Sen. Steve McClure

Filed: 5/5/2023

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 2077

2    AMENDMENT NO. ______. Amend House Bill 2077, AS AMENDED,
3by replacing everything after the enacting clause with the
4following:
 
5    "Section 5. The Illinois Dental Practice Act is amended by
6changing Sections 4, 11, 16.1, 17, 19, 23, and 50 and by adding
7Section 50.1 as follows:
 
8    (225 ILCS 25/4)   (from Ch. 111, par. 2304)
9    (Section scheduled to be repealed on January 1, 2026)
10    Sec. 4. Definitions. As used in this Act:
11    "Address of record" means the designated address recorded
12by the Department in the applicant's or licensee's application
13file or license file as maintained by the Department's
14licensure maintenance unit. It is the duty of the applicant or
15licensee to inform the Department of any change of address and
16those changes must be made either through the Department's

 

 

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1website or by contacting the Department.
2    "Department" means the Department of Financial and
3Professional Regulation.
4    "Secretary" means the Secretary of Financial and
5Professional Regulation.
6    "Board" means the Board of Dentistry.
7    "Dentist" means a person who has received a general
8license pursuant to paragraph (a) of Section 11 of this Act and
9who may perform any intraoral and extraoral procedure required
10in the practice of dentistry and to whom is reserved the
11responsibilities specified in Section 17.
12    "Dental hygienist" means a person who holds a license
13under this Act to perform dental services as authorized by
14Section 18.
15    "Dental assistant" means an appropriately trained person
16who, under the supervision of a dentist, provides dental
17services as authorized by Section 17.
18    "Expanded function dental assistant" means a dental
19assistant who has completed the training required by Section
2017.1 of this Act.
21    "Dental laboratory" means a person, firm, or corporation
22which:
23        (i) engages in making, providing, repairing, or
24    altering dental prosthetic appliances and other artificial
25    materials and devices which are returned to a dentist for
26    insertion into the human oral cavity or which come in

 

 

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1    contact with its adjacent structures and tissues; and
2        (ii) utilizes or employs a dental technician to
3    provide such services; and
4        (iii) performs such functions only for a dentist or
5    dentists.
6    "Supervision" means supervision of a dental hygienist or a
7dental assistant requiring that a dentist authorize the
8procedure, remain in the dental facility while the procedure
9is performed, and approve the work performed by the dental
10hygienist or dental assistant before dismissal of the patient,
11but does not mean that the dentist must be present at all times
12in the treatment room.
13    "General supervision" means supervision of a dental
14hygienist requiring that the patient be a patient of record,
15that the dentist examine the patient in accordance with
16Section 18 prior to treatment by the dental hygienist, and
17that the dentist authorize the procedures which are being
18carried out by a notation in the patient's record, but not
19requiring that a dentist be present when the authorized
20procedures are being performed. The issuance of a prescription
21to a dental laboratory by a dentist does not constitute
22general supervision.
23    "Public member" means a person who is not a health
24professional. For purposes of board membership, any person
25with a significant financial interest in a health service or
26profession is not a public member.

 

 

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1    "Dentistry" means the healing art which is concerned with
2the examination, diagnosis, treatment planning, and care of
3conditions within the human oral cavity and its adjacent
4tissues and structures, as further specified in Section 17.
5    "Branches of dentistry" means the various specialties of
6dentistry which, for purposes of this Act, shall be limited to
7the following: endodontics, oral and maxillofacial surgery,
8orthodontics and dentofacial orthopedics, pediatric dentistry,
9periodontics, prosthodontics, oral and maxillofacial
10radiology, and dental anesthesiology.
11    "Specialist" means a dentist who has received a specialty
12license pursuant to Section 11(b).
13    "Dental technician" means a person who owns, operates, or
14is employed by a dental laboratory and engages in making,
15providing, repairing, or altering dental prosthetic appliances
16and other artificial materials and devices which are returned
17to a dentist for insertion into the human oral cavity or which
18come in contact with its adjacent structures and tissues.
19    "Impaired dentist" or "impaired dental hygienist" means a
20dentist or dental hygienist who is unable to practice with
21reasonable skill and safety because of a physical or mental
22disability as evidenced by a written determination or written
23consent based on clinical evidence, including deterioration
24through the aging process, loss of motor skills, abuse of
25drugs or alcohol, or a psychiatric disorder, of sufficient
26degree to diminish the person's ability to deliver competent

 

 

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1patient care.
2    "Nurse" means a registered professional nurse, a certified
3registered nurse anesthetist licensed as an advanced practice
4registered nurse, or a licensed practical nurse licensed under
5the Nurse Practice Act.
6    "Patient of record" means a patient for whom the patient's
7most recent dentist has obtained a relevant medical and dental
8history and on whom the dentist has performed an examination
9and evaluated the condition to be treated.
10    "Dental responder" means a dentist or dental hygienist who
11is appropriately certified in disaster preparedness,
12immunizations, and dental humanitarian medical response
13consistent with the Society of Disaster Medicine and Public
14Health and training certified by the National Incident
15Management System or the National Disaster Life Support
16Foundation.
17    "Mobile dental van or portable dental unit" means any
18self-contained or portable dental unit in which dentistry is
19practiced that can be moved, towed, or transported from one
20location to another in order to establish a location where
21dental services can be provided.
22    "Public health dental hygienist" means a hygienist who
23holds a valid license to practice in the State, has 2 years of
24full-time clinical experience or an equivalent of 4,000 hours
25of clinical experience, and has completed at least 42 clock
26hours of additional structured courses in dental education in

 

 

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1advanced areas specific to public health dentistry.
2    "Public health setting" means a federally qualified health
3center; a federal, State, or local public health facility;
4Head Start; a special supplemental nutrition program for
5Women, Infants, and Children (WIC) facility; a certified
6school-based health center or school-based oral health
7program; a prison; or a long-term care facility.
8    "Public health supervision" means the supervision of a
9public health dental hygienist by a licensed dentist who has a
10written public health supervision agreement with that public
11health dental hygienist while working in an approved facility
12or program that allows the public health dental hygienist to
13treat patients, without a dentist first examining the patient
14and being present in the facility during treatment, (1) who
15are eligible for Medicaid or (2) who are uninsured and whose
16household income is not greater than 300% 200% of the federal
17poverty level.
18    "Teledentistry" means the use of telehealth systems and
19methodologies in dentistry and includes patient care and
20education delivery using synchronous and asynchronous
21communications under a dentist's authority as provided under
22this Act.
23(Source: P.A. 101-64, eff. 7-12-19; 101-162, eff. 7-26-19;
24102-93, eff. 1-1-22; 102-588, eff. 8-20-21; 102-936, eff.
251-1-23.)
 

