the 16 Board information that appears to show that a dental 17 hygienist or any other person is or may be in violation of 18 any provision of this Act is guilty of a Class A misdemeanor. 19 Section 165. Unlicensed practice; injunctions. The 20 practice of dental hygiene by a person not holding a valid 21 and current license under this Act, except as otherwise 22 provided in this Act, is declared to be inimical to the 23 public welfare, to constitute a public nuisance, and to cause 24 irreparable harm to the public welfare. The Director, the 25 Attorney General, the State's attorney of any county in the 26 State, or any person may maintain an action in the name of 27 the People of the State of Illinois and may apply for 28 injunctive relief in any circuit court to enjoin the person 29 from engaging in the unlawful practice. Upon the filing of a 30 verified petition in court, the court, if satisfied by 31 affidavit or otherwise that the person has been engaged in 32 practice without a valid and current license, may enter a 33 temporary restraining order without notice or bond enjoining -23- LRB9004606LDdv 1 the defendant from further practice. Only the showing of 2 nonlicensure, by affidavit or otherwise, is necessary in 3 order for a temporary injunction to issue. A copy of the 4 verified complaint shall be served upon the defendant and the 5 proceedings shall thereafter be conducted as in other civil 6 cases except as modified by this Section. If it is 7 established that the defendant has been or is engaged in an 8 unlawful practice, the court may enter an order or judgment 9 perpetually enjoining the defendant from further practice. A 10 person aiding or abetting the practice of dental hygiene by a 11 person without a valid and current license shall also be 12 subject to being enjoined under this Section. In all 13 proceedings under this Section, the court, in its discretion, 14 may apportion the costs among the parties interested in the 15 action, including the costs of filing the complaint, service 16 of process, witness fees and expenses, court reporter 17 charges, and reasonable attorneys' fees. In case a violation 18 of any injunctive order is entered under this Section, the 19 court may summarily try and punish the offender for contempt 20 of court. Injunction proceedings shall be in addition to, 21 and not in lieu of, all other penalties and remedies provided 22 under this Act. 23 Section 170. Penalty for unlawful practice; second and 24 subsequent offenses. A person (i) who practices or offers to 25 practice dental hygiene in this State without being licensed 26 for that purpose, (ii) whose license has been suspended or 27 revoked, (iii) who aids or abets a person to practice dental 28 hygiene, or (iv) who violates any provision of this Act for 29 which no specific penalty has been provided in this Act is 30 guilty of a Class A misdemeanor. 31 A person who has been previously convicted under any 32 provision of this Act and who subsequently violates any 33 provision of this Act is guilty of a Class 4 felony. In -24- LRB9004606LDdv 1 addition, whenever a person is punished as a subsequent 2 offender under this Section, the Director shall proceed to 3 obtain a permanent injunction against that person under 4 Section 165 of this Act. 5 Section 175. Failure to give notice of change of 6 address; penalty. The failure, neglect, or refusal on the 7 part of a licensee to notify the Department of a change of 8 address, within 90 days after the change, shall result in a 9 forfeiture of his or her license. The license, once 10 forfeited, shall be restored to the licensee upon a payment 11 to the Department of $15. 12 Section 180. Filing license or diploma of another. A 13 person filing or attempting to file as his or her own the 14 diploma or license of another or a forged affidavit of 15 identification or qualification is guilty of a Class 3 felony 16 and upon conviction is subject to a fine and imprisonment 17 under the law of this State for the crime of forgery. 18 Section 185. Department personnel. The Department 19 shall employ, in conformity with the Personnel Code, not less 20 than one full-time investigator. Each investigator shall be 21 a college graduate with at least 2 years investigative 22 experience or one year of advanced dental, dental hygiene, or 23 medical education. The Department shall employ, in 24 conformity with the Personnel Code, other professional, 25 technical, investigative, and clerical assistance on, either 26 a full or part-time basis that the Department considers 27 necessary for the proper performance of its duties. The 28 Department shall retain and use any hearing officers it 29 considers necessary. All employees of the Department shall 30 be directed by and answerable to the Department with respect 31 to their duties and functions. -25- LRB9004606LDdv 1 Section 190. Dental Hygiene Disciplinary Fund. All 2 fees, fines, or penalties received by the Department under 3 this Act shall be deposited into the Dental Hygiene 4 Disciplinary Fund, a special fund created in the State 5 Treasury, and shall be used by the Department in the exercise 6 of its powers