Amendment SA2-SSA1-SB55

SB55-SSA1-SA2,568,19 452.21 Compensation presumed. In any prosecution for violation of this chapter, proof that a person acted as a broker, agent, salesperson or, time-share salesperson, or closing agent is prima facie proof that compensation therefor was received or promised.

SB55-SSA1-SA2, s. 3608Lg Section 3608Lg. 452.22 (2) of the statutes is amended to read:

SB55-SSA1-SA2,569,3 452.22 (2) The certificate of the secretary or his or her designee to the effect that a specified individual or business entity is not or was not on a specified date the holder of a broker's, salesperson's or, time-share salesperson's, or closing agent's license or registration, or that a specified license or registration was not in effect on a date specified, or as to the issuance, limitation, suspension, or revocation of any license or registration or the reprimand of any holder thereof, the filing or withdrawal of any application or its existence or nonexistence, is prima facie evidence of the facts therein stated for all purposes in any action or proceedings.".

SB55-SSA1-SA2,569,4 1250. Page 1156, line 6: after that line insert:

SB55-SSA1-SA2,569,5 " Section 3592nb. 447.01 (10) of the statutes is created to read:

SB55-SSA1-SA2,569,8 447.01 (10) "Oral risk assessment" means a review of the patient's caries experience, dental care utilization, use of preventive services, and medical history. "Oral risk assessment" does not include a dental diagnosis.

SB55-SSA1-SA2, s. 3592nc Section 3592nc. 447.01 (12) of the statutes is amended to read:

SB55-SSA1-SA2,569,13 447.01 (12) "Remediable procedures" means patient procedures that create changes within the oral cavity or surrounding structures that are reversible without professional intervention and do not involve any increased health risks to the patient.

SB55-SSA1-SA2, s. 3592nd Section 3592nd. 447.02 (1) (c) of the statutes is amended to read:

SB55-SSA1-SA2,569,16 447.02 (1) (c) Subject to ch. 553 and s. 447.06 (1) 447.055, governing dental franchising.

SB55-SSA1-SA2, s. 3592ne Section 3592ne. 447.02 (2) (d) of the statutes is amended to read:

SB55-SSA1-SA2,569,20 447.02 (2) (d) The oral systemic premedications and subgingival sustained release chemotherapeutic agents that may be administered by a dental hygienist licensed under this chapter under s. 447.06 (2) (e) 1. and 3 (6) (a) and (c).

SB55-SSA1-SA2, s. 3592nf Section 3592nf. 447.02 (2) (e) of the statutes is amended to read:

SB55-SSA1-SA2,569,24 447.02 (2) (e) The educational requirements for administration of local anesthesia by a dental hygienist licensed under this chapter under s. 447.06 (2) (e) 2 (6) (b).

SB55-SSA1-SA2, s. 3592ng Section 3592ng. 447.02 (3) of the statutes is created to read:

SB55-SSA1-SA2,570,7 447.02 (3) By January 1, 2003, and every 5 years thereafter, the examining board shall submit jointly with the department of health and family services a report to the legislature under s. 13.172 (2) and to the governor on the ability of the dental work force to meet the oral health care needs of individuals in this state. The report shall include findings and any recommendations of the examining board and the department.

SB55-SSA1-SA2, s. 3592nh Section 3592nh. 447.03 (2) (intro.), (a) and (b) of the statutes are renumbered 447.03 (2) (a) (intro.), 1. and 2.

SB55-SSA1-SA2, s. 3592ni Section 3592ni. 447.03 (2) (b) of the statutes is created to read:

SB55-SSA1-SA2,570,13 447.03 (2) (b) Any individual who is licensed as a dental hygienist under this chapter is not required to be licensed as a dentist to perform acts delegated by a dentist under s. 447.06.

SB55-SSA1-SA2, s. 3592nj Section 3592nj. 447.03 (3) (g) of the statutes is amended to read:

SB55-SSA1-SA2,570,16 447.03 (3) (g) Any individual who provides remediable procedures or other dentistry practices that are delegated under s. 447.065 (1) or (2).

SB55-SSA1-SA2, s. 3592nk Section 3592nk. 447.04 (1) (a) 4. of the statutes is amended to read:

SB55-SSA1-SA2,570,21 447.04 (1) (a) 4. Submits evidence satisfactory to the examining board that he or she has passed the national dental examination and either the examination of a dental testing service approved by the examining board or an examination of a regional dental testing service in the United States.