 

 

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1    (225 ILCS 25/11)  (from Ch. 111, par. 2311)
2    (Section scheduled to be repealed on January 1, 2026)
3    Sec. 11. Types of dental licenses. The Department shall
4have the authority to issue the following types of licenses:
5    (a) General licenses. The Department shall issue a license
6authorizing practice as a dentist to any person who qualifies
7for a license under this Act.
8    (b) Specialty licenses. The Department shall issue a
9license authorizing practice as a specialist in any particular
10branch of dentistry to any dentist who has complied with the
11requirements established for that particular branch of
12dentistry at the time of making application. The Department
13shall establish additional requirements of any dentist who
14announces or holds himself or herself out to the public as a
15specialist or as being specially qualified in any particular
16branch of dentistry.
17    No dentist shall announce or hold himself or herself out
18to the public as a specialist or as being specially qualified
19in any particular branch of dentistry unless he or she is
20licensed to practice in that specialty of dentistry.
21    The fact that any dentist shall announce by card,
22letterhead, or any other form of communication using terms as
23"Specialist", ," "Practice Limited To", or "Limited to
24Specialty of" with the name of the branch of dentistry
25practiced as a specialty, or shall use equivalent words or
26phrases to announce the same, shall be prima facie evidence

 

 

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1that the dentist is holding himself or herself out to the
2public as a specialist.
3    (c) Temporary training licenses. Persons who wish to
4pursue specialty or other advanced clinical educational
5programs in an approved dental school or a hospital situated
6in this State, or persons who wish to pursue programs of
7specialty training in dental public health in public agencies
8in this State, may receive without examination, in the
9discretion of the Department, a temporary training license. In
10order to receive a temporary training license under this
11subsection, an applicant shall furnish satisfactory proof to
12the Department that:
13        (1) The applicant is at least 21 years of age and is of
14    good moral character. In determining moral character under
15    this Section, the Department may take into consideration
16    any felony conviction of the applicant, but such a
17    conviction shall not operate as bar to licensure;
18        (2) The applicant has been accepted or appointed for
19    specialty or residency training by an approved hospital
20    situated in this State, by an approved dental school
21    situated in this State, or by a public health agency in
22    this State the training programs of which are recognized
23    and approved by the Department. The applicant shall
24    indicate the beginning and ending dates of the period for
25    which he or she has been accepted or appointed;
26        (3) The applicant is a graduate of a dental school or

 

 

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1    college approved and in good standing in the judgment of
2    the Department. The Department may consider diplomas or
3    certifications of education, or both, accompanied by
4    transcripts of course work and credits awarded to
5    determine if an applicant has graduated from a dental
6    school or college approved and in good standing. The
7    Department may also consider diplomas or certifications of
8    education, or both, accompanied by transcripts of course
9    work and credits awarded in determining whether a dental
10    school or college is approved and in good standing.
11    Temporary training licenses issued under this Section
12shall be valid only for the duration of the period of residency
13or specialty training and may be extended or renewed as
14prescribed by rule. The holder of a valid temporary training
15license shall be entitled thereby to perform acts as may be
16prescribed by and incidental to his or her program of
17residency or specialty training; but he or she shall not be
18entitled to engage in the practice of dentistry in this State.
19    A temporary training license may be revoked by the
20Department upon proof that the holder has engaged in the
21practice of dentistry in this State outside of his or her
22program of residency or specialty training, or if the holder
23shall fail to supply the Department, within 10 days of its
24request, with information as to his or her current status and
25activities in his or her specialty training program.
26    (d) Faculty limited licenses. Persons who have received

 

 

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1full-time appointments to teach dentistry at an approved
2dental school or hospital situated in this State may receive
3without examination, in the discretion of the Department, a
4faculty limited license. In order to receive a faculty limited
5license an applicant shall furnish satisfactory proof to the
6Department that:
7        (1) The applicant is at least 21 years of age, is of
8    good moral character, and is licensed to practice
9    dentistry in another state or country; and
10        (2) The applicant has a full-time appointment to teach
11    dentistry at an approved dental school or hospital
12    situated in this State.
13    Faculty limited licenses issued under this Section shall
14be valid for a period of 3 years and may be extended or
15renewed. The holder of a valid faculty limited license may
16perform acts as may be required by his or her teaching of
17dentistry. The In addition, the holder of a faculty limited
18license may practice general dentistry or in his or her area of
19specialty, but only in a clinic or office affiliated with the
20dental school. The holder of a faculty limited license may
21advertise a specialty degree as part of the licensee's ability
22to practice in a faculty practice. Any faculty limited license
23issued to a faculty member under this Section shall terminate
24immediately and automatically, without any further action by
25the Department, if the holder ceases to be a faculty member at
26an approved dental school or hospital in this State.

