HB 2267 — DENTAL PRACTICE-VARIOUS

HB2267 EngrossedEnrolled LRB103 30203 AMQ 56631 b AN ACT concerning regulation.

"Dentist" means a person who has received a general license pursuant to paragraph (a) of Section 11 of this Act and who may perform any intraoral and extraoral procedure required HB2267 EngrossedEnrolled - 2 - LRB103 30203 AMQ 56631 b in the practice of dentistry and to whom is reserved the responsibilities specified in Section 17.

"Supervision" means supervision of a dental hygienist or a dental assistant requiring that a dentist authorize the procedure, remain in the dental facility while the procedure is performed, and approve the work performed by the dental HB2267 EngrossedEnrolled - 3 - LRB103 30203 AMQ 56631 b hygienist or dental assistant before dismissal of the patient, but does not mean that the dentist must be present at all times in the treatment room.

endodontics, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatric dentistry, periodontics, prosthodontics, oral and maxillofacial HB2267 EngrossedEnrolled - 4 - LRB103 30203 AMQ 56631 b radiology, and dental anesthesiology.

HB2267 EngrossedEnrolled - 5 - LRB103 30203 AMQ 56631 b "Dental responder" means a dentist or dental hygienist who is appropriately certified in disaster preparedness, immunizations, and dental humanitarian medical response consistent with the Society of Disaster Medicine and Public Health and training certified by the National Incident Management System or the National Disaster Life Support Foundation.

"Public health supervision" means the supervision of a public health dental hygienist by a licensed dentist who has a HB2267 EngrossedEnrolled - 6 - LRB103 30203 AMQ 56631 b written public health supervision agreement with that public health dental hygienist while working in an approved facility or program that allows the public health dental hygienist to treat patients, without a dentist first examining the patient and being present in the facility during treatment, (1) who are eligible for Medicaid or (2) who are uninsured or and whose household income is not greater than 300% 200% of the federal poverty level.

or HB2267 EngrossedEnrolled - 7 - LRB103 30203 AMQ 56631 b (2) Who is a manager, proprietor, operator or conductor of a business where dental operations are performed;

or (9) Who offers to furnish, supply, construct, reproduce or repair, or who furnishes, supplies, constructs, reproduces or repairs, prosthetic dentures, bridges or other substitutes for natural teeth, to the HB2267 EngrossedEnrolled - 8 - LRB103 30203 AMQ 56631 b user or prospective user thereof;

HB2267 EngrossedEnrolled - 9 - LRB103 30203 AMQ 56631 b (a) The rendering of dental relief in emergency cases in the practice of his or her profession by a physician or surgeon, licensed as such under the laws of this State, unless he or she undertakes to reproduce or reproduces lost parts of the human teeth in the mouth or to restore or replace lost or missing teeth in the mouth;

or HB2267 EngrossedEnrolled - 10 - LRB103 30203 AMQ 56631 b (e) The practice of dentistry by licensed dentists of other states or countries at meetings of the Illinois State Dental Society or component parts thereof, alumni meetings of dental colleges, or any other like dental organizations, while appearing as clinicians;

(2) Removal of, or restoration of, or addition to the hard or soft tissues of the oral cavity, except for the placing, carving, and finishing of amalgam HB2267 EngrossedEnrolled - 11 - LRB103 30203 AMQ 56631 b restorations and placing, packing, and finishing composite restorations by dental assistants who have had additional formal education and certification.

all training programs shall include areas of study in nomenclature, caries classifications, oral anatomy, periodontium, basic occlusion, instrumentations, pulp protection liners and bases, dental materials, matrix and wedge HB2267 EngrossedEnrolled - 12 - LRB103 30203 AMQ 56631 b techniques, amalgam placement and carving, rubber dam clamp placement, and rubber dam placement and removal;

A dentist utilizing dental HB2267 EngrossedEnrolled - 13 - LRB103 30203 AMQ 56631 b assistants shall not supervise more than 4 dental assistants at any one time for the monitoring of nitrous oxide.