and performance of its duties under this Act, 7 including but not limited to the provision for evidence in 8 dental hygiene investigation. All earnings incurred from 9 investment of moneys in the Dental Hygiene Disciplinary Fund 10 shall be deposited in the Dental Hygiene Disciplinary Fund 11 and shall be used for the same purpose as fees deposited in 12 the Fund. 13 Section 195. Exemption from civil liability for peer 14 review committees. While serving upon any peer review 15 committee, a dental hygienist shall not be liable for civil 16 damages as a result of his or her decisions, findings, or 17 recommendations in connection with his or her duties on the 18 committee, except decisions, findings, or recommendations 19 involving his or her wilful or wanton misconduct. In 20 addition, any professional organization, association, or 21 society of dental hygienists or any of their components that 22 sponsor, sanction, or otherwise operate or participate in 23 peer review activities are afforded the same privileges and 24 immunities afforded to any member of the peer review 25 committee. 26 Section 200. Administrative Procedure Act; application. 27 The Illinois Administrative Procedure Act is expressly 28 adopted and incorporated in this Act as if all of the 29 provisions of that Act were included in this Act, except that 30 the provision of paragraph (c) of Section 16 of the Illinois 31 Administrative Procedure Act, which provides that at hearings 32 the dental hygienist has the right to show compliance with -26- LRB9004606LDdv 1 all lawful requirements for retention, continuation, or 2 renewal of the licensee, is specifically excluded. For 3 purposes of this Act the notice required under Section 10 of 4 the Illinois Administrative Procedure Act is considered 5 sufficient when mailed to the last known address of a party. 6 Section 205. Validity of existing registration. 7 Certifications of registration to practice dental hygiene 8 issued under the Illinois Dental Practice Act shall be 9 treated as licenses issued under this Act and shall remain in 10 effect until their stated expiration dates. Upon their 11 expiration, the certificates of registration shall be renewed 12 as provided for licenses in this Act. Any disciplinary 13 action or investigation initiated or imposed against a dental 14 hygienist under the Illinois Dental Practice Act shall remain 15 in full force and effect and shall not be affected by this 16 Act. 17 Section 240. The Regulatory Agency Sunset Act is amended 18 by adding Section 4.18 as follows: 19 (5 ILCS 80/4.18 new) 20 Sec. 4.18. The following Act is repealed January 1, 21 2008: 22 The Illinois Dental Hygiene Practice Act. 23 Section 245. The State Finance Act is amended by adding 24 Section 5.449 as follows: 25 (30 ILCS 105/5.449 new) 26 Sec. 5.449. The Dental Hygiene Disciplinary Fund. 27 Section 250. The Illinois Dental Practice Act is amended 28 by changing Sections 4, 5, 6, 15, 16, 16.1, 19, 20, 21, 23, -27- LRB9004606LDdv 1 26, 34, 35, 36, 41, and 55 as follows: 2 (225 ILCS 25/4) (from Ch. 111, par. 2304) 3 Sec. 4. Definitions. As used in this Act: 4 (a) "Department" means the Illinois Department of 5 Professional Regulation. 6 (b) "Director" means the Director of Professional 7 Regulation. 8 (c) "Board" means the Board of Dentistry established by 9 Section 6 of this Act. 10 (d) "Dentist" means a person who has received a general 11 license pursuant to paragraph (a) of Section 11 of this Act 12 and who may perform any intraoral and extraoral procedure 13 required in the practice of dentistry and to whom is reserved 14 the responsibilities specified in Section 17. 15 (e) (Blank)."Dental hygienist" means a person who16holds a license under this Act to perform dental services as17authorized by Section 18.18 (f) "Dental assistant" means an appropriately trained 19 person who, under the supervision of a dentist, provides 20 dental services as authorized by Section 17. 21 (g) "Dental laboratory" means a person, firm or 22 corporation which: 23 (i) engages in making, providing, repairing or 24 altering dental prosthetic appliances and other 25 artificial materials and devices which are returned to a 26 dentist for insertion into the human oral cavity or which 27 come in contact with its adjacent structures and tissues; 28 and 29 (ii) utilizes or employs a dental technician to 30 provide such services; and 31 (iii) performs such functions only for a dentist or 32 dentists. 33 (h) "Supervision" means supervision of adental-28- LRB9004606LDdv 1hygienist or adental assistant requiring that a dentist 2 authorize the procedure, remain in the dental facility while 3 the procedure is performed, and approve the work performed by 4 thedental hygienist ordental assistant before dismissal of 5 the patient, but does not mean that the dentist must be 6 present at all times in the treatment room. 7 (i) (Blank)."General supervision" means supervision of8a dental hygienist requiring that a dentist authorize the9procedures which are being carried out, but not requiring10that a dentist be present when the authorized procedures are11being performed. The authorized procedures may also be12performed at a place other than the dentist's usual place of13practice. The issuance of a prescription to a dental14laboratory by a dentist does not constitute general15supervision.16 (j) "Public member" means a person who is not a health 17 professional. For purposes of board membership, any person 18 with a significant financial interest in a health service or 19 profession is not a public member. 