 

 

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1    The Department may revoke a faculty limited license for a
2violation of this Act or its rules, or if the holder fails to
3supply the Department, within 10 days of its request, with
4information as to his or her current status and activities in
5his or her teaching program.
6    (e) Inactive status. Any person who holds one of the
7licenses under subsection (a) or (b) of Section 11 or under
8Section 12 of this Act may elect, upon payment of the required
9fee, to place his or her license on an inactive status and
10shall, subject to the rules of the Department, be excused from
11the payment of renewal fees until he or she notifies the
12Department in writing of his or her desire to resume active
13status.
14    Any licensee requesting restoration from inactive status
15shall be required to pay the current renewal fee and upon
16payment the Department shall be required to restore his or her
17license, as provided in Section 16 of this Act.
18    Any licensee whose license is in an inactive status shall
19not practice in the State of Illinois.
20    (f) Certificates of Identification. In addition to the
21licenses authorized by this Section, the Department shall
22deliver to each dentist a certificate of identification in a
23form specified by the Department.
24(Source: P.A. 100-976, eff. 1-1-19.)
 
25    (225 ILCS 25/16.1)  (from Ch. 111, par. 2316.1)

 

 

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1    (Section scheduled to be repealed on January 1, 2026)
2    Sec. 16.1. Continuing education. The Department shall
3promulgate rules of continuing education for persons licensed
4under this Act. In establishing rules, the Department shall
5require a minimum of 48 hours of study in approved courses for
6dentists during each 3-year licensing period and a minimum of
736 hours of study in approved courses for dental hygienists
8during each 3-year licensing period.
9    The Department shall approve only courses that are
10relevant to the treatment and care of patients, including, but
11not limited to, clinical courses in dentistry and dental
12hygiene and nonclinical courses such as patient management,
13legal and ethical responsibilities, and stress management. The
14Department shall allow up to 4 hours of continuing education
15credit hours per license renewal period for volunteer hours
16spent providing clinical services at, or sponsored by, a
17nonprofit community clinic, local or state health department,
18or a charity event. Courses shall not be approved in such
19subjects as estate and personal financial planning, personal
20investments, or personal health. Approved courses may include,
21but shall not be limited to, courses that are offered or
22sponsored by approved colleges, universities, and hospitals
23and by recognized national, State, and local dental and dental
24hygiene organizations. When offering a continuing education
25course, whether at no cost or for a fee, the course provider
26shall explicitly disclose that the course is an approved

 

 

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1course for continuing education in the State of Illinois, as
2provided in this Section or by the rules adopted by the
3Department.
4    No license shall be renewed unless the renewal application
5is accompanied by an affidavit indicating that the applicant
6has completed the required minimum number of hours of
7continuing education in approved courses as required by this
8Section. The affidavit shall not require a listing of courses.
9The affidavit shall be a prima facie evidence that the
10applicant has obtained the minimum number of required
11continuing education hours in approved courses. The Department
12shall not be obligated to conduct random audits or otherwise
13independently verify that an applicant has met the continuing
14education requirement. The Department, however, may not
15conduct random audits of more than 10% of the licensed
16dentists and dental hygienists in any one licensing cycle to
17verify compliance with continuing education requirements. If
18the Department, however, receives a complaint that a licensee
19has not completed the required continuing education or if the
20Department is investigating another alleged violation of this
21Act by a licensee, the Department may demand and shall be
22entitled to receive evidence from any licensee of completion
23of required continuing education courses for the most recently
24completed 3-year licensing period. Evidence of continuing
25education may include, but is not limited to, canceled checks,
26official verification forms of attendance, and continuing

 

 

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1education recording forms, that demonstrate a reasonable
2record of attendance. The Board shall determine, in accordance
3with rules adopted by the Department, whether a licensee or
4applicant has met the continuing education requirements. Any
5dentist who holds more than one license under this Act shall be
6required to complete only the minimum number of hours of
7continuing education required for renewal of a single license.
8The Department may provide exemptions from continuing
9education requirements.
10(Source: P.A. 99-492, eff. 12-31-15.)
 
11    (225 ILCS 25/17)  (from Ch. 111, par. 2317)
12    (Section scheduled to be repealed on January 1, 2026)
13    Sec. 17. Acts constituting the practice of dentistry. A
14person practices dentistry, within the meaning of this Act:
15        (1) Who represents himself or herself as being able to
16    diagnose or diagnoses, treats, prescribes, or operates for
17    any disease, pain, deformity, deficiency, injury, or
18    physical condition of the human tooth, teeth, alveolar
19    process, gums, or jaw; or
20        (2) Who is a manager, proprietor, operator, or
21    conductor of a business where dental operations are
22    performed; or
23        (3) Who performs dental operations of any kind; or
24        (4) Who uses an X-Ray machine or X-Ray films for
25    dental diagnostic purposes; or

 

 

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1        (5) Who extracts a human tooth or teeth, or corrects
2    or attempts to correct malpositions of the human teeth or
3    jaws; or
4        (6) Who offers or undertakes, by any means or method,
5    to diagnose, treat, or remove stains, calculus, and
6    bonding materials from human teeth or jaws; or
7        (7) Who uses or administers local or general
8    anesthetics in the treatment of dental or oral diseases or
9    in any preparation incident to a dental operation of any
10    kind or character; or
11        (8) Who takes material or digital scans for final
12    impressions of the human tooth, teeth, or jaws or performs
13    any phase of any operation incident to the replacement of
14    a part of a tooth, a tooth, teeth, or associated tissues by
15    means of a filling, crown, a bridge, a denture, or other
16    appliance; or
17        (9) Who offers to furnish, supply, construct,
18    reproduce, or repair, or who furnishes, supplies,
19    constructs, reproduces, or repairs, prosthetic dentures,
20    bridges, or other substitutes for natural teeth, to the
21    user or prospective user thereof; or
22        (10) Who instructs students on clinical matters or
23    performs any clinical operation included in the curricula
24    of recognized dental schools and colleges; or
25        (11) Who takes material or digital scans for final
26    impressions of human teeth or places his or her hands in

 

 

