AB68: Bill Text

AB68,1479,14 25. Pulpotomy on primary teeth.

AB68,1479,15 26. Tooth reimplantation and stabilization.

AB68,1479,16 27. Recementing of a permanent crown.

AB68,1479,18 28. Any additional services, treatments, or procedures specified in the rules promulgated under s. 447.02 (1) (g).

AB68,1480,3 (d) 1. A dental therapist licensed under this chapter may provide dental therapy services only under the general supervision of a qualifying dentist with whom the dental therapist has entered into a collaborative management agreement. For purposes of this subdivision, general supervision of a dental therapist by a qualifying dentist requires that a task or procedure be performed by a dental therapist with the prior knowledge and consent of the qualifying dentist but does not require the presence of the qualifying dentist in the office or on the premises at the time a task or procedure is being performed by the dental therapist and does not require prior examination or diagnosis of a patient by the qualifying dentist before the dental therapist provides dental therapy services to the patient.

AB68,1480,11 2. A supervising dentist under subd. 1. shall accept responsibility for all services performed by a dental therapist pursuant to a collaborative management agreement. If services needed by a patient are beyond the dental therapist's scope of practice or authorization under the collaborative management agreement, the dental therapist shall, to the extent required under the collaborative management agreement, consult with the supervising dentist under subd. 1. as needed to arrange for those services to be provided by a qualifying dentist or another qualified health care professional.

AB68,1480,15 (e) 1. Prior to providing any dental therapy services, a dental therapist shall enter into a written collaborative management agreement with a qualifying dentist who will serve as a supervising dentist under par. (d). The agreement must be signed by the dental therapist and the qualifying dentist and address all of the following:

AB68,1480,17 a. The practice settings in which services may be provided and the patient populations that may be served.

AB68,1480,20 b. Any conditions or limitations on the services that may be provided by the dental therapist, the level of supervision required, and any circumstances requiring consultation prior to performing services.

AB68,1480,21 c. Age-specific and procedure-specific practice protocols.

AB68,1480,22 d. Dental record-keeping procedures.

AB68,1480,23 e. Plans for managing dental or medical emergencies.

AB68,1480,25 f. A quality assurance plan for monitoring care provided by the dental therapist.

AB68,1481,1 g. Protocols for administering and dispensing medications.

AB68,1481,3 h. Criteria or protocols relating to the provision of care to patients with specific medical conditions, treatments, or medications.

AB68,1481,4 i. Policies relating to supervision of dental hygienists and other staff.

AB68,1481,7 j. A plan for the referral of patients to other dental or health care professionals or clinics when services needed are beyond the scope of practice or authorization of the dental therapist.

AB68,1481,9 k. Whether and to what extent the dental therapist may perform services described in par. (c) 15.

AB68,1481,11 2. a. A collaborative management agreement shall be limited to covering one qualifying dentist and one dental therapist.

AB68,1481,13 b. A dental therapist may enter into multiple collaborative management agreements.

AB68,1481,15 c. No qualifying dentist may have collaborative management agreements with more than 5 dental therapists at any time.

AB68,2871 Section 2871 . 447.065 of the statutes is amended to read:

AB68,1481,21 447.065 Delegation of remediable procedures and dental practices. (1) A dentist or dental therapist 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 if all of the following conditions are met:

AB68,1481,23 (a) The unlicensed individual performs the remediable procedures in accordance with a treatment plan approved by the dentist or dental therapist.

AB68,1481,25 (b) The dentist or dental therapist is on the premises when the unlicensed individual performs the remediable procedures.

AB68,1482,2 (c) The unlicensed individual's performance of the remediable procedures is subject to inspection by the dentist or dental therapist.

AB68,1482,9 (2) Subject to the requirements under s. 447.06 (2), a dentist or dental therapist who is licensed to practice dentistry under this chapter may delegate to a dental hygienist who is licensed to practice dental hygiene under this chapter the performance of remediable procedures and the administration of oral systemic premedications, local anesthesia, nitrous oxide inhalation analgesia, and subgingival sustained release chemotherapeutic agents, to the extent the dentist or dental therapist has the authority to perform the activity personally.

AB68,1482,12 (3) A dentist or dental therapist who delegates to another individual the performance of any practice or remediable procedure is responsible for that individual's performance of that delegated practice or procedure.

