SB59,2049
24Section 2049
. 447.06 (3) of the statutes is created to read:
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447.06
(3) (a) In this subsection:
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11. “Collaborative management agreement” means an agreement under par. (d).
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2. “Qualifying dentist” means a dentist who is licensed in this state and who
3is actively practicing in this state.
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(b) The scope of practice of a dental therapist shall, subject to the terms of a
5collaborative management agreement, be limited to providing the following services,
6treatments, and procedures:
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1. Oral evaluation and assessment of dental disease and formulation of an
8individualized treatment plan.
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2. Identification of oral and systemic conditions requiring evaluation or
10treatment by dentists, physicians, or other health care providers and managing
11referrals.
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3. Comprehensive charting of the oral cavity.
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4. Oral health instruction and disease prevention education, including
14nutritional counseling and dietary analysis.
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5. Exposure and evaluation of radiographic images.
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6. Dental prophylaxis, including subgingival scaling and polishing procedures.
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7. Dispensing and administration via the oral or topical route of nonnarcotic
18analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
19health care provider.
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8. Application of topical preventive or prophylactic agents, including fluoride
21varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
22sealants.
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9. Pulp vitality testing.
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10. Application of desensitizing medications or resins.
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11. Fabrication of athletic mouth guards and soft occlusal guards.
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112. Changing of periodontal dressings.
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13. Administration of local anesthetic and nitrous oxide.
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14. Simple extraction of erupted primary teeth.
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15. Nonsurgical extraction of periodontally diseased permanent teeth with
5tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
6collaborative management agreement, except that “dental therapy” does not include
7the extraction of a tooth that is unerupted, impacted, or fractured or that needs to
8be sectioned for removal.
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16. Emergency palliative treatment of dental pain limited to the procedures in
10this paragraph.
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17. Preparation and placement of direct restoration in primary and permanent
12teeth.
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18. Fabrication and placement of single-tooth temporary crowns.
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19. Preparation and placement of preformed crowns on primary teeth.
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20. Indirect and direct pulp capping on permanent teeth.
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21. Indirect pulp capping on primary teeth.
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22. Intraoral suture placement and removal.
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23. Minor adjustment and repair of removable prostheses.
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24. Placement and removal of space maintainers.
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25. Pulpotomy on primary teeth.
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26. Tooth reimplantation and stabilization.
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27. Recementing of a permanent crown.
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28. Any additional services, treatments, or procedures specified in the rules
24promulgated under s. 447.02 (1) (g).
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1(c) 1. A dental therapist licensed under this chapter may provide dental
2therapy services only under the general supervision of a qualifying dentist with
3whom the dental therapist has entered into a collaborative management agreement.
4For purposes of this subdivision, general supervision of a dental therapist by a
5dentist requires that a task or procedure be performed by a dental therapist with the
6prior knowledge and consent of the dentist, but does not require the presence of the
7dentist in the office or on the premises at the time a task or procedure is being
8performed by the dental therapist and does not require prior examination or
9diagnosis of a patient by the dentist before the dental therapist provides dental
10therapy services to the patient.
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2. A supervising dentist shall accept responsibility for all services performed
12by a dental therapist pursuant to a collaborative management agreement. If services
13needed by a patient are beyond the dental therapist's scope of practice or
14authorization under the collaborative management agreement, the dental therapist
15shall, to the extent required under the collaborative management agreement,
16consult with the supervising dentist as needed to arrange for those services to be
17provided by a dentist or another qualified health care professional.
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(d) 1. Prior to providing any dental therapy services, a dental therapist shall
19enter into a written collaborative management agreement with a qualifying dentist
20who will serve as a supervising dentist under par. (c). The agreement must be signed
21by the dental therapist and the qualifying dentist and address all of the following:
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a. The practice settings where services may be provided and the patient
23populations that may be served.
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1b. Any conditions or limitations on the services that may be provided by the
2dental therapist, the level of supervision required, and any circumstances requiring
3consultation prior to performing services.
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c. Age-specific and procedure-specific practice protocols.
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d. Dental record-keeping procedures.
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e. Plans for managing dental or medical emergencies.
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f. A quality assurance plan for monitoring care provided by the dental
8therapist.
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g. Protocols for administering and dispensing medications.
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h. Criteria or protocols relating to the provision of care to patients with specific
11medical conditions, treatments, or medications.