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1    the mouth of any person for the purpose of applying teeth
2    whitening materials, or who takes impressions of human
3    teeth or places his or her hands in the mouth of any person
4    for the purpose of assisting in the application of teeth
5    whitening materials. A person does not practice dentistry
6    when he or she discloses to the consumer that he or she is
7    not licensed as a dentist under this Act and (i) discusses
8    the use of teeth whitening materials with a consumer
9    purchasing these materials; (ii) provides instruction on
10    the use of teeth whitening materials with a consumer
11    purchasing these materials; or (iii) provides appropriate
12    equipment on-site to the consumer for the consumer to
13    self-apply teeth whitening materials.
14    The fact that any person engages in or performs, or offers
15to engage in or perform, any of the practices, acts, or
16operations set forth in this Section, shall be prima facie
17evidence that such person is engaged in the practice of
18dentistry.
19    The following practices, acts, and operations, however,
20are exempt from the operation of this Act:
21        (a) The rendering of dental relief in emergency cases
22    in the practice of his or her profession by a physician or
23    surgeon, licensed as such under the laws of this State,
24    unless he or she undertakes to reproduce or reproduces
25    lost parts of the human teeth in the mouth or to restore or
26    replace lost or missing teeth in the mouth; or

 

 

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1        (b) The practice of dentistry in the discharge of
2    their official duties by dentists in any branch of the
3    Armed Services of the United States, the United States
4    Public Health Service, or the United States Veterans
5    Administration; or
6        (c) The practice of dentistry by students in their
7    course of study in dental schools or colleges approved by
8    the Department, when acting under the direction and
9    supervision of dentists acting as instructors; or
10        (d) The practice of dentistry by clinical instructors
11    in the course of their teaching duties in dental schools
12    or colleges approved by the Department:
13            (i) when acting under the direction and
14        supervision of dentists, provided that such clinical
15        instructors have instructed continuously in this State
16        since January 1, 1986; or
17            (ii) when holding the rank of full professor at
18        such approved dental school or college and possessing
19        a current valid license or authorization to practice
20        dentistry in another country; or
21        (e) The practice of dentistry by licensed dentists of
22    other states or countries at meetings of the Illinois
23    State Dental Society or component parts thereof, alumni
24    meetings of dental colleges, or any other like dental
25    organizations, while appearing as clinicians; or
26        (f) The use of X-Ray machines for exposing X-Ray films

 

 

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1    of dental or oral tissues by dental hygienists or dental
2    assistants; or
3        (g) The performance of any dental service by a dental
4    assistant, if such service is performed under the
5    supervision and full responsibility of a dentist. In
6    addition, after being authorized by a dentist, a dental
7    assistant may, for the purpose of eliminating pain or
8    discomfort, remove loose, broken, or irritating
9    orthodontic appliances on a patient of record.
10        For purposes of this paragraph (g), "dental service"
11    is defined to mean any intraoral procedure or act which
12    shall be prescribed by rule or regulation of the
13    Department. "Dental service", however, shall not include:
14            (1) Any and all diagnosis of or prescription for
15        treatment of disease, pain, deformity, deficiency,
16        injury, or physical condition of the human teeth or
17        jaws, or adjacent structures.
18            (2) Removal of, or restoration of, or addition to
19        the hard or soft tissues of the oral cavity, except for
20        the placing, carving, and finishing of amalgam
21        restorations and placing, packing, and finishing
22        composite restorations by dental assistants who have
23        had additional formal education and certification.
24            A dental assistant may place, carve, and finish
25        amalgam restorations, place, pack, and finish
26        composite restorations, and place interim restorations

 

 

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1        if he or she (A) has successfully completed a
2        structured training program as described in item (2)
3        of subsection (g) provided by an educational
4        institution accredited by the Commission on Dental
5        Accreditation, such as a dental school or dental
6        hygiene or dental assistant program, or (B) has at
7        least 4,000 hours of direct clinical patient care
8        experience and has successfully completed a structured
9        training program as described in item (2) of
10        subsection (g) provided by a statewide dental
11        association, approved by the Department to provide
12        continuing education, that has developed and conducted
13        training programs for expanded functions for dental
14        assistants or hygienists. The training program must:
15        (i) include a minimum of 16 hours of didactic study and
16        14 hours of clinical manikin instruction; all training
17        programs shall include areas of study in nomenclature,
18        caries classifications, oral anatomy, periodontium,
19        basic occlusion, instrumentations, pulp protection
20        liners and bases, dental materials, matrix and wedge
21        techniques, amalgam placement and carving, rubber dam
22        clamp placement, and rubber dam placement and removal;
23        (ii) include an outcome assessment examination that
24        demonstrates competency; (iii) require the supervising
25        dentist to observe and approve the completion of 8
26        amalgam or composite restorations; and (iv) issue a

 

 

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1        certificate of completion of the training program,
2        which must be kept on file at the dental office and be
3        made available to the Department upon request. A
4        dental assistant must have successfully completed an
5        approved coronal polishing and dental sealant course
6        prior to taking the amalgam and composite restoration
7        course.
8            A dentist utilizing dental assistants shall not
9        supervise more than 4 dental assistants at any one
10        time for placing, carving, and finishing of amalgam
11        restorations or for placing, packing, and finishing
12        composite restorations.
13            (3) Any and all correction of malformation of
14        teeth or of the jaws.
15            (4) Administration of anesthetics, except for
16        monitoring of nitrous oxide, conscious sedation, deep
17        sedation, and general anesthetic as provided in
18        Section 8.1 of this Act, that may be performed only
19        after successful completion of a training program
20        approved by the Department. A dentist utilizing dental
21        assistants shall not supervise more than 4 dental
22        assistants at any one time for the monitoring of
23        nitrous oxide.
24            (5) Removal of calculus from human teeth.
25            (6) Taking of material or digital scans for final
26        impressions for the fabrication of prosthetic

 

 

