Full Text of SB2631 100th General Assembly
SB2631sam002 100TH GENERAL ASSEMBLY | Sen. Emil Jones, III Filed: 4/6/2018
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| 1 | | AMENDMENT TO SENATE BILL 2631
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 2631, AS AMENDED, | 3 | | in the introductory clause of Section 5, by changing "changing | 4 | | Section 11" with "changing Sections 11, 17, and 17.1"; and
| 5 | | in Section 5, immediately below Sec. 11, by inserting the | 6 | | following:
| 7 | | "(225 ILCS 25/17) (from Ch. 111, par. 2317)
| 8 | | (Section scheduled to be repealed on January 1, 2026)
| 9 | | Sec. 17. Acts constituting the practice of dentistry. A | 10 | | person
practices dentistry, within the meaning of this Act:
| 11 | | (1) Who represents himself or herself as being able to | 12 | | diagnose or diagnoses,
treats, prescribes, or operates for | 13 | | any disease, pain, deformity, deficiency,
injury, or | 14 | | physical condition of the human tooth, teeth, alveolar | 15 | | process,
gums or jaw; or
| 16 | | (2) Who is a manager, proprietor, operator or conductor |
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| 1 | | of a
business where
dental operations are performed; or
| 2 | | (3) Who performs dental operations of any kind; or
| 3 | | (4) Who uses an X-Ray machine or X-Ray films for
dental | 4 | | diagnostic purposes; or
| 5 | | (5) Who extracts a human tooth or teeth, or corrects or | 6 | | attempts to
correct
malpositions of the human teeth or | 7 | | jaws; or
| 8 | | (6) Who offers or undertakes, by any means or method, | 9 | | to diagnose, treat
or remove stains, calculus, and bonding | 10 | | materials from human teeth or jaws; or
| 11 | | (7) Who uses or administers local or general | 12 | | anesthetics in the treatment
of dental or oral diseases or | 13 | | in any preparation incident to a dental operation
of any | 14 | | kind or character; or
| 15 | | (8) Who takes material or digital scans for final | 16 | | impressions of the human tooth, teeth, or jaws or performs
| 17 | | any phase of any operation incident to the replacement of a | 18 | | part of a tooth,
a tooth, teeth or associated tissues by | 19 | | means of a filling, crown, a bridge,
a denture or other | 20 | | appliance; or
| 21 | | (9) Who offers to furnish, supply, construct, | 22 | | reproduce or repair, or
who furnishes, supplies, | 23 | | constructs, reproduces or repairs, prosthetic
dentures, | 24 | | bridges or other substitutes for natural teeth, to the user | 25 | | or
prospective user thereof; or
| 26 | | (10) Who instructs students on clinical matters or |
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| 1 | | performs any clinical
operation included in the curricula | 2 | | of recognized dental schools and colleges; or
| 3 | | (11) Who takes material or digital scans for final | 4 | | impressions of human teeth or places his or her hands in | 5 | | the mouth of any person for the purpose of applying teeth | 6 | | whitening materials, or who takes impressions of human | 7 | | teeth or places his or her hands in the mouth of any person | 8 | | for the purpose of assisting in the application of teeth | 9 | | whitening materials. A person does not practice dentistry | 10 | | when he or she discloses to the consumer that he or she is | 11 | | not licensed as a dentist under this Act and (i) discusses | 12 | | the use of teeth whitening materials with a consumer | 13 | | purchasing these materials; (ii) provides instruction on | 14 | | the use of teeth whitening materials with a consumer | 15 | | purchasing these materials; or (iii) provides appropriate | 16 | | equipment on-site to the consumer for the consumer to | 17 | | self-apply teeth whitening materials. | 18 | | The fact that any person engages in or performs, or offers | 19 | | to engage in
or perform, any of the practices, acts, or | 20 | | operations set forth in this
Section, shall be prima facie | 21 | | evidence that such person is engaged in the
practice of | 22 | | dentistry.