20 (k) "Dentistry" means the healing art which is concerned 21 with the examination, diagnosis, treatment planning and care 22 of conditions within the human oral cavity and its adjacent 23 tissues and structures, as further specified in Section 17. 24 (l) "Branches of dentistry" means the various 25 specialties of dentistry which, for purposes of this Act, 26 shall be limited to the following: endodontics, oral and 27 maxillofacial surgery, orthodontics and dentofacial 28 orthopedics, pediatric dentistry, periodontics and 29 prosthodontics. 30 (m) "Specialist" means a dentist who has received a 31 specialty license pursuant to Section 11(b). 32 (n) "Dental technician" means a person who owns, 33 operates or is employed by a dental laboratory and engages in 34 making, providing, repairing or altering dental prosthetic -29- LRB9004606LDdv 1 appliances and other artificial materials and devices which 2 are returned to a dentist for insertion into the human oral 3 cavity or which come in contact with its adjacent structures 4 and tissues. 5 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 6 (225 ILCS 25/5) (from Ch. 111, par. 2305) 7 Sec. 5. Powers and duties of Department. Subject to the 8 provisions of this Act, the Department shall exercise the 9 following functions, powers and duties: 10 (a) Conduct or authorize examinations to ascertain the 11 fitness and qualifications of applicants for dental licenses 12or dental hygienist licenses, pass upon the qualifications of 13 applicants for licenses, and issue licenses to such as are 14 found to be fit and qualified. 15 (b) Prescribe rules and regulations for a method of 16 examination of candidates. 17 (c) Prescribe rules and regulations defining what shall 18 constitute an approved program, school, college or department 19 of a university except that no program, school, college or 20 department of a university that refuses admittance to 21 applicants solely on account of race, color, creed, sex or 22 national origin shall be approved. 23 (d) Conduct hearings on proceedings to revoke, suspend, 24 or on objection to the issuance of licenses and to revoke, 25 suspend or refuse to issue such licenses. 26 (e) Promulgate rules and regulations required for the 27 administration of this Act. 28 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 29 (225 ILCS 25/6) (from Ch. 111, par. 2306) 30 Sec. 6. Board of Dentistry - Report By Majority 31 Required. There is created a Board of Dentistry, to be 32 composed of persons designated from time to time by the -30- LRB9004606LDdv 1 Director, as follows: 2 Ten persons, 8 of whom have been dentists for a period of 3 5 years or more; one who has been a dental hygienist for a 4 period of 5 years or more, and one public member. None of 5 the 10 members shall be employed by or be an officer of any 6 dental college, or dental or dental hygiene department of any 7 institution of learning. The dental hygienist shall not 8 participate in the examination of applicants for licenses to 9 practice dentistry. The public member shall not participate 10 in the examination of applicants for licenses to practice 11 dentistryor dental hygiene. The board shall annually elect 12 a chairman who shall be a dentist. 13 Terms for all members shall be for 4 years. Partial 14 terms over 2 years in length shall be considered as full 15 terms. A member may be reappointed for a successive term, 16 but no member shall serve more than 2 full terms in his or 17 her lifetime. 18 The membership of the Board shall include only residents 19 from various geographic areas of this State and shall include 20 at least some graduates from various institutions of dental 21 education in this State. 22 In making appointments to the Board the Director shall 23 give due consideration to recommendations by organizations of 24 the dental profession in Illinois, including the Illinois 25 State Dental Society and Illinois Dental Hygienists 26 Association, and shall promptly give due notice to such 27 organizations of any vacancy in the membership of the Board. 28 The Director may terminate the appointment of any member for 29 cause which in the opinion of the Director reasonably 30 justifies such termination. 31 A vacancy in the membership of the Board shall not impair 32 the right of a quorum to exercise all the rights and perform 33 all the duties of the Board. Any action to be taken by the 34 Board under this Act may be authorized by resolution at any -31- LRB9004606LDdv 1 regular or special meeting, and each such resolution shall 2 take effect immediately. The Board shall meet at least 3 quarterly. The Board may adopt all rules and regulations 4 necessary and incident to its powers and duties under this 5 Act. 6 The members of the Board shall each receive as 7 compensation a reasonable sum as determined by the Director 8 for each day actually engaged in the duties of the office, 9 and all legitimate and necessary expense incurred in 10 attending the meetings of the Board. 