In addition to coronal polishing and pit and fissure sealants as described in this item (7), a HB2267 EngrossedEnrolled - 14 - LRB103 30203 AMQ 56631 b dental assistant who has at least 2,000 hours of direct clinical patient care experience and who has successfully completed a structured training program provided by (1) an educational institution including, but not limited to, a dental school or dental hygiene or dental assistant program, or (2) a continuing education provider approved by the Department, or (3) a statewide dental or dental hygienist association, approved by the Department on or before January 1, 2017 (the effective date of Public Act 99-680), that has developed and conducted a training program for expanded functions for dental assistants or hygienists may perform:

(III) HB2267 EngrossedEnrolled - 15 - LRB103 30203 AMQ 56631 b require the supervising dentist to observe and approve the completion of 6 full mouth supragingival scaling procedures unless the training was received as part of a Commission on Dental Accreditation approved dental assistant program;

or HB2267 EngrossedEnrolled - 16 - LRB103 30203 AMQ 56631 b (h) The practice of dentistry by an individual who:

HB2267 EngrossedEnrolled - 17 - LRB103 30203 AMQ 56631 b The applicant shall only be entitled to perform such acts as may be prescribed by and incidental to his or her program of residency or specialty training and shall not otherwise engage in the practice of dentistry in this State.

(iii) the application to the surfaces of the teeth or HB2267 EngrossedEnrolled - 18 - LRB103 30203 AMQ 56631 b gums of chemical compounds designed to be desensitizing agents or effective agents in the prevention of dental caries or periodontal disease;

(c) When employed or engaged in the office of a dentist, a HB2267 EngrossedEnrolled - 19 - LRB103 30203 AMQ 56631 b dental hygienist may perform, under general supervision, those procedures found in items (i) through (iv) of subsection (a) of this Section, provided the patient has been examined by the dentist within one year of the provision of dental hygiene services, the dentist has approved the dental hygiene services by a notation in the patient's record and the patient has been notified that the dentist may be out of the office during the provision of dental hygiene services.

HB2267 EngrossedEnrolled - 20 - LRB103 30203 AMQ 56631 b (e) School-based oral health care, consisting of and limited to oral prophylactic procedures, sealants, and fluoride treatments, may be provided by a dental hygienist under the general supervision of a dentist.

(f) Without the supervision of a dentist, a dental hygienist may perform dental health education functions, HB2267 EngrossedEnrolled - 21 - LRB103 30203 AMQ 56631 b including instruction in proper oral health care and dental hygiene in, for example, either a school setting, a or long-term care facility, and a health fair.

Any indication or observation of a condition that could warrant HB2267 EngrossedEnrolled - 22 - LRB103 30203 AMQ 56631 b the need for urgent attention must be reported immediately to the supervising dentist for appropriate assessment and treatment.

HB2267 EngrossedEnrolled - 23 - LRB103 30203 AMQ 56631 b (1) be available to provide an appropriate level of contact, communication, collaboration, and consultation with the public health dental hygienist and must meet in-person with the public health dental hygienist at least quarterly for review and consultation;

Dental records shall be owned and maintained by the supervising dentist for all patients treated under public health supervision, unless the supervising dentist is an HB2267 EngrossedEnrolled - 24 - LRB103 30203 AMQ 56631 b employee of a public health clinic or federally qualified health center, in which case the public health clinic or federally qualified health center shall maintain the records.

HB2267 EngrossedEnrolled - 25 - LRB103 30203 AMQ 56631 b Any patient treated under this subsection (b) must be examined by a dentist before additional services can be provided by a public health dental hygienist.

HB2267 EngrossedEnrolled - 26 - LRB103 30203 AMQ 56631 b (4) maintain an appropriate level of contact and communication with the dentist providing public health supervision;

HB2267 EngrossedEnrolled - 27 - LRB103 30203 AMQ 56631 b (f) This Section is repealed on January 1, 2026.