Illinois General Assembly - Full Text of SB2631
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Full Text of SB2631  100th General Assembly




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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 Sections 11, 17, and 17.1 as follows:
6    (225 ILCS 25/11)  (from Ch. 111, par. 2311)
7    (Section scheduled to be repealed on January 1, 2026)
8    Sec. 11. Types of dental licenses. The Department shall
9have the authority to issue the following types of licenses:
10    (a) General licenses. The Department shall issue a license
11authorizing practice as a dentist to any person who qualifies
12for a license under this Act.
13    (b) Specialty licenses. The Department shall issue a
14license authorizing practice as a specialist in any particular
15branch of dentistry to any dentist who has complied with the
16requirements established for that particular branch of
17dentistry at the time of making application. The Department
18shall establish additional requirements of any dentist who
19announces or holds himself or herself out to the public as a
20specialist or as being specially qualified in any particular
21branch of dentistry.
22    No dentist shall announce or hold himself or herself out to
23the public as a specialist or as being specially qualified in



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1any particular branch of dentistry unless he or she is licensed
2to practice in that specialty of dentistry.
3    The fact that any dentist shall announce by card,
4letterhead or any other form of communication using terms as
5"Specialist," "Practice Limited To" or "Limited to Specialty
6of" with the name of the branch of dentistry practiced as a
7specialty, or shall use equivalent words or phrases to announce
8the same, shall be prima facie evidence that the dentist is
9holding himself or herself out to the public as a specialist.
10    (c) Temporary training licenses. Persons who wish to pursue
11specialty or other advanced clinical educational programs in an
12approved dental school or a hospital situated in this State, or
13persons who wish to pursue programs of specialty training in
14dental public health in public agencies in this State, may
15receive without examination, in the discretion of the
16Department, a temporary training license. In order to receive a
17temporary training license under this subsection, an applicant
18shall furnish satisfactory proof to the Department that:
19        (1) The applicant is at least 21 years of age and is of
20    good moral character. In determining moral character under
21    this Section, the Department may take into consideration
22    any felony conviction of the applicant, but such a
23    conviction shall not operate as bar to licensure;
24        (2) The applicant has been accepted or appointed for
25    specialty or residency training by an approved hospital
26    situated in this State, by an approved dental school



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1    situated in this State, or by a public health agency in
2    this State the training programs of which are recognized
3    and approved by the Department. The applicant shall
4    indicate the beginning and ending dates of the period for
5    which he or she has been accepted or appointed;
6        (3) The applicant is a graduate of a dental school or
7    college approved and in good standing in the judgment of
8    the Department. The Department may consider diplomas or
9    certifications of education, or both, accompanied by
10    transcripts of course work and credits awarded to determine
11    if an applicant has graduated from a dental school or
12    college approved and in good standing. The Department may
13    also consider diplomas or certifications of education, or
14    both, accompanied by transcripts of course work and credits
15    awarded in determining whether a dental school or college
16    is approved and in good standing.
17    Temporary training licenses issued under this Section
18shall be valid only for the duration of the period of residency
19or specialty training and may be extended or renewed as
20prescribed by rule. The holder of a valid temporary training
21license shall be entitled thereby to perform acts as may be
22prescribed by and incidental to his or her program of residency
23or specialty training; but he or she shall not be entitled to
24engage in the practice of dentistry in this State.
25    A temporary training license may be revoked by the
26Department upon proof that the holder has engaged in the



