Arizona 56th Legislature - First Regular Session Status: Enacted 1 R cosponsors

SB 1602 — dental anesthesia; requirements

Last action — Signed by Governor

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 02, 2023. Enacted.

Signed by Governor Katie Hobbs (Democratic) on June 20, 2023.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 58% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Mixed recorded votes

    3 passed, 2 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

542 added · 551 removed

Plain-language change summary

The recent amendments to Bill SB 1602 include changes to the requirements for dental anesthesia, adding a focus on pediatric advanced life support and aligning with American Heart Association standards for sedation practices. Additionally, the bill now emphasizes the need for equitable access to dental anesthesia services, ensuring that all qualified providers can offer care effectively. These changes aim to improve patient safety and accessibility in dental procedures, which is important for promoting the overall health of the community.

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Senate Engrossed dental anesthesia;
House Engrossed Senate Bill dental anesthesia;
requirements State of Arizona Senate Fifty-sixth Legislature First Regular Session SENATE BILL 1602 AN ACT AMENDING SECTIONS 32-1201 AND 32-1207, ARIZONA REVISED STATUTES;
requirements State of Arizona Senate Fifty-sixth Legislature First Regular Session CHAPTER 200 SENATE BILL 1602 AN ACT AMENDING SECTIONS 32-1201 AND 32-1207, ARIZONA REVISED STATUTES;
A LICENSEE WHO HAS OBTAINED A PERMIT PURSUANT TO SUBSECTION E OF THIS SECTION MAY PERFORM DENTAL PROCEDURES ON A PATIENT WHO RECEIVES ANESTHESIA OR SEDATION ADMINISTERED BY A QUALIFIED ANESTHESIA PROVIDER WHO IS EXCLUSIVELY RESPONSIBLE FOR THE PREOPERATIVE, INTRAOPERATIVE AND POSTOPERATIVE ANESTHETIC MANAGEMENT OF THE PATIENT.
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A DENTAL OFFICE OR DENTAL CLINIC AT WHICH GENERAL ANESTHESIA OR SEDATION IS ADMINISTERED MUST CONTAIN PROPERLY OPERATING EQUIPMENT AND SUPPLIES AS PRESCRIBED BY THE BOARD IN RULE AND HAVE PROPER EMERGENCY RESPONSE PROTOCOLS IN PLACE, INCLUDING ADVANCED CARDIAC LIFE SUPPORT AND AIRWAY MANAGEMENT, WHEN ADMINISTERING GENERAL ANESTHESIA OR SEDATION.
A DENTAL OFFICE OR DENTAL CLINIC AT WHICH GENERAL ANESTHESIA OR SEDATION IS ADMINISTERED MUST CONTAIN PROPERLY OPERATING EQUIPMENT AND SUPPLIES AS PRESCRIBED BY THE BOARD IN RULE AND HAVE PROPER EMERGENCY RESPONSE PROTOCOLS IN PLACE, INCLUDING ADVANCED CARDIAC LIFE SUPPORT AND AIRWAY MANAGEMENT AND PEDIATRIC ADVANCED LIFE SUPPORT, AS APPLICABLE, WHEN ADMINISTERING GENERAL ANESTHESIA OR SEDATION AS PRESCRIBED BY THE BOARD IN RULE THAT IS CONSISTENT WITH THE STANDARDS AND PRACTICES RECOMMENDED BY THE AMERICAN HEART ASSOCIATION.
A QUALIFIED ANESTHESIA PROVIDER SHALL CONFIRM THAT THE DENTIST WHO OWNS THE DENTAL OFFICE OR DENTAL CLINIC WHERE GENERAL ANESTHESIA OR SEDATION IS BEING ADMINISTERED HOLDS THE REQUIRED PERMIT ISSUED BY THE BOARD.
A QUALIFIED ANESTHESIA PROVIDER WHO IS LICENSED BY THE BOARD AND WHO FAILS TO COMPLY WITH THE REQUIREMENTS OF THIS SECTION OR APPLICABLE BOARD RULES COMMITS AN ACT THAT CONSTITUTES A DANGER TO THE HEALTH, WELFARE OR SAFETY OF THE PUBLIC PURSUANT TO SECTION 32-1201.01.
A DENTAL OFFICE OR DENTAL CLINIC THAT USES A QUALIFIED ANESTHESIA PROVIDER SHALL CONFIRM THAT THE QUALIFIED ANESTHESIA PROVIDER HOLDS A VALID, CURRENT LICENSE IN GOOD STANDING WITH NO RESTRICTIONS AND - 7 - S.B.
IF A QUALIFIED ANESTHESIA PROVIDER WHO IS NOT LICENSED BY THE STATE BOARD OF DENTAL EXAMINERS FAILS TO COMPLY WITH THE REQUIREMENTS OF THIS SECTION OR APPLICABLE BOARD RULES, THE STATE BOARD OF DENTAL EXAMINERS SHALL PROMPTLY REPORT THE QUALIFIED ANESTHESIA PROVIDER'S CONDUCT TO THE REGULATORY BOARD THAT LICENSES THE QUALIFIED ANESTHESIA - 7 - S.B.
1602 HOLDS A PERMIT OR IS REGISTERED TO ADMINISTER GENERAL ANESTHESIA OR SEDATION IN THAT SETTING.
1602 PROVIDER.
D.
A QUALIFIED ANESTHESIA PROVIDER WHO IS LICENSED BY THE BOARD AND WHO FAILS TO COMPLY WITH THE REQUIREMENTS OF THIS SECTION COMMITS AN ACT THAT CONSTITUTES A DANGER TO THE HEALTH, WELFARE OR SAFETY OF THE PUBLIC PURSUANT TO SECTION 32-1201.01.
E.
IF A QUALIFIED ANESTHESIA PROVIDER WHO IS NOT LICENSED BY THE STATE BOARD OF DENTAL EXAMINERS FAILS TO COMPLY WITH THE REQUIREMENTS OF THIS SECTION, THE STATE BOARD OF DENTAL EXAMINERS SHALL PROMPTLY REPORT THE QUALIFIED ANESTHESIA PROVIDER'S CONDUCT TO THE REGULATORY BOARD THAT LICENSES THE QUALIFIED ANESTHESIA PROVIDER.
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IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A QUALIFIED ANESTHESIA PROVIDER, THE TREATING DENTIST SHALL SUBMIT A COMPLETE REPORT OF THE INCIDENT TO THE STATE BOARD OF DENTAL EXAMINERS WITHIN THREE BUSINESS DAYS AFTER THE OCCURRENCE.
IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A QUALIFIED ANESTHESIA PROVIDER, THE TREATING DENTIST SHALL SUBMIT A REPORT OF THE INCIDENT TO THE STATE BOARD OF DENTAL EXAMINERS WITHIN SEVEN BUSINESS DAYS AFTER THE OCCURRENCE.
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1602 4.
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1602 8.
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1602 G.
The committee meetings may be held using communications equipment that allows all members who are participating in the meeting to hear each other.
The committee meetings may - 9 - S.B.
1602 be held using communications equipment that allows all members who are participating in the meeting to hear each other.
Duty to report IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A DOCTOR OF MEDICINE, THE DOCTOR OF MEDICINE SHALL, AND ANY OTHER PERSON MAY, REPORT THE DEATH OR INCIDENT TO THE BOARD WITHIN THREE BUSINESS DAYS AFTER THE OCCURRENCE.
Duty to report IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A DOCTOR OF MEDICINE, THE DOCTOR OF MEDICINE SHALL, AND ANY OTHER PERSON MAY, REPORT THE DEATH OR INCIDENT TO THE BOARD WITHIN SEVEN BUSINESS DAYS AFTER THE OCCURRENCE.
- 10 - S.B.
2.
1602 2.
In order to protect the public health and safety, the confidentiality requirements of this paragraph do not apply if the licensee does not comply with the stipulated agreement.