AB68,2872 Section 2872 . 447.07 (1) of the statutes is amended to read:

AB68,1482,19 447.07 (1) The examining board may, without further notice or process, limit, suspend, or revoke the license or certificate of any dentist, dental therapist, or dental hygienist, or the registration of a mobile dentistry program registrant, who fails, within 60 days after the mailing of written notice to the dentist's, dental therapist's, dental hygienist's, or registrant's last-known address, to renew the license, certificate, or registration.

AB68,2873 Section 2873 . 447.07 (3) (intro.) of the statutes is amended to read:

AB68,1483,7 447.07 (3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the examining board may make investigations and conduct hearings in regard to any alleged action of any dentist, dental therapist, or dental hygienist, of a mobile dentistry program registrant, or of any other person it has reason to believe is engaged in or has engaged in the practice of dentistry, dental therapy, or dental hygiene, or the operation of a mobile dentistry program, in this state, and may, on its own motion, or upon complaint in writing, reprimand any dentist , dental therapist, or dental hygienist who is licensed or certified under this chapter, or any mobile dentistry program registrant, or deny, limit, suspend, or revoke his or her license or certificate, or the registration of the mobile dentistry program registrant, if it finds that the dentist, dental therapist, dental hygienist, or mobile dentistry program registrant has done any of the following:

AB68,2874 Section 2874 . 447.07 (3) (e) to (h) of the statutes are amended to read:

AB68,1483,11 447.07 (3) (e) Subject to ss. 111.321, 111.322, and 111.335, been convicted of a crime, the circumstances of which substantially relate to the practice of dentistry, dental therapy, or dental hygiene or the operation of a mobile dentistry program.

AB68,1483,14 (f) Violated this chapter or any federal or state statute or rule that relates to the practice of dentistry, dental therapy, or dental hygiene, or the operation of a mobile dentistry program.

AB68,1483,17 (g) Subject to ss. 111.321, 111.322 and 111.34, practiced dentistry , dental therapy, or dental hygiene while his or her ability was impaired by alcohol or other drugs.

AB68,1483,20 (h) Engaged in conduct that indicates a lack of knowledge of, an inability to apply or the negligent application of, principles or skills of dentistry , dental therapy, or dental hygiene.

AB68,2875 Section 2875 . 447.40 (intro.) of the statutes is amended to read:

AB68,1484,4 447.40 Informed consent. (intro.) Any dentist or dental therapist who treats a patient shall inform the patient about the availability of reasonable alternate modes of treatment and about the benefits and risks of these treatments. The reasonable dentist standard is the standard for informing a patient under this section. The reasonable dentist standard requires disclosure only of information that a reasonable dentist would know and disclose under the circumstances. The dentist's or dental therapist's duty to inform the patient under this section does not require disclosure of any of the following:

AB68,2876 Section 2876 . 447.40 (6) of the statutes is amended to read:

AB68,1484,8 447.40 (6) Information about alternate modes of treatment for any condition the dentist or dental therapist has not included in his or her diagnosis, assessment, or treatment plan at the time the dentist or dental therapist informs the patient.

AB68,2877 Section 2877 . 448.03 (2) (a) of the statutes is amended to read:

AB68,1484,16 448.03 (2) (a) Any person lawfully practicing within the scope of a license, permit, registration, certificate or certification granted to practice midwifery under subch. XIII of ch. 440, to practice professional or practical nursing or nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice dentistry, dental therapy, or dental hygiene under ch. 447, to practice optometry under ch. 449, to practice acupuncture under ch. 451 or under any other statutory provision, or as otherwise provided by statute.

AB68,2878 Section 2878 . 448.21 (1) (a) of the statutes is amended to read:

AB68,1484,19 448.21 (1) (a) The practice of dentistry, dental therapy, or dental hygiene within the meaning of ch. 447.

AB68,2879 Section 2879. 450.02 (2c) of the statutes is created to read:

AB68,1484,22 450.02 (2c) The board shall promulgate rules to require all pharmacists to receive training on delivering or dispensing an opioid antagonist.

AB68,2880 Section 2880 . 450.03 (1) (e) of the statutes is amended to read:

AB68,1485,5 450.03 (1) (e) Any person lawfully practicing within the scope of a license, permit, registration, certificate, or certification granted to provide home medical oxygen under s. 450.076, to practice professional or practical nursing or nurse-midwifery under ch. 441, to practice dentistry, dental therapy, or dental hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as otherwise provided by statute.

