HB 683 — Dentistry

F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 683 2018 A bill to be entitled An act relating to dentistry;

amendingrequiring s.the Department of Health to conduct a study on the affordability, access, and delivery of dental care in this state;

466.003,requiring F.S.;the department to submit a report on the findings of the study to the Governor and Legislature by a specified date;

providing afor definition;expiration of the study;

creating s.

466.0233, F.S.;

authorizing dental therapists to perform certain remediable tasks under specified supervision;

providing requirements for licensure as a dental therapist;

9 Be It Enacted by the Legislature of the State of Florida:

SubsectionsStudy (6)on throughaffordability, (15)access, ofand sectiondelivery 466.003,of Floridadental Statues,care.— are(1) renumberedThe asDepartment subsectionsof (7)Health throughshall (16),conduct respectively,a presentcomprehensive subsectionstudy (15)on isthe amended,status andof aaffordability, newaccess, subsectionand (6)delivery isof addeddental tocare thatin section,this tostate. read:

466.003The Definitions.—Asstudy usedmust: in this chapter:

(6)(a) "DentalExamine therapist"utilization meansdata aand persondelivery licensedsystem bygaps, theincluding boarddemographic toand performincome remediabledisparities. tasks in a health access setting under the general supervision of a dentist.

(16)(15)(b) "School-basedDevelop preventionand program"evaluate meanspolicy preventiveproposals oralto healthaddress servicesbarriers offeredto atcare, aexpedience school by one of thecare entitiesdelivery, definedand inoral subsectionhealth (15)(14)outcomes orfor byhigh-need aand nonprofithigh-risk organizationpopulations. that is exempt from federal income taxation under s.

501(a)Policy ofproposals themust Internalbe Revenuepeer-reviewed Code,and address evidence of clinical outcomes and describedmeasures infor s.increasing access to dental care for unserved or underserved populations.

501(c)(3)(c) ofExamine theworkforce Internalpolicies Revenueauthorizing Code.or increasing Page 1 of 2 CODING:

Section 2.

Section 466.0233, Florida Statutes, is created Page 1 of 3 CODING:

hb0683-00hb0683-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 683 2018 tothe read:number of mid-level dental providers such as expanded function dental assistants, community dental health coordinators, and dental therapists.

466.0233(2) DentalThe therapists;department shall submit a report on the findings of the study that includes recommendations on improving the affordability, access, and delivery of dental care in this state to the Governor, the President of the Senate, and the Speaker of the House of Representatives by December 31, 2018.

scopeThe report must address any implementation burdens and areathe sustainability of practice;each policy recommendation.

licensure.—(3) (1)This Exceptact asshall otherwiseexpire providedon inJanuary s.31, 2019.

466.024,Section a2. dental therapist may perform remediable tasks that attain or maintain optimal oral health as determined by the board under the general supervision of a dentist.

Those tasks include, but are not limited to:

(a) Evaluation and assessment of periodontal disease, preparation of an individualized dental treatment plan, and dental charting.

(b) Preparation of the oral cavity.

(c) Placement of a temporary restoration.

(d) Extraction of primary teeth.

(e) Simple nonsurgical extraction of periodontally diseased permanent teeth with mobility of +3 to +4, if such teeth are not impacted, fractured, erupted, or in need of sectioning for extraction.

(f) Pulpotomy on primary teeth.

(g) Preparation and placement of a preformed crown, placement of a temporary crown, and recementing of a permanent crown.

(h) Placement and removal of space maintainers on primary teeth.

(i) Fabrication of an athletic mouthguard and a soft Page 2 of 3 CODING:

Words stricken are deletions;

words underlined are additions.

hb0683-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 683 2018 occlusal guard.

(j) Pulp vitality testing and indirect and direct pulp capping.

(k) Application of desensitizing medication or resin.

(l) Tissue conditioning and soft reline.

(m) Tooth reimplantation and stabilization of reimplanted teeth.

(n) An oral brush biopsy.