In order to protect the public health and - 10 - S.B.
1602 safety, the confidentiality requirements of this paragraph do not apply if the licensee does not comply with the stipulated agreement.
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7.
1602 7.
11.
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1602 11.
Except for a licensee who has been convicted of a felony that has been designated a misdemeanor pursuant to section 13-604, revoke a license of a person, revoke the multistate licensure privilege of a person pursuant to section 32-1669 or not issue a license or renewal to an applicant who has one or more felony convictions and who has not received - 12 - S.B.
Except for a licensee who has been convicted of a felony that has been designated a misdemeanor pursuant to section 13-604, revoke a license of a person, revoke the multistate licensure privilege of a person pursuant to section 32-1669 or not issue a license or renewal to an applicant who has one or more felony convictions and who has not received an absolute discharge from the sentences for all felony convictions three or more years before the date of filing an application pursuant to this chapter.
1602 an absolute discharge from the sentences for all felony convictions three or more years before the date of filing an application pursuant to this chapter.
20.
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1602 20.
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Sec.
1602 Sec.
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2.
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1602 2.
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1602 C.
IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A CERTIFIED REGISTERED NURSE ANESTHETIST, THE CERTIFIED REGISTERED NURSE ANESTHETIST SHALL, AND ANY OTHER PERSON MAY, REPORT THE DEATH OR INCIDENT TO THE BOARD WITHIN THREE BUSINESS DAYS AFTER THE OCCURRENCE.
IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A CERTIFIED REGISTERED NURSE ANESTHETIST, THE CERTIFIED REGISTERED NURSE ANESTHETIST SHALL, AND ANY OTHER PERSON MAY, REPORT THE DEATH OR INCIDENT TO THE BOARD WITHIN SEVEN BUSINESS DAYS AFTER THE OCCURRENCE.
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E.
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1602 E.
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2.
1602 2.
The board may consider a regulated party's failure to respond within this time as an admission by default to the allegations stated in the complaint.
The board may consider a regulated party's failure to respond within this time as an admission by default to - 15 - S.B.
1602 the allegations stated in the complaint.
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1602 Sec.
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(d) The date the license is scheduled to expire if not renewed or the date the license expired or was revoked, suspended or canceled.
1602 (d) The date the license is scheduled to expire if not renewed or the date the license expired or was revoked, suspended or canceled.
(c) Verifies the entry-level competencies of a medical assistant as prescribed by rule.
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1602 (c) Verifies the entry-level competencies of a medical assistant as prescribed by rule.
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1602 F.
duty to report IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A PHYSICIAN, THE PHYSICIAN SHALL, AND ANY OTHER PERSON MAY, REPORT THE DEATH OR INCIDENT TO THE BOARD WITHIN THREE BUSINESS DAYS AFTER THE OCCURRENCE.
duty to report IF A DEATH OR AN INCIDENT REQUIRING EMERGENCY MEDICAL RESPONSE OCCURS IN A DENTAL OFFICE OR DENTAL CLINIC DURING THE ADMINISTRATION OF OR RECOVERY FROM GENERAL ANESTHESIA OR SEDATION BY A PHYSICIAN, THE PHYSICIAN SHALL, AND ANY OTHER PERSON MAY, REPORT THE DEATH OR INCIDENT TO THE BOARD WITHIN SEVEN BUSINESS DAYS AFTER THE OCCURRENCE.
On or before September 1, 2023, the state board of dental examiners' anesthesia and sedation committee shall submit to the state board of dental examiners its final recommendations to improve the general anesthesia and sedation permit requirements as provided in the state board of dental examiners' existing administrative rules for the purpose of increasing patient safety when general anesthesia or sedation is being administered by an anesthesia provider within a dental practice or a similar setting that is under the jurisdiction of the state board of dental examiners.
On or before September 1, 2023, the state board of dental examiners' anesthesia and sedation committee shall submit to the state - 18 - S.B.
The recommendations shall ensure that at least two people are properly trained in advanced cardiac life support and airway management and pediatric advanced life support, as applicable, in any dental office or dental clinic at which general anesthesia or sedation is administered.
1602 board of dental examiners its final recommendations to improve the general anesthesia and sedation permit requirements as provided in the state board of dental examiners' existing administrative rules for the purpose of increasing patient safety when general anesthesia or sedation is being administered by an anesthesia provider within a dental practice or a similar setting that is under the jurisdiction of the state board of dental examiners.
The recommendations shall include a methodology to expedite the review of and response to deaths and incidents requiring emergency medical response during the administration of or recovery from general anesthesia or sedation.
The committee shall consider ways to create equitable access for all qualified anesthesia providers and improve access to dental anesthesia services for patients.
Sec.
11.
Emergency This act is an emergency measure that is necessary to preserve the public peace, health or safety and is operative immediately as provided by law.
APPROVED BY THE GOVERNOR JUNE 20, 2023.
FILED IN THE OFFICE OF THE SECRETARY OF STATE JUNE 20, 2023.
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Action History