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i. Policies relating to supervision of dental hygienists and other staff.
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j. A plan for the referral of patients to other dental or health care professionals
14or clinics when services needed are beyond the scope of practice or authorization of
15the dental therapist.
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k. Whether and to what extent the dental therapist may perform services
17described in par. (b) 15.
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2. a. A collaborative management agreement shall be limited to covering one
19qualifying dentist and one dental therapist.
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b. A dental therapist may enter into multiple collaborative management
21agreements.
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c. No dentist may have collaborative management agreements with more than
235 dental therapists at any time.
SB59,2050
24Section 2050
. 447.065 of the statutes is amended to read:
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1447.065 Delegation of remediable procedures and dental practices. (1) 2A dentist
or dental therapist who is licensed
to practice dentistry under this chapter
3may delegate to an individual who is not licensed under this chapter only the
4performance of remediable procedures, and only if all of the following conditions are
5met:
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(a) The unlicensed individual performs the remediable procedures in
7accordance with a treatment plan approved by the dentist
or dental therapist.
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(b) The dentist
or dental therapist is on the premises when the unlicensed
9individual performs the remediable procedures.
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(c) The unlicensed individual's performance of the remediable procedures is
11subject to inspection by the dentist
or dental therapist.
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12(2) Subject to the requirements under s. 447.06 (2), a dentist
or dental therapist 13who is licensed
to practice dentistry under this chapter may delegate to a dental
14hygienist who is licensed to practice dental hygiene under this chapter the
15performance of remediable procedures and the administration of oral systemic
16premedications, local anesthesia, nitrous oxide inhalation analgesia, and
17subgingival sustained release chemotherapeutic agents
, to the extent the dentist or
18dental therapist has the authority to perform the activity personally.
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19(3) A dentist
or dental therapist who delegates to another individual the
20performance of any practice or remediable procedure is responsible for that
21individual's performance of that delegated practice or procedure.
SB59,2051
22Section 2051
. 447.07 (1) of the statutes is amended to read:
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447.07
(1) The examining board may, without further notice or process, limit,
24suspend, or revoke the license or certificate of any dentist
, dental therapist, or dental
25hygienist, or the registration of a mobile dentistry program registrant, who fails,
1within 60 days after the mailing of written notice to the dentist's,
dental therapist's, 2dental hygienist's, or registrant's last-known address, to renew the license,
3certificate, or registration.
SB59,2052
4Section 2052
. 447.07 (3) (intro.) of the statutes is amended to read:
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447.07
(3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
6examining board may make investigations and conduct hearings in regard to any
7alleged action of any dentist
, dental therapist, or dental hygienist, of a mobile
8dentistry program registrant, or of any other person it has reason to believe is
9engaged in or has engaged in the practice of dentistry
, dental therapy, or dental
10hygiene, or the operation of a mobile dentistry program, in this state, and may, on
11its own motion, or upon complaint in writing, reprimand any dentist
, dental
12therapist, or dental hygienist who is licensed or certified under this chapter, or any
13mobile dentistry program registrant, or deny, limit, suspend, or revoke his or her
14license or certificate, or the registration of the mobile dentistry program registrant,
15if it finds that the dentist,
dental therapist, dental hygienist, or mobile dentistry
16program registrant has done any of the following:
SB59,2053
17Section 2053
. 447.07 (3) (e) to (h) of the statutes are amended to read:
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447.07
(3) (e) Subject to ss. 111.321, 111.322, and 111.335, been convicted of a
19crime, the circumstances of which substantially relate to the practice of dentistry
,
20dental therapy, or dental hygiene or the operation of a mobile dentistry program.
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(f) Violated this chapter or any federal or state statute or rule that relates to
22the practice of dentistry
, dental therapy, or dental hygiene, or the operation of a
23mobile dentistry program.
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1(g) Subject to ss. 111.321, 111.322 and 111.34, practiced dentistry
, dental
2therapy, or dental hygiene while his or her ability was impaired by alcohol or other
3drugs.
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(h) Engaged in conduct that indicates a lack of knowledge of, an inability to
5apply or the negligent application of, principles or skills of dentistry
, dental therapy, 6or dental hygiene.