11 Members of the Board shall be immune from suit in any 12 action based upon any disciplinary proceedings or other 13 activities performed in good faith as members of the Board. 14 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 15 (225 ILCS 25/15) (from Ch. 111, par. 2315) 16 Sec. 15. List of Dentistsand Dental Hygienists. The 17 Department shall maintain a list of the names and addresses 18 of all dentistsand dental hygienistsand of all persons 19 whose licenses have been suspended or revoked, together with 20 such other information relative to the enforcement of the 21 provisions of this Act as it may deem of interest to the 22 public. Such lists shall also be mailed by the Department to 23 any person upon request and payment of the required fee. In 24 addition, the Department shall keep available for inquiry or 25 inspection a similar list of all persons whose licenses have 26 been suspended or revoked in the interim between such 27 published lists. All lists required to be published or kept 28 by this Section shall be arranged alphabetically. 29 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 30 (225 ILCS 25/16) (from Ch. 111, par. 2316) 31 Sec. 16. Expiration, renewal and restoration of 32 licenses. The expiration date and renewal period for each -32- LRB9004606LDdv 1 license issued under this Act shall be set by rule. A 2 dentistor dental hygienistmay renew a license during the 3 month preceding its expiration date by paying the required 4 fee.A dental hygienist shall provide proof of current5cardiopulmonary resuscitation certification at the time of6renewal.7 AAnydentistor dental hygienistwhose license has 8 expired or whose license is on inactive status may have his 9 or her license restored at any time within 5 years after the 10 expiration thereof, upon payment of the required fee. 11 AAnyperson whose license has been expired for more than 12 5 years or who has had his or her license on inactive status 13 for more than 5 years may have his or her license restored by 14 making application to the Department and filing proof 15 acceptable to the Department of his fitness to have license 16 restored, including sworn evidence certifying to active 17 practice in another jurisdiction, and by paying the required 18 restoration fee. A person practicing on an expired license 19 is considereddeemedto be practicing without a license. 20 If a person whose license has expired or who has had his 21 or her license on inactive status for more than 5 years has 22 not maintained an active practice satisfactory to the 23 department, the Department shall determine, by an evaluation 24 process established by rule, his or her fitness to resume 25 active status and may require the person to complete a period 26 of evaluated clinical experience and may require successful 27 completion of a practical examination. 28 However, any person whose license has expired while he or 29 she has been engaged (1) in federal or state service active 30 duty, or (2) in training or education under the supervision 31 of the United States preliminary to induction into the 32 military service, may have his or her license restored 33 without paying any lapsed renewal or restoration fee, if 34 within 2 years after termination of such service, training or -33- LRB9004606LDdv 1 education other than by dishonorable discharge, he or she 2 furnishes the Department with satisfactory proof that he or 3 she has been so engaged and that his or her service, 4 training, or education has been so terminated. 5 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 6 (225 ILCS 25/16.1) (from Ch. 111, par. 2316.1) 7 Sec. 16.1. Continuing education. The Department shall 8 promulgate rules of continuing education for persons licensed 9 under this Act. In establishing rules, the Department shall 10 require a minimum of 32 hours of study in approved courses 11 for dentists during each 2 year licensing periodand a12minimum of 24 hours of study in approved courses for dental13hygienists during each 2 year licensing period. These 14 continuing education rules shall only apply to licenses 15 renewed after November 1, 1992. 16 The Department shall approve only courses that are 17 relevant to the treatment and care of patients, including, 18 but not limited to, clinical courses in dentistry and dental 19 hygiene and nonclinical courses such as patient management, 20 legal and ethical responsibilities, and stress management. 21 Courses shall not be approved in such subjects as estate and 22 financial planning, investments, or personal health. 23 Approved courses may include, but shall not be limited to, 24 courses that are offered or sponsored by approved colleges, 25 universities, and hospitals and by recognized national, 26 State, and local dental and dental hygiene organizations. 