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1practice of dentistry in this State outside of his or her
2program of residency or specialty training, or if the holder
3shall fail to supply the Department, within 10 days of its
4request, with information as to his or her current status and
5activities in his or her specialty training program.
6    (d) Faculty limited Restricted faculty licenses. Persons
7who have received full-time appointments to teach dentistry at
8an approved dental school or hospital situated in this State
9may receive without examination, in the discretion of the
10Department, a restricted faculty limited license. In order to
11receive a restricted faculty limited license an applicant shall
12furnish satisfactory proof to the Department that:
13        (1) The applicant is at least 21 years of age, is of
14    good moral character and is licensed to practice dentistry
15    in another state or country; and
16        (2) The applicant has a full-time appointment to teach
17    dentistry at an approved dental school or hospital situated
18    in this State.
19    Faculty limited Restricted faculty licenses issued under
20this Section shall be valid for a period of 3 years and may be
21extended or renewed. The holder of a valid restricted faculty
22limited license may perform acts as may be required by his or
23her teaching of dentistry. In addition, the holder of a
24restricted faculty limited license may practice general
25dentistry or in his or her area of specialty, but only in a
26clinic or office affiliated with the dental school. Any



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1restricted faculty limited license issued to a faculty member
2under this Section shall terminate immediately and
3automatically, without any further action by the Department, if
4the holder ceases to be a faculty member at an approved dental
5school or hospital in this State.
6    The Department may revoke a restricted faculty limited
7license for a violation of this Act or its rules, or if the
8holder fails to supply the Department, within 10 days of its
9request, with information as to his current status and
10activities in his teaching program.
11    (e) Inactive status. Any person who holds one of the
12licenses under subsection (a) or (b) of Section 11 or under
13Section 12 of this Act may elect, upon payment of the required
14fee, to place his or her license on an inactive status and
15shall, subject to the rules of the Department, be excused from
16the payment of renewal fees until he or she notifies the
17Department in writing of his or her desire to resume active
19    Any licensee requesting restoration from inactive status
20shall be required to pay the current renewal fee and upon
21payment the Department shall be required to restore his or her
22license, as provided in Section 16 of this Act.
23    Any licensee whose license is in an inactive status shall
24not practice in the State of Illinois.
25    (f) Certificates of Identification. In addition to the
26licenses authorized by this Section, the Department shall



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1deliver to each dentist a certificate of identification in a
2form specified by the Department.
3(Source: P.A. 94-409, eff. 12-31-05.)
4    (225 ILCS 25/17)  (from Ch. 111, par. 2317)
5    (Section scheduled to be repealed on January 1, 2026)
6    Sec. 17. Acts constituting the practice of dentistry. A
7person practices dentistry, within the meaning of this Act:
8        (1) Who represents himself or herself as being able to
9    diagnose or diagnoses, treats, prescribes, or operates for
10    any disease, pain, deformity, deficiency, injury, or
11    physical condition of the human tooth, teeth, alveolar
12    process, gums or jaw; or
13        (2) Who is a manager, proprietor, operator or conductor
14    of a business where dental operations are performed; or
15        (3) Who performs dental operations of any kind; or
16        (4) Who uses an X-Ray machine or X-Ray films for dental
17    diagnostic purposes; or
18        (5) Who extracts a human tooth or teeth, or corrects or
19    attempts to correct malpositions of the human teeth or
20    jaws; or
21        (6) Who offers or undertakes, by any means or method,
22    to diagnose, treat or remove stains, calculus, and bonding
23    materials from human teeth or jaws; or
24        (7) Who uses or administers local or general
25    anesthetics in the treatment of dental or oral diseases or



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1    in any preparation incident to a dental operation of any
2    kind or character; or
3        (8) Who takes material or digital scans for final
4    impressions of the human tooth, teeth, or jaws or performs
5    any phase of any operation incident to the replacement of a
6    part of a tooth, a tooth, teeth or associated tissues by
7    means of a filling, crown, a bridge, a denture or other
8    appliance; or
9        (9) Who offers to furnish, supply, construct,
10    reproduce or repair, or who furnishes, supplies,
11    constructs, reproduces or repairs, prosthetic dentures,
12    bridges or other substitutes for natural teeth, to the user
13    or prospective user thereof; or
14        (10) Who instructs students on clinical matters or
15    performs any clinical operation included in the curricula
16    of recognized dental schools and colleges; or
17        (11) Who takes material or digital scans for final
18    impressions of human teeth or places his or her hands in
19    the mouth of any person for the purpose of applying teeth
20    whitening materials, or who takes impressions of human
21    teeth or places his or her hands in the mouth of any person
22    for the purpose of assisting in the application of teeth
23    whitening materials. A person does not practice dentistry
24    when he or she discloses to the consumer that he or she is
25    not licensed as a dentist under this Act and (i) discusses
26    the use of teeth whitening materials with a consumer



