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Public Act 099-0492 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Regulatory Sunset Act is amended by changing | ||||
Section 4.26 and by adding Section 4.36 as follows: | ||||
(5 ILCS 80/4.26)
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Sec. 4.26. Acts repealed on January 1, 2016. The following | ||||
Acts are repealed on January 1, 2016: | ||||
The Illinois Athletic Trainers Practice Act.
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The Illinois Roofing Industry Licensing Act.
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The Illinois Dental Practice Act.
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The Collection Agency Act.
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The Barber, Cosmetology, Esthetics, Hair Braiding, and | ||||
Nail Technology Act of 1985.
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The Respiratory Care Practice Act.
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The Hearing Instrument Consumer Protection Act.
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The Illinois Physical Therapy Act.
| ||||
The Professional Geologist Licensing Act. | ||||
(Source: P.A. 95-331, eff. 8-21-07; 95-876, eff. 8-21-08; | ||||
96-1246, eff. 1-1-11.) | ||||
(5 ILCS 80/4.36 new) | ||||
Sec. 4.36. Act repealed on January 1, 2026. The following |
Act is repealed on January 1, 2026: | ||
The Illinois Dental Practice Act. | ||
Section 10. The Illinois Dental Practice Act is amended by | ||
changing Sections 4, 6, 8.5, 16.1, 17, 18, 23, 24, 25, 26, 29, | ||
30, 41, and 50 and by adding Section 18.1 as follows:
| ||
(225 ILCS 25/4)
(from Ch. 111, par. 2304)
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(Text of Section before amendment by P.A. 99-25 )
| ||
(Section scheduled to be repealed on January 1, 2016)
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Sec. 4. Definitions. As used in this Act:
| ||
"Address of record" means the designated address recorded | ||
by the Department in the applicant's or licensee's application | ||
file or license file as maintained by the Department's | ||
licensure maintenance unit. It is the duty of the applicant or | ||
licensee to inform the Department of any change of address and | ||
those changes must be made either through the Department's | ||
website or by contacting the Department. | ||
"Department" means the Department of Financial and | ||
Professional Regulation.
| ||
"Secretary" means the Secretary of Financial and | ||
Professional Regulation.
| ||
"Board" means the Board of Dentistry.
| ||
"Dentist" means a person who has received a general license | ||
pursuant
to paragraph (a) of Section 11 of this Act and who may | ||
perform any intraoral
and extraoral procedure required in the |
practice of dentistry and to whom is
reserved the | ||
responsibilities specified in Section 17.
| ||
"Dental hygienist" means a person who holds a license under | ||
this Act to
perform dental services as authorized by Section | ||
18.
| ||
"Dental assistant" means an appropriately trained person
| ||
who, under the supervision of a dentist, provides dental | ||
services
as authorized by Section 17.
| ||
"Dental laboratory" means a person, firm or corporation | ||
which:
| ||
(i) engages in making, providing, repairing or | ||
altering dental
prosthetic appliances and other artificial | ||
materials and devices which are
returned to a dentist for | ||
insertion into the human oral cavity or which
come in | ||
contact with its adjacent structures and tissues; and
| ||
(ii) utilizes or employs a dental technician to provide | ||
such services; and
| ||
(iii) performs such functions only for a dentist or | ||
dentists.
| ||
"Supervision" means supervision of a dental hygienist or a | ||
dental
assistant requiring that a dentist authorize the | ||
procedure, remain in the
dental facility while the procedure is | ||
performed, and approve the work
performed by the dental | ||
hygienist or dental assistant before dismissal of
the patient, | ||
but does not mean that the dentist must be present at all
times | ||
in the treatment room.
|
"General supervision" means supervision of a dental | ||
hygienist
requiring that the patient be a patient of record,
| ||
that the dentist
examine the patient in accordance with Section | ||
18 prior to treatment by the
dental hygienist, and that the
| ||
dentist authorize the procedures which
are being carried
out by | ||
a notation in the patient's record, but not requiring that a | ||
dentist
be present when the authorized
procedures are being | ||
performed. The
issuance of a prescription to a dental | ||
laboratory by a
dentist does not constitute general | ||
supervision.
| ||
"Public member" means a person who is not a health | ||
professional.
For purposes of board membership, any person with | ||
a significant financial
interest in a health service or | ||
profession is not a public member.
| ||
"Dentistry" means the healing art which is concerned with | ||
the
examination, diagnosis, treatment planning and care of | ||
conditions within
the human oral cavity and its adjacent | ||
tissues and structures, as further
specified in Section 17.
| ||
"Branches of dentistry" means the various specialties of | ||
dentistry
which, for purposes of this Act, shall be limited to | ||
the following:
endodontics, oral and maxillofacial surgery, | ||
orthodontics and dentofacial
orthopedics, pediatric dentistry,
| ||
periodontics, prosthodontics, and oral and maxillofacial
| ||
radiology.
| ||
"Specialist" means a dentist who has received a specialty | ||
license
pursuant to Section 11(b).
|
"Dental technician" means a person who owns, operates or is
| ||
employed by a dental laboratory and engages in making, | ||
providing, repairing
or altering dental prosthetic appliances | ||
and other artificial materials and
devices which are returned | ||
to a dentist for insertion into the human oral
cavity or which | ||
come in contact with its adjacent structures and tissues.
| ||
"Impaired dentist" or "impaired dental hygienist" means a | ||
dentist
or dental hygienist who is unable to practice with
| ||
reasonable skill and safety because of a physical or mental | ||
disability as
evidenced by a written determination or written | ||
consent based on clinical
evidence, including deterioration | ||
through the aging process, loss of motor
skills, abuse of drugs | ||
or alcohol, or a psychiatric disorder, of sufficient
degree to | ||
diminish the person's ability to deliver competent patient | ||
care.
| ||
"Nurse" means a registered professional nurse, a certified | ||
registered
nurse anesthetist licensed as an advanced practice
| ||
nurse, or a licensed practical nurse licensed under the Nurse | ||
Practice Act.
| ||
"Patient of record" means a patient for whom the patient's | ||
most recent
dentist has obtained
a
relevant medical and dental | ||
history and on whom the dentist has performed an
examination | ||
and evaluated the condition to be treated.
| ||
"Dental emergency responder" means a dentist or dental | ||
hygienist who is appropriately certified in emergency medical | ||
response, as defined by the Department of Public Health.
|
"Mobile dental van or portable dental unit" means any | ||
self-contained or portable dental unit in which dentistry is | ||
practiced that can be moved, towed, or transported from one | ||
location to another in order to establish a location where | ||
dental services can be provided. | ||
"Public health dental hygienist" means a hygienist who | ||
holds a valid license to practice in the State, has 2 years of | ||
full-time clinical experience or an equivalent of 4,000 hours | ||
of clinical experience and has completed 72 hours of additional | ||
course work in areas specific to public health dentistry, | ||
including, but not limited to, emergency procedures for | ||
medically compromised patients, pharmacology, medical | ||
recordkeeping procedures, geriatric dentistry, pediatric | ||
dentistry, and pathology, and works in a public health setting | ||
pursuant to a written public health supervision agreement as | ||
defined by rule by the Department with a dentist working in or | ||
contracted with a local or State government agency or | ||
institution or who is providing services as part of a certified | ||
school-based program or school-based oral health program. | ||
"Public health setting" means a federally qualified health | ||
center; a federal, State, or local public health facility; Head | ||
Start; a special supplemental nutrition program for Women, | ||
Infants, and Children (WIC) facility; or a certified | ||
school-based health center or school-based oral health | ||
program. | ||
"Public health supervision" means the supervision of a |
public health dental hygienist by a licensed dentist who has a | ||
written public health supervision agreement with that public | ||
health dental hygienist while working in an approved facility | ||
or program that allows the public health dental hygienist to | ||
treat patients, without a dentist first examining the patient | ||
and being present in the facility during treatment, (1) who are | ||
eligible for Medicaid or (2) who are uninsured and whose | ||
household income is not greater than 200% of the federal | ||
poverty level. | ||
(Source: P.A. 97-526, eff. 1-1-12; 97-1013, eff. 8-17-12.)
| ||
(Text of Section after amendment by P.A. 99-25 )
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 4. Definitions. As used in this Act:
| ||
"Address of record" means the designated address recorded | ||
by the Department in the applicant's or licensee's application | ||
file or license file as maintained by the Department's | ||
licensure maintenance unit. It is the duty of the applicant or | ||
licensee to inform the Department of any change of address and | ||
those changes must be made either through the Department's | ||
website or by contacting the Department. | ||
"Department" means the Department of Financial and | ||
Professional Regulation.
| ||
"Secretary" means the Secretary of Financial and | ||
Professional Regulation.
| ||
"Board" means the Board of Dentistry.