AB68,2881 Section 2881. 450.062 (4) of the statutes is amended to read:

AB68,1485,12 450.062 (4) A juvenile correctional facility under s. 938.02 (10p), juvenile detention facility under s. 938.02 (10r), residential care center for children and youth under s. 938.02 (15d), secured residential care center for children and youth under s. 938.02 (15g), type 1 juvenile correctional facility under s. 938.02 (19), type 2 residential care center for children and youth under s. 938.02 (19r), 2019 stats., or type 2 juvenile correctional facility under s. 938.02 (20), 2019 stats.

AB68,2882 Section 2882. 450.085 (1) of the statutes is amended to read:

AB68,1485,23 450.085 (1) An applicant for renewal of a license under s. 450.08 (2) (a) shall submit proof that he or she has completed, within the 2-year period immediately preceding the date of his or her application, 30 hours of continuing education in courses conducted by a provider that is approved by the Accreditation Council for Pharmacy Education or in courses approved by the board. The board may approve training prescribed under s. 450.02 (2c) as continuing education for purposes of this subsection. Courses specified in s. 450.035 (1r) and (2) are courses in continuing education for purposes of this subsection. This subsection does not apply to an applicant for renewal of a license that expires on the first renewal date after the date on which the board initially granted the license.

AB68,2883 Section 2883. 450.085 (3) of the statutes is created to read:

AB68,1486,3 450.085 (3) An applicant for renewal of a license under s. 450.08 (2) (a) may count, for purposes of the continuing education requirement under sub. (1), up to 10 hours spent as a volunteer at a free and charitable clinic approved by the board.

AB68,2884 Section 2884 . 450.10 (3) (a) 4. of the statutes is amended to read:

AB68,1486,5 450.10 (3) (a) 4. A dentist or dental therapist licensed under ch. 447.

AB68,2885 Section 2885 . 450.13 (5m) of the statutes is created to read:

AB68,1486,11 450.13 (5m) Disclosures to consumers. (a) Each pharmacy shall post in a prominent place at or near the place where prescriptions are dispensed a sign that clearly describes a pharmacist's ability under this state's law to substitute a less expensive drug product equivalent under sub. (1s) unless the consumer or the prescribing practitioner has indicated otherwise under sub. (2).

AB68,1486,16 (b) The pharmacy examining board shall create a list of the 100 most commonly prescribed generic drug product equivalents, including the generic and brand names of the drugs, and provide, either directly or on the department's Internet site, the list to each pharmacy on an annual basis. Each pharmacy shall make available to the public information on how to access the list under this paragraph.

AB68,1486,21 (c) Each pharmacy shall have available for the public a listing of the retail price, updated no less frequently than monthly, of the 100 most commonly prescribed prescription drugs, which includes brand name and generic equivalent drugs and biological products and interchangeable biological products, that are available for purchase at the pharmacy.

AB68,2886 Section 2886 . 450.135 (8m) of the statutes is created to read:

AB68,1487,2 450.135 (8m) Disclosure to consumers. Each pharmacy shall post in a prominent place at or near the place where prescriptions are dispensed a sign that clearly describes a pharmacist's ability under this state's law to substitute a less expensive interchangeable biological product under sub. (2) unless the consumer or the prescribing practitioner has indicated otherwise under sub. (3).

AB68,2887 Section 2887 . 450.135 (9) of the statutes is amended to read:

AB68,1487,9 450.135 (9) Links to be maintained by board. The board shall maintain links on the department's Internet site to the federal food and drug administration's lists of all currently approved interchangeable biological products. Each pharmacy shall make available for the public information on how to access the federal food and drug administration's lists of all currently approved interchangeable biological products through the department's Internet site.

AB68,2888 Section 2888 . 452.14 (3) (n) of the statutes is amended to read:

AB68,1487,14 452.14 (3) (n) Treated any person unequally solely because of sex, race, color, handicap, national origin, ancestry, marital status, lawful source of income, status as a holder or nonholder of a license under s. 343.03 (3r), or status as a victim of domestic abuse, sexual assault, or stalking, as defined in s. 106.50 (1m) (u).

AB68,2889 Section 2889 . 462.02 (2) (d) of the statutes is amended to read:

AB68,1487,18 462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental therapist licensed under s. 447.04 (1m), a dental hygienist licensed under s. 447.04 (2), or a person under the direct supervision of a dentist.