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1    purchasing these materials; (ii) provides instruction on
2    the use of teeth whitening materials with a consumer
3    purchasing these materials; or (iii) provides appropriate
4    equipment on-site to the consumer for the consumer to
5    self-apply teeth whitening materials.
6    The fact that any person engages in or performs, or offers
7to engage in or perform, any of the practices, acts, or
8operations set forth in this Section, shall be prima facie
9evidence that such person is engaged in the practice of
11    The following practices, acts, and operations, however,
12are exempt from the operation of this Act:
13        (a) The rendering of dental relief in emergency cases
14    in the practice of his or her profession by a physician or
15    surgeon, licensed as such under the laws of this State,
16    unless he or she undertakes to reproduce or reproduces lost
17    parts of the human teeth in the mouth or to restore or
18    replace lost or missing teeth in the mouth; or
19        (b) The practice of dentistry in the discharge of their
20    official duties by dentists in any branch of the Armed
21    Services of the United States, the United States Public
22    Health Service, or the United States Veterans
23    Administration; or
24        (c) The practice of dentistry by students in their
25    course of study in dental schools or colleges approved by
26    the Department, when acting under the direction and



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1    supervision of dentists acting as instructors; or
2        (d) The practice of dentistry by clinical instructors
3    in the course of their teaching duties in dental schools or
4    colleges approved by the Department:
5            (i) when acting under the direction and
6        supervision of dentists, provided that such clinical
7        instructors have instructed continuously in this State
8        since January 1, 1986; or
9            (ii) when holding the rank of full professor at
10        such approved dental school or college and possessing a
11        current valid license or authorization to practice
12        dentistry in another country; or
13        (e) The practice of dentistry by licensed dentists of
14    other states or countries at meetings of the Illinois State
15    Dental Society or component parts thereof, alumni meetings
16    of dental colleges, or any other like dental organizations,
17    while appearing as clinicians; or
18        (f) The use of X-Ray machines for exposing X-Ray films
19    of dental or oral tissues by dental hygienists or dental
20    assistants; or
21        (g) The performance of any dental service by a dental
22    assistant, if such service is performed under the
23    supervision and full responsibility of a dentist. In
24    addition, after being authorized by a dentist, a dental
25    assistant may, for the purpose of eliminating pain or
26    discomfort, remove loose, broken, or irritating



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1    orthodontic appliances on a patient of record.
2        For purposes of this paragraph (g), "dental service" is
3    defined to mean any intraoral procedure or act which shall
4    be prescribed by rule or regulation of the Department.
5    Dental service, however, shall not include:
6            (1) Any and all diagnosis of or prescription for
7        treatment of disease, pain, deformity, deficiency,
8        injury or physical condition of the human teeth or
9        jaws, or adjacent structures.
10            (2) Removal of, or restoration of, or addition to
11        the hard or soft tissues of the oral cavity, except for
12        the placing, carving, and finishing of amalgam
13        restorations and placing, packing, and finishing
14        composite restorations by dental assistants who have
15        had additional formal education and certification as
16        determined by the Department.
17            A dental assistant may place, carve, and finish
18        amalgam restorations, place, pack, and finish
19        composite restorations, and place interim restorations
20        if he or she has at least 4,000 hours of direct
21        clinical patient care experience and has successfully
22        completed a structured training program provided by:
23        (A) an educational institution accredited by the
24        Commission on Dental Accreditation, such as a dental
25        school or dental hygiene or dental assistant program,
26        or (B) a statewide dental association, approved by the