|
"Dentist" means a person who has received a general license | ||
pursuant
to paragraph (a) of Section 11 of this Act and who may | ||
perform any intraoral
and extraoral procedure required in the | ||
practice of dentistry and to whom is
reserved the | ||
responsibilities specified in Section 17.
| ||
"Dental hygienist" means a person who holds a license under | ||
this Act to
perform dental services as authorized by Section | ||
18.
| ||
"Dental assistant" means an appropriately trained person
| ||
who, under the supervision of a dentist, provides dental | ||
services
as authorized by Section 17.
| ||
"Dental laboratory" means a person, firm or corporation | ||
which:
| ||
(i) engages in making, providing, repairing or | ||
altering dental
prosthetic appliances and other artificial | ||
materials and devices which are
returned to a dentist for | ||
insertion into the human oral cavity or which
come in | ||
contact with its adjacent structures and tissues; and
| ||
(ii) utilizes or employs a dental technician to provide | ||
such services; and
| ||
(iii) performs such functions only for a dentist or | ||
dentists.
| ||
"Supervision" means supervision of a dental hygienist or a | ||
dental
assistant requiring that a dentist authorize the | ||
procedure, remain in the
dental facility while the procedure is | ||
performed, and approve the work
performed by the dental |
hygienist or dental assistant before dismissal of
the patient, | ||
but does not mean that the dentist must be present at all
times | ||
in the treatment room.
| ||
"General supervision" means supervision of a dental | ||
hygienist
requiring that the patient be a patient of record,
| ||
that the dentist
examine the patient in accordance with Section | ||
18 prior to treatment by the
dental hygienist, and that the
| ||
dentist authorize the procedures which
are being carried
out by | ||
a notation in the patient's record, but not requiring that a | ||
dentist
be present when the authorized
procedures are being | ||
performed. The
issuance of a prescription to a dental | ||
laboratory by a
dentist does not constitute general | ||
supervision.
| ||
"Public member" means a person who is not a health | ||
professional.
For purposes of board membership, any person with | ||
a significant financial
interest in a health service or | ||
profession is not a public member.
| ||
"Dentistry" means the healing art which is concerned with | ||
the
examination, diagnosis, treatment planning and care of | ||
conditions within
the human oral cavity and its adjacent | ||
tissues and structures, as further
specified in Section 17.
| ||
"Branches of dentistry" means the various specialties of | ||
dentistry
which, for purposes of this Act, shall be limited to | ||
the following:
endodontics, oral and maxillofacial surgery, | ||
orthodontics and dentofacial
orthopedics, pediatric dentistry,
| ||
periodontics, prosthodontics, and oral and maxillofacial
|
radiology.
| ||
"Specialist" means a dentist who has received a specialty | ||
license
pursuant to Section 11(b).
| ||
"Dental technician" means a person who owns, operates or is
| ||
employed by a dental laboratory and engages in making, | ||
providing, repairing
or altering dental prosthetic appliances | ||
and other artificial materials and
devices which are returned | ||
to a dentist for insertion into the human oral
cavity or which | ||
come in contact with its adjacent structures and tissues.
| ||
"Impaired dentist" or "impaired dental hygienist" means a | ||
dentist
or dental hygienist who is unable to practice with
| ||
reasonable skill and safety because of a physical or mental | ||
disability as
evidenced by a written determination or written | ||
consent based on clinical
evidence, including deterioration | ||
through the aging process, loss of motor
skills, abuse of drugs | ||
or alcohol, or a psychiatric disorder, of sufficient
degree to | ||
diminish the person's ability to deliver competent patient | ||
care.
| ||
"Nurse" means a registered professional nurse, a certified | ||
registered
nurse anesthetist licensed as an advanced practice
| ||
nurse, or a licensed practical nurse licensed under the Nurse | ||
Practice Act.
| ||
"Patient of record" means a patient for whom the patient's | ||
most recent
dentist has obtained
a
relevant medical and dental | ||
history and on whom the dentist has performed an
examination | ||
and evaluated the condition to be treated.
|
"Dental responder" means a dentist or dental hygienist who | ||
is appropriately certified in disaster preparedness, | ||
immunizations, and dental humanitarian medical response | ||
consistent with the Society of Disaster Medicine and Public | ||
Health and training certified by the National Incident | ||
Management System or the National Disaster Life Support | ||
Foundation.
| ||
"Mobile dental van or portable dental unit" means any | ||
self-contained or portable dental unit in which dentistry is | ||
practiced that can be moved, towed, or transported from one | ||
location to another in order to establish a location where | ||
dental services can be provided. | ||
"Public health dental hygienist" means a hygienist who | ||
holds a valid license to practice in the State, has 2 years of | ||
full-time clinical experience or an equivalent of 4,000 hours | ||
of clinical experience and has completed 72 hours of additional | ||
course work in areas specific to public health dentistry, | ||
including, but not limited to, emergency procedures for | ||
medically compromised patients, pharmacology, medical | ||
recordkeeping procedures, geriatric dentistry, pediatric | ||
dentistry, and pathology, and works in a public health setting | ||
pursuant to a written public health supervision agreement as | ||
defined by rule by the Department with a dentist working in or | ||
contracted with a local or State government agency or | ||
institution or who is providing services as part of a certified | ||
school-based program or school-based oral health program. |
"Public health setting" means a federally qualified health | ||
center; a federal, State, or local public health facility; Head | ||
Start; a special supplemental nutrition program for Women, | ||
Infants, and Children (WIC) facility; or a certified | ||
school-based health center or school-based oral health | ||
program. | ||
"Public health supervision" means the supervision of a | ||
public health dental hygienist by a licensed dentist who has a | ||
written public health supervision agreement with that public | ||
health dental hygienist while working in an approved facility | ||
or program that allows the public health dental hygienist to | ||
treat patients, without a dentist first examining the patient | ||
and being present in the facility during treatment, (1) who are | ||
eligible for Medicaid or (2) who are uninsured and whose | ||
household income is not greater than 200% of the federal | ||
poverty level. | ||
(Source: P.A. 99-25, eff. 1-1-16.)
| ||
(225 ILCS 25/6)
(from Ch. 111, par. 2306)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 6. Board of Dentistry - Report By Majority Required. | ||
There
is created a Board of Dentistry, to be composed of | ||
persons designated from
time to time by the Secretary, as | ||
follows:
| ||
Eleven persons, 8 of whom have been dentists for a period | ||
of 5
years or
more; 2 of whom have been dental hygienists
for a |
period of 5 years or more, and one public member.
None of the | ||
members shall be an officer, dean, assistant dean, or associate
| ||
dean of a
dental college or dental department of an institute | ||
of learning, nor shall any
member be
the program director of | ||
any dental hygiene program. A board member who holds a
faculty | ||
position in a dental school or dental hygiene program shall not
| ||
participate in the
examination of applicants for licenses from | ||
that school or program. The
dental
hygienists shall not | ||
participate in the examination of
applicants for licenses
to | ||
practice dentistry. The public member shall not participate in | ||
the
examination of applicants for licenses to
practice | ||
dentistry or dental
hygiene. The board shall annually elect a | ||
chairman and vice-chairman who shall be dentists a dentist .
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Terms for all members shall be for 4 years. Partial terms | ||
over 2 years
in length shall be considered as full terms. A | ||
member may be reappointed
for a successive term, but no member | ||
shall serve more than 2 full terms in
his or her lifetime.
| ||
The membership of the Board shall include only residents | ||
from various
geographic areas of this State and shall include | ||
at least some graduates
from various institutions of dental | ||
education in this State.
| ||
In making appointments to the Board the Secretary shall | ||
give due
consideration to recommendations by organizations of | ||
the dental profession
in Illinois, including the Illinois State | ||
Dental Society and Illinois
Dental Hygienists Association, and | ||
shall promptly give due notice to
such organizations of any |
vacancy in the membership of the Board.
The Secretary may | ||
terminate the appointment of any member for cause which in
the | ||
opinion of the Secretary reasonably justifies such | ||
termination.
| ||
A vacancy in the membership of the Board
shall not impair | ||
the right of a quorum to exercise all the rights
and perform | ||
all the duties of the Board.
Any action to be taken by the | ||
Board under this Act may be authorized
by resolution at any | ||
regular or special meeting, and each such resolution
shall take | ||
effect immediately. The Board shall meet at least quarterly.
| ||
The Board may adopt all rules and regulations necessary and | ||
incident
to its powers and duties under this Act.
| ||
The members of the Board shall each receive as compensation | ||
a reasonable
sum as determined by the Secretary for each day | ||
actually engaged in the
duties of the office, and all | ||
legitimate and necessary expense incurred in
attending the | ||
meetings of the Board.
| ||
Members of the Board shall be immune from suit in any | ||
action based
upon any disciplinary proceedings or other | ||
activities performed in good
faith as members of the Board.
| ||
(Source: P.A. 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/8.5)
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(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 8.5. Unlicensed practice; violation; civil penalty.
| ||
(a) Any person who practices, offers to practice, attempts |
to practice, or
holds oneself out to practice dentistry or | ||
dental hygiene without being licensed under this Act
shall, in
| ||
addition to any other penalty provided by law, pay a civil | ||
penalty to the
Department in an amount not to exceed $10,000 | ||
for each offense
as determined by
the Department. The civil | ||
penalty shall be assessed by the Department after a
hearing is | ||
held in accordance with the provisions set forth in this Act
| ||
regarding the provision of a hearing for the discipline of a | ||
licensee.
| ||
(b) The Department has the authority and power to | ||
investigate any and all
unlicensed activity.
| ||
(c) The civil penalty shall be paid within 60 days after | ||
the effective date
of the order imposing the civil penalty. The | ||
order shall constitute a judgment
and may be filed and | ||
execution had thereon in the same manner as any judgment
from | ||
any court of record.
| ||
(Source: P.A. 88-223; 89-80, eff. 6-30-95 .)
| ||
(225 ILCS 25/16.1) (from Ch. 111, par. 2316.1)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 16.1. Continuing education. The Department shall | ||
promulgate
rules of continuing education for persons licensed | ||
under
this Act. In establishing rules, the Department shall | ||
require a minimum of
48 hours of study in approved courses for | ||
dentists during each 3-year
licensing period and a minimum of | ||
36 hours of study in approved courses for
dental hygienists |
during each 3-year licensing period.
| ||
The Department shall approve only courses that are relevant | ||
to the
treatment and care of patients, including, but not | ||
limited to, clinical
courses in dentistry and dental hygiene | ||
and nonclinical courses such as
patient management, legal and | ||
ethical responsibilities, and stress
management. The | ||
Department shall allow up to 4 hours of continuing education | ||
credit hours per license renewal period for volunteer hours | ||
spent providing clinical services at, or sponsored by, a | ||
nonprofit community clinic, local or state health department, | ||
or a charity event. Courses shall not be approved in such | ||
subjects as estate and
financial planning, investments, or | ||
personal health. Approved courses may
include, but shall not be | ||
limited to, courses that are offered or sponsored
by approved | ||
colleges, universities, and hospitals and by recognized
| ||
national, State, and local dental and dental hygiene | ||
organizations.
| ||
No license shall be renewed unless the
renewal application | ||
is accompanied by an affidavit indicating that the
applicant | ||
has completed the required minimum number of hours of | ||
continuing
education in approved courses as required by this | ||
Section.
The affidavit shall not require a listing of courses. | ||
The affidavit
shall be a prima facie evidence that the | ||
applicant has obtained the minimum
number of required | ||
continuing education hours in approved courses. The
Department | ||
shall not be obligated to conduct random
audits or otherwise |
independently verify that an applicant has met the
continuing | ||
education requirement.
The Department, however, may not | ||
conduct random audits
of more than 10% of the licensed
dentists | ||
and dental hygienists in any one licensing cycle
to verify | ||
compliance
with continuing education requirements.
If the | ||
Department, however, receives a
complaint that a licensee has | ||
not completed the required continuing
education or if the | ||
Department is investigating another alleged violation
of this | ||
Act by a licensee, the Department may demand and shall be | ||
entitled
to receive evidence from any licensee of completion of | ||
required
continuing education courses for the most recently | ||
completed 3-year
licensing period.
Evidence of continuing | ||
education may include, but is not limited to, canceled
checks, | ||
official verification forms of attendance, and continuing | ||
education
recording forms, that demonstrate a reasonable | ||
record of attendance. The
Board shall determine, in accordance | ||
with rules adopted by the
Department,
whether a licensee or | ||
applicant has met the continuing education
requirements.
Any | ||
dentist who holds more than one license under this
Act shall be | ||
required to complete
only the minimum number of hours of | ||
continuing education required for
renewal of a single license. | ||
The Department may provide exemptions from
continuing | ||
education requirements. The exemptions shall include, but | ||
shall
not be limited to, dentists and dental hygienists who | ||
agree not to practice
within the State during the licensing | ||
period because they are retired from
practice.
|
(Source: P.A. 97-526, eff. 1-1-12; 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/17) (from Ch. 111, par. 2317)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 17. Acts Constituting the Practice of Dentistry. A | ||
person
practices dentistry, within the meaning of this Act:
| ||
(1) Who represents himself or herself as being able to | ||
diagnose or diagnoses,
treats, prescribes, or operates for | ||
any disease, pain, deformity, deficiency,
injury, or | ||
physical condition of the human tooth, teeth, alveolar | ||
process,
gums or jaw; or
| ||
(2) Who is a manager, proprietor, operator or conductor | ||
of a
business where
dental operations are performed; or
| ||
(3) Who performs dental operations of any kind; or
| ||
(4) Who uses an X-Ray machine or X-Ray films for
dental | ||
diagnostic purposes; or
| ||
(5) Who extracts a human tooth or teeth, or corrects or | ||
attempts to
correct
malpositions of the human teeth or | ||
jaws; or
| ||
(6) Who offers or undertakes, by any means or method, | ||
to diagnose, treat
or remove stains, calculus, and bonding | ||
materials from human teeth or jaws; or
| ||
(7) Who uses or administers local or general | ||
anesthetics in the treatment
of dental or oral diseases or | ||
in any preparation incident to a dental operation
of any | ||
kind or character; or
|
(8) Who takes impressions of the human tooth, teeth, or | ||
jaws or performs
any phase of any operation incident to the | ||
replacement of a part of a tooth,
a tooth, teeth or | ||
associated tissues by means of a filling, crown, a bridge,
| ||
a denture or other appliance; or
| ||
(9) Who offers to furnish, supply, construct, | ||
reproduce or repair, or
who furnishes, supplies, | ||
constructs, reproduces or repairs, prosthetic
dentures, | ||
bridges or other substitutes for natural teeth, to the user | ||
or
prospective user thereof; or
| ||
(10) Who instructs students on clinical matters or | ||
performs any clinical
operation included in the curricula | ||
of recognized dental schools and colleges; or
| ||
(11) Who takes impressions of human teeth or places his | ||
or her hands in the mouth of any person for the purpose of | ||
applying teeth whitening materials, or who takes | ||
impressions of human teeth or places his or her hands in | ||
the mouth of any person for the purpose of assisting in the | ||
application of teeth whitening materials. A person does not | ||
practice dentistry when he or she discloses to the consumer | ||
that he or she is not licensed as a dentist under this Act | ||
and (i) discusses the use of teeth whitening materials with | ||
a consumer purchasing these materials; (ii) provides | ||
instruction on the use of teeth whitening materials with a | ||
consumer purchasing these materials; or (iii) provides | ||
appropriate equipment on-site to the consumer for the |
consumer to self-apply teeth whitening materials. | ||
The fact that any person engages in or performs, or offers | ||
to engage in
or perform, any of the practices, acts, or | ||
operations set forth in this
Section, shall be prima facie | ||
evidence that such person is engaged in the
practice of | ||
dentistry.
| ||
The following practices, acts, and operations, however, | ||
are exempt from
the operation of this Act:
| ||
(a) The rendering of dental relief in emergency cases | ||
in the practice
of his or her profession by a physician or | ||
surgeon, licensed as such
under the laws of this State, | ||
unless he or she undertakes to reproduce or reproduces
lost | ||
parts of the human teeth in the mouth or to restore or | ||
replace lost
or missing teeth in the mouth; or
| ||
(b) The practice of dentistry in the discharge of their | ||
official duties
by dentists in any branch of the Armed | ||
Services of the United States, the
United States Public | ||
Health Service, or the United States Veterans
| ||
Administration; or
| ||
(c) The practice of dentistry by students in their | ||
course of study
in dental schools or colleges approved by | ||
the Department, when acting under the
direction and | ||
supervision of dentists acting as instructors; or
| ||
(d) The practice of dentistry by clinical instructors | ||
in the course of
their teaching duties in dental schools or | ||
colleges approved by the
Department:
|
(i) when acting under the direction and | ||
supervision of dentists,
provided that such clinical | ||
instructors have instructed continuously in
this State | ||
since January 1, 1986; or
| ||
(ii) when holding the rank of full professor at | ||
such approved dental
school or college and possessing a | ||
current valid license or authorization
to practice | ||
dentistry in another country; or
| ||
(e) The practice of dentistry by licensed dentists of | ||
other states or
countries at meetings of the Illinois State | ||
Dental Society or component
parts thereof, alumni meetings | ||
of dental colleges, or any other like dental
organizations, | ||
while appearing as clinicians; or
| ||
(f) The use of X-Ray machines for exposing X-Ray films | ||
of dental or oral
tissues by dental hygienists or dental | ||
assistants; or
| ||
(g) The performance of any dental service by a dental | ||
assistant, if such
service is performed under the | ||
supervision and full responsibility of a
dentist.