SB59,2054
7Section 2054
. 447.40 (intro.) of the statutes is amended to read:
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8447.40 Informed consent. (intro.) Any dentist
or dental therapist who treats
9a patient shall inform the patient about the availability of reasonable alternate
10modes of treatment and about the benefits and risks of these treatments. The
11reasonable dentist standard is the standard for informing a patient under this
12section. The reasonable dentist standard requires disclosure only of information
13that a reasonable dentist would know and disclose under the circumstances. The
14dentist's
or dental therapist's duty to inform the patient under this section does not
15require disclosure of any of the following:
SB59,2055
16Section 2055
. 447.40 (6) of the statutes is amended to read:
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447.40
(6) Information about alternate modes of treatment for any condition
18the dentist
or dental therapist has not included in his or her diagnosis
, assessment,
19or treatment plan at the time the dentist
or dental therapist informs the patient.
SB59,2056
20Section 2056
. 448.03 (2) (a) of the statutes is amended to read:
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448.03
(2) (a) Any person lawfully practicing within the scope of a license,
22permit, registration, certificate or certification granted to practice midwifery under
23subch. XIII of ch. 440, to practice professional or practical nursing or
24nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
25dentistry
, dental therapy, or dental hygiene under ch. 447, to practice optometry
1under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
2provision, or as otherwise provided by statute.
SB59,2057
3Section 2057
. 448.21 (1) (a) of the statutes is amended to read:
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448.21
(1) (a) The practice of dentistry
, dental therapy, or dental hygiene within
5the meaning of ch. 447.
SB59,2058
6Section 2058
. 450.03 (1) (e) of the statutes is amended to read:
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450.03
(1) (e) Any person lawfully practicing within the scope of a license,
8permit, registration, certificate, or certification granted to provide home medical
9oxygen under s. 450.076, to practice professional or practical nursing or
10nurse-midwifery under ch. 441, to practice dentistry
, dental therapy, or dental
11hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
12optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
13otherwise provided by statute.
SB59,2059
14Section 2059
. 450.10 (3) (a) 4. of the statutes is amended to read:
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450.10
(3) (a) 4. A dentist
or dental therapist licensed under ch. 447.
SB59,2060
16Section 2060
. 452.14 (3) (n) of the statutes is amended to read:
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452.14
(3) (n) Treated any person unequally solely because of sex, race, color,
18handicap, national origin, ancestry, marital status, lawful source of income,
status
19as a holder or nonholder of a license under s. 343.03 (3m), or status as a victim of
20domestic abuse, sexual assault, or stalking, as defined in s. 106.50 (1m) (u).
SB59,2061
21Section 2061
. 462.02 (2) (d) of the statutes is amended to read:
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462.02
(2) (d) A dentist licensed under s. 447.04 (1),
a dental therapist licensed
23under s. 447.04 (1m), a dental hygienist licensed under s. 447.04 (2), or a person
24under the direct supervision of a dentist.
SB59,2062
25Section 2062
. 462.04 of the statutes is amended to read:
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1462.04 Prescription or order required. A person who holds a license or
2limited X-ray machine operator permit under this chapter may not use diagnostic
3X-ray equipment on humans for diagnostic purposes unless authorized to do so by
4prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
5under s. 447.04 (1),
a dental therapist licensed under s. 447.04 (1m), a podiatrist
6licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced
7practice nurse certified under s. 441.16 (2), a physician assistant licensed under s.
8448.04 (1) (f), or, subject to s. 448.56 (7) (a), a physical therapist licensed under s.
9448.53.
SB59,2063
10Section 2063
. 463.10 (5) of the statutes is amended to read:
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463.10
(5) Exception. Subsections (2) to (4m) do not apply to a dentist
who is
12licensed under s. 447.03 (1) or to a , dental therapist, or physician who tattoos or
13offers to tattoo a person in the course of the dentist's
, dental therapist's, or physician's
14professional practice.
SB59,2064
15Section 2064
. 463.12 (5) of the statutes is amended to read:
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463.12
(5) Exception. Subsections (2) to (4m) do not apply to a dentist
who is
17licensed under s. 447.03 (1) or to a , dental therapist, or physician who pierces the
18body of or offers to pierce the body of a person in the course of the dentist's
, dental
19therapist's, or physician's professional practice.
SB59,2065
20Section
2065. 565.10 (17) of the statutes is created to read: