AB43,2929 15Section 2929 . 447.058 (2) (b) of the statutes is amended to read:
AB43,1517,2016 447.058 (2) (b) A mobile dentistry program registrant shall submit an
17application for renewal, and the applicable renewal fee determined by the
18department under s. 440.03 (9) (a), to the department on a form provided by the
19department on or before the applicable renewal date specified determined by the
20department
under s. 440.08 (2) (a).
AB43,2930 21Section 2930 . 447.06 (1) of the statutes is amended to read:
AB43,1518,322 447.06 (1) No contract of employment entered into between a dentist or dental
23therapist
and any other party under which the dentist or dental therapist renders
24dental services may require the dentist or dental therapist to act in a manner which
25that violates the professional standards for dentistry or dental therapy set forth in

1this chapter. Nothing in this subsection limits the ability of the other party to control
2the operation of the dental practice in a manner in accordance with the professional
3standards for dentistry or dental therapy set forth in this chapter.
AB43,2931 4Section 2931 . 447.06 (1m) of the statutes is created to read:
AB43,1518,85 447.06 (1m) No contract of employment entered into between a dental
6therapist and any other party under which the dental therapist is employed to
7practice dental therapy may require a dental therapist to meet a minimum quota for
8the number of patients seen or the number of procedures performed.
AB43,2932 9Section 2932 . 447.06 (2) (a) 3. of the statutes is amended to read:
AB43,1518,1110 447.06 (2) (a) 3. For a school for the education of dentists, dental therapists,
11or dental hygienists.
AB43,2933 12Section 2933 . 447.06 (2) (b) of the statutes is amended to read:
AB43,1518,1713 447.06 (2) (b) A dental hygienist may practice dental hygiene or perform
14remediable procedures under par. (a) 1. only as authorized by a dentist or dental
15therapist
who is licensed to practice dentistry or dental therapy under this chapter
16and who is present in the facility in which those practices or procedures are
17performed, except as provided in par. (c).
AB43,2934 18Section 2934 . 447.06 (2) (c) (intro.) of the statutes is amended to read:
AB43,1518,2319 447.06 (2) (c) (intro.) A dental hygienist may practice dental hygiene or perform
20remediable procedures under par. (a) 1. if a dentist or dental therapist who is licensed
21to practice dentistry or dental therapy under this chapter is not present in the facility
22in which those practices or procedures are performed only if all of the following
23conditions are met:
AB43,2935 24Section 2935 . 447.06 (2) (c) 2. (intro.) of the statutes is amended to read:
AB43,1519,3
1447.06 (2) (c) 2. (intro.) The dentist or dental therapist who made the written
2or oral prescription has examined the patient at least once during the 12-month
3period immediately preceding:
AB43,2936 4Section 2936 . 447.06 (3) of the statutes is created to read:
AB43,1519,55 447.06 (3) (a) In this subsection:
AB43,1519,66 1. “Collaborative management agreement” means an agreement under par. (d).
AB43,1519,77 2. “Dental health shortage area” has the meaning given in s. 36.60 (1) (ad).
AB43,1519,118 3. “Direct supervision” means that the dentist is present in the dental office or
9other practice setting, personally diagnoses the condition to be treated, personally
10authorizes each procedure, and before dismissal of the patient, evaluates the
11performance of the allied dental personnel.
AB43,1519,1612 4. “General supervision” means that the dentist is not present in the dental
13office or other practice setting or on the premises at the time tasks or procedures are
14being performed by the dental therapist, but that the tasks or procedures performed
15by the dental therapist are being performed with the prior knowledge and consent
16of the dentist.
AB43,1519,1917 5. “Indirect supervision” means that the dentist is present in the dental office
18or other practice setting, authorizes each procedure, and remains in the office while
19the procedures are being performed by the allied dental personnel.
AB43,1519,2120 6. “Medical Assistance patient” means a patient who is a recipient of services
21under the Medical Assistance program under subch. IV of ch. 49.
AB43,1519,2322 7. “Qualifying dentist” means a dentist who is licensed in this state and who
23is actively practicing in this state.
AB43,1520,224 8. “Uninsured patient” means a patient who lacks dental health coverage,
25either through a public health care program or private insurance, and has an annual