| ||
For purposes of this paragraph (g), "dental service" is | ||
defined to mean
any intraoral procedure or act which shall | ||
be prescribed by rule or
regulation of the Department. | ||
Dental service, however, shall not include:
| ||
(1) Any and all diagnosis of or prescription for | ||
treatment of disease,
pain, deformity, deficiency, | ||
injury or physical condition of the human teeth
or |
jaws, or adjacent structures.
| ||
(2) Removal of, or restoration of, or addition
to | ||
the hard or soft tissues of the oral cavity, except for | ||
the placing, carving, and finishing of amalgam | ||
restorations by dental assistants who have had | ||
additional formal education and certification as | ||
determined by the Department. A dentist utilizing | ||
dental assistants shall not supervise more than 4 | ||
dental assistants at any one time for placing, carving, | ||
and finishing of amalgam restorations.
| ||
(3) Any and all correction of malformation of teeth | ||
or of the jaws.
| ||
(4) Administration of anesthetics, except for | ||
monitoring of
nitrous oxide, conscious sedation, deep | ||
sedation, and general anesthetic as provided in | ||
Section 8.1 of this Act, that may be performed only | ||
after successful completion of a training
program | ||
approved by the Department. A dentist utilizing dental | ||
assistants shall not supervise more than 4 dental | ||
assistants at any one time for the monitoring of | ||
nitrous oxide.
| ||
(5) Removal of calculus from human teeth.
| ||
(6) Taking of impressions for the fabrication of | ||
prosthetic
appliances,
crowns,
bridges, inlays, | ||
onlays, or other restorative or replacement
dentistry.
| ||
(7) The operative procedure of dental hygiene |
consisting of oral
prophylactic procedures, except for | ||
coronal polishing and pit and fissure sealants,
which | ||
may be
performed by a
dental assistant who has | ||
successfully completed a training program approved by
| ||
the Department. Dental assistants may perform coronal | ||
polishing under the
following circumstances: (i) the | ||
coronal polishing shall be limited to
polishing the
| ||
clinical crown of the tooth and existing restorations, | ||
supragingivally; (ii)
the
dental assistant performing | ||
the coronal polishing shall be limited to the use
of
| ||
rotary instruments using a rubber cup or brush | ||
polishing method (air polishing
is
not permitted); and | ||
(iii) the supervising dentist shall not supervise more
| ||
than 4
dental assistants at any one time for the task | ||
of coronal polishing or pit and fissure sealants.
| ||
In addition to coronal polishing and pit and | ||
fissure sealants as described in this item (7), a | ||
dental assistant who has at least 2,000 hours of | ||
clinical experience and who has successfully completed | ||
a training program approved by rule by the Department | ||
may perform: (A) coronal scaling above the gum line, | ||
supragingivally, on the clinical crown of the tooth | ||
only on patients 12 years of age or younger who have an | ||
absence of periodontal disease and who are not | ||
medically compromised or individuals with special | ||
needs and (B) intracoronal temporization of a tooth. |
The training program approved by the Department must: | ||
(I) include a minimum of 16 hours of instruction in | ||
both didactic and clinical manikin or human subject | ||
instruction; all training programs shall include | ||
courses in dental anatomy, public health dentistry, | ||
medical history, dental emergencies, and managing the | ||
pediatric patient; (II) include an outcome assessment | ||
examination that demonstrates competency; (III) | ||
require the supervising dentist to observe and approve | ||
the completion of 6 full mouth supragingival scaling | ||
procedures; and (IV) issue a certificate of completion | ||
of the training program, which must be kept on file at | ||
the dental office. A dental assistant must have | ||
successfully completed an approved coronal polishing | ||
course prior to taking the coronal scaling course. A | ||
dental assistant performing these functions shall be | ||
limited to the use of hand instruments only. In | ||
addition, coronal scaling as described in this | ||
paragraph shall only be utilized on patients who are | ||
eligible for Medicaid or who are uninsured and whose | ||
household income is not greater than 200% of the | ||
federal poverty level. A dentist may not supervise more | ||
than 2 dental assistants at any one time for the task | ||
of coronal scaling. This paragraph is inoperative on | ||
and after January 1, 2021. | ||
The limitations on the number of dental assistants a |
dentist may supervise contained in items (2), (4), and (7) | ||
of this paragraph (g) mean a limit of 4 total dental | ||
assistants or dental hygienists doing expanded functions | ||
covered by these Sections being supervised by one dentist. | ||
(h) The practice of dentistry by an individual who:
| ||
(i) has applied in writing to the Department, in | ||
form and substance
satisfactory to the Department, for | ||
a general dental license and has
complied with all | ||
provisions of Section 9 of this Act, except for the
| ||
passage of the examination specified in subsection (e) | ||
of Section 9 of this
Act; or
| ||
(ii) has applied in writing to the Department, in | ||
form and substance
satisfactory to the Department, for | ||
a temporary dental license and has
complied with all | ||
provisions of subsection (c) of Section 11 of this Act; | ||
and
| ||
(iii) has been accepted or appointed for specialty | ||
or residency training
by a hospital situated in this | ||
State; or
| ||
(iv) has been accepted or appointed for specialty | ||
training in an
approved dental program situated in this | ||
State; or
| ||
(v) has been accepted or appointed for specialty | ||
training in a dental
public health agency situated in | ||
this State.
| ||
The applicant shall be permitted to practice dentistry |
for a period of 3
months from the starting date of the | ||
program, unless authorized in writing
by the Department to | ||
continue such practice for a period specified in
writing by | ||
the Department.
| ||
The applicant shall only be entitled to perform such | ||
acts as may be
prescribed by and incidental to his or her | ||
program of residency or specialty
training and shall not | ||
otherwise engage in the practice of dentistry in this
| ||
State.
| ||
The authority to practice shall terminate immediately | ||
upon:
| ||
(1) the decision of the Department that the | ||
applicant has failed the
examination; or
| ||
(2) denial of licensure by the Department; or
| ||
(3) withdrawal of the application.
| ||
(Source: P.A. 97-526, eff. 1-1-12; 97-886, eff. 8-2-12; | ||
97-1013, eff. 8-17-12; 98-147, eff. 1-1-14; 98-463, eff. | ||
8-16-13; 98-756, eff. 7-16-14.)
| ||
(225 ILCS 25/18)
(from Ch. 111, par. 2318)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 18. Acts constituting the practice of dental hygiene;
| ||
limitations. | ||
(a) A person practices dental hygiene within the meaning of | ||
this Act when
he or she performs the following acts under the | ||
supervision of a dentist:
|
(i) the operative procedure of dental hygiene, | ||
consisting of oral
prophylactic procedures;
| ||
(ii) the exposure and processing of X-Ray films of | ||
the teeth and
surrounding structures;
| ||
(iii) the application to the surfaces of the teeth | ||
or gums of chemical
compounds designed to be | ||
desensitizing agents or effective agents in the
| ||
prevention of dental caries or periodontal disease;
| ||
(iv) all services which may be performed by a
| ||
dental assistant as specified by rule pursuant to | ||
Section 17, and a dental hygienist may engage in the | ||
placing, carving, and finishing of amalgam | ||
restorations only after obtaining formal education and | ||
certification as determined by the Department;
| ||
(v) administration and monitoring of nitrous oxide | ||
upon successful
completion of a
training program | ||
approved by the Department;
| ||
(vi) administration of local anesthetics upon | ||
successful completion of
a
training program approved | ||
by the Department; and
| ||
(vii) such other procedures and acts as shall be | ||
prescribed
by
rule or regulation of the Department.
| ||
(b) A dental hygienist may be employed or engaged only:
| ||
(1) by a dentist;
| ||
(2) by a federal, State, county, or municipal agency or | ||
institution;
|
(3) by a public or private school; or
| ||
(4) by a public clinic operating under the direction of | ||
a hospital or
federal,
State, county, municipal, or other | ||
public agency or institution.
| ||
(c) When employed or engaged in the office of a dentist, a | ||
dental hygienist
may
perform, under general supervision, those | ||
procedures found in items (i) through
(iv) of
subsection (a) of | ||
this Section, provided the patient has been examined by the
| ||
dentist
within one year of the provision of dental hygiene | ||
services, the dentist has
approved the
dental hygiene services | ||
by a notation in the patient's record and the patient
has been
| ||
notified that the dentist may be out of the office during the | ||
provision of
dental hygiene
services.
| ||
(d) If a patient of record is unable to travel to a dental | ||
office because of
illness,
infirmity, or
imprisonment, a dental | ||
hygienist may perform, under the general supervision of
a | ||
dentist,
those procedures found in items (i) through (iv) of | ||
subsection (a) of this
Section,
provided the patient is located | ||
in a long-term care facility licensed by the
State of Illinois,
| ||
a mental health or developmental disability facility, or a | ||
State or federal
prison. The dentist
shall personally examine | ||
and diagnose the patient and determine which
services are | ||
necessary to be performed, which shall be contained in an order | ||
to the hygienist and a notation in the patient's record.
