AB68: Bill Text

AB68,1469,13 447.02 (2) (k) The settings in which a dental therapist may practice dental therapy. The examining board shall specify only settings that primarily serve low-income, uninsured, and underserved patients, including all of the following:

AB68,1469,16 1. Settings located in areas that are designated as a dental health professional shortage area by the secretary of the federal department of health and human services under 42 USC 254e.

AB68,1469,17 2. Military and veterans administration hospitals, clinics, and care settings.

AB68,1469,19 3. Any other practice setting in which at least 50 percent of the patients consist of patients who are any of the following:

AB68,1469,20 a. Patients who receive medical assistance.

AB68,1469,23 b. Patients who do not have dental health coverage, either through a public health care program or private insurance, and have an annual gross family income equal to or less than 200 percent of the federal poverty line.

AB68,2854 Section 2854 . 447.02 (3) (a) (intro.) of the statutes is amended to read:

AB68,1470,4 447.02 (3) (a) (intro.) The examining board may issue a permit authorizing the practice in this state, without compensation, of dentistry, dental therapy, or dental hygiene to an applicant who is licensed to practice dentistry, dental therapy, or dental hygiene in another state, if all of the following apply:

AB68,2855 Section 2855 . 447.02 (3) (a) 2. of the statutes is amended to read:

AB68,1470,9 447.02 (3) (a) 2. The examining board determines that the applicant is qualified and satisfies the criteria specified under s. 447.04 (1) (b) 1. to 3., except that the examining board may not require the applicant to pass an examination of state statutes and rules relating to dentistry, dental therapy, or dental hygiene.

AB68,2856 Section 2856 . 447.02 (3) (b) of the statutes is amended to read:

AB68,1470,15 447.02 (3) (b) A permit under this subsection shall authorize the practice of dentistry, dental therapy, or dental hygiene in a specified area of the state for a period of time not more than 10 days in a year and may be renewed by the examining board. The examining board may not require an applicant to pay a fee for the issuance or renewal of a permit under this subsection.

AB68,2857 Section 2857 . 447.02 (5) of the statutes is amended to read:

AB68,1470,21 447.02 (5) Except as provided in ss. 447.058 and 447.063, nothing in this chapter may be construed as authorizing the examining board to regulate business or administrative support functions or services, that do not constitute the practice of dentistry, dental therapy, or dental hygiene, provided to a business that provides dental or dental hygiene services.

AB68,2858 Section 2858 . 447.03 (1m) of the statutes is created to read:

AB68,1470,25 447.03 (1m) Dental therapists. Except as provided under sub. (3) and s. 447.02 (3), no person may do any of the following unless he or she is licensed to practice dental therapy under this chapter:

AB68,1471,1 (a) Practice or offer to practice dental therapy.

AB68,1471,4 (b) Represent himself or herself to the public as a dental therapist or use, in connection with his or her name, any title or description that may convey the impression that he or she is a dental therapist.

AB68,2859 Section 2859 . 447.03 (3) (am) of the statutes is created to read:

AB68,1471,9 447.03 (3) (am) A dental therapy student who practices dental therapy under the supervision of a dentist in an infirmary, clinic, hospital, or other institution connected or associated for training purposes with an accredited dental therapy school.

AB68,2860 Section 2860 . 447.03 (3) (c) of the statutes is amended to read:

AB68,1471,16 447.03 (3) (c) An individual licensed to practice dentistry, dental therapy, or dental hygiene in another state or country who practices dentistry , dental therapy, or dental hygiene in a program of dental education or research at the invitation of a group of dentists or practices dentistry, dental therapy, or dental hygiene under the jurisdiction of the army, navy, air force, U.S. public health service , or veterans bureau.

AB68,2861 Section 2861 . 447.04 (1m) of the statutes is created to read:

AB68,1471,19 447.04 (1m) Dental therapists. (a) The examining board shall grant a license to practice dental therapy to an individual who does all of the following:

AB68,1471,21 1. Submits an application for the license to the department on a form provided by the department.

AB68,1471,22 2. Pays the fee specified in s. 440.05 (1).

AB68,1471,24 3. Submits evidence satisfactory to the examining board that he or she has done one of the following:

AB68,1471,25 a. Graduated from an accredited dental therapy education program.

AB68,1472,5 b. Graduated from a dental therapy education program that was not accredited at the time of graduation, but was accredited or approved by a state dental licensing board, was certified as a community health aide program dental therapy education program under U.S. Indian health service standards, or is otherwise approved by the examining board as being substantially comparable to an accredited program.

AB68,1472,13 4. Submits evidence satisfactory to the examining board that he or she has passed a national board dental therapy examination and a dental therapy clinical examination administered by a regional testing service that has been approved by the examining board to administer clinical examinations for dental professionals. If a national board examination or a regional testing service examination for dental therapy does not exist, the examining board shall accept evidence of passing an alternative examination administered by another entity or testing service that is approved by the examining board.

