Amendment SA2-SSA1-SB55

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.

SB55-SSA1-SA2,578,11 2. The dental hygienist's performance of the practice is inspected by a dentist.

SB55-SSA1-SA2,578,14 (e) A remediable procedure, except that a dentist need not be present on the premises in which the procedure is performed if it is performed pursuant to a prescription that meets the requirements of sub. (2m) (b).

SB55-SSA1-SA2, s. 3592pd Section 3592pd. 447.06 (7) of the statutes is created to read:

SB55-SSA1-SA2,578,19 447.06 (7) Dentist responsible for delegation. A dentist who delegates to a dental hygienist the performance of any practice or remediable procedure under sub. (6) is responsible for that dental hygienist's performance of that delegated practice or procedure.

SB55-SSA1-SA2, s. 3592pe Section 3592pe. 447.065 (title) of the statutes is amended to read:

SB55-SSA1-SA2,578,22 447.065 (title) Delegation of remediable procedures and dental dentistry practices to unlicensed individuals.

SB55-SSA1-SA2, s. 3592pf Section 3592pf. 447.065 (1) of the statutes is amended to read:

SB55-SSA1-SA2,579,2 447.065 (1) A dentist who is licensed to practice dentistry under this chapter may delegate to an individual who is not licensed under this chapter only the performance of remediable procedures, and only or other dentistry practices subject to sub. (2), if all of the following conditions are met:

SB55-SSA1-SA2,579,4 (a) The unlicensed individual performs the remediable procedure or dentistry practices in accordance with a treatment plan approved by the dentist.

SB55-SSA1-SA2,579,6 (b) The dentist is on the premises when the unlicensed individual performs the remediable procedures or dentistry practices.

SB55-SSA1-SA2,579,8 (c) The unlicensed individual's performance of the remediable procedures or dentistry practices is subject to inspection inspected by the dentist.

SB55-SSA1-SA2, s. 3592pg Section 3592pg. 447.065 (2) of the statutes is repealed and recreated to read:

SB55-SSA1-SA2,579,12 447.065 (2) A dentist may make a delegation under sub. (1) of dentistry practices that are not remediable procedures if all of the following requirements are met:

SB55-SSA1-SA2,579,18 (a) The practice does not involve a practice under s. 447.01 (3) (a), (b), (e), (f), or (g), diagnosis of a dental disease or ailment, determination of any treatment or any regimen of treatment, prescription or ordering of medication, performance of any procedure that involves the intentional cutting of soft or hard tissue of the mouth by any means, or administration of local anesthesia or subgingival sustained release chemotherapeutic agents.

SB55-SSA1-SA2,579,21 (b) The individual has graduated from an accredited dental assisting program or has worked at least 1,000 hours during the preceding 12 months in a clinical dentistry setting.

SB55-SSA1-SA2,580,2 (c) The dentist making the delegation documents in his or her records that the individual has been trained or educated to do the delegated practice by a dental school; dental hygiene program; dental assisting program; a program offered or approved by a national or state dental, dental hygiene, or dental assisting association; or a program approved by the examining board.

SB55-SSA1-SA2,580,5 (d) The delegated practices are ones that, in the opinion of the dentist and the individual to whom the practices are delegated, the individual is competent to perform based on his or her education, training, or experience.

SB55-SSA1-SA2, s. 3592ph Section 3592ph. 447.065 (3) of the statutes is amended to read:

SB55-SSA1-SA2,580,9 447.065 (3) A dentist who delegates to another an unlicensed individual the performance of any practice or remediable procedure is responsible for that individual's performance of that delegated practice or procedure.".

SB55-SSA1-SA2,580,10 1251. Page 1156, line 7: after that line insert:

SB55-SSA1-SA2,580,11 " Section 3619s. 560.031 (6m) of the statutes is created to read:

SB55-SSA1-SA2,580,14 560.031 (6m) Annually, in consultation with the council on recycling, the board shall establish a list of materials recovered from solid waste for which the board may award financial assistance.".

SB55-SSA1-SA2,580,15 1252. Page 1156, line 7: after that line insert:

SB55-SSA1-SA2,580,16 " Section 3619w. 560.06 (2) of the statutes is amended to read:

SB55-SSA1-SA2,580,24 560.06 (2) In each fiscal year 1999-2000, the department may shall provide up to $100,000 from the appropriations under s. 20.143 (1) (c) and (ie) in assistance to a the nonprofit organization specified in sub. (1) that provides assistance to organizations and individuals in urban areas. Notwithstanding sub. (1), the department shall use the moneys authorized under this subsection in accordance with the memorandum of understanding under sub. (1) and shall ensure that the nonprofit organization provides assistance to organizations and individuals in an area that includes the city of Beloit.".