| 23 | | The following practices, acts, and operations, however, | 24 | | are exempt from
the operation of this Act:
| 25 | | (a) The rendering of dental relief in emergency cases | 26 | | in the practice
of his or her profession by a physician or |
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| 1 | | surgeon, licensed as such
under the laws of this State, | 2 | | unless he or she undertakes to reproduce or reproduces
lost | 3 | | parts of the human teeth in the mouth or to restore or | 4 | | replace lost
or missing teeth in the mouth; or
| 5 | | (b) The practice of dentistry in the discharge of their | 6 | | official duties
by dentists in any branch of the Armed | 7 | | Services of the United States, the
United States Public | 8 | | Health Service, or the United States Veterans
| 9 | | Administration; or
| 10 | | (c) The practice of dentistry by students in their | 11 | | course of study
in dental schools or colleges approved by | 12 | | the Department, when acting under the
direction and | 13 | | supervision of dentists acting as instructors; or
| 14 | | (d) The practice of dentistry by clinical instructors | 15 | | in the course of
their teaching duties in dental schools or | 16 | | colleges approved by the
Department:
| 17 | | (i) when acting under the direction and | 18 | | supervision of dentists,
provided that such clinical | 19 | | instructors have instructed continuously in
this State | 20 | | since January 1, 1986; or
| 21 | | (ii) when holding the rank of full professor at | 22 | | such approved dental
school or college and possessing a | 23 | | current valid license or authorization
to practice | 24 | | dentistry in another country; or
| 25 | | (e) The practice of dentistry by licensed dentists of | 26 | | other states or
countries at meetings of the Illinois State |
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| 1 | | Dental Society or component
parts thereof, alumni meetings | 2 | | of dental colleges, or any other like dental
organizations, | 3 | | while appearing as clinicians; or
| 4 | | (f) The use of X-Ray machines for exposing X-Ray films | 5 | | of dental or oral
tissues by dental hygienists or dental | 6 | | assistants; or
| 7 | | (g) The performance of any dental service by a dental | 8 | | assistant, if such
service is performed under the | 9 | | supervision and full responsibility of a
dentist. In | 10 | | addition, after being authorized by a dentist, a dental | 11 | | assistant may, for the purpose of eliminating pain or | 12 | | discomfort, remove loose, broken, or irritating | 13 | | orthodontic appliances on a patient of record.
| 14 | | For purposes of this paragraph (g), "dental service" is | 15 | | defined to mean
any intraoral procedure or act which shall | 16 | | be prescribed by rule or
regulation of the Department. | 17 | | Dental service, however, shall not include:
| 18 | | (1) Any and all diagnosis of or prescription for | 19 | | treatment of disease,
pain, deformity, deficiency, | 20 | | injury or physical condition of the human teeth
or | 21 | | jaws, or adjacent structures.
| 22 | | (2) Removal of, or restoration of, or addition
to | 23 | | the hard or soft tissues of the oral cavity, except for | 24 | | the placing, carving, and finishing of amalgam | 25 | | restorations and placing, packing, and finishing | 26 | | composite restorations by dental assistants who have |
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| 1 | | had additional formal education and certification as | 2 | | determined by the Department . | 3 | | A dental assistant may place, carve, and finish | 4 | | amalgam restorations and place, pack, and finish | 5 | | composite restorations if he or she has at least 4,000 | 6 | | hours of direct clinical patient care experience and | 7 | | has successfully completed a structured training | 8 | | program provided by: (A) an educational institution | 9 | | accredited by the Commission on Dental Accreditation, | 10 | | such as a dental school or dental hygiene or dental | 11 | | assistant program, or (B) a statewide dental | 12 | | association, approved by the Department to provide | 13 | | continuing education, that has developed and conducted | 14 | | training programs for expanded functions for dental | 15 | | assistants or hygienists. The training program must: | 16 | | (i) include a minimum of 16 hours of didactic study and | 17 | | 12 hours of clinical manikin instruction; all training | 18 | | programs shall include areas of study in nomenclature, | 19 | | caries classifications, oral anatomy, periodontium, | 20 | | basic occlusion, instrumentations, pulp protection | 21 | | liners and bases, dental materials, matrix and wedge | 22 | | techniques, amalgam placement and carving, rubber dam | 23 | | clamp placement, and rubber dam placement and removal; | 24 | | (ii) include an outcome assessment examination that | 25 | | demonstrates competency; (iii) require the supervising | 26 | | dentist to observe and approve the completion of 8 |