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1        appliances, crowns, bridges, inlays, onlays, or other
2        restorative or replacement dentistry.
3            (7) The operative procedure of dental hygiene
4        consisting of oral prophylactic procedures, except for
5        coronal polishing and pit and fissure sealants, which
6        may be performed by a dental assistant who has
7        successfully completed a training program approved by
8        the Department. Dental assistants may perform coronal
9        polishing under the following circumstances: (i) the
10        coronal polishing shall be limited to polishing the
11        clinical crown of the tooth and existing restorations,
12        supragingivally; (ii) the dental assistant performing
13        the coronal polishing shall be limited to the use of
14        rotary instruments using a rubber cup or brush
15        polishing method (air polishing is not permitted); and
16        (iii) the supervising dentist shall not supervise more
17        than 4 dental assistants at any one time for the task
18        of coronal polishing or pit and fissure sealants.
19            In addition to coronal polishing and pit and
20        fissure sealants as described in this item (7), a
21        dental assistant who has at least 2,000 hours of
22        direct clinical patient care experience and who has
23        successfully completed a structured training program
24        provided by (1) an educational institution including,
25        but not limited to, a dental school or dental hygiene
26        or dental assistant program, or (2) a continuing

 

 

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1        education provider approved by the Department, or (3)
2        a statewide dental or dental hygienist association,
3        approved by the Department on or before January 1,
4        2017 (the effective date of Public Act 99-680), that
5        has developed and conducted a training program for
6        expanded functions for dental assistants or hygienists
7        may perform: (A) coronal scaling above the gum line,
8        supragingivally, on the clinical crown of the tooth
9        only on patients 17 years of age or younger who have an
10        absence of periodontal disease and who are not
11        medically compromised or individuals with special
12        needs and (B) intracoronal temporization of a tooth.
13        The training program must: (I) include a minimum of 32
14        hours of instruction in both didactic and clinical
15        manikin or human subject instruction; all training
16        programs shall include areas of study in dental
17        anatomy, public health dentistry, medical history,
18        dental emergencies, and managing the pediatric
19        patient; (II) include an outcome assessment
20        examination that demonstrates competency; (III)
21        require the supervising dentist to observe and approve
22        the completion of 6 full mouth supragingival scaling
23        procedures unless the training was received as part of
24        a Commission on Dental Accreditation approved dental
25        assistant program; and (IV) issue a certificate of
26        completion of the training program, which must be kept

 

 

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1        on file at the dental office and be made available to
2        the Department upon request. A dental assistant must
3        have successfully completed an approved coronal
4        polishing course prior to taking the coronal scaling
5        course. A dental assistant performing these functions
6        shall be limited to the use of hand instruments only.
7        In addition, coronal scaling as described in this
8        paragraph shall only be utilized on patients who are
9        eligible for Medicaid, who are uninsured, or whose
10        household income is not greater than 300% of the
11        federal poverty level. A dentist may not supervise
12        more than 2 dental assistants at any one time for the
13        task of coronal scaling. This paragraph is inoperative
14        on and after January 1, 2026.
15        The limitations on the number of dental assistants a
16    dentist may supervise contained in items (2), (4), and (7)
17    of this paragraph (g) mean a limit of 4 total dental
18    assistants or dental hygienists doing expanded functions
19    covered by these Sections being supervised by one dentist;
20    or
21        (h) The practice of dentistry by an individual who:
22            (i) has applied in writing to the Department, in
23        form and substance satisfactory to the Department, for
24        a general dental license and has complied with all
25        provisions of Section 9 of this Act, except for the
26        passage of the examination specified in subsection (e)

 

 

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1        of Section 9 of this Act; or
2            (ii) has applied in writing to the Department, in
3        form and substance satisfactory to the Department, for
4        a temporary dental license and has complied with all
5        provisions of subsection (c) of Section 11 of this
6        Act; and
7            (iii) has been accepted or appointed for specialty
8        or residency training by a hospital situated in this
9        State; or
10            (iv) has been accepted or appointed for specialty
11        training in an approved dental program situated in
12        this State; or
13            (v) has been accepted or appointed for specialty
14        training in a dental public health agency situated in
15        this State.
16        The applicant shall be permitted to practice dentistry
17    for a period of 3 months from the starting date of the
18    program, unless authorized in writing by the Department to
19    continue such practice for a period specified in writing
20    by the Department.
21        The applicant shall only be entitled to perform such
22    acts as may be prescribed by and incidental to his or her
23    program of residency or specialty training and shall not
24    otherwise engage in the practice of dentistry in this
25    State.
26        The authority to practice shall terminate immediately

 

 

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1    upon:
2            (1) the decision of the Department that the
3        applicant has failed the examination; or
4            (2) denial of licensure by the Department; or
5            (3) withdrawal of the application.
6(Source: P.A. 101-162, eff. 7-26-19; 102-558, eff. 8-20-21;
7102-936, eff. 1-1-23.)
 
8    (225 ILCS 25/19)  (from Ch. 111, par. 2319)
9    (Section scheduled to be repealed on January 1, 2026)
10    Sec. 19. Licensing applicants from other states. Any
11person who has been lawfully licensed to practice dentistry,
12including the practice of a licensed dental specialty, or
13dental hygiene in another state or territory or as a member of
14the military service which has and maintains a standard for
15the practice of dentistry, a dental specialty, or dental
16hygiene at least equal to that now maintained in this State, or
17if the requirements for licensure in such state or territory
18in which the applicant was licensed were, at the date of his or
19her licensure, substantially equivalent to the requirements
20then in force in this State, and who has been lawfully engaged
21in the practice of dentistry or dental hygiene for at least 2 3
22of the 5 years immediately preceding the filing of his or her
23application to practice in this State and who shall deposit
24with the Department a duly attested certificate from the Board
25of the state or territory in which he or she is licensed,

 

 

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1certifying to the fact of his or her licensing and of his or
2her being a person of good moral character may, upon payment of
3the required fee, be granted a license to practice dentistry,
4a dental specialty, or dental hygiene in this State, as the
5case may be.
6    For the purposes of this Section, "substantially
7equivalent" means that the applicant has presented evidence of
8completion and graduation from an American Dental Association
9accredited dental college or school in the United States or
10Canada, presented evidence that the applicant has passed both
11parts of the National Board Dental Examination, and
12successfully completed an examination conducted by a regional
13testing service. In computing 3 of the immediately preceding 5
14years of practice in another state or territory, any person
15who left the practice of dentistry to enter the military
16service and who practiced dentistry while in the military
17service may count as a part of such period the time spent by
18him or her in such service.
19    Applicants have 3 years from the date of application to
20complete the application process. If the process has not been
21completed in 3 years, the application shall be denied, the fee
22forfeited and the applicant must reapply and meet the
23requirements in effect at the time of reapplication.
24(Source: P.A. 97-526, eff. 1-1-12; 97-1013, eff. 8-17-12.)
 
25    (225 ILCS 25/23)  (from Ch. 111, par. 2323)

 

 

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1    (Section scheduled to be repealed on January 1, 2026)
2    Sec. 23. Refusal, revocation or suspension of dental
3licenses. The Department may refuse to issue or renew, or may
4revoke, suspend, place on probation, reprimand or take other
5disciplinary or non-disciplinary action as the Department may
6deem proper, including imposing fines not to exceed $10,000
7per violation, with regard to any license for any one or any
8combination of the following causes:
9        1. Fraud or misrepresentation in applying for or
10    procuring a license under this Act, or in connection with
11    applying for renewal of a license under this Act.
12        2. Inability to practice with reasonable judgment,
13    skill, or safety as a result of habitual or excessive use
14    or addiction to alcohol, narcotics, stimulants, or any
15    other chemical agent or drug.
16        3. Willful or repeated violations of the rules of the
17    Department of Public Health or Department of Nuclear
18    Safety.
19        4. Acceptance of a fee for service as a witness,
20    without the knowledge of the court, in addition to the fee
21    allowed by the court.
22        5. Division of fees or agreeing to split or divide the
23    fees received for dental services with any person for
24    bringing or referring a patient, except in regard to
25    referral services as provided for under Section 45, or
26    assisting in the care or treatment of a patient, without

 

 

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1    the knowledge of the patient or his or her legal
2    representative. Nothing in this item 5 affects any bona
3    fide independent contractor or employment arrangements
4    among health care professionals, health facilities, health
5    care providers, or other entities, except as otherwise
6    prohibited by law. Any employment arrangements may include
7    provisions for compensation, health insurance, pension, or
8    other employment benefits for the provision of services
9    within the scope of the licensee's practice under this
10    Act. Nothing in this item 5 shall be construed to require
11    an employment arrangement to receive professional fees for
12    services rendered.
13        6. Employing, procuring, inducing, aiding or abetting
14    a person not licensed or registered as a dentist or dental
15    hygienist to engage in the practice of dentistry or dental
16    hygiene. The person practiced upon is not an accomplice,
17    employer, procurer, inducer, aider, or abetter within the
18    meaning of this Act.
19        7. Making any misrepresentations or false promises,
20    directly or indirectly, to influence, persuade or induce
21    dental patronage.
22        8. Professional connection or association with or
23    lending his or her name to another for the illegal
24    practice of dentistry by another, or professional
25    connection or association with any person, firm or
26    corporation holding himself, herself, themselves, or

 

 

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1    itself out in any manner contrary to this Act.
2        9. Obtaining or seeking to obtain practice, money, or
3    any other things of value by false or fraudulent
4    representations, but not limited to, engaging in such
5    fraudulent practice to defraud the medical assistance
6    program of the Department of Healthcare and Family
7    Services (formerly Department of Public Aid) under the
8    Illinois Public Aid Code.
9        10. Practicing under a false or, except as provided by
10    law, an assumed name.
11        11. Engaging in dishonorable, unethical, or
12    unprofessional conduct of a character likely to deceive,
13    defraud, or harm the public.
14        12. Conviction by plea of guilty or nolo contendere,
15    finding of guilt, jury verdict, or entry of judgment or by
16    sentencing for any crime, including, but not limited to,
17    convictions, preceding sentences of supervision,
18    conditional discharge, or first offender probation, under
19    the laws of any jurisdiction of the United States that (i)
20    is a felony under the laws of this State or (ii) is a
21    misdemeanor, an essential element of which is dishonesty,
22    or that is directly related to the practice of dentistry.
23        13. Permitting a dental hygienist, dental assistant or
24    other person under his or her supervision to perform any
25    operation not authorized by this Act.
26        14. Permitting more than 4 dental hygienists to be

 

 

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1    employed under his or her supervision at any one time.
2        15. A violation of any provision of this Act or any
3    rules promulgated under this Act.
4        16. Taking impressions for or using the services of
5    any person, firm or corporation violating this Act.
6        17. Violating any provision of Section 45 relating to
7    advertising.
8        18. Discipline by another U.S. jurisdiction or foreign
9    nation, if at least one of the grounds for the discipline
10    is the same or substantially equivalent to those set forth
11    within this Act.
12        19. Willfully failing to report an instance of
13    suspected child abuse or neglect as required by the Abused
14    and Neglected Child Reporting Act.
15        20. Gross negligence in practice under this Act.
16        21. The use or prescription for use of narcotics or
17    controlled substances or designated products as listed in
18    the Illinois Controlled Substances Act, in any way other
19    than for therapeutic purposes.
20        22. Willfully making or filing false records or
21    reports in his or her practice as a dentist, including,
22    but not limited to, false records to support claims
23    against the dental assistance program of the Department of
24    Healthcare and Family Services (formerly Illinois
25    Department of Public Aid).
26        23. Professional incompetence as manifested by poor

 

 

