93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB6710

 

Introduced 02/09/04, by Ed Sullivan Jr. - William B. Black - Angelo Saviano

 

SYNOPSIS AS INTRODUCED:
 
225 ILCS 25/18   from Ch. 111, par. 2318

    Amends the Illinois Dental Practice Act. Changes the circumstances under which a dental hygienist may be employed or engaged. Provides the procedures and acts that a dental hygienist may perform under specified circumstances.


LRB093 18353 AMC 44060 b

 

 

A BILL FOR

 

HB6710 LRB093 18353 AMC 44060 b

1     AN ACT concerning dental hygienists.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Illinois Dental Practice Act is amended by
5 changing Section 18 as follows:
 
6     (225 ILCS 25/18)  (from Ch. 111, par. 2318)
7     (Section scheduled to be repealed on January 1, 2006)
8     Sec. 18. Acts constituting the practice of dental hygiene; .
9 limitations.
10     (1) A dental hygienist may be employed or engaged only:
11         (a) Under the supervision of a dentist: (1) in the
12     office of a dentist. ;
13         (2) By a federal, State, county or municipal agency or
14     institution;
15         (3) By a public or private school; or
16         (4) By a public clinic operating under the direction of
17     a hospital or federal, State, county, municipal or other
18     public agency or institution.
19     When employed or engaged pursuant to this paragraph (a) a
20 dental hygienist may perform the following procedures and acts:
21             (i) the operative procedure of dental hygiene,
22         consisting of oral prophylactic procedures;
23             (ii) the exposure and processing of X-Ray films of
24         the teeth and surrounding structures;
25             (iii) the application to the surfaces of the teeth
26         or gums of chemical compounds designed to be
27         desensitizing agents or effective agents in the
28         prevention of dental caries or periodontal disease;
29             (iv) all services which may be performed by a
30         dental assistant as specified by rule pursuant to
31         Section 17;
32             (v) administration and monitoring of nitrous oxide

 

 

HB6710 - 2 - LRB093 18353 AMC 44060 b

1         upon successful completion of a training program
2         approved by the Department;
3             (vi) administration of local anesthetics upon
4         successful completion of a training program approved
5         by the Department; and
6             (vii) such other procedures and acts as shall be
7         prescribed by rule or regulation of the Department.
8         (b) Under the general supervision of a dentist (i) in
9     the office of a dentist, (ii) in a long-term care facility
10     licensed by the State of Illinois, (iii) in or a mental
11     health or developmental disability facility operated by
12     the Department of Human Services, (iv) in a public or
13     private school, (v) in a hospital, (vi) in a prison, (vii)
14     in a community health center or clinic, (viii) in a mobile
15     unit, or (ix) in a home health setting if the patient is
16     unable to travel to a dental office because of illness or
17     infirmity. The dentist shall personally examine and
18     diagnose the patient and determine which services are
19     necessary to be performed, which shall be contained in a
20     written order to the hygienist. Such order must be
21     implemented within 120 days of its issuance, and An updated
22     medical history and oral inspection must be performed by
23     the hygienist immediately prior to beginning the
24     procedures to ensure that the patient's health has not
25     changed in any manner to warrant a reexamination by the
26     dentist. The authorizing dentist shall be responsible for
27     providing the dental examination in a reasonable and
28     suitable time frame to ensure the patient's overall oral
29     health.
30     Before a dental hygienist may be employed or engaged under
31 the general supervision of a dentist, he or she must have been
32 actively engaged in the practice of dental hygiene under the
33 direct supervision of a dentist for a period of at least 12
34 months. A dental hygienist who provides services under the
35 general supervision of a dentist must show proof of
36 professional liability insurance.

 

 

HB6710 - 3 - LRB093 18353 AMC 44060 b

1     (2) (c) Without the supervision of a dentist, a dental
2     hygienist may perform dental health education functions and may
3     record case histories and oral conditions observed or, in a
4     public health setting, as defined jointly by the Department of
5     Public Health and the Illinois State Board of Dentistry,
6     provide fluoride treatments, cleanings, and sealants for
7     Medicaid eligible children.
8     Before a dental hygienist may be employed or engaged
9     without the supervision of a dentist, he or she must have been
10     actively engaged in the practice of dental hygiene under the
11     direct supervision of a dentist for a period of at least 24
12     months. A dental hygienist who provides services without the
13     supervision of a dentist must show proof of professional
14     liability insurance.
15     (3) The number of dental hygienists practicing in a dental
16 office shall not exceed, at any one time, 4 times the number of
17 dentists practicing in the office at the time.
18     (4) When employed or engaged pursuant to paragraph (a) or
19 (b) of subsection (1) of this Section, a dental hygienist may
20 perform the following procedures and acts:
21         (a) the operative procedure of dental hygiene,
22     consisting of oral prophylactic procedures;
23         (b) the exposure and processing of X-Ray films of the
24     teeth and surrounding structures;
25         (c) the application to the surfaces of the teeth or
26     gums of chemical compounds designed to be desensitizing
27     agents or effective agents in the prevention of dental
28     caries or periodontal disease;
29         (d) all services which may be performed by a dental
30     assistant as specified by rule pursuant to Section 17; and
31         (e) such other procedures and acts as shall be
32     prescribed by rule or regulation of the Department.
33     (5) A dental hygienist may only perform the following
34 procedures and acts upon successful completion of a training
35 program approved by the Department under the supervision of a
36 dentist:

 

 

HB6710 - 4 - LRB093 18353 AMC 44060 b

1         (a) administration and monitoring of nitrous oxide;
2     and
3         (b) administration of local anesthetics.
4 (Source: P.A. 93-113, eff. 1-1-04.)