  1. Signed by Governor

  2. Transmit to Governor

  3. PASSED

  4. PASSED

  5. Transmit to Senate

  6. PASSED

  7. DPA

  8. DPA

  9. House Second Reading

  10. House First Reading.

  11. Transmit to House

  12. PASSED

  13. DPA

  14. DP

  15. Senate Second Reading

  16. Senate First Reading

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 91 not signed on · 26 voted No

Sponsors (1)

Co-sponsors (1)

Not signed on (91)

91 members have not signed on to this bill.

Show all 91 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed

Passed 20 Yea · 8 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 6302
Unaffiliated 5400
Republican 9100
Total 20802
% of votes cast 67%27%0%7%
How each member voted (30)
Member Party Vote
Anna Hernandez — Nay
Anthony Kern — Nay
Christine Marsh — Nay
Juan Mendez — Yea
Justine Wadsack — Nay
Ken Bennett — Yea
Sine Kerr — Yea
Sonny Borrelli — Yea
Steve Kaiser — Yea
Brian Fernandez Democrat Not Voting
Catherine Miranda Democrat Yea
Denise “Mitzi” Epstein Democrat Yea
Eva Burch Democrat Yea
Eva Diaz Democrat Nay
Flavio Bravo Democrat Yea
Lela Alston Democrat Nay
Priya Sundareshan Democrat Not Voting
Rosanna Gabaldón Democrat Yea
Sally Ann Gonzales Democrat Yea
Theresa Hatathlie Democrat Nay
David C. Farnsworth Republican Yea
David Gowan Republican Yea
Frank Carroll Republican Yea
J.D. Mesnard Republican Yea
Jake Hoffman Republican Nay
Janae Shamp Republican Yea
John Kavanagh Republican Yea
Thomas "T.J." Shope Republican Yea
Warren Petersen Republican Yea
Wendy Rogers Republican Yea