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1    standards of care.
2        24. Physical or mental illness, including, but not
3    limited to, deterioration through the aging process, or
4    loss of motor skills which results in a dentist's
5    inability to practice dentistry with reasonable judgment,
6    skill or safety. In enforcing this paragraph, the
7    Department may compel a person licensed to practice under
8    this Act to submit to a mental or physical examination
9    pursuant to the terms and conditions of Section 23b.
10        25. Gross or repeated irregularities in billing for
11    services rendered to a patient. For purposes of this
12    paragraph 25, "irregularities in billing" shall include:
13            (a) Reporting excessive charges for the purpose of
14        obtaining a total payment in excess of that usually
15        received by the dentist for the services rendered.
16            (b) Reporting charges for services not rendered.
17            (c) Incorrectly reporting services rendered for
18        the purpose of obtaining payment not earned.
19        26. Continuing the active practice of dentistry while
20    knowingly having any infectious, communicable, or
21    contagious disease proscribed by rule or regulation of the
22    Department.
23        27. Being named as a perpetrator in an indicated
24    report by the Department of Children and Family Services
25    pursuant to the Abused and Neglected Child Reporting Act,
26    and upon proof by clear and convincing evidence that the

 

 

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1    licensee has caused a child to be an abused child or
2    neglected child as defined in the Abused and Neglected
3    Child Reporting Act.
4        28. Violating the Health Care Worker Self-Referral
5    Act.
6        29. Abandonment of a patient.
7        30. Mental incompetency as declared by a court of
8    competent jurisdiction.
9        31. A finding by the Department that the licensee,
10    after having his or her license placed on probationary
11    status, has violated the terms of probation.
12        32. Material misstatement in furnishing information to
13    the Department.
14        33. Failing, within 60 days, to provide information in
15    response to a written request by the Department in the
16    course of an investigation.
17        34. Immoral conduct in the commission of any act,
18    including, but not limited to, commission of an act of
19    sexual misconduct related to the licensee's practice.
20        35. Cheating on or attempting to subvert the licensing
21    examination administered under this Act.
22        36. A pattern of practice or other behavior that
23    demonstrates incapacity or incompetence to practice under
24    this Act.
25        37. Failure to establish and maintain records of
26    patient care and treatment as required under this Act.

 

 

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1        38. Failure to provide copies of dental records as
2    required by law.
3        39. Failure of a licensed dentist who owns or is
4    employed at a dental office to give notice of an office
5    closure to his or her patients at least 30 days prior to
6    the office closure pursuant to Section 50.1.
7        40. Failure to maintain a sanitary work environment.
8    All proceedings to suspend, revoke, place on probationary
9status, or take any other disciplinary action as the
10Department may deem proper, with regard to a license on any of
11the foregoing grounds, must be commenced within 5 years after
12receipt by the Department of a complaint alleging the
13commission of or notice of the conviction order for any of the
14acts described herein. Except for fraud in procuring a
15license, no action shall be commenced more than 7 years after
16the date of the incident or act alleged to have violated this
17Section. The time during which the holder of the license was
18outside the State of Illinois shall not be included within any
19period of time limiting the commencement of disciplinary
20action by the Department.
21    All fines imposed under this Section shall be paid within
2260 days after the effective date of the order imposing the fine
23or in accordance with the terms set forth in the order imposing
24the fine.
25    The Department may refuse to issue or may suspend the
26license of any person who fails to file a return, or to pay the

 

 

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1tax, penalty or interest shown in a filed return, or to pay any
2final assessment of tax, penalty or interest, as required by
3any tax Act administered by the Illinois Department of
4Revenue, until such time as the requirements of any such tax
5Act are satisfied.
6    Any dentist who has had his or her license suspended or
7revoked for more than 5 years must comply with the
8requirements for restoration set forth in Section 16 prior to
9being eligible for reinstatement from the suspension or
10revocation.
11(Source: P.A. 99-492, eff. 12-31-15.)
 
12    (225 ILCS 25/50)  (from Ch. 111, par. 2350)
13    (Section scheduled to be repealed on January 1, 2026)
14    Sec. 50. Patient records. Every dentist shall make a
15record of all dental work performed for each patient. The
16record shall be made in a manner and in sufficient detail that
17it may be used for identification purposes. Dental records are
18the property of the office in which dentistry is practiced.
19    Dental records required by this Section shall be
20maintained for 10 years. Dental records required to be
21maintained under this Section, or copies of those dental
22records, shall be made available upon request to the patient
23or the patient's guardian. A dentist shall be entitled to
24reasonable reimbursement for the cost of reproducing these
25records, which shall not exceed the cost allowed under Section

 

 

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18-2001 of the Code of Civil Procedure. A dentist providing
2services through a mobile dental van or portable dental unit
3shall provide to the patient or the patient's parent or
4guardian, in writing, the dentist's name, license number,
5address, and information on how the patient or the patient's
6parent or guardian may obtain the patient's dental records, as
7provided by law.
8(Source: P.A. 99-492, eff. 12-31-15.)
 
9    (225 ILCS 25/50.1 new)
10    Sec. 50.1. Closing a dental office. A dental office that
11is closing and will not continue to offer dentistry services
12must provide notice to its patients at least 30 days prior to
13the closure. The notice to patients shall include an
14explanation of how copies of the patient's records may be
15accessed or obtained by the patient. The notice may be given by
16publication in a newspaper of general circulation in the area
17in which the dental office is located or in an electronic
18format accessible by patients.
 
19    Section 10. The Illinois Controlled Substances Act is
20amended by changing Sections 309 and 311.6 as follows:
 
21    (720 ILCS 570/309)  (from Ch. 56 1/2, par. 1309)
22    Sec. 309. On or after April 1, 2000, no person shall issue
23a prescription for a Schedule II controlled substance, which

 

 