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1        Department to provide continuing education, that has
2        developed and conducted training programs for expanded
3        functions for dental assistants or hygienists. The
4        training program must: (i) include a minimum of 16
5        hours of didactic study and 14 hours of clinical
6        manikin instruction; all training programs shall
7        include areas of study in nomenclature, caries
8        classifications, oral anatomy, periodontium, basic
9        occlusion, instrumentations, pulp protection liners
10        and bases, dental materials, matrix and wedge
11        techniques, amalgam placement and carving, rubber dam
12        clamp placement, and rubber dam placement and removal;
13        (ii) include an outcome assessment examination that
14        demonstrates competency; (iii) require the supervising
15        dentist to observe and approve the completion of 8
16        amalgam or composite restorations; and (iv) issue a
17        certificate of completion of the training program,
18        which must be kept on file at the dental office and be
19        made available to the Department upon request. A dental
20        assistant must have successfully completed an approved
21        coronal polishing and dental sealant course prior to
22        taking the amalgam and composite restoration course.
23            A dentist utilizing dental assistants shall not
24        supervise more than 4 dental assistants at any one time
25        for placing, carving, and finishing of amalgam
26        restorations or for placing, packing, and finishing



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1        composite restorations.
2            (3) Any and all correction of malformation of teeth
3        or of the jaws.
4            (4) Administration of anesthetics, except for
5        monitoring of nitrous oxide, conscious sedation, deep
6        sedation, and general anesthetic as provided in
7        Section 8.1 of this Act, that may be performed only
8        after successful completion of a training program
9        approved by the Department. A dentist utilizing dental
10        assistants shall not supervise more than 4 dental
11        assistants at any one time for the monitoring of
12        nitrous oxide.
13            (5) Removal of calculus from human teeth.
14            (6) Taking of material or digital scans for final
15        impressions for the fabrication of prosthetic
16        appliances, crowns, bridges, inlays, onlays, or other
17        restorative or replacement dentistry.
18            (7) The operative procedure of dental hygiene
19        consisting of oral prophylactic procedures, except for
20        coronal polishing and pit and fissure sealants, which
21        may be performed by a dental assistant who has
22        successfully completed a training program approved by
23        the Department. Dental assistants may perform coronal
24        polishing under the following circumstances: (i) the
25        coronal polishing shall be limited to polishing the
26        clinical crown of the tooth and existing restorations,



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1        supragingivally; (ii) the dental assistant performing
2        the coronal polishing shall be limited to the use of
3        rotary instruments using a rubber cup or brush
4        polishing method (air polishing is not permitted); and
5        (iii) the supervising dentist shall not supervise more
6        than 4 dental assistants at any one time for the task
7        of coronal polishing or pit and fissure sealants.
8            In addition to coronal polishing and pit and
9        fissure sealants as described in this item (7), a
10        dental assistant who has at least 2,000 hours of direct
11        clinical patient care experience and who has
12        successfully completed a structured training program
13        provided by (1) an educational institution such as a
14        dental school or dental hygiene or dental assistant
15        program, or (2) by a statewide dental or dental
16        hygienist association, approved by the Department on
17        or before the effective date of this amendatory Act of
18        the 99th General Assembly, that has developed and
19        conducted a training program for expanded functions
20        for dental assistants or hygienists may perform: (A)
21        coronal scaling above the gum line, supragingivally,
22        on the clinical crown of the tooth only on patients 12
23        years of age or younger who have an absence of
24        periodontal disease and who are not medically
25        compromised or individuals with special needs and (B)
26        intracoronal temporization of a tooth. The training