AB68,2890 Section 2890. 462.04 of the statutes is amended to read:

AB68,1488,3 462.04 Prescription or order required. A person who holds a license or limited X-ray machine operator permit under this chapter may not use diagnostic X-ray equipment on humans for diagnostic purposes unless authorized to do so by prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed under s. 447.04 (1), a dental therapist licensed under s. 447.04 (1m), a podiatrist licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced practice nurse certified under s. 441.16 (2), a physician assistant licensed under s. 448.04 (1) (f), or, subject to s. 448.56 (7) (a), a physical therapist who is licensed under s. 448.53 or who holds a compact privilege under subch. IX of ch. 448.

AB68,2891 Section 2891 . 463.10 (5) of the statutes is amended to read:

AB68,1488,8 463.10 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is licensed under s. 447.03 (1) or to a , dental therapist, or physician who tattoos or offers to tattoo a person in the course of the dentist's, dental therapist's, or physician's professional practice.

AB68,2892 Section 2892 . 463.12 (5) of the statutes is amended to read:

AB68,1488,13 463.12 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is licensed under s. 447.03 (1) or to a , dental therapist, or physician who pierces the body of or offers to pierce the body of a person in the course of the dentist's, dental therapist's, or physician's professional practice.

AB68,2893 Section 2893. 551.614 (2) of the statutes is amended to read:

AB68,1489,3 551.614 (2) Fees related to broker-dealers, agents, investment advisers, investment adviser representatives, and federal covered advisers. Every applicant for an initial or renewal license under s. 551.401, 551.402, 551.403, or 551.404 shall pay a filing fee of $200 $300 in the case of a broker-dealer or investment adviser and $80 $100 in the case of an agent representing a broker-dealer or issuer or an investment adviser representative, except that, in the case of an agent representing a broker-dealer or issuer or an investment adviser representative, no fee is required for an individual who is eligible for the veterans fee waiver program under s. 45.44. Every federal covered adviser in this state that is required to make a notice filing under s. 551.405 shall pay an initial or renewal notice filing fee of $200 $300. A broker-dealer, investment adviser, or federal covered adviser maintaining a branch office within this state shall pay an additional filing fee of $80 $100 for each branch office. When an application is denied, or an application or a notice filing is withdrawn, the filing fee shall be retained.

AB68,2894 Section 2894. 563.055 (6) of the statutes is amended to read:

AB68,1489,6 563.055 (6) All moneys received under this section shall be credited to the appropriation account under s. 20.505 (8) (jm) (jn).

AB68,2895 Section 2895. 563.13 (4) of the statutes is amended to read:

AB68,1489,11 563.13 (4) A $10 license fee for each bingo occasion proposed to be conducted and $5 for an annual license for the designated member responsible for the proper utilization of gross receipts. All moneys received under this subsection shall be credited to the appropriation account under s. 20.505 (8) (jm) (jn).

AB68,2896 Section 2896. 563.135 (2m) of the statutes is amended to read:

AB68,1489,14 563.135 (2m) All moneys received under sub. (1) shall be credited to the appropriation account under s. 20.505 (8) (jm) (jn).

AB68,2897 Section 2897. 563.16 of the statutes is amended to read:

AB68,1490,2 563.16 Amendment of license to conduct bingo. Upon application by a licensed organization, a license may be amended, if the subject matter of the amendment properly and lawfully could have been included in the original license. An application for an amendment to a license shall be filed and processed in the same manner as an original application. An application for the amendment of a license shall be accompanied by a $3 fee. If any application for amendment seeks approval of additional bingo occasions or designates a new member responsible for the proper utilization of gross receipts, the appropriate fee under s. 563.13 (4) also shall be paid. If the department approves an application for an amendment to a license, a copy of the amendment shall be sent to the applicant who shall attach it to the original license. All moneys received under this section shall be credited to the appropriation account under s. 20.505 (8) (jm) (jn).

AB68,2898 Section 2898. 563.22 (2) (c) of the statutes is amended to read:

AB68,1490,5 563.22 (2) (c) All moneys received under this subsection shall be credited to the appropriation account under s. 20.505 (8) (jm) (jn).

AB68,2899 Section 2899. 563.80 (2m) of the statutes is amended to read:

AB68,1490,8 563.80 (2m) All moneys received under sub. (1) shall be credited to the appropriation account under s. 20.505 (8) (jm) (jn).