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| 1 | | amalgam or composite restorations; and (iv) issue a | 2 | | certificate of completion of the training program, | 3 | | which must be kept on file at the dental office and be | 4 | | made available to the Department upon request. A dental | 5 | | assistant must have successfully completed an approved | 6 | | coronal polishing and dental sealant course prior to | 7 | | taking the amalgam and composite restoration course. | 8 | | A dentist utilizing dental assistants shall not | 9 | | supervise more than 4 dental assistants at any one time | 10 | | 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 teeth | 14 | | 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 direct | 22 | | clinical patient care experience and who has | 23 | | successfully completed a structured training program | 24 | | provided by (1) an educational institution such as a | 25 | | dental school or dental hygiene or dental assistant | 26 | | program, or (2) by a statewide dental or dental |
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| 1 | | hygienist association, approved by the Department on | 2 | | or before the effective date of this amendatory Act of | 3 | | the 99th General Assembly, that has developed and | 4 | | conducted a training program for expanded functions | 5 | | for dental assistants or hygienists may perform: (A) | 6 | | coronal scaling above the gum line, supragingivally, | 7 | | on the clinical crown of the tooth only on patients 12 | 8 | | years of age or younger who have an absence of | 9 | | periodontal disease and who are not medically | 10 | | compromised or individuals with special needs and (B) | 11 | | intracoronal temporization of a tooth. The training | 12 | | program must: (I) include a minimum of 16 hours of | 13 | | instruction in both didactic and clinical manikin or | 14 | | human subject instruction; all training programs shall | 15 | | include areas of study in dental anatomy, public health | 16 | | dentistry, medical history, dental emergencies, and | 17 | | managing the pediatric patient; (II) include an | 18 | | outcome assessment examination that demonstrates | 19 | | competency; (III) require the supervising dentist to | 20 | | observe and approve the completion of 6 full mouth | 21 | | supragingival scaling procedures; and (IV) issue a | 22 | | certificate of completion of the training program, | 23 | | which must be kept on file at the dental office and be | 24 | | made available to the Department upon request. A dental | 25 | | assistant must have successfully completed an approved | 26 | | coronal polishing course prior to taking the coronal |
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| 1 | | scaling course. A dental assistant performing these | 2 | | functions shall be limited to the use of hand | 3 | | instruments only. In addition, coronal scaling as | 4 | | described in this paragraph shall only be utilized on | 5 | | patients who are eligible for Medicaid or who are | 6 | | uninsured and whose household income is not greater | 7 | | than 200% of the federal poverty level. A dentist may | 8 | | not supervise more than 2 dental assistants at any one | 9 | | time for the task of coronal scaling. This paragraph is | 10 | | inoperative on and after January 1, 2021. | 11 | | The limitations on the number of dental assistants a | 12 | | dentist may supervise contained in items (2), (4), and (7) | 13 | | of this paragraph (g) mean a limit of 4 total dental | 14 | | assistants or dental hygienists doing expanded functions | 15 | | covered by these Sections being supervised by one dentist. | 16 | | (h) The practice of dentistry by an individual who:
| 17 | | (i) has applied in writing to the Department, in | 18 | | form and substance
satisfactory to the Department, for | 19 | | a general dental license and has
complied with all | 20 | | provisions of Section 9 of this Act, except for the
| 21 | | passage of the examination specified in subsection (e) | 22 | | of Section 9 of this
Act; or
| 23 | | (ii) has applied in writing to the Department, in | 24 | | form and substance
satisfactory to the Department, for | 25 | | a temporary dental license and has
complied with all | 26 | | provisions of subsection (c) of Section 11 of this Act; |
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| 1 | | and
| 2 | | (iii) has been accepted or appointed for specialty | 3 | | or residency training
by a hospital situated in this | 4 | | State; or
| 5 | | (iv) has been accepted or appointed for specialty | 6 | | training in an
approved dental program situated in this | 7 | | State; or
| 8 | | (v) has been accepted or appointed for specialty | 9 | | training in a dental
public health agency situated in | 10 | | this State.