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1        program must: (I) include a minimum of 16 hours of
2        instruction in both didactic and clinical manikin or
3        human subject instruction; all training programs shall
4        include areas of study in dental anatomy, public health
5        dentistry, medical history, dental emergencies, and
6        managing the pediatric patient; (II) include an
7        outcome assessment examination that demonstrates
8        competency; (III) require the supervising dentist to
9        observe and approve the completion of 6 full mouth
10        supragingival scaling procedures; and (IV) issue a
11        certificate of completion of the training program,
12        which must be kept on file at the dental office and be
13        made available to the Department upon request. A dental
14        assistant must have successfully completed an approved
15        coronal polishing course prior to taking the coronal
16        scaling course. A dental assistant performing these
17        functions shall be limited to the use of hand
18        instruments only. In addition, coronal scaling as
19        described in this paragraph shall only be utilized on
20        patients who are eligible for Medicaid or who are
21        uninsured and whose household income is not greater
22        than 200% of the federal poverty level. A dentist may
23        not supervise more than 2 dental assistants at any one
24        time for the task of coronal scaling. This paragraph is
25        inoperative on and after January 1, 2021.
26        The limitations on the number of dental assistants a



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1    dentist may supervise contained in items (2), (4), and (7)
2    of this paragraph (g) mean a limit of 4 total dental
3    assistants or dental hygienists doing expanded functions
4    covered by these Sections being supervised by one dentist.
5        (h) The practice of dentistry by an individual who:
6            (i) has applied in writing to the Department, in
7        form and substance satisfactory to the Department, for
8        a general dental license and has complied with all
9        provisions of Section 9 of this Act, except for the
10        passage of the examination specified in subsection (e)
11        of Section 9 of this Act; or
12            (ii) has applied in writing to the Department, in
13        form and substance satisfactory to the Department, for
14        a temporary dental license and has complied with all
15        provisions of subsection (c) of Section 11 of this Act;
16        and
17            (iii) has been accepted or appointed for specialty
18        or residency training by a hospital situated in this
19        State; or
20            (iv) has been accepted or appointed for specialty
21        training in an approved dental program situated in this
22        State; or
23            (v) has been accepted or appointed for specialty
24        training in a dental public health agency situated in
25        this State.
26        The applicant shall be permitted to practice dentistry



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1    for a period of 3 months from the starting date of the
2    program, unless authorized in writing by the Department to
3    continue such practice for a period specified in writing by
4    the Department.
5        The applicant shall only be entitled to perform such
6    acts as may be prescribed by and incidental to his or her
7    program of residency or specialty training and shall not
8    otherwise engage in the practice of dentistry in this
9    State.
10        The authority to practice shall terminate immediately
11    upon:
12            (1) the decision of the Department that the
13        applicant has failed the examination; or
14            (2) denial of licensure by the Department; or
15            (3) withdrawal of the application.
16(Source: P.A. 99-492, eff. 12-31-15; 99-680, eff. 1-1-17;
17100-215, eff. 1-1-18.)
18    (225 ILCS 25/17.1)
19    (Section scheduled to be repealed on January 1, 2026)
20    Sec. 17.1. Expanded function dental assistants.
21    (a) A dental assistant who has completed training as
22provided in subsection (b) of this Section in all of the
23following areas may hold himself or herself out as an expanded
24function dental assistant:
25        (1) Taking material or digital scans for final



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1    impressions after completing a training program that
2    includes either didactic objectives or clinical skills and
3    functions that demonstrate competency.
4        (2) Performing pulp vitality test after completing a
5    training program that includes either didactic objectives
6    or clinical skills and functions that demonstrate
7    competency.
8        (3) Placing, carving, and finishing of amalgam
9    restorations and placing, packing, and finishing composite
10    restorations as allowed under Section 17.
11        (4) Starting the flow of oxygen and monitoring of
12    nitrous oxide-oxygen analgesia as allowed under Section
13    17.
14        (5) Coronal polishing and pit and fissure sealants, as
15    currently allowed under Section 17 by law.
16    All procedures listed in paragraphs (1) through (5) for
17dental assistants must be performed under the supervision of a
18dentist, requiring the dentist authorizes the procedure,
19remains in the dental facility while the procedure is
20performed, and approves the work performed by the dental
21assistant before dismissal of the patient, but the dentist is
22not required to be present at all times in the treatment room.
23    After the completion of training as provided in subsection
24(b) of this Section, an expanded function dental assistant may
25perform any of the services listed in this subsection (a)
26pursuant to the limitations of this Act.