27 No license shall be renewed unless the renewal 28 application is accompanied by an affidavit indicating that 29 the applicant has completed the required minimum number of 30 hours of continuing education in approved courses as required 31 by this Section. The affidavit shall not require a listing 32 of courses. The affidavit shall be a prima facie evidence 33 that the applicant has obtained the minimum number of -34- LRB9004606LDdv 1 required continuing education hours in approved courses. The 2 Department shall not be obligated to conduct random audits or 3 otherwise independently verify that an applicant has met the 4 continuing education requirement. If the Department, however, 5 receives a complaint that a licensee has not completed the 6 required continuing education or if the Department is 7 investigating another alleged violation of this Act by a 8 licensee, the Department may demand and shall be entitled to 9 receive specific evidence from any licensee of completion of 10 required continuing education courses for the most recently 11 completed 2 year licensing period. Any dentist who holds 12 more than one license under this Act shall be required to 13 complete only the minimum number of hours of continuing 14 education required for renewal of a single license. The 15 Department may provide exemptions from continuing education 16 requirements. The exemptions shall include, but shall not be 17 limited to, dentistsand dental hygienistswho agree not to 18 practice within the State during the licensing period because 19 they are retired from practice. 20 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 21 (225 ILCS 25/19) (from Ch. 111, par. 2319) 22 Sec. 19. Licensing applicants from other states. Any 23 person who has been lawfully licensed to practice dentistry 24or dental hygienein another state or territory thatwhich25 has and maintains a standard for the practice of dentistryor26dental hygieneat least equal to that now maintained in this 27 State, or if the requirements for licensure in such state or 28 territory in which the applicant was licensed were, at the 29 date of his or her licensure, substantially equivalent to the 30 requirements then in force in this State, and who has been 31 lawfully engaged in the practice of dentistryor dental32hygienefor at least 3 of the 5 years immediately preceding 33 the filing of his or her application to practice in this -35- LRB9004606LDdv 1 State and who shall deposit with the Department a duly 2 attested certificate from the Board of the state or territory 3 in which he or she is licensed, certifying to the fact of his 4 or her licensing and of his or her being a person of good 5 moral character may, upon payment of the required fee, be 6 granted a license to practice dentistryor dental hygienein 7 this State, as the case may be. 8 For the purposes of this Section, in computing 3 of the 9 immediately preceding 5 years of practice in another state or 10 territory, any person who left the practice of dentistry to 11 enter the military service and who practiced dentistry while 12 in the military service may count as a part of such period 13 the time spent by him in such service. 14 Applicants have 3 years from the date of application to 15 complete the application process. If the process has not 16 been completed in 3 years, the application shall be denied, 17 the fee forfeited, and the applicant must reapply and meet 18 the requirements in effect at the time of reapplication. 19 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 20 (225 ILCS 25/20) (from Ch. 111, par. 2320) 21 Sec. 20. Display of licenses. Any person licensed to 22 practice dentistryor dental hygienein this State by the 23 Department as hereinbefore provided, shall at all times 24 display such license or duplicate original thereof in a 25 conspicuous place, in his or her office wherein he or she 26 shall practice such profession, and shall further, whenever 27 requested, exhibit such license to any of the members of the 28 Department or its authorized agent. Upon proof by affidavit, 29 the Department shall provide a duplicate if such person 30 establishes that his or her license is lost or stolen or that 31 he or she practices at multiple locations. 32 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) -36- LRB9004606LDdv 1 (225 ILCS 25/21) (from Ch. 111, par. 2321) 2 Sec. 21. Fees. The Department is authorized to impose 3 the following nonrefundable fees: 4 (a) License as dentist or specialist. 5 (1) Application for temporary training or 6 restricted faculty license: $25. 7 (2) Application for initial license pursuant to 8 examination: $25. 9 (3) Applicants for any examination shall be 10 required to pay, either to the Department or to the 11 designated testing service, a fee covering the cost of 12 initial screening to determine eligibility and providing 13 the examination. 14 (4) Application for licensure from a person 15 licensed as a dentist under the laws of another state or 16 territory of the United States: $50. 17 (5) Application for renewal of a license: $50 per 18 year. 19 (6) Application for restoration of a license: $10 20 plus payment of all lapsed renewal fees. 21 (7) Application for inactive status: $10. 