AB68,1472,15 5. Passes an examination administered by the examining board on the statutes and rules relating to dental therapy.

AB68,1472,20 5m. Submits evidence satisfactory to the examining board that he or she has current proficiency in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) to provide such instruction.

AB68,1472,24 6. Completes any other requirements established by the examining board by rule that are comparable to and no more restrictive than the requirements established by the board for dentists under sub. (1) (a) 6. and dental hygienists under sub. (2) (a) 6.

AB68,1473,5 (b) The examining board may grant a license to practice dental therapy to an individual who is licensed or certified in good standing to practice dental therapy in another state or territory of the United States or in another country, or by the U.S. Indian health service community health aide program, if the applicant complies with all of the following requirements:

AB68,1473,9 1. Meets the requirements for licensure established by the examining board by rule. The board shall establish requirements under this subdivision that are comparable to and no more restrictive than the requirements established by the board for dentists under sub. (1) (b) 1. and dental hygienists under sub. (2) (b) 1.

AB68,1473,16 2. Submits evidence satisfactory to the examining board that the person has current proficiency in cardiopulmonary resuscitation, including the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education qualified to provide such instruction. The examining board shall consult with the department of health services to determine whether an individual, organization, or institution of higher education is qualified to provide instruction under this subdivision.

AB68,1473,18 3. Presents the license or certification to the examining board and pays the fee specified under s. 440.05 (2).

AB68,2862 Section 2862 . 447.05 of the statutes is amended to read:

AB68,1474,18 447.05 Expiration and renewal. Renewal applications shall be submitted to the department on a form provided by the department on or before the applicable renewal date specified under s. 440.08 (2) (a) and shall include the applicable renewal fee determined by the department under s. 440.03 (9) (a). The examining board may not renew a license to practice dentistry unless the applicant for renewal attests that he or she has complied with s. 447.056, that he or she has current proficiency in cardiopulmonary resuscitation, including and that he or she has current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) to provide such instruction. The examining board may not renew a license to practice dental therapy unless the applicant for renewal attests that he or she has complied with s. 447.057 and any rules promulgated under s. 447.057, that he or she has current proficiency in cardiopulmonary resuscitation, and that he or she has current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) to provide such instruction. The examining board may not renew a license to practice dental hygiene unless the applicant for renewal attests that he or she has complied with s. 447.055 and any rules promulgated by the examining board under s. 447.055, that he or she has a current certification in cardiopulmonary resuscitation, and that he or she has current proficiency in the use of an automated external defibrillator achieved through instruction provided by an individual, organization, or institution of higher education approved under s. 46.03 (38) to provide such instruction.

AB68,2863 Section 2863 . 447.057 of the statutes is created to read:

AB68,1475,3 447.057 Continuing education; dental therapists. (1) (a) Except as provided in subs. (3) and (4), a person is not eligible for renewal of a license to practice dental therapy, other than a permit issued under s. 447.02 (3), unless the person has taught, prepared, attended, or otherwise completed, during the 2-year period immediately preceding the renewal date specified under s. 440.08 (2) (a), 12 credit hours of continuing education relating to the clinical practice of dental therapy that is sponsored or recognized by a local, state, regional, national, or international dental, dental therapy, dental hygiene, dental assisting, or medical-related professional organization.

AB68,1475,5 (b) Continuing education required under par. (a) may include training in all of the following:

AB68,1475,7 1. Basic life support or cardiopulmonary resuscitation. Not more than 2 of the credit hours required under par. (a) may be satisfied by such training.

AB68,1475,9 2. Infection control. Not less than 2 of the credit hours required under par. (a) shall be satisfied by such training.

AB68,1475,12 (c) After consultation with the department of health services, the examining board may promulgate rules requiring that continuing education credit hours under par. (a) include courses in specific clinical subjects.

AB68,1475,14 (2) The credit hours required under sub. (1) (a) may be satisfied by independent study, correspondence, or Internet programs or courses.

AB68,1475,17 (3) Subsection (1) (a) does not apply to an applicant for renewal of a license that expires on the first renewal date after the date on which the examining board initially granted the license.

AB68,1475,21 (4) A person may substitute credit hours of college level courses related to the practice of dental therapy for the credit hours required under sub. (1) (a). For purposes of this subsection, one credit hour of a college level course is equivalent to 6 credit hours of continuing education.

AB68,1476,2 (5) For purposes of sub. (1) (a), one hour of teaching or preparing a continuing education program is equivalent to one credit hour of continuing education, but a person who teaches or prepares a continuing education program may obtain credit for the program only once during the 2-year period immediately preceding the renewal date.

AB68,1476,5 (6) The examining board may require applicants for renewal of a license to practice dental therapy to submit proof of compliance with the requirements of this section.