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1    (b) Certification and training as an expanded function
2dental assistant must be obtained from one of the following
3sources: (i) an approved continuing education sponsor; (ii) a
4dental assistant training program approved by the Commission on
5Dental Accreditation of the American Dental Association; or
6(iii) a training program approved by the Department.
7    Training required under this subsection (b) must also
8include Basic Life Support certification, as described in
9Section 16 of this Act. Proof of current certification shall be
10kept on file with the supervising dentist.
11    (c) Any procedures listed in subsection (a) that are
12performed by an expanded function dental assistant must be
13approved by the supervising dentist and examined prior to
14dismissal of the patient. The supervising dentist shall be
15responsible for all dental services or procedures performed by
16the dental assistant.
17    (d) Nothing in this Section shall be construed to alter the
18number of dental assistants that a dentist may supervise under
19paragraph (g) of Section 17 of this Act.
20    (e) Nothing in this Act shall: (1) require a dental
21assistant to be certified as an expanded function dental
22assistant or (2) prevent a dentist from training dental
23assistants in accordance with the provisions of Section 17 of
24this Act or rules pertaining to dental assistant duties.
25(Source: P.A. 100-215, eff. 1-1-18.)



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1    (225 ILCS 25/18)   (from Ch. 111, par. 2318)
2    (Section scheduled to be repealed on January 1, 2026)
3    Sec. 18. Acts constituting the practice of dental hygiene;
5    (a) A person practices dental hygiene within the meaning of
6this Act when he or she performs the following acts under the
7supervision of a dentist:
8            (i) the operative procedure of dental hygiene,
9        consisting of oral prophylactic procedures;
10            (ii) the exposure and processing of X-Ray films of
11        the teeth and surrounding structures;
12            (iii) the application to the surfaces of the teeth
13        or gums of chemical compounds designed to be
14        desensitizing agents or effective agents in the
15        prevention of dental caries or periodontal disease;
16            (iv) all services which may be performed by a
17        dental assistant as specified by rule pursuant to
18        Section 17, and a dental hygienist may engage in the
19        placing, carving, and finishing of amalgam
20        restorations only after obtaining formal education and
21        certification as determined by the Department;
22            (v) administration and monitoring of nitrous oxide
23        upon successful completion of a training program
24        approved by the Department;
25            (vi) administration of local anesthetics upon
26        successful completion of a training program approved



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1        by the Department; and
2            (vii) such other procedures and acts as shall be
3        prescribed by rule or regulation of the Department.
4    (b) A dental hygienist may be employed or engaged only:
5        (1) by a dentist;
6        (2) by a federal, State, county, or municipal agency or
7    institution;
8        (3) by a public or private school; or
9        (4) by a public clinic operating under the direction of
10    a hospital or federal, State, county, municipal, or other
11    public agency or institution.
12    (c) When employed or engaged in the office of a dentist, a
13dental hygienist may perform, under general supervision, those
14procedures found in items (i) through (iv) of subsection (a) of
15this Section, provided the patient has been examined by the
16dentist within one year of the provision of dental hygiene
17services, the dentist has approved the dental hygiene services
18by a notation in the patient's record and the patient has been
19notified that the dentist may be out of the office during the
20provision of dental hygiene services.
21    (d) If a patient of record is unable to travel to a dental
22office because of illness, infirmity, or imprisonment, a dental
23hygienist may perform, under the general supervision of a
24dentist, those procedures found in items (i) through (iv) of
25subsection (a) of this Section, provided the patient is located
26in a long-term care facility licensed by the State of Illinois,



SB2631 Enrolled- 21 -LRB100 16398 SMS 31526 b

1a mental health or developmental disability facility, or a
2State or federal prison. The dentist shall personally examine
3and diagnose the patient and determine which services are
4necessary to be performed, which shall be contained in an order
5to the hygienist and a notation in the patient's record. Such
6order must be implemented within 120 days of its issuance, and
7an updated medical history and observation of oral conditions
8must be performed by the hygienist immediately prior to
9beginning the procedures to ensure that the patient's health
10has not changed in any manner to warrant a reexamination by the
12    (e) School-based oral health care, consisting of and
13limited to oral prophylactic procedures, sealants, and
14fluoride treatments, may be provided by a dental hygienist
15under the general supervision of a dentist. A dental hygienist
16may not provide other dental hygiene treatment in a
17school-based setting, including but not limited to
18administration or monitoring of nitrous oxide or
19administration of local anesthetics. The school-based
20procedures may be performed provided the patient is located at
21a public or private school and the program is being conducted
22by a State, county or local public health department initiative
23or in conjunction with a dental school or dental hygiene
24program. The dentist shall personally examine and diagnose the
25patient and determine which services are necessary to be
26performed, which shall be contained in an order to the



SB2631 Enrolled- 22 -LRB100 16398 SMS 31526 b

1hygienist and a notation in the patient's record. Any such
2order for sealants must be implemented within 120 days after
3its issuance. Any such order for oral prophylactic procedures
4or fluoride treatments must be implemented within 180 days
5after its issuance. An updated medical history and observation
6of oral conditions must be performed by the hygienist
7immediately prior to beginning the procedures to ensure that
8the patient's health has not changed in any manner to warrant a
9reexamination by the dentist.
10    (f) Without the supervision of a dentist, a dental
11hygienist may perform dental health education functions and may
12record case histories and oral conditions observed.
13    (g) The number of dental hygienists practicing in a dental
14office shall not exceed, at any one time, 4 times the number of
15dentists practicing in the office at the time.
16    (h) A dental hygienist who is certified as a public health
17dental hygienist may provide services to patients: (1) who are
18eligible for Medicaid or (2) who are uninsured and whose
19household income is not greater than 200% of the federal
20poverty level. A public health dental hygienist may perform
21oral assessments, perform screenings, and provide educational
22and preventative services as provided in subsection (b) of
23Section 18.1 of this Act. The public health dental hygienist
24may not administer local anesthesia or nitrous oxide, or place,
25carve, or finish amalgam restorations or provide periodontal
26therapy under this exception. Each patient must sign a consent



SB2631 Enrolled- 23 -LRB100 16398 SMS 31526 b

1form that acknowledges that the care received does not take the
2place of a regular dental examination. The public health dental
3hygienist must provide the patient or guardian a written
4referral to a dentist for assessment of the need for further
5dental care at the time of treatment. Any indication or
6observation of a condition that could warrant the need for
7urgent attention must be reported immediately to the
8supervising dentist for appropriate assessment and treatment.
9    This subsection (h) is inoperative on and after January 1,
11    (i) A dental hygienist performing procedures listed in
12paragraphs (1) through (4) of subsection (a) of Section 17.1
13must be under the supervision of a dentist, requiring the
14dentist authorizes the procedure, remains in the dental
15facility while the procedure is performed, and approves the
16work performed by the dental hygienist before dismissal of the
17patient, but the dentist is not required to be present at all
18times in the treatment room.
19    (j) A dental hygienist may perform actions described in
20paragraph (5) of subsection (a) of Section 17.1 under the
21general supervision of a dentist as described in this Section.
22(Source: P.A. 99-492, eff. 12-31-15.)