SB55-SSA1-SA2, s. 3592nL Section 3592nL. 447.04 (1) (b) of the statutes is amended to read:

SB55-SSA1-SA2,571,3 447.04 (1) (b) The Except as provided in pars. (c) and (d), the examining board may grant a license to practice dentistry to an individual who is licensed in good standing to practice dentistry in another state or territory of the United States or in another country if the applicant meets the requirements for licensure established by the examining board by rule and upon presentation of the license and payment of the fee specified under s. 440.05 (2).

SB55-SSA1-SA2, s. 3592nm Section 3592nm. 447.04 (1) (c) of the statutes is created to read:

SB55-SSA1-SA2,571,9 447.04 (1) (c) 1. The examining board shall grant a license to practice dentistry to an applicant who is licensed in good standing to practice dentistry in another state or territory of the United States or in Canada upon presentation of the license, payment of the fee specified under s. 440.05 (2), and submission of evidence satisfactory to the examining board that all of the following conditions are met:

SB55-SSA1-SA2,571,11 a. The applicant has graduated from a school of dentistry accredited by the American Dental Association's commission on dental accreditation.

SB55-SSA1-SA2,571,15 b. The applicant submits a certificate from each jurisdiction in which the applicant is or has ever been licensed stating that no disciplinary action is pending against the applicant or the license, and detailing all discipline, if any, that has ever been imposed against the applicant or the license.

SB55-SSA1-SA2,571,19 c. The applicant has been engaged in the active practice of dentistry, as defined in s. DE 1.02 (2), Wis. Adm. Code, in one or more jurisdictions in which the applicant has a current license in good standing, for at least 48 of the 60 months preceding the application for licensure in this state.

SB55-SSA1-SA2,571,22 d. The applicant has successfully completed a jurisprudence examination on the provisions of Wisconsin statutes and administrative rules relating to dentistry and dental hygiene.

SB55-SSA1-SA2,571,24 e. The applicant possesses a current certificate of proficiency in cardiopulmonary resuscitation.

SB55-SSA1-SA2,572,3 f. The applicant has disclosed all discipline that has ever been taken against the applicant in any jurisdiction shown in reports from the national practitioner data bank and the American association of dental examiners.

SB55-SSA1-SA2,572,7 g. The applicant has presented satisfactory responses during any personal interview with the board that the board may require to resolve conflicts between the licensing standards and the applicant's application or to inquire into any discipline that was imposed against the applicant or the license in another jurisdiction.

SB55-SSA1-SA2,572,11 2. Notwithstanding subd. 1., the examining board may refuse to grant a license to an applicant following an interview under subd. 1. g. if the examining board determines that discipline that was imposed against the applicant or the license in another jurisdiction demonstrates that the applicant is unfit to practice dentistry.

SB55-SSA1-SA2, s. 3592nn Section 3592nn. 447.04 (1) (d) of the statutes is created to read:

SB55-SSA1-SA2,572,17 447.04 (1) (d) 1. The examining board shall grant a license to practice dentistry to an applicant who is licensed in good standing to practice dentistry in another state or territory of the United States or in another country upon presentation of the license, payment of the fee specified under s. 440.05 (2), and submission of evidence satisfactory to the examining board that all of the following conditions are met:

SB55-SSA1-SA2,572,18 a. The applicant is a faculty member at a school of dentistry in this state.

SB55-SSA1-SA2,572,22 b. The applicant submits a certificate from each jurisdiction in which the applicant is or has ever been licensed stating that no disciplinary action is pending against the applicant or the license, and detailing all discipline, if any, that has ever been imposed against the applicant or the license.

SB55-SSA1-SA2,572,25 c. The applicant has successfully completed a jurisprudence examination on the provisions of Wisconsin statutes and administrative rules relating to dentistry and dental hygiene.

SB55-SSA1-SA2,573,2 d. The applicant possesses a current certificate of proficiency in cardiopulmonary resuscitation.

SB55-SSA1-SA2,573,5 e. The applicant has disclosed all discipline that has ever been taken against the applicant in any jurisdiction shown in reports from the national practitioner data bank and the American association of dental examiners.

SB55-SSA1-SA2,573,9 f. The applicant has presented satisfactory responses during any personal interview with the board that the board may require to resolve conflicts between the licensing standards and the applicant's application or to inquire into any discipline that was imposed against the applicant or the license in another jurisdiction.

SB55-SSA1-SA2,573,13 2. Notwithstanding subd. 1., the examining board may refuse to grant a license to an applicant following an interview under subd. 1. f. if the examining board determines that discipline that was imposed against the applicant or the license in another jurisdiction demonstrates that the applicant is unfit to practice dentistry.