Official roll call →

Passed

Passed 47 Yea · 11 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 16002
Republican 16700
Unaffiliated 15400
Total 471102
% of votes cast 78%18%0%3%
How each member voted (60)
Member Party Vote
Amish Shah — Yea
Andres Cano — Yea
Athena Salman — Yea
Austin Smith — Yea
Barbara Parker — Nay
Ben Toma — Yea
Cory McGarr — Nay
David L. Cook — Yea
Jacqueline Parker — Nay
Jennifer Longdon — Yea
Jennifer Pawlik — Yea
Judy Schwiebert — Yea
Justin Heap — Nay
Keith Seaman — Yea
Laura Terech — Yea
Leezah Elsa Sun — Yea
Marcelino Quiñonez — Yea
Melody Hernandez — Yea
Travis W. Grantham — Yea
Alma Hernandez Democrat Yea
Analise Ortiz Democrat Yea
Cesar Aguilar Democrat Yea
Christopher Mathis Democrat Yea
Consuelo Hernandez Democrat Yea
Flavio Bravo Democrat Not Voting
Lorena Austin Democrat Yea
Lupe Contreras Democrat Yea
Lydia Hernandez Democrat Yea
Mae Peshlakai Democrat Yea
Mariana Sandoval Democrat Not Voting
Myron Tsosie Democrat Yea
Nancy Gutierrez Democrat Yea
Oscar De Los Santos Democrat Yea
Patty Contreras Democrat Yea
Seth Blattman Democrat Yea
Stacey Travers Democrat Yea
Stephanie Stahl Hamilton Democrat Yea
Alexander Kolodin Republican Nay
Beverly Pingerelli Republican Nay
David Livingston Republican Yea
David Marshall, Sr. Republican Yea
Gail Griffin Republican Yea
John Gillette Republican Yea
Joseph Chaplik Republican Nay
Julie Willoughby Republican Nay
Justin Wilmeth Republican Yea
Kevin Payne Republican Yea
Laurin Hendrix Republican Nay
Leo Biasiucci Republican Yea
Lupe Diaz Republican Yea
Matt Gress Republican Yea
Michael Carbone Republican Yea
Michele Peña Republican Yea
Neal Carter Republican Nay
Quang H Nguyen Republican Yea
Rachel Keshel Republican Nay
Selina Bliss Republican Yea
Steve Montenegro Republican Yea
Teresa Martinez Republican Yea
Timothy "Tim" Dunn Republican Yea

Official roll call →

Passed

Passed 16 Yea · 12 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 1702
Unaffiliated 6400
Republican 9100
Total 161202
% of votes cast 53%40%0%7%
How each member voted (30)
Member Party Vote
Anna Hernandez — Nay
Anthony Kern — Yea
Christine Marsh — Nay
Juan Mendez — Nay
Justine Wadsack — Yea
Ken Bennett — Yea
Raquel Terán — Nay
Sine Kerr — Yea
Sonny Borrelli — Yea
Steve Kaiser — Yea
Brian Fernandez Democrat Yea
Catherine Miranda Democrat Nay
Denise “Mitzi” Epstein Democrat Nay
Eva Burch Democrat Not Voting
Eva Diaz Democrat Nay
Lela Alston Democrat Nay
Priya Sundareshan Democrat Nay
Rosanna Gabaldón Democrat Nay
Sally Ann Gonzales Democrat Not Voting
Theresa Hatathlie Democrat Nay
David C. Farnsworth Republican Yea
David Gowan Republican Yea
Frank Carroll Republican Nay
J.D. Mesnard Republican Yea
Jake Hoffman Republican Yea
Janae Shamp Republican Yea
John Kavanagh Republican Yea
Thomas "T.J." Shope Republican Yea
Warren Petersen Republican Yea
Wendy Rogers Republican Yea

Official roll call →

Subjects

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Frequently asked questions

Who sponsors SB 1602?
SB 1602 is sponsored by Janae Shamp (Republican) and Austin Smith.
What is the current status of SB 1602?
This bill has been enacted into law. Introduced February 02, 2023. Enacted.
Where can I track SB 1602?
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