SB55-SSA1-SA2,581,1 1253. Page 1156, line 7: after that line insert:

SB55-SSA1-SA2,581,2 " Section 3619sd. 560.036 (2) (a) of the statutes is amended to read:

SB55-SSA1-SA2,581,13 560.036 (2) (a) For the purposes of ss. 16.75 (3m), 16.854, 16.855 (10m), 16.87 (2), 18.16, 18.64, 18.77, 25.17 (59), 25.185, 34.05 (4), 38.18, 43.17 (9) (a), 59.52 (29) (c), 59.57 (1) (b), 60.47 (7), 61.55 (3), 62.15 (1) (c), 66.0901 (6), 84.075, 84.076, 119.495 (2), 120.12 (27), 200.49, 200.57, 229.46, 229.70, 229.8273, 229.845, 231.27 and, 232.05 (2) (d), 234.01 (4n) (a) 3m. d., 234.35, 234.65 (1) (g), 252.12 (2) (c) 2., 560.038, 560.039, and 560.80 to 560.85, the department shall establish and periodically update a list of certified minority businesses, minority financial advisers, and minority investment firms. Any business, financial adviser, or investment firm may apply to the department for certification. For purposes of this paragraph, unless the context otherwise requires, a "business" includes a financial adviser or investment firm.

SB55-SSA1-SA2, s. 3619sg Section 3619sg. 560.036 (3) (a) of the statutes is amended to read:

SB55-SSA1-SA2,581,17 560.036 (3) (a) The department shall promulgate rules establishing procedures to implement sub. (2). Those rules shall include a rule prescribing a uniform application form for certification under sub. (2).

SB55-SSA1-SA2, s. 3619sj Section 3619sj. 560.036 (3) (c) of the statutes is amended to read:

SB55-SSA1-SA2,581,24 560.036 (3) (c) The department may promulgate rules establishing conditions with which a business, financial adviser, or investment firm must comply to qualify for certification, in addition to the qualifications specified under sub. (1) (e), (ep), and (fm), respectively. Those rules may not require that a business, financial adviser, or investment firm submit any income or franchise tax return to the department as a condition for qualification for certification.

SB55-SSA1-SA2, s. 3619sm Section 3619sm. 560.038 (1) (ar) of the statutes is amended to read:

SB55-SSA1-SA2,582,3 560.038 (1) (ar) "Minority business" has the meaning given in s. 560.036 (1) (e) means a business that is certified by the department under s. 560.036 (2).

SB55-SSA1-SA2, s. 3619sp Section 3619sp. 560.039 (1) (b) of the statutes is amended to read:

SB55-SSA1-SA2,582,6 560.039 (1) (b) "Minority business" has the meaning given in s. 560.036 (1) (e) means a business that is certified by the department under s. 560.036 (2).".

SB55-SSA1-SA2,582,7 1254. Page 1156, line 7: after that line insert:

SB55-SSA1-SA2,582,8 " Section 3619t. 560.036 (2) (a) of the statutes is amended to read:

SB55-SSA1-SA2,582,15 560.036 (2) (a) For the purposes of ss. 16.63 (2m), 16.75 (3m), 16.855 (10m), 16.87 (2), 18.16, 18.64, 18.77, 25.185, 119.495 (2), 200.57, 231.27 and 234.35, the department shall establish and periodically update a list of certified minority businesses, minority financial advisers and minority investment firms. Any business, financial adviser or investment firm may apply to the department for certification. For purposes of this paragraph, unless the context otherwise requires, a "business" includes a financial adviser or investment firm.".

SB55-SSA1-SA2,582,16 1255. Page 1156, line 7: after that line insert:

SB55-SSA1-SA2,582,17 " Section 3619v. 560.036 (2) (a) of the statutes is amended to read:

SB55-SSA1-SA2,582,24 560.036 (2) (a) For the purposes of ss. 16.75 (3m), 16.855 (10m), 16.87 (2), 18.16, 18.64, 18.77, 25.185, 84.014 (7r), 119.495 (2), 200.57, 231.27, and 234.35, the department shall establish and periodically update a list of certified minority businesses, minority financial advisers, and minority investment firms. Any business, financial adviser, or investment firm may apply to the department for certification. For purposes of this paragraph, unless the context otherwise requires, a "business" includes a financial adviser or investment firm.

SB55-SSA1-SA2, s. 3619w Section 3619w. 560.036 (2) (d) 1. b. of the statutes is amended to read:

SB55-SSA1-SA2,583,5 560.036 (2) (d) 1. b. The department determines that, with respect to a specified type of supply, material, equipment, or service, there are not enough certified minority business suppliers in this state to enable this state to achieve compliance with ss. 16.75 (3m), 16.855 (10m), 16.87 (2) and, 25.185, and 84.014 (7r).".

SB55-SSA1-SA2,583,6 1256. Page 1156, line 7: delete that line.

SB55-SSA1-SA2,583,7 1257. Page 1162, line 7: after that line insert:

SB55-SSA1-SA2,583,8 " Section 3648m. 560.145 (1) (intro.) of the statutes is amended to read:

SB55-SSA1-SA2,583,11 560.145 (1) Grants. (intro.) Subject to sub. (3), the department may make a grant to a person from the appropriation appropriations under s. 20.143 (1) (c) and (kd) for the capitalization of a revolving loan fund if all of the following apply:

SB55-SSA1-SA2, s. 3648p Section 3648p. 560.147 (1) (intro.) of the statutes is amended to read:

SB55-SSA1-SA2,583,15 560.147 (1) Loans. (intro.) Subject to sub. (4), the department may make a loan to a person from the appropriations under s. 20.143 (1) (c) and, (ie), and (kd) for a project described in sub. (2) if all of the following apply:".