SB55-SSA1-SA2,573,15 3. A license under this paragraph is no longer in effect if the licensee ceases to be a faculty member at a school of dentistry in this state.

SB55-SSA1-SA2, s. 3592np Section 3592np. 447.06 (title) of the statutes is amended to read:

SB55-SSA1-SA2,573,17 447.06 (title) Practice Dental hygienist practice limitations.

SB55-SSA1-SA2, s. 3592nq Section 3592nq. 447.06 (1) of the statutes is renumbered 447.055 and amended to read:

SB55-SSA1-SA2,574,2 447.055 Contract provisions. No contract of employment entered into between a dentist and any other party under which the dentist renders dental services may require the dentist to act in a manner which violates the professional standards for dentistry set forth in this chapter. Nothing in this subsection section limits the ability of the other party to control the operation of the dental practice in a manner in accordance with the professional standards for dentistry set forth in this chapter.

SB55-SSA1-SA2, s. 3592nr Section 3592nr. 447.06 (2) (a) of the statutes is renumbered 447.06 (1m), and 447.06 (1m) (intro.), as renumbered, is amended to read:

SB55-SSA1-SA2,574,7 447.06 (1m) Practice circumstances. (intro.) A dental hygienist may practice dental hygiene or perform remediable procedures or other delegated procedures only as an employee or as an independent contractor and only as follows:

SB55-SSA1-SA2, s. 3592ns Section 3592ns. 447.06 (2) (b) of the statutes is renumbered 447.06 (2m) (a) and amended to read:

SB55-SSA1-SA2,574,16 447.06 (2m) (a) A Except as provided in subs. (3) and (4), a dental hygienist may practice dental hygiene or perform remediable procedures under par. (a) 1., 4., 6., 7. or 8. only as only if either authorized by a dentist who is licensed to practice dentistry under this chapter and who is present in the facility in which those practices or procedures are performed, except as provided in par. (c) or if the practices or procedures are performed pursuant to a prescription that meets the requirements of par. (b).

SB55-SSA1-SA2, s. 3592nt Section 3592nt. 447.06 (2) (c) of the statutes is renumbered 447.06 (2m) (b), and 447.06 (2m) (b) (intro.), as renumbered, is amended to read:

SB55-SSA1-SA2,574,23 447.06 (2m) (b) (intro.) A dental hygienist may practice dental hygiene or perform remediable procedures under par. (a) 1., 4., 6., 7. or 8. if a dentist who is licensed to practice dentistry under this chapter is not present in the facility in which those The practices or procedures are under par. (a) may be performed pursuant to a prescription only if all of the following conditions are met:

SB55-SSA1-SA2, s. 3592nu Section 3592nu. 447.06 (2) (d) of the statutes is renumbered 447.06 (5).

SB55-SSA1-SA2, s. 3592nv Section 3592nv. 447.06 (2) (e) of the statutes is renumbered 447.06 (6).

SB55-SSA1-SA2, s. 3592nw Section 3592nw. 447.06 (2m) (title) of the statutes is created to read:

SB55-SSA1-SA2,575,3 447.06 (2m) (title) Requirement for a dentist present or a prescription if a dentist is not present.

SB55-SSA1-SA2, s. 3592nx Section 3592nx. 447.06 (3) of the statutes is created to read:

SB55-SSA1-SA2,575,14 447.06 (3) Practice circumstances without a dentist present and without a prescription; dental hygienist school. A dental hygienist may practice dental hygiene or perform remediable procedures at a school for the education of dental hygienists without a dentist present in the facility in which the practices or procedures are performed and without a written or oral prescription. A dental hygienist may apply sealants on a patient at a school for the education of dental hygienists without a diagnosis or treatment plan by a dentist if a dental hygienist has performed an oral risk assessment of the patient. A dental hygienist shall maintain a written record of the assessment and make appropriate referrals based on the assessment.

SB55-SSA1-SA2, s. 3592ny Section 3592ny. 447.06 (4) of the statutes is created to read:

SB55-SSA1-SA2,575,21 447.06 (4) Practice circumstances without a dentist present and without a prescription; additional education and experience. (a) A dental hygienist may perform any of the following practices without a dentist present in the facility in which the practices are performed and without a written or oral prescription if the requirements of pars. (am), (b), and (c) are met and if the dental hygienist first reviews the patient's medical history and performs an oral risk assessment:

SB55-SSA1-SA2,575,25 1. Conduct an oral screening and have a plan of what dental hygiene procedures will be performed on the patient. Oral screening that is performed solely for the purpose of data collection does not require an oral risk assessment and does not require certification under par. (c).