10300HB2077sam004- 36 -LRB103 05331 SPS 61554 a

1is a narcotic drug listed in Section 206 of this Act; or which
2contains any quantity of amphetamine or methamphetamine, their
3salts, optical isomers or salts of optical isomers;
4phenmetrazine and its salts; gluthethimide; and pentazocine,
5other than on a written prescription; provided that in the
6case of an emergency, epidemic or a sudden or unforeseen
7accident or calamity, the prescriber may issue a lawful oral
8prescription where failure to issue such a prescription might
9result in loss of life or intense suffering, but such oral
10prescription shall include a statement by the prescriber
11concerning the accident or calamity, or circumstances
12constituting the emergency, the cause for which an oral
13prescription was used. Within 7 days after issuing an
14emergency prescription, the prescriber shall cause a written
15prescription for the emergency quantity prescribed to be
16delivered to the dispensing pharmacist. The prescription shall
17have written on its face "Authorization for Emergency
18Dispensing", and the date of the emergency prescription. The
19written prescription may be delivered to the pharmacist in
20person, or by mail, but if delivered by mail it must be
21postmarked within the 7-day period. Upon receipt, the
22dispensing pharmacist shall attach this prescription to the
23emergency oral prescription earlier received and reduced to
24writing. The dispensing pharmacist shall notify the Department
25of Financial and Professional Regulation if the prescriber
26fails to deliver the authorization for emergency dispensing on

 

 

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1the prescription to him or her. Failure of the dispensing
2pharmacist to do so shall void the authority conferred by this
3paragraph to dispense without a written prescription of a
4prescriber. All prescriptions issued for Schedule II
5controlled substances shall include the quantity prescribed.
6All nonelectronic prescriptions issued for Schedule II
7controlled substances shall include both a written and
8numerical notation of quantity on the face of the
9prescription. No prescription for a Schedule II controlled
10substance may be refilled. The Department shall provide, at no
11cost, audit reviews and necessary information to the
12Department of Financial and Professional Regulation in
13conjunction with ongoing investigations being conducted in
14whole or part by the Department of Financial and Professional
15Regulation.
16(Source: P.A. 97-334, eff. 1-1-12.)
 
17    (720 ILCS 570/311.6)
18    (This Section may contain text from a Public Act with a
19delayed effective date)
20    Sec. 311.6. Opioid prescriptions.
21    (a) Notwithstanding any other provision of law, a
22prescription for a substance classified in Schedule II, III,
23IV, or V must be sent electronically, in accordance with
24Section 316. Prescriptions sent in accordance with this
25subsection (a) must be accepted by the dispenser in electronic

 

 

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1format.
2    (b) Beginning on the effective date of this amendatory Act
3of the 103rd General Assembly until December 31, 2028,
4notwithstanding Notwithstanding any other provision of this
5Section or any other provision of law, a prescriber shall not
6be required to issue prescriptions electronically if he or she
7certifies to the Department of Financial and Professional
8Regulation that he or she will not issue more than 150 25
9prescriptions during a 12-month period. Prescriptions in both
10oral and written form for controlled substances shall be
11included in determining whether the prescriber will reach the
12limit of 150 25 prescriptions. Beginning January 1, 2029,
13notwithstanding any other provision of this Section or any
14other provision of law, a prescriber shall not be required to
15issue prescriptions electronically if he or she certifies to
16the Department of Financial and Professional Regulation that
17he or she will not issue more than 50 prescriptions during a
1812-month period. Prescriptions in both oral and written form
19for controlled substances shall be included in determining
20whether the prescriber will reach the limit of 50
21prescriptions.
22    (b-5) Notwithstanding any other provision of this Section
23or any other provision of law, a prescriber shall not be
24required to issue prescriptions electronically under the
25following circumstances:
26        (1) prior to January 1, 2026, the prescriber

 

 

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1    demonstrates financial difficulties in buying or managing
2    an electronic prescription option, whether it is an
3    electronic health record or some other electronic
4    prescribing product;
5        (2) on and after January 1, 2026, the prescriber
6    provides proof of a waiver from the Centers for Medicare
7    and Medicaid Services for the Electronic Prescribing for
8    Controlled Substances Program due to demonstrated economic
9    hardship for the previous compliance year;
10        (3) there is a temporary technological or electrical
11    failure that prevents an electronic prescription from
12    being issued;
13        (4) the prescription is for a drug that the
14    practitioner reasonably determines would be impractical
15    for the patient to obtain in a timely manner if prescribed
16    by an electronic data transmission prescription and the
17    delay would adversely impact the patient's medical
18    condition;
19        (5) the prescription is for an individual who:
20            (A) resides in a nursing or assisted living
21        facility;
22            (B) is receiving hospice or palliative care;
23            (C) is receiving care at an outpatient renal
24        dialysis facility and the prescription is related to
25        the care provided;
26            (D) is receiving care through the United States

 

 

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1        Department of Veterans Affairs; or
2            (E) is incarcerated in a state, detained, or
3        confined in a correctional facility;
4        (6) the prescription prescribes a drug under a
5    research protocol;
6        (7) the prescription is a non-patient specific
7    prescription dispensed under a standing order, approved
8    protocol for drug therapy, collaborative drug management,
9    or comprehensive medication management, or in response to
10    a public health emergency or other circumstance in which
11    the practitioner may issue a non-patient specific
12    prescription;
13        (8) the prescription is issued when the prescriber and
14    dispenser are the same entity; or
15        (9) the prescription is issued for a compound
16    prescription containing 2 or more compounds.
17    (c) The Department of Financial and Professional
18Regulation may shall adopt rules for the administration of
19this Section . These rules shall provide for the
20implementation of any such exemption to the requirements under
21this Section that the Department of Financial and Professional
22Regulation may deem appropriate, including the exemption
23provided for in subsection (b).
24    (d) Any prescriber who makes a good faith effort to
25prescribe electronically, but for reasons not within the
26prescriber's control is unable to prescribe electronically,

 

 

10300HB2077sam004- 41 -LRB103 05331 SPS 61554 a

1may be exempt from any disciplinary action.
2    (e) Any pharmacist who dispenses in good faith based upon
3a valid prescription that is not prescribed electronically may
4be exempt from any disciplinary action.
5    (f) It shall be a violation of this Section for any
6prescriber or dispenser to adopt a policy contrary to this
7Section.
8(Source: P.A. 102-490, eff. 1-1-24 (See Section 55 of P.A.
9102-1109 for effective date of P.A. 102-490).)".