Such | ||
order must be implemented within 120 days
of its issuance, and | ||
an updated medical history and observation of oral
conditions
|
must be performed by the hygienist immediately prior to | ||
beginning the
procedures to ensure that the patient's health | ||
has not changed in any
manner to warrant a reexamination by the | ||
dentist.
| ||
(e) School-based oral health care,
consisting of and | ||
limited to oral prophylactic
procedures, sealants, and | ||
fluoride treatments,
may be provided by a dental hygienist
| ||
under the general supervision of a dentist. A dental hygienist | ||
may not provide
other dental hygiene treatment in a | ||
school-based setting, including but not
limited to | ||
administration or monitoring of nitrous oxide or | ||
administration of
local anesthetics. The school-based | ||
procedures may be performed provided the
patient is located at | ||
a public or private school and the program is being
conducted | ||
by a State, county or local public health department initiative | ||
or in
conjunction with a dental school or dental hygiene | ||
program.
The dentist shall personally examine and diagnose the | ||
patient and
determine
which services are necessary to be | ||
performed, which shall be contained in an
order to the
| ||
hygienist and a notation in the patient's record. Any such | ||
order for sealants must be implemented within 120 days after | ||
its issuance. Any such order for oral prophylactic procedures | ||
or fluoride treatments must be implemented within 180 days | ||
after its issuance. An updated medical history and observation | ||
of
oral conditions
must be
performed by the hygienist | ||
immediately prior to beginning the procedures to
ensure that
|
the patient's health has not changed in any manner to warrant a | ||
reexamination
by the
dentist.
| ||
(f) Without the supervision of a dentist, a dental | ||
hygienist
may perform
dental health education functions and may | ||
record case histories and oral
conditions observed.
| ||
(g) The number of dental hygienists practicing in a dental | ||
office shall
not
exceed, at any one time, 4 times the number of | ||
dentists practicing in the
office at the time.
| ||
(h) A dental hygienist who is certified as a public health | ||
dental hygienist may provide services to patients: (1) who are | ||
eligible for Medicaid or (2) who are uninsured and whose | ||
household income is not greater than 200% of the federal | ||
poverty level. A public health dental hygienist may perform | ||
oral assessments, perform screenings, and provide educational | ||
and preventative services as provided in subsection (b) of | ||
Section 18.1 of this Act. The public health dental hygienist | ||
may not administer local anesthesia or nitrous oxide, or place, | ||
carve, or finish amalgam restorations or provide periodontal | ||
therapy under this exception. Each patient must sign a consent | ||
form that acknowledges that the care received does not take the | ||
place of a regular dental examination. The public health dental | ||
hygienist must provide the patient or guardian a written | ||
referral to a dentist for assessment of the need for further | ||
dental care at the time of treatment. Any indication or | ||
observation of a condition that could warrant the need for | ||
urgent attention must be reported immediately to the |
supervising dentist for appropriate assessment and treatment. | ||
This subsection (h) is inoperative on and after January 1, | ||
2021. | ||
(Source: P.A. 97-526, eff. 1-1-12.)
| ||
(225 ILCS 25/18.1 new) | ||
Sec. 18.1. Public health dental supervision | ||
responsibilities. | ||
(a) When working together in a public health supervision | ||
relationship, dentists and public health dental hygienists | ||
shall enter into a public health supervision agreement. The | ||
dentist providing public health supervision must: | ||
(1) be available to provide an appropriate level of | ||
contact, communication, collaboration, and consultation | ||
with the public health dental hygienist and must meet | ||
in-person with the public health dental hygienist at least | ||
quarterly for review and consultation; | ||
(2) have specific standing orders or policy guidelines | ||
for procedures that are to be carried out for each location | ||
or program, although the dentist need not be present when | ||
the procedures are being performed; | ||
(3) provide for the patient's additional necessary | ||
care in consultation with the public health dental | ||
hygienist; | ||
(4) file agreements and notifications as required; and | ||
(5) include procedures for creating and maintaining |
dental records, including protocols for transmission of | ||
all records between the public health dental hygienist and | ||
the dentist following each treatment, which shall include a | ||
notation regarding procedures authorized by the dentist | ||
and performed by the public health dental hygienist and the | ||
location where those records are to be kept. | ||
Each dentist and hygienist who enters into a public health | ||
supervision agreement must document and maintain a copy of any | ||
change or termination of that agreement. | ||
Dental records shall be owned and maintained by the | ||
supervising dentist for all patients treated under public | ||
health supervision, unless the supervising dentist is an | ||
employee of a public health clinic or federally qualified | ||
health center, in which case the public health clinic or | ||
federally qualified health center shall maintain the records. | ||
If a dentist ceases to be employed or contracted by the | ||
facility, the dentist shall notify the facility administrator | ||
that the public health supervision agreement is no longer in | ||
effect. A new public health supervision agreement is required | ||
for the public health dental hygienist to continue treating | ||
patients under public health supervision. | ||
A dentist entering into an agreement under this Section may | ||
supervise and enter into agreements for public health | ||
supervision with 2 public health dental hygienists. This shall | ||
be in addition to the limit of 4 dental hygienists per dentist | ||
set forth in subsection (g) of Section 18 of this Act. |
(b) A public health dental hygienist providing services | ||
under public health supervision may perform only those duties | ||
within the accepted scope of practice of dental hygiene, as | ||
follows: | ||
(1) the operative procedures of dental hygiene, | ||
consisting of oral prophylactic procedures, including | ||
prophylactic cleanings, application of fluoride, and | ||
placement of sealants; | ||
(2) the exposure and processing of x-ray films of the | ||
teeth and surrounding structures; and | ||
(3) such other procedures and acts as shall be | ||
prescribed by rule of the Department. | ||
Any patient treated under this subsection (b) must be | ||
examined by a dentist before additional services can be | ||
provided by a public health dental hygienist. | ||
(c) A public health dental hygienist providing services | ||
under public health supervision must: | ||
(1) provide to the patient, parent, or guardian a | ||
written plan for referral or an agreement for follow-up | ||
that records all conditions observed that should be called | ||
to the attention of a dentist for proper diagnosis; | ||
(2) have each patient sign a permission slip or consent | ||
form that informs them that the service to be received does | ||
not take the place of regular dental checkups at a dental | ||
office and is meant for people who otherwise would not have | ||
access to the service; |
(3) inform each patient who may require further dental | ||
services of that need; | ||
(4) maintain an appropriate level of contact and | ||
communication with the dentist providing public health | ||
supervision; and | ||
(5) complete an additional 4 hours of continuing | ||
education in areas specific to public health dentistry | ||
yearly. | ||
(d) Each public health dental hygienist who has rendered | ||
services under subsections (c), (d), and (e) of this Section | ||
must complete a summary report at the completion of a program | ||
or, in the case of an ongoing program, at least annually. The | ||
report must be completed in the manner specified by the | ||
Division of Oral Health in the Department of Public Health | ||
including information about each location where the public | ||
health dental hygienist has rendered these services. The public | ||
health dental hygienist must submit the form to the dentist | ||
providing supervision for his or her signature before sending | ||
it to the Division. | ||
(e) Public health dental hygienists providing services | ||
under public health supervision may be compensated for their | ||
work by salary, honoraria, and other mechanisms by the | ||
employing or sponsoring entity. Nothing in this Act shall | ||
preclude the entity that employs or sponsors a public health | ||
dental hygienist from seeking payment, reimbursement, or other | ||
source of funding for the services provided. |
(f) This Section is repealed on January 1, 2021.
| ||
(225 ILCS 25/23) (from Ch. 111, par. 2323)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 23. Refusal, revocation or suspension of dental | ||
licenses. The
Department may refuse to issue or renew, or may | ||
revoke, suspend, place on
probation, reprimand or take other | ||
disciplinary or non-disciplinary action as the Department
may | ||
deem proper, including imposing fines not to exceed $10,000 per | ||
violation, with
regard to any license for any one or any | ||
combination of
the following causes:
| ||
1. Fraud or misrepresentation in applying for or | ||
procuring a license under this Act, or in connection with | ||
applying for renewal of a license under this Act.
| ||
2. Inability to practice with reasonable judgment, | ||
skill, or safety as a result of habitual or excessive use | ||
or addiction to alcohol, narcotics, stimulants, or any | ||
other chemical agent or drug.
| ||
3. Willful or repeated violations of the rules of the | ||
Department of
Public Health or Department of Nuclear | ||
Safety.
| ||
4. Acceptance of a fee for service as a witness, | ||
without the
knowledge of the court, in addition to the fee | ||
allowed by the court.
| ||
5. Division of fees or agreeing to split or divide the | ||
fees received
for dental services with any person for |
bringing or referring a patient,
except in regard to | ||
referral services as provided for under Section 45,
or | ||
assisting in the care or treatment of a patient,
without | ||
the
knowledge of the patient or his or her legal | ||
representative. Nothing in this item 5 affects any bona | ||
fide independent contractor or employment arrangements | ||
among health care professionals, health facilities, health | ||
care providers, or other entities, except as otherwise | ||
prohibited by law. Any employment arrangements may include | ||
provisions for compensation, health insurance, pension, or | ||
other employment benefits for the provision of services | ||
within the scope of the licensee's practice under this Act. | ||
Nothing in this item 5 shall be construed to require an | ||
employment arrangement to receive professional fees for | ||
services rendered.
| ||
6. Employing, procuring, inducing, aiding or abetting | ||
a person not
licensed or registered as a dentist or dental | ||
hygienist to engage in the practice of
dentistry or dental | ||
hygiene . The person practiced upon is not an accomplice, | ||
employer,
procurer, inducer, aider, or abetter within the | ||
meaning of this Act.
| ||
7. Making any misrepresentations or false promises, | ||
directly or
indirectly, to influence, persuade or induce | ||
dental patronage.
| ||
8. Professional connection or association with or | ||
lending his or her name
to another for the illegal practice |
of dentistry by another, or
professional connection or | ||
association with any person, firm or
corporation holding | ||
himself, herself, themselves, or itself out in any manner
| ||
contrary to this Act.
| ||
9. Obtaining or seeking to obtain practice, money, or | ||
any other
things of value by false or fraudulent | ||
representations, but
not limited to, engaging in such | ||
fraudulent practice to defraud the
medical assistance | ||
program of the Department of Healthcare and Family Services | ||
(formerly Department of Public Aid) under the Illinois | ||
Public Aid Code.
| ||
10. Practicing under a false or, except as provided by | ||
law, an assumed name.
| ||
11. Engaging in dishonorable,
unethical, or | ||
unprofessional conduct of a character likely to deceive,
| ||
defraud, or harm the public.
| ||
12. Conviction by plea of guilty or nolo contendere, | ||
finding of guilt, jury verdict, or entry of judgment or by | ||
sentencing for any crime, including, but not limited to, | ||
convictions, preceding sentences of supervision, | ||
conditional discharge, or first offender probation, under | ||
the laws of any jurisdiction of the United States that (i) | ||
is a felony under the laws of this State or (ii) is a | ||
misdemeanor, an essential element of which is dishonesty, | ||
or that is directly related to the practice of dentistry.
| ||
13. Permitting a dental hygienist, dental assistant or |
other person
under his or her supervision to perform
any | ||
operation not authorized by this Act.
| ||
14. Permitting more than 4 dental hygienists to be | ||
employed under
his or her supervision at any one time.
| ||
15. A violation of any provision of this
Act or any | ||
rules promulgated under this Act.
| ||
16. Taking impressions for or using the services of any | ||
person, firm
or corporation violating this Act.
| ||
17. Violating any provision of Section 45 relating to | ||
advertising.
| ||
18. Discipline by another U.S. jurisdiction or foreign | ||
nation,
if at least one of the grounds for the discipline | ||
is the
same or substantially equivalent to those set forth | ||
within this Act.
| ||
19. Willfully failing to report an instance of | ||
suspected child abuse or
neglect as required by the Abused | ||
and Neglected Child Reporting
Act.
| ||
20. Gross negligence in practice under this Act.
| ||
21. The use or prescription for use of narcotics or | ||
controlled substances
or designated products as listed in | ||
the Illinois Controlled Substances
Act, in any way other | ||
than for therapeutic purposes.
| ||
22. Willfully making or filing false records or reports | ||
in his or her practice
as a dentist, including, but not | ||
limited to, false records to support claims
against the | ||
dental assistance program of the Department of Healthcare |
and Family Services (formerly
Illinois Department of | ||
Public
Aid).
| ||
23. Professional incompetence as manifested by poor | ||
standards of care.
| ||
24. Physical or mental illness, including, but not | ||
limited to,
deterioration
through
the aging process, or | ||
loss of motor skills which results in a dentist's
inability | ||
to practice dentistry with reasonable judgment, skill or | ||
safety. In
enforcing this paragraph, the Department may | ||
compel a person licensed to
practice under this Act to | ||
submit to a mental or physical examination pursuant
to the | ||
terms and conditions of Section 23b.
| ||
25. Gross or repeated irregularities in billing for | ||
services rendered
to a patient. For purposes of this | ||
paragraph 25, "irregularities in billing"
shall include:
| ||
(a) Reporting excessive charges for the purpose of | ||
obtaining a total
payment
in excess of that usually | ||
received by the dentist for the services rendered.
| ||
(b) Reporting charges for services not rendered.
| ||
(c) Incorrectly reporting services rendered for | ||
the purpose of obtaining
payment not earned.
| ||
26. Continuing the active practice of dentistry while | ||
knowingly having
any infectious, communicable, or | ||
contagious disease proscribed by rule or
regulation of the | ||
Department.
| ||
27. Being named as a perpetrator in an indicated report |
by the
Department of Children and Family Services pursuant | ||
to the Abused and
Neglected Child Reporting Act, and upon
| ||
proof by clear and convincing evidence that the licensee | ||
has
caused a child to be an abused child or neglected child | ||
as defined in the
Abused and Neglected Child Reporting Act.
| ||
28. Violating the Health Care Worker Self-Referral | ||
Act.
| ||
29. Abandonment of a patient.
| ||
30. Mental incompetency as declared by a court of | ||
competent
jurisdiction.
| ||
31. A finding by the Department that the licensee, | ||
after having his or her license placed on probationary | ||
status, has violated the terms of probation. | ||
32. Material misstatement in furnishing information to | ||
the Department. | ||
33. Failing, within 60 days, to provide information in | ||
response to a written request by the Department in the | ||
course of an investigation. | ||
34. Immoral conduct in the commission of any act, | ||
including, but not limited to, commission of an act of | ||
sexual misconduct related to the licensee's practice. | ||
35. Cheating on or attempting to subvert the licensing | ||
examination administered under this Act. | ||
36. A pattern of practice or other behavior that | ||
demonstrates incapacity or incompetence to practice under | ||
this Act. |
37. Failure to establish and maintain records of | ||
patient care and treatment as required under this Act. | ||
38. Failure to provide copies of dental records as | ||
required by law. | ||
All proceedings to suspend, revoke, place on probationary | ||
status, or
take any other disciplinary action as the Department | ||
may deem proper, with
regard to a license on any of the | ||
foregoing grounds, must be commenced
within 5 3 years after | ||
receipt by the Department of a complaint alleging the
| ||
commission of or notice of the conviction order for any of the | ||
acts
described herein. Except for fraud in procuring a license, | ||
no
action shall be commenced more than 7 5 years after the date | ||
of the incident
or act alleged to have violated this Section. | ||
The time during which the
holder of the license was outside the | ||
State of Illinois shall not be
included within any period of | ||
time limiting the commencement of
disciplinary action by the | ||
Department.
| ||
All fines imposed under this Section shall be paid within | ||
60 days after the effective date of the order imposing the fine | ||
or in accordance with the terms set forth in the order imposing | ||
the fine. | ||
The Department may refuse to issue or may suspend the | ||
license of any
person who fails to file a return, or to pay the | ||
tax, penalty or interest
shown in a filed return, or to pay any | ||
final assessment of tax, penalty or
interest, as required by | ||
any tax Act administered by the Illinois
Department of Revenue, |
until such time as the requirements of
any such tax Act are | ||
satisfied.
| ||
Any dentist who has had his or her license suspended or | ||
revoked for more than 5 years must comply with the requirements | ||
for restoration set forth in Section 16 prior to being eligible | ||
for reinstatement from the suspension or revocation. | ||
(Source: P.A. 96-1482, eff. 11-29-10; 97-102, eff. 7-14-11; | ||
97-813, eff. 7-13-12; 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/24) (from Ch. 111, par. 2324)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 24. Refusal, Suspension or Revocation of Dental | ||
Hygienist License. The
Department may refuse to issue or renew | ||
or
may revoke, suspend, place on probation, reprimand or take | ||
other
disciplinary or non-disciplinary action as the | ||
Department may deem proper, including imposing fines not
to | ||
exceed $10,000 per violation, with regard to any dental | ||
hygienist license
for any one or any combination of the | ||
following causes:
| ||
1. Fraud or misrepresentation in applying for or | ||
procuring a license under this Act, or in connection with | ||
applying for renewal of a license under this Act.