SB55-SSA1-SA2,576,2 2. Apply dental sealants. Sealants may be applied under this subdivision without a diagnosis or treatment plan by a dentist.

SB55-SSA1-SA2,576,3 3. Provide fluoride therapies.

SB55-SSA1-SA2,576,4 4. Provide patient education services.

SB55-SSA1-SA2,576,6 5. Expose radiographs if a dentist will be available to read and diagnose the radiographs.

SB55-SSA1-SA2,576,12 6. Perform oral prophylaxis, if a dentist, nurse practitioner, physician or physician assistant has reviewed a current medical history for the patient and has indicated in writing that the patient may receive the service. The dental hygienist may use topical anesthesia under this subdivision only if the anesthesia has been prescribed by a dentist, nurse practitioner, physician, or physician assistant. Local anesthesia may not be administered by a dental hygienist under this subdivision.

SB55-SSA1-SA2,576,21 7. Remove supragingival or subgingival calcareous deposits, subgingival cement, or extrinsic stains from a natural or restored surface of a human tooth or a fixed replacement for a human tooth, perform debridement or deep scaling or root planing of teeth, if a dentist, nurse practitioner, physician, or physician assistant has reviewed a current medical history of the patient and has indicated in writing that the patient may receive the service for the patient. The dental hygienist may use topical anesthesia under this subdivision only if prescribed by a dentist, nurse practitioner, physician, or physician assistant. Local anesthesia may not be administered by a dental hygienist under this subdivision.

SB55-SSA1-SA2,576,24 (am) A dental hygienist shall maintain a written record of and oral risk assessment performed under par. (a) and make appropriate referrals based on the assessment.

SB55-SSA1-SA2,576,25 (b) The practices under par. (a) may be performed only as follows:

SB55-SSA1-SA2,577,1 1. For a school board or a governing body of a private school.

SB55-SSA1-SA2,577,3 2. For a facility, as defined in s. 50.01 (1m), a hospital, as defined in s. 50.33 (2), or a facility established to provide care for terminally ill patients.

SB55-SSA1-SA2,577,4 3. For a local health department, as defined in s. 250.01 (4).

SB55-SSA1-SA2,577,6 4. For a charitable institution open to the general public or to members of a religious sect or order.

SB55-SSA1-SA2,577,7 5. For a nonprofit home health care agency.

SB55-SSA1-SA2,577,9 6. For a nonprofit dental care program serving primarily indigent, economically disadvantaged, or migrant worker populations.

SB55-SSA1-SA2,577,15 (c) A dental hygienist may perform the practices under par. (a) only if certified by the examining board in dental hygiene practice circumstances without a dentist present and without a prescription. The examining board shall issue a certificate in dental hygiene practice circumstances without a dentist present and without a presciption to an individual who documents to the board that he or she has 2 years of experience as a dental hygienist and meets any of the following:

SB55-SSA1-SA2,577,20 1. Has submitted to the examining board proof of course completion issued by an accredited dental school or an accredited dental hygiene school in dental hygiene circumstances without a dentist present and without a prescription. This course may be offered in conjunction with a national or state dental or dental hygiene association.

SB55-SSA1-SA2,577,23 2. Has been certified in community dental health, public health, or public health education from an accredited dental school or an accredited dental hygiene program.

SB55-SSA1-SA2,577,25 3. Has worked for at least 1,000 hours in a public health or community health setting.

SB55-SSA1-SA2,578,1 4. Has received a bachelor's degree from an accredited college or university.

SB55-SSA1-SA2, s. 3592pb Section 3592pb. 447.06 (5) (title) of the statutes is created to read:

SB55-SSA1-SA2,578,3 447.06 (5) (title) Prohibited practices.

SB55-SSA1-SA2, s. 3592pc Section 3592pc. 447.06 (6) (title), (d) and (e) of the statutes are created to read:

SB55-SSA1-SA2,578,5 447.06 (6) (title) Delegation by a dentist to a dental hygienist.

SB55-SSA1-SA2,578,7 (d) Any dentistry practice not included in dental hygiene, except as provided in sub. (5), if all of the following conditions are met:

SB55-SSA1-SA2,578,10 1. The delegated practices are ones that, in the opinion of the dentist and the dental hygienist, the dental hygienist is competent to perform based on his or her education, training, or experience.