AB68,2864 Section 2864 . 447.06 (1) of the statutes is amended to read:

AB68,1476,13 447.06 (1) No contract of employment entered into between a dentist or dental therapist and any other party under which the dentist or dental therapist renders dental services may require the dentist or dental therapist to act in a manner which that violates the professional standards for dentistry or dental therapy set forth in this chapter. Nothing in this subsection 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 or dental therapy set forth in this chapter.

AB68,2865 Section 2865 . 447.06 (1m) of the statutes is created to read:

AB68,1476,18 447.06 (1m) No contract of employment entered into between a dental therapist and any other party under which the dental therapist is employed to practice dental therapy may require a dental therapist to meet a minimum quota for the number of patients seen or the number of procedures performed.

AB68,2866 Section 2866 . 447.06 (2) (a) 3. of the statutes is amended to read:

AB68,1476,21 447.06 (2) (a) 3. For a school for the education of dentists, dental therapists, or dental hygienists.

AB68,2867 Section 2867 . 447.06 (2) (b) of the statutes is amended to read:

AB68,1477,2 447.06 (2) (b) A dental hygienist may practice dental hygiene or perform remediable procedures under par. (a) 1. only as authorized by a dentist or dental therapist who is licensed to practice dentistry or dental therapy under this chapter and who is present in the facility in which those practices or procedures are performed, except as provided in par. (c).

AB68,2868 Section 2868 . 447.06 (2) (c) (intro.) of the statutes is amended to read:

AB68,1477,8 447.06 (2) (c) (intro.) A dental hygienist may practice dental hygiene or perform remediable procedures under par. (a) 1. if a dentist or dental therapist who is licensed to practice dentistry or dental therapy under this chapter is not present in the facility in which those practices or procedures are performed only if all of the following conditions are met:

AB68,2869 Section 2869 . 447.06 (2) (c) 2. (intro.) of the statutes is amended to read:

AB68,1477,12 447.06 (2) (c) 2. (intro.) The dentist or dental therapist who made the written or oral prescription has examined the patient at least once during the 12-month period immediately preceding:

AB68,2870 Section 2870 . 447.06 (3) of the statutes is created to read:

AB68,1477,14 447.06 (3) (a) In this subsection:

AB68,1477,15 1. “Collaborative management agreement” means an agreement under par. (d).

AB68,1477,17 2. “Permitted practice settings” means the settings that a dental therapist is allowed to practice dental therapy, as established by the board under s. 447.02 (2) (k).

AB68,1477,19 3. “Qualifying dentist” means a dentist who is licensed in this state and who is actively practicing in this state.

AB68,1477,21 (b) A dental therapist licensed under this chapter may practice only in permitted practice settings.

AB68,1477,24 (c) The scope of practice of a dental therapist shall, subject to the terms of a collaborative management agreement, be limited to providing the following services, treatments, and procedures:

AB68,1478,2 1. Oral evaluation and assessment of dental disease and formulation of an individualized treatment plan.

AB68,1478,5 2. Identification of oral and systemic conditions requiring evaluation or treatment by dentists, physicians, or other health care providers and the management of referrals.

AB68,1478,6 3. Comprehensive charting of the oral cavity.

AB68,1478,8 4. Oral health instruction and disease prevention education, including nutritional counseling and dietary analysis.

AB68,1478,9 5. Exposure and evaluation of radiographic images.

AB68,1478,10 6. Dental prophylaxis, including subgingival scaling and polishing procedures.

AB68,1478,13 7. Dispensing and administration via the oral or topical route of nonnarcotic analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed health care provider.

AB68,1478,16 8. Application of topical preventive or prophylactic agents, including fluoride varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure sealants.

AB68,1478,17 9. Pulp vitality testing.

AB68,1478,18 10. Application of desensitizing medications or resins.

AB68,1478,19 11. Fabrication of athletic mouth guards and soft occlusal guards.

AB68,1478,20 12. Changing of periodontal dressings.

AB68,1478,21 13. Administration of local anesthetic and nitrous oxide.

AB68,1478,22 14. Simple extraction of erupted primary teeth.

AB68,1479,2 15. Nonsurgical extraction of periodontally diseased permanent teeth with tooth mobility of +3 to +4 to the extent authorized in the dental therapist's collaborative management agreement, except that the scope of practice of a dental therapist does not include the extraction of a tooth that is unerupted, impacted, or fractured or that needs to be sectioned for removal.

AB68,1479,4 16. Emergency palliative treatment of dental pain limited to the procedures in this paragraph.

AB68,1479,6 17. Preparation and placement of direct restoration in primary and permanent teeth.

AB68,1479,7 18. Fabrication and placement of single-tooth temporary crowns.

AB68,1479,8 19. Preparation and placement of preformed crowns on primary teeth.

AB68,1479,9 20. Indirect and direct pulp capping on permanent teeth.