| ||
2. Performing any operation not authorized by this Act.
| ||
3. Practicing dental hygiene other than under the | ||
supervision of a
licensed dentist as provided by this Act.
| ||
4. The wilful violation of, or the wilful procuring of, |
or knowingly
assisting in the violation of, any Act which | ||
is now or which hereafter may
be in force in this State | ||
relating to the use of habit-forming drugs.
| ||
5. The obtaining of, or an attempt to obtain a license, | ||
or practice in the profession, or money, or any other thing
| ||
of value by fraudulent representation.
| ||
6. Gross negligence in performing the operative | ||
procedure of dental
hygiene.
| ||
7. Active practice of dental hygiene while knowingly | ||
having any
infectious, communicable, or contagious disease | ||
proscribed by rule
or regulation of the Department.
| ||
8. Inability to practice with reasonable judgment, | ||
skill, or safety as a result of habitual or excessive use | ||
or addiction to alcohol, narcotics, stimulants, or any | ||
other chemical agent or drug.
| ||
9. Conviction by plea of guilty or nolo contendere, | ||
finding of guilt, jury verdict, or entry of judgment or by | ||
sentencing of any crime, including, but not limited to, | ||
convictions, preceding sentences of supervision, | ||
conditional discharge, or first offender probation, under | ||
the laws of any jurisdiction of the United States that (i) | ||
is a felony or (ii) is a misdemeanor, an essential element | ||
of which is dishonesty, or that is directly related to the | ||
practice of dental hygiene.
| ||
10. Aiding or abetting the unlicensed practice of | ||
dentistry or
dental hygiene.
|
11. Discipline by another U.S. jurisdiction or a | ||
foreign nation, if at
least one of the grounds for the | ||
discipline is the same or substantially
equivalent to those | ||
set forth in this Act.
| ||
12. Violating the Health Care Worker Self-Referral | ||
Act.
| ||
13. Violating the prohibitions of Section 38.1 of this | ||
Act. | ||
14. Engaging in dishonorable, unethical, or | ||
unprofessional conduct of a character likely to deceive, | ||
defraud, or harm the public. | ||
15. A finding by the Department that the licensee, | ||
after having his or her license placed on probationary | ||
status, has violated the terms of probation.
| ||
16. Material misstatement in furnishing information to | ||
the Department. | ||
17. Failing, within 60 days, to provide information in | ||
response to a written request by the Department in the | ||
course of an investigation. | ||
18. Immoral conduct in the commission of any act, | ||
including, but not limited to, commission of an act of | ||
sexual misconduct related to the licensee's practice. | ||
19. Cheating on or attempting to subvert the licensing | ||
examination administered under this Act. | ||
20. Violations of this Act or of the rules promulgated | ||
under this Act. |
21. Practicing under a false or, except as provided by | ||
law, an assumed name. | ||
The provisions of this Act relating to proceedings for the | ||
suspension
and revocation of a license to practice dentistry | ||
shall apply to
proceedings for the suspension or revocation of | ||
a license as a dental
hygienist.
| ||
All proceedings to suspend, revoke, place on probationary | ||
status, or take any other disciplinary action as the Department | ||
may deem proper with regard to a license on any of the grounds | ||
contained in this Section, must be commenced within 5 years | ||
after receipt by the Department of a complaint alleging the | ||
commission of or notice of the conviction order for any of the | ||
acts described in this Section. Except for fraud in procuring a | ||
license, no action shall be commenced more than 7 years after | ||
the date of the incident or act alleged to have violated this | ||
Section. The time during which the holder of the license was | ||
outside the State of Illinois shall not be included within any | ||
period of time limiting the commencement of disciplinary action | ||
by the Department. | ||
All fines imposed under this Section shall be paid within | ||
60 days after the effective date of the order imposing the fine | ||
or in accordance with the terms set forth in the order imposing | ||
the fine. | ||
Any dental hygienist who has had his or her license | ||
suspended or revoked for more than 5 years must comply with the | ||
requirements for restoration set forth in Section 16 prior to |
being eligible for reinstatement from the suspension or | ||
revocation. | ||
(Source: P.A. 97-102, eff. 7-14-11; 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/25) (from Ch. 111, par. 2325)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 25. Notice of hearing; investigations and informal
| ||
conferences. | ||
(a) Upon the motion of
either the Department or the Board | ||
or upon the verified complaint
in writing of any person setting | ||
forth facts which
if proven would constitute grounds for | ||
refusal, suspension or revocation
of license under this Act, | ||
the Board shall
investigate the actions of any
person, | ||
hereinafter called the respondent, who holds or
represents that | ||
he
or she holds a license. All such motions or complaints shall | ||
be brought to the Board.
| ||
(b) Prior to taking an in-person statement from a dentist | ||
or
dental hygienist who is the subject of a complaint, the | ||
investigator shall
inform the dentist or the dental hygienist | ||
in writing:
| ||
(1) that the dentist or dental hygienist is the subject | ||
of a complaint;
| ||
(2) that the dentist or dental hygienist
need not | ||
immediately proceed with the interview and may seek | ||
appropriate
consultation prior to consenting to the | ||
interview; and
|
(3) that failure of the dentist or dental hygienist to | ||
proceed with the interview shall not prohibit the | ||
Department from conducting a visual inspection of the | ||
facility.
| ||
A Department investigator's failure to comply with this | ||
subsection may not
be the sole ground for dismissal of any | ||
order of the Department filed upon a
finding of a violation or | ||
for dismissal of a pending investigation.
| ||
(b-5) The duly authorized dental investigators of the | ||
Department shall have the right to enter and inspect, during | ||
business hours, the business premises of a dentist licensed | ||
under this Act or of a person who holds himself or herself out | ||
as practicing dentistry, with due consideration for patient | ||
care of the subject of the investigation, so as to inspect the | ||
physical premises and equipment and furnishings therein. This | ||
right of inspection shall not include inspection of business, | ||
medical, or personnel records located on the premises without a | ||
Department subpoena issued in accordance with Section 25.1 of | ||
this Act or Section 2105-105 of the Department of Professional | ||
Regulation Law of the Civil Administrative Code of Illinois. | ||
For the purposes of this Section, "business premises" means the | ||
office or offices where the dentist conducts the practice of | ||
dentistry. | ||
(c) If the Department concludes on the basis of a complaint | ||
or its initial
investigation that there is a possible violation | ||
of the Act,
the
Department may:
|
(1) schedule a hearing pursuant to this Act; or
| ||
(2) request
in writing that the dentist or dental | ||
hygienist being investigated attend an
informal
conference | ||
with representatives of the Department.
| ||
The request for an informal conference shall contain the | ||
nature of the
alleged actions or
inactions that constitute the | ||
possible violations.
| ||
A dentist or dental hygienist shall be allowed to have | ||
legal counsel at the
informal conference. If the informal | ||
conference results in a consent order
between the accused | ||
dentist or dental hygienist and the Department, the
consent | ||
order
must be approved by the Secretary. However, if the | ||
consent order would result in a fine exceeding $10,000 or the | ||
suspension or revocation of the dentist or dental hygienist | ||
license, the consent order must be approved by the Board and | ||
the Secretary. Participation in
the informal conference by a | ||
dentist, a dental hygienist, or the Department and
any | ||
admissions or
stipulations made by a dentist, a dental | ||
hygienist, or the Department at the
informal conference,
| ||
including any agreements in a consent order that is | ||
subsequently disapproved
by either the Board or the Secretary, | ||
shall not be used against the dentist,
dental hygienist, or | ||
Department at any subsequent hearing and shall not become
a | ||
part of the
record of the hearing.
| ||
(d) The Secretary shall, before suspending, revoking, | ||
placing on
probationary
status, or taking any other |
disciplinary action as the Secretary may deem
proper with | ||
regard to any license, at least 30 days prior
to the date set | ||
for the hearing, notify the respondent in
writing of any | ||
charges
made and the time and place for a hearing of the | ||
charges before the Board,
direct him or her to file his or her | ||
written answer thereto to the Board
under oath within 20 days | ||
after the service on him or her of such notice
and inform him | ||
or her that if he or she fails to file such answer default
will | ||
be taken against him or her and his or her license may be | ||
suspended,
revoked, placed on probationary status,
or other | ||
disciplinary action may be taken with regard thereto, including
| ||
limiting the scope, nature or extent of his or her practice, as | ||
the Secretary
may deem proper.
| ||
(e) Such written notice and any notice in such proceedings | ||
thereafter
may be
served by delivery personally to the | ||
respondent, or by
registered or
certified mail to the address | ||
last theretofore specified by the respondent
in his or her last | ||
notification to the Secretary.
| ||
(Source: P.A. 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/26) (from Ch. 111, par. 2326)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 26. Disciplinary actions.