22 (8) Application for restoration from inactive 23 status: the current renewal fee. 24 (9) Application for restoration after failure to 25 notify Department of change of address: $15, plus payment 26 of all lapsed renewal fees. 27 (10) Application for an initial permit to 28 administer general anesthesia or parenteral conscious 29 sedation: $25. 30 (11) Application for renewal of a permit to 31 administer general anesthesia or parenteral conscious 32 sedation: $25 per year. 33 (b) (Blank).License as dental hygienist.34(1) Application for initial license pursuant to-37- LRB9004606LDdv 1examination: $25.2(2) Applicants for any examination shall be3required to pay, either to the Department or to the4designated testing service, a fee covering the cost of5initial screening to determine eligibility and providing6the examination.7(3) Application for license from a person licensed8as a dental hygienist under the laws of another state or9territory of the United States: $50.10(4) Application for renewal of a license: $15 per11year.12(5) Application for restoration of a license: $1013plus payment of all lapsed renewal fees, but not to14exceed $85.15(6) Application for inactive status: $10.16(7) Application for restoration from inactive17status: the current renewal fee.18 (c) General fees. 19 (1) Application for a duplicate license: $20. 20 (2) Application for a certification of a 21 registrant's record for any purpose: $20. 22 (3) Application to have the scoring of an 23 examination administered by the Department reviewed and 24 verified: $20, plus any fees charged by the applicable 25 testing service. 26 (4) The fee for a wall certificate showing a 27 license shall be the actual cost of producing such 28 certificate. 29 (5) The fee for a roster of persons licensed as 30 dentists or dental specialists or dental hygienists in 31 this State shall be the actual cost of producing such a 32 roster. 33 (6) The fee for dental licensing, disciplinary or 34 investigative records pursuant to a subpoena is $1 per -38- LRB9004606LDdv 1 page. 2 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 3 (225 ILCS 25/23) (from Ch. 111, par. 2323) 4 Sec. 23. Refusal, revocation or suspension of dental 5 licenses. The Department may refuse to issue or renew, or 6 may revoke, suspend, place on probation, reprimand or take 7 other disciplinary action as the Department may deem proper, 8 including fines not to exceed $10,000 per violation, with 9 regard to any license for any one or any combination of the 10 following causes: 11 1. Fraud in procuring the license. 12 2. Habitual intoxication or addiction to the use of 13 drugs. 14 3. Wilful or repeated violations of the rules of the 15 Department of Public Health or Department of Nuclear Safety. 16 4. Acceptance of a fee for service as a witness, without 17 the knowledge of the court, in addition to the fee allowed by 18 the court. 19 5. Division of fees or agreeing to split or divide the 20 fees received for dental services with any person for 21 bringing or referring a patient, except in regard to referral 22 services as provided for under Section 45, or assisting in 23 the care or treatment of a patient, without the knowledge of 24 the patient or his legal representative. 25 6. Employing, procuring, inducing, aiding or abetting a 26 person not licensed or registered as a dentist to engage in 27 the practice of dentistry. The person practiced upon is not 28 an accomplice, employer, procurer, inducer, aider, or abetter 29 within the meaning of this Act. 30 7. Making any misrepresentations or false promises, 31 directly or indirectly, to influence, persuade or induce 32 dental patronage. 33 8. Professional connection or association with or -39- LRB9004606LDdv 1 lending his name to another for the illegal practice of 2 dentistry by another, or professional connection or 3 association with any person, firm or corporation holding 4 himself, herself, themselves, or itself out in any manner 5 contrary to this Act. 6 9. Obtaining or seeking to obtain practice, money, or 7 any other things of value by false or fraudulent 8 representations, but not limited to, engaging in such 9 fraudulent practice to defraud the medical assistance program 10 of the Department of Public Aid. 11 10. Practicing under a name other than his or her own. 12 11. Engaging in dishonorable, unethical, or 13 unprofessional conduct of a character likely to deceive, 14 defraud, or harm the public. 15 12. Conviction in this or another State of any crime 16 which is a felony under the laws of this State or conviction 17 of a felony in a federal court, conviction of a misdemeanor, 18 an essential element of which is dishonesty, or conviction of 19 any crime which is directly related to the practice of 20 dentistryor dental hygiene. 21 13. Permitting a dental hygienist, dental assistant or 22 other person under his or her supervision to perform any 23 operation not authorized by lawthis Act. 24 14. (Blank).Permitting more than 4 dental hygienists to25be employed under his supervision at any one time.26 15. A violation of any provision of this Act or any 27 rules promulgated under this Act. 28 16. Taking impressions for or using the services of any 29 person, firm or corporation violating this Act. 30 17. Violating any provision of Section 45 relating to 31 advertising. 32 18. Discipline by another U.S. jurisdiction or foreign 33 nation, if at least one of the grounds for the discipline is 34 the same or substantially equivalent to those set forth -40- LRB9004606LDdv 1 within this Act. 2 19. Willfully failing to report an instance of suspected 3 child abuse or neglect as required by the "Abused and 4 Neglected Child Reporting Act. 5 20. Gross or repeated malpractice resulting in injury or 6 death of a patient. 7 21. The use or prescription for use of narcotics or 8 controlled substances or designated products as listed in the 9 Illinois Controlled Substances Act, in any way other than for 10 therapeutic purposes. 11 22. Willfully making or filing false records or reports 12 in his practice as a dentist, including, but not limited to, 13 false records to support claims against the dental assistance 14 program of the Illinois Department of Public Aid. 15 23. Professional incompetence as manifested by poor 16 standards of care or mental incompetency as declared by a 17 court of competent jurisdiction. 18 24. Physical illness, including, but not limited to, 19 deterioration through the aging process, or loss of motor 20 skills which results in a dentist's inability to practice 21 dentistry with reasonable judgment, skill or safety. 22 25. Repeated irregularities in billing a third party for 23 services rendered to a patient. For purposes of this 24 paragraph 25, "irregularities in billing" shall include: 25 (a) Reporting excessive charges for the purpose of 26 obtaining a total payment in excess of that usually 27 received by the dentist for the services rendered. 28 (b) Reporting charges for services not rendered. 29 (c) Incorrectly reporting services rendered for the 30 purpose of obtaining payment not earned. 31 26. Continuing the active practice of dentistry while 32 knowingly having any infectious, communicable, or contagious 33 disease proscribed by rule or regulation of the Department. 34 27. Being named as a perpetrator in an indicated report -41- LRB9004606LDdv 1 by the Department of Children and Family Services pursuant to 2 the Abused and Neglected Child Reporting Act, and upon proof 3 by clear and convincing evidence that the licensee has caused 4 a child to be an abused child or neglected child as defined 5 in the Abused and Neglected Child Reporting Act. 6 28. Violating the Health Care Worker Self-Referral Act. 7 29. Abandonment of a patient. 8 All proceedings to suspend, revoke, place on probationary 9 status, or take any other disciplinary action as the 10 Department may deem proper, with regard to a license on any 11 of the foregoing grounds, must be commenced within 3 years 12 after receipt by the Department of a complaint alleging the 13 commission of or notice of the conviction order for any of 14 the acts described herein. Except for fraud in procuring a 15 license, no action shall be commenced more than 5 years after 16 the date of the incident or act alleged to have violated this 17 Section. The time during which the holder of the license was 18 outside the State of Illinois shall not be included within 19 any period of time limiting the commencement of disciplinary 20 action by the Department. 21 The Department may refuse to issue or may suspend the 22 license of any person who fails to file a return, or to pay 23 the tax, penalty or interest shown in a filed return, or to 24 pay any final assessment of tax, penalty or interest, as 25 required by any tax Act administered by the Illinois 26 Department of Revenue, until such time as the requirements of 27 any such tax Act are satisfied. 28 (Source: P.A. 88-65; 88-153; 88-635, eff. 1-1-95; 88-670, 29 eff. 12-2-94; 89-116, eff. 7-7-95.) 30 (225 ILCS 25/26) (from Ch. 111, par. 2326) 31 Sec. 26. Disciplinary actions. 32 (a) In case the respondent, after receiving notice, 33 fails to file an answer, his or her license may, in the -42- LRB9004606LDdv 1 discretion of the Director, having first received the 2 recommendation of the Board, be suspended, revoked, placed on 3 probationary status, or the Director may take whatever 4 disciplinary action he may deem proper, including limiting 5 the scope, nature, or extent of the person's practice or the 6 imposition of a fine, without a hearing, if the act or acts 7 charged constitute sufficient grounds for such action under 8 this Act. 9 (b) The Director may temporarily suspend the license of 10 a dentistor dental hygienistwithout a hearing, simultaneous 11 to the institution of proceedings for a hearing under this 12 Act, if the Director finds that evidence in his possession 13 indicates that a dentist'sor dental hygienist'scontinuation 14 in practice would constitute an immediate danger to the 15 public. In the event that the Director temporarily suspends 16 the license of a dentistor a dental hygienistwithout a 17 hearing, a hearing by the Board must be held within 15 days 18 after such suspension has occurred. 19 (c) The entry of a judgment by any circuit court 20 establishing that any person holding a license under this Act 21 is a person subject to involuntary admission under the Mental 22 Health and Developmental Disabilities Code shall operate as a 23 suspension of that license. That person may resume his or her 24 practice only upon a finding by the Board that he or she has 25 been determined to be no longer subject to involuntary 26 admission by the court and upon the Board's recommendation to 27 the Director that he or she be permitted to resume his or her 28 practice. 29 (Source: P.A. 89-80, eff. 6-30-95; 89-116, eff. 7-7-95.) 30 (225 ILCS 25/34) (from Ch. 111, par. 2334) 31 Sec. 34. Confidential information - Disclosure. In all 32 hearings conducted under this Act, information received, 33 pursuant to law, relating to any information acquired by a -43- LRB9004606LDdv 1 dentistor dental hygienistin attending any patient in a 2 professional character, and necessary to professionally serve 3 such patient, shall be deemed strictly confidential and shall 4 only be made available, either as part of the record of a 5 hearing hereunder or otherwise: (1) when such record is 6 required, in its entirety, for purposes of judicial review 7 pursuant to this Act; or (2) upon the express, written 8 consent of the patient, or in the case of his or her death or 9 disability, his or her personal representative. 10 (Source: P.A. 84-365.) 11 (225 ILCS 25/35) (from Ch. 111, par. 2335) 12 Sec. 35. Unreasonable revocation orders. In the event 13 that the Department's order of revocation, suspension, 14 placement on probationary status, or other order of formal 15 disciplinary action is without any reasonable basis in fact 16 of any kind, then the State of Illinois shall be liable to 17 the injured dentistor dental hygienistfor those special 18 damages suffered as a direct result of such order; provided, 19 however, any suit for such damages must be filed in the Court 20 of Claims. 21 (Source: P.A. 84-365.) 22 (225 ILCS 25/36) (from Ch. 111, par. 2336) 23 Sec. 36. Reports of Violations - Immunity. Any person 24 licensed under this Act, the Illinois State Dental Society, 25Illinois Dental Hygienists Association,or any other similar 26 group or component society or member thereof, or any other 27 person, may report to the Board any information such person, 28 association or society may have which appears to show that a 29 dentistor dental hygienistis or may be in violation of any 30 of the provisions of this Act. Any such person, association, 31 or society, participating in good faith in the making of a 32 report, under the Act, shall have immunity from any -44- LRB9004606LDdv 1 liability, civil, criminal or that otherwise might result by 2 reason of such action. For the purpose of any proceedings, 3 civil or criminal, the good faith of any such person, 4 association, or society shall be presumed. 5 (Source: P.A. 85-946.) 6 (225 ILCS 25/41) (from Ch. 111, par. 2341) 7 Sec. 41. Dental Coordinator. The Department shall 8 select a dental coordinator, who shall not be a member of the 9 Board. The dental coordinator shall be a dentist. The 10 dental coordinator shall be the chief enforcement officer of 11 the disciplinary provisions of this Act. 12 The Department shall employ, in conformity with the 13 "Personnel Code", not less than one full-time investigator 14 for every 3,000 dentistsand dental hygienistsin the State. 15 Each investigator shall be a college graduate with at least 2 16 years' investigative experience or one year of advanced 17 dental or medical education. The Department shall employ, in 18 conformity with the "Personnel Code", such other 19 professional, technical, investigative and clerical 20 assistance on either a full or part-time basis, as the 21 Department deems necessary for the proper performance of its 22 duties. The Department shall retain and use such hearing 23 officers as it deems necessary. All employees of the 24 Department shall be directed by, and answerable to, the 25 Department, with respect to their duties and functions. 26 (Source: P.A. 84-365.) 27 (225 ILCS 25/55) (from Ch. 111, par. 2355) 28 Sec. 55. Administrative Procedure Act. The Illinois 29 Administrative Procedure Act is hereby expressly adopted and 30 incorporated herein as if all of the provisions of that Act 31 were included in this Act, except that the provision of 32 subsection (d) of Section 10-65 of the Illinois -45- LRB9004606LDdv 1 Administrative Procedure Act that provides that at hearings 2 the dentistor dental hygienisthas the right to show 3 compliance with all lawful requirements for retention, 4 continuation or renewal of the license is specifically 5 excluded. For the purposes of this Act the notice required 6 under Section 10-25 of the Administrative Procedure Act is 7 deemed sufficient when mailed to the last known address of a 8 party. 9 (Source: P.A. 88-45; 89-80, eff. 6-30-95; 89-116, eff. 10 7-7-95.) 11 (225 ILCS 25/12 rep.) 12 (225 ILCS 25/13 rep.) 13 (225 ILCS 25/14 rep.) 14 (225 ILCS 25/18 rep.) 15 (225 ILCS 25/24 rep.) 16 Section 255. The Illinois Dental Practice Act is amended 17 by repealing Sections 12, 13, 14, 18, and 24. 18 Section 999. Effective date. This Act takes effect 19 January 1, 1998.