| 11 | | The applicant shall be permitted to practice dentistry | 12 | | for a period of 3
months from the starting date of the | 13 | | program, unless authorized in writing
by the Department to | 14 | | continue such practice for a period specified in
writing by | 15 | | the Department.
| 16 | | The applicant shall only be entitled to perform such | 17 | | acts as may be
prescribed by and incidental to his or her | 18 | | program of residency or specialty
training and shall not | 19 | | otherwise engage in the practice of dentistry in this
| 20 | | State.
| 21 | | The authority to practice shall terminate immediately | 22 | | upon:
| 23 | | (1) the decision of the Department that the | 24 | | applicant has failed the
examination; or
| 25 | | (2) denial of licensure by the Department; or
| 26 | | (3) withdrawal of the application.
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| 1 | | (Source: P.A. 99-492, eff. 12-31-15; 99-680, eff. 1-1-17; | 2 | | 100-215, eff. 1-1-18 .)
| 3 | | (225 ILCS 25/17.1) | 4 | | (Section scheduled to be repealed on January 1, 2026) | 5 | | Sec. 17.1. Expanded function dental assistants. | 6 | | (a) A dental assistant who has completed training as | 7 | | provided in subsection (b) of this Section in all of the | 8 | | following areas may hold himself or herself out as an expanded | 9 | | function dental assistant: | 10 | | (1) Taking material or digital scans for final | 11 | | impressions after completing a training program that | 12 | | includes either didactic objectives or clinical skills and | 13 | | functions that demonstrate competency . | 14 | | (2) Performing pulp vitality test after completing a | 15 | | training program that includes either didactic objectives | 16 | | or clinical skills and functions that demonstrate | 17 | | competency . | 18 | | (3) Placing, carving, and finishing of amalgam | 19 | | restorations and placing, packing, and finishing composite | 20 | | restorations as allowed under Section 17 . | 21 | | (4) Starting the flow of oxygen and monitoring of | 22 | | nitrous oxide-oxygen analgesia as allowed under Section | 23 | | 17 . | 24 | | (5) Coronal polishing and pit and fissure sealants , as | 25 | | currently allowed under Section 17 by law . |
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| 1 | | All procedures listed in paragraphs (1) through (5) for | 2 | | dental assistants must be performed under the supervision of a | 3 | | dentist, requiring the dentist authorizes the procedure, | 4 | | remains in the dental facility while the procedure is | 5 | | performed, and approves the work performed by the dental | 6 | | assistant before dismissal of the patient, but the dentist is | 7 | | not required to be present at all times in the treatment room. | 8 | | After the completion of training as provided in subsection | 9 | | (b) of this Section, an expanded function dental assistant may | 10 | | perform any of the services listed in this subsection (a) | 11 | | pursuant to the limitations of this Act. | 12 | | (b) Certification and training as an expanded function | 13 | | dental assistant must be obtained from one of the following | 14 | | sources: (i) an approved continuing education sponsor; (ii) a | 15 | | dental assistant training program approved by the Commission on | 16 | | Dental Accreditation of the American Dental Association; or | 17 | | (iii) a training program approved by the Department. | 18 | | Training required under this subsection (b) must also | 19 | | include Basic Life Support certification, as described in | 20 | | Section 16 of this Act. Proof of current certification shall be | 21 | | kept on file with the supervising dentist. | 22 | | (c) Any procedures listed in subsection (a) that are | 23 | | performed by an expanded function dental assistant must be | 24 | | approved by the supervising dentist and examined prior to | 25 | | dismissal of the patient. The supervising dentist shall be | 26 | | responsible for all dental services or procedures performed by |
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| 1 | | the dental assistant. | 2 | | (d) Nothing in this Section shall be construed to alter the | 3 | | number of dental assistants that a dentist may supervise under | 4 | | paragraph (g) of Section 17 of this Act. | 5 | | (e) Nothing in this Act shall: (1) require a dental | 6 | | assistant to be certified as an expanded function dental | 7 | | assistant or (2) prevent a dentist from training dental | 8 | | assistants in accordance with the provisions of Section 17 of | 9 | | this Act or rules pertaining to dental assistant duties.
| 10 | | (Source: P.A. 100-215, eff. 1-1-18 .)
| 11 | | (225 ILCS 25/18)
(from Ch. 111, par. 2318)
| 12 | | (Section scheduled to be repealed on January 1, 2026)
| 13 | | Sec. 18. Acts constituting the practice of dental hygiene;
| 14 | | limitations. | 15 | | (a) A person practices dental hygiene within the meaning of | 16 | | this Act when
he or she performs the following acts under the | 17 | | supervision of a dentist:
| 18 | | (i) the operative procedure of dental hygiene, | 19 | | consisting of oral
prophylactic procedures;
| 20 | | (ii) the exposure and processing of X-Ray films of | 21 | | the teeth and
surrounding structures;
| 22 | | (iii) the application to the surfaces of the teeth | 23 | | or gums of chemical
compounds designed to be | 24 | | desensitizing agents or effective agents in the
| 25 | | prevention of dental caries or periodontal disease;
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| 1 | | (iv) all services which may be performed by a
| 2 | | dental assistant as specified by rule pursuant to | 3 | | Section 17, and a dental hygienist may engage in the | 4 | | placing, carving, and finishing of amalgam | 5 | | restorations only after obtaining formal education and | 6 | | certification as determined by the Department;
| 7 | | (v) administration and monitoring of nitrous oxide | 8 | | upon successful
completion of a
training program | 9 | | approved by the Department;
| 10 | | (vi) administration of local anesthetics upon | 11 | | successful completion of
a
training program approved | 12 | | by the Department; and
| 13 | | (vii) such other procedures and acts as shall be | 14 | | prescribed
by
rule or regulation of the Department.
| 15 | | (b) A dental hygienist may be employed or engaged only:
| 16 | | (1) by a dentist;
| 17 | | (2) by a federal, State, county, or municipal agency or | 18 | | institution;
| 19 | | (3) by a public or private school; or
| 20 | | (4) by a public clinic operating under the direction of | 21 | | a hospital or
federal,
State, county, municipal, or other | 22 | | public agency or institution.
| 23 | | (c) When employed or engaged in the office of a dentist, a | 24 | | dental hygienist
may
perform, under general supervision, those | 25 | | procedures found in items (i) through
(iv) of
subsection (a) of | 26 | | this Section, provided the patient has been examined by the
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| 1 | | dentist
within one year of the provision of dental hygiene | 2 | | services, the dentist has
approved the
dental hygiene services | 3 | | by a notation in the patient's record and the patient
has been
| 4 | | notified that the dentist may be out of the office during the | 5 | | provision of
dental hygiene
services.
| 6 | | (d) If a patient of record is unable to travel to a dental | 7 | | office because of
illness,
infirmity, or
imprisonment, a dental | 8 | | hygienist may perform, under the general supervision of
a | 9 | | dentist,
those procedures found in items (i) through (iv) of | 10 | | subsection (a) of this
Section,
provided the patient is located | 11 | | in a long-term care facility licensed by the
State of Illinois,
| 12 | | a mental health or developmental disability facility, or a | 13 | | State or federal
prison. The dentist
shall personally examine | 14 | | and diagnose the patient and determine which
services are | 15 | | necessary to be performed, which shall be contained in an order | 16 | | to the hygienist and a notation in the patient's record.
Such | 17 | | order must be implemented within 120 days
of its issuance, and | 18 | | an updated medical history and observation of oral
conditions
| 19 | | must be performed by the hygienist immediately prior to | 20 | | beginning the
procedures to ensure that the patient's health | 21 | | has not changed in any
manner to warrant a reexamination by the | 22 | | dentist.
| 23 | | (e) School-based oral health care,
consisting of and | 24 | | limited to oral prophylactic
procedures, sealants, and | 25 | | fluoride treatments,
may be provided by a dental hygienist
| 26 | | under the general supervision of a dentist. A dental hygienist |
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| 1 | | may not provide
other dental hygiene treatment in a | 2 | | school-based setting, including but not
limited to | 3 | | administration or monitoring of nitrous oxide or | 4 | | administration of
local anesthetics. The school-based | 5 | | procedures may be performed provided the
patient is located at | 6 | | a public or private school and the program is being
conducted | 7 | | by a State, county or local public health department initiative | 8 | | or in
conjunction with a dental school or dental hygiene | 9 | | program.
The dentist shall personally examine and diagnose the | 10 | | patient and
determine
which services are necessary to be | 11 | | performed, which shall be contained in an
order to the
| 12 | | hygienist and a notation in the patient's record. Any such | 13 | | order for sealants must be implemented within 120 days after | 14 | | its issuance. Any such order for oral prophylactic procedures | 15 | | or fluoride treatments must be implemented within 180 days | 16 | | after its issuance. An updated medical history and observation | 17 | | of
oral conditions
must be
performed by the hygienist | 18 | | immediately prior to beginning the procedures to
ensure that
| 19 | | the patient's health has not changed in any manner to warrant a | 20 | | reexamination
by the
dentist.
| 21 | | (f) Without the supervision of a dentist, a dental | 22 | | hygienist
may perform
dental health education functions and may | 23 | | record case histories and oral
conditions observed.
| 24 | | (g) The number of dental hygienists practicing in a dental | 25 | | office shall
not
exceed, at any one time, 4 times the number of | 26 | | dentists practicing in the
office at the time.
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| 1 | | (h) A dental hygienist who is certified as a public health | 2 | | dental hygienist may provide services to patients: (1) who are | 3 | | eligible for Medicaid or (2) who are uninsured and whose | 4 | | household income is not greater than 200% of the federal | 5 | | poverty level. A public health dental hygienist may perform | 6 | | oral assessments, perform screenings, and provide educational | 7 | | and preventative services as provided in subsection (b) of | 8 | | Section 18.1 of this Act. The public health dental hygienist | 9 | | may not administer local anesthesia or nitrous oxide, or place, | 10 | | carve, or finish amalgam restorations or provide periodontal | 11 | | therapy under this exception. Each patient must sign a consent | 12 | | form that acknowledges that the care received does not take the | 13 | | place of a regular dental examination. The public health dental | 14 | | hygienist must provide the patient or guardian a written | 15 | | referral to a dentist for assessment of the need for further | 16 | | dental care at the time of treatment. Any indication or | 17 | | observation of a condition that could warrant the need for | 18 | | urgent attention must be reported immediately to the | 19 | | supervising dentist for appropriate assessment and treatment. | 20 | | This subsection (h) is inoperative on and after January 1, | 21 | | 2021. | 22 | | (i) A dental hygienist performing procedures listed in | 23 | | paragraphs (1) through (4) of subsection (a) of Section 17.1 | 24 | | must be under the supervision of a dentist, requiring the | 25 | | dentist authorizes the procedure, remains in the dental | 26 | | facility while the procedure is performed, and approves the |
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| 1 | | work performed by the dental hygienist before dismissal of the | 2 | | patient, but the dentist is not required to be present at all | 3 | | times in the treatment room. | 4 | | (j) A dental hygienist may perform actions described in | 5 | | paragraph (5) of subsection (a) of Section 17.1 under the | 6 | | general supervision of a dentist as described in this Section. | 7 | | (Source: P.A. 99-492, eff. 12-31-15.)".
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