99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB2365

 

Introduced 1/28/2016, by Sen. William R. Haine

 

SYNOPSIS AS INTRODUCED:
 
225 ILCS 25/18.1

    Amends the Illinois Dental Practice Act. Expands the types of services for which a public health hygienist must complete a summary report either at the completion of the program or, in the case of a ongoing program, at least annually.


LRB099 16211 SMS 40539 b

 

 

A BILL FOR

 

SB2365LRB099 16211 SMS 40539 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Dental Practice Act is amended by
5changing Section 18.1 as follows:
 
6    (225 ILCS 25/18.1)
7    (Section scheduled to be repealed on January 1, 2021)
8    Sec. 18.1. Public health dental supervision
9responsibilities.
10    (a) When working together in a public health supervision
11relationship, dentists and public health dental hygienists
12shall enter into a public health supervision agreement. The
13dentist providing public health supervision must:
14        (1) be available to provide an appropriate level of
15    contact, communication, collaboration, and consultation
16    with the public health dental hygienist and must meet
17    in-person with the public health dental hygienist at least
18    quarterly for review and consultation;
19        (2) have specific standing orders or policy guidelines
20    for procedures that are to be carried out for each location
21    or program, although the dentist need not be present when
22    the procedures are being performed;
23        (3) provide for the patient's additional necessary

 

 

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1    care in consultation with the public health dental
2    hygienist;
3        (4) file agreements and notifications as required; and
4        (5) include procedures for creating and maintaining
5    dental records, including protocols for transmission of
6    all records between the public health dental hygienist and
7    the dentist following each treatment, which shall include a
8    notation regarding procedures authorized by the dentist
9    and performed by the public health dental hygienist and the
10    location where those records are to be kept.
11    Each dentist and hygienist who enters into a public health
12supervision agreement must document and maintain a copy of any
13change or termination of that agreement.
14    Dental records shall be owned and maintained by the
15supervising dentist for all patients treated under public
16health supervision, unless the supervising dentist is an
17employee of a public health clinic or federally qualified
18health center, in which case the public health clinic or
19federally qualified health center shall maintain the records.
20    If a dentist ceases to be employed or contracted by the
21facility, the dentist shall notify the facility administrator
22that the public health supervision agreement is no longer in
23effect. A new public health supervision agreement is required
24for the public health dental hygienist to continue treating
25patients under public health supervision.
26    A dentist entering into an agreement under this Section may

 

 

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1supervise and enter into agreements for public health
2supervision with 2 public health dental hygienists. This shall
3be in addition to the limit of 4 dental hygienists per dentist
4set forth in subsection (g) of Section 18 of this Act.
5    (b) A public health dental hygienist providing services
6under public health supervision may perform only those duties
7within the accepted scope of practice of dental hygiene, as
8follows:
9        (1) the operative procedures of dental hygiene,
10    consisting of oral prophylactic procedures, including
11    prophylactic cleanings, application of fluoride, and
12    placement of sealants;
13        (2) the exposure and processing of x-ray films of the
14    teeth and surrounding structures; and
15        (3) such other procedures and acts as shall be
16    prescribed by rule of the Department.
17    Any patient treated under this subsection (b) must be
18examined by a dentist before additional services can be
19provided by a public health dental hygienist.
20    (c) A public health dental hygienist providing services
21under public health supervision must:
22        (1) provide to the patient, parent, or guardian a
23    written plan for referral or an agreement for follow-up
24    that records all conditions observed that should be called
25    to the attention of a dentist for proper diagnosis;
26        (2) have each patient sign a permission slip or consent

 

 

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1    form that informs them that the service to be received does
2    not take the place of regular dental checkups at a dental
3    office and is meant for people who otherwise would not have
4    access to the service;
5        (3) inform each patient who may require further dental
6    services of that need;
7        (4) maintain an appropriate level of contact and
8    communication with the dentist providing public health
9    supervision; and
10        (5) complete an additional 4 hours of continuing
11    education in areas specific to public health dentistry
12    yearly.
13    (d) Each public health dental hygienist who has rendered
14services under subsections (c), (d), and (e) of this Section
15must complete a summary report at the completion of a program
16or, in the case of an ongoing program, at least annually. The
17report must be completed in the manner specified by the
18Division of Oral Health in the Department of Public Health
19including information about each location where the public
20health dental hygienist has rendered these services. The public
21health dental hygienist must submit the form to the dentist
22providing supervision for his or her signature before sending
23it to the Division.
24    (e) Public health dental hygienists providing services
25under public health supervision may be compensated for their
26work by salary, honoraria, and other mechanisms by the

 

 

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1employing or sponsoring entity. Nothing in this Act shall
2preclude the entity that employs or sponsors a public health
3dental hygienist from seeking payment, reimbursement, or other
4source of funding for the services provided.
5    (f) This Section is repealed on January 1, 2021.
6(Source: P.A. 99-492, eff. 12-31-15.)