| ||
(a) In case the respondent, after
receiving notice, fails | ||
to file an answer, his or her license may, in the discretion of | ||
the Secretary, having first received
the recommendation of the |
Board, be suspended, revoked, placed on
probationary status, or | ||
the Secretary may take whatever disciplinary or | ||
non-disciplinary action
he or she may deem proper, including | ||
limiting the scope, nature, or extent of the
person's practice | ||
or the imposition of a fine, without a hearing, if the
act or | ||
acts charged constitute sufficient grounds for such action | ||
under this
Act.
| ||
(b) The Secretary may temporarily suspend the license of a | ||
dentist or dental hygienist without a hearing,
simultaneous to | ||
the institution of proceedings for a hearing under this
Act, if | ||
the Secretary finds that evidence in his or her possession | ||
indicates that a
dentist's or dental hygienist's continuation | ||
in practice would constitute
an immediate danger to the public. | ||
In the event that the Secretary
temporarily suspends the | ||
license of a dentist or a dental hygienist without a hearing, a | ||
hearing by the
Board must be held within 15 days after such | ||
suspension has occurred.
| ||
(c) The entry of a judgment by any circuit court | ||
establishing that any
person holding a license under this Act | ||
is a
person subject to involuntary admission under the Mental | ||
Health and
Developmental Disabilities Code shall operate as a | ||
suspension of that
license. That person may resume his or her
| ||
practice only upon a finding by the Board that he or she has | ||
been
determined to be no longer subject to involuntary | ||
admission by the court
and upon the Board's recommendation to | ||
the Secretary that he or she be
permitted to resume his or her |
practice.
| ||
(Source: P.A. 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/29) (from Ch. 111, par. 2329)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 29. Recommendations for disciplinary action - Action | ||
by Secretary. The Board may advise the Secretary that probation | ||
be granted or
that other disciplinary action, including the | ||
limitation of the scope,
nature or extent of a person's | ||
practice, be taken, as it deems proper. If
disciplinary action | ||
other than suspension or revocation is taken, the Board
may | ||
advise that the Secretary impose reasonable limitations and | ||
requirements
upon the respondent to insure compliance with the | ||
terms of the
probation or
other disciplinary action, including, | ||
but not limited to, regular reporting
by the respondent to the | ||
Secretary of his or her actions, or the
respondent's
placing | ||
himself or herself under the care of a qualified physician for
| ||
treatment or limiting his or her practice in such manner as the | ||
Secretary
may require.
| ||
The Board shall present to the Secretary a written report | ||
of its findings
and recommendations. A copy of such report | ||
shall be served upon the
respondent,
either personally or by | ||
registered or certified mail. Within 20 days after
such | ||
service, the respondent may present to the Department his
or | ||
her motion
in writing for a rehearing, specifying the | ||
particular ground therefor. If
the respondent orders from the |
reporting service and pays for a transcript of the record,
the | ||
time
elapsing thereafter and before such transcript is ready | ||
for delivery to him
or her shall not be counted as part of such | ||
20 days.
| ||
At the expiration of the time allowed for filing a motion | ||
for rehearing
the Secretary may take the action recommended by | ||
the Board. Upon suspension,
revocation, placement on | ||
probationary status, or the taking of any other
disciplinary | ||
action, including the limiting of the scope, nature, or extent
| ||
of one's practice, deemed proper by the Secretary, with regard | ||
to the
license, the respondent
shall surrender his or
her | ||
license to the Department, if ordered to
do so by the | ||
Department, and upon his or her failure or refusal to do so,
| ||
the Department may seize the same.
| ||
In all instances under this Act in which the Board has | ||
rendered a
recommendation to the Secretary with respect to a | ||
particular person, the Secretary
shall, to the extent that he | ||
or she disagrees with or takes action
contrary to the | ||
recommendation of the Board, file with the Board his or her | ||
specific written reasons of disagreement. Such
reasons shall be | ||
filed within 30 days after the Secretary has taken the
contrary | ||
position.
| ||
Each order of revocation, suspension, or other | ||
disciplinary action shall
contain a brief, concise statement of | ||
the ground or grounds upon which the
Department's action is | ||
based, as well as the specific terms and conditions
of such |
action. The original of this document shall be retained as a
| ||
permanent record by the Board and the Department. In those | ||
instances where
an order of revocation, suspension, or other | ||
disciplinary action has been
rendered by virtue of a dentist's | ||
or dental hygienist's physical illness,
including, but not | ||
limited to, deterioration through the aging process, or
loss of | ||
motor skill which results in an inability to practice with
| ||
reasonable judgment, skill, or safety, the Department shall | ||
permit only
this document and the record of the hearing | ||
incident thereto to be
observed, inspected, viewed, or copied | ||
pursuant to court order.
| ||
(Source: P.A. 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/30) (from Ch. 111, par. 2330)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 30. Appointment of a Hearing Officer. The Secretary | ||
shall have
the authority to appoint any attorney duly licensed | ||
to practice law in the
State of Illinois to serve as the | ||
hearing officer if any action for refusal
to issue, renew or | ||
discipline of a license.
The hearing officer shall have full | ||
authority to conduct the hearing. The
hearing officer shall | ||
report his or her findings and recommendations to the Board
and | ||
the Secretary. The Board shall have 60 days from receipt of the | ||
report
to review the report of the hearing officer and present | ||
its findings of
fact, conclusions of law and recommendations to | ||
the Secretary. If the Board
fails to present its report within |
the 60 day period, the Secretary shall
issue an order based on | ||
the report of the hearing officer. If the Secretary
determines | ||
that the Board's report is contrary to the manifest weight of
| ||
the evidence, he or she may issue an order in contravention of | ||
the Board's report.
| ||
Whenever the Secretary is satisfied that substantial | ||
justice has not been done in a formal disciplinary action or | ||
refusal to restore a license, he or she may order a | ||
reexamination or rehearing by the same or other hearing | ||
officer. | ||
(Source: P.A. 97-1013, eff. 8-17-12.)
| ||
(225 ILCS 25/41) (from Ch. 111, par. 2341)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 41. Dental Coordinator. The Department shall select a | ||
dental
coordinator, who shall not be a member of the Board. The | ||
dental
coordinator shall be a dentist. The dental coordinator | ||
shall be the chief
enforcement officer of the disciplinary | ||
provisions of this Act.
| ||
The Department shall employ, in conformity with the | ||
" Personnel Code " , such investigators as it deems necessary to | ||
investigate violations of this Act not
less than one full-time | ||
investigator for every 3,000 dentists and dental
hygienists in | ||
the State . Each investigator shall be a college graduate
with | ||
at least 2 years' investigative experience or one year of | ||
advanced
dental or medical education. The Department shall |
employ, in conformity
with the " Personnel Code " , such other | ||
professional, technical, investigative
and clerical assistance | ||
on either a full or part-time basis, as the
Department deems | ||
necessary for the proper performance of its duties. The
| ||
Department shall retain and use such hearing officers as it | ||
deems
necessary. All employees of the Department shall be | ||
directed by, and
answerable to, the Department, with respect to | ||
their duties and functions.
| ||
(Source: P.A. 84-365 .)
| ||
(225 ILCS 25/50) (from Ch. 111, par. 2350)
| ||
(Section scheduled to be repealed on January 1, 2016)
| ||
Sec. 50. Patient Records. Every dentist shall make
a record | ||
of all dental work performed for each patient. The record shall
| ||
be made in a manner and in sufficient detail that it may be | ||
used for
identification purposes.
| ||
Dental records required by this Section shall be maintained | ||
for 10 years.
Dental records required to be maintained under | ||
this Section, or copies
of those dental records, shall be made | ||
available upon request to the
patient or the patient's | ||
guardian. A dentist shall be entitled to reasonable | ||
reimbursement for the cost of reproducing these records, which | ||
shall not exceed the cost allowed under Section 8-2001 8-2003 | ||
of the Code of Civil Procedure. A dentist providing services | ||
through a mobile dental van or portable dental unit shall | ||
provide to the patient or the patient's parent or guardian, in |
writing, the dentist's name, license number, address, and | ||
information on how the patient or the patient's parent or | ||
guardian may obtain the patient's dental records, as provided | ||
by law.
| ||
(Source: P.A. 97-526, eff. 1-1-12.)
| ||
(225 ILCS 25/35 rep.)
| ||
Section 15. The Illinois Dental Practice Act is amended by | ||
repealing Section 35. | ||
Section 95. No acceleration or delay. Where this Act makes | ||
changes in a statute that is represented in this Act by text | ||
that is not yet or no longer in effect (for example, a Section | ||
represented by multiple versions), the use of that text does | ||
not accelerate or delay the taking effect of (i) the changes | ||
made by this Act or (ii) provisions derived from any other | ||
Public Act.
| ||
Section 99. Effective date. This Act takes effect December | ||
31, 2015.
|