1gross family income equal to or less than 200 percent of the federal poverty
2guidelines.
AB43,1520,53 (b) The scope of practice of a dental therapist shall, subject to the terms of a
4collaborative management agreement, be limited to providing the following services,
5treatments, and procedures:
AB43,1520,76 1. Oral evaluation and assessment of dental disease and formulation of an
7individualized treatment plan.
AB43,1520,108 2. Identification of oral and systemic conditions requiring evaluation or
9treatment by dentists, physicians, or other health care providers and the
10management of referrals.
AB43,1520,1111 3. Comprehensive charting of the oral cavity.
AB43,1520,1312 4. Oral health instruction and disease prevention education, including
13nutritional counseling and dietary analysis.
AB43,1520,1414 5. Exposure and evaluation of radiographic images.
AB43,1520,1515 6. Dental prophylaxis, including subgingival scaling and polishing procedures.
AB43,1520,1816 7. Dispensing and administration via the oral or topical route of nonnarcotic
17analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
18health care provider.
AB43,1520,2119 8. Application of topical preventive or prophylactic agents, including fluoride
20varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
21sealants.
AB43,1520,2222 9. Pulp vitality testing.
AB43,1520,2323 10. Application of desensitizing medications or resins.
AB43,1520,2424 11. Fabrication of athletic mouth guards and soft occlusal guards.
AB43,1520,2525 12. Changing of periodontal dressings.
AB43,1521,1
113. Administration of local anesthetic and nitrous oxide.
AB43,1521,22 14. Simple extraction of erupted primary teeth.
AB43,1521,63 15. Nonsurgical extraction of periodontally diseased permanent teeth with
4tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
5collaborative management agreement, except for the extraction of a tooth that is
6unerupted, impacted, or fractured or that needs to be sectioned for removal.
AB43,1521,87 16. Emergency palliative treatment of dental pain limited to the procedures in
8this paragraph.
AB43,1521,109 17. Preparation and placement of direct restoration in primary and permanent
10teeth.
AB43,1521,1111 18. Fabrication and placement of single-tooth temporary crowns.
AB43,1521,1212 19. Preparation and placement of preformed crowns on primary teeth.
AB43,1521,1313 20. Indirect and direct pulp capping on permanent teeth.
AB43,1521,1414 21. Indirect pulp capping on primary teeth.
AB43,1521,1515 22. Intraoral suture placement and removal.
AB43,1521,1616 23. Minor adjustment and repair of removable prostheses.
AB43,1521,1717 24. Placement and removal of space maintainers.
AB43,1521,1818 25. Pulpotomy on primary teeth.
AB43,1521,1919 26. Tooth reimplantation and stabilization.
AB43,1521,2020 27. Recementing of a permanent crown.
AB43,1521,2221 28. Any additional services, treatments, or procedures specified in the rules
22promulgated under s. 447.02 (1) (g).
AB43,1522,223 (bm) 1. Notwithstanding par. (b) 1. to 28., a dental therapist shall, except as
24provided in subd. 2., limit his or her practice of dental therapy to providing the

1services, treatments, and procedures covered by his or her dental therapy education
2program.
AB43,1522,73 2. If any service, treatment, or procedure under par. (b) 1. to 28. was not covered
4by a dental therapist's dental therapy education program, the dental therapist may
5provide that service, treatment, or procedure if the dental therapist has
6subsequently received additional dental therapy educational training to provide
7that service, treatment, or procedure.
AB43,1522,118 (c) 1. Except as provided in subd. 2., a dental therapist licensed under this
9chapter may provide dental therapy services in this state only under the direct
10supervision or indirect supervision of a qualifying dentist with whom the dental
11therapist has entered into a collaborative management agreement.
AB43,1522,1612 2. a. Once a dental therapist licensed under this chapter has provided dental
13therapy services for at least 2,000 hours under direct supervision or indirect
14supervision, the dental therapist may provide dental therapy services in this state
15under the general supervision of a qualifying dentist with whom the dental therapist
16has entered into a collaborative management agreement.
AB43,1522,2317 b. For purposes of the 2,000 hours requirement under subd. 2. a., hours may
18include hours of providing dental therapy services in this state under direct
19supervision or indirect supervision of a qualifying dentist as described in subd. 1. or
20hours of providing dental therapy services under direct supervision or indirect
21supervision while licensed as a dental therapist outside this state, but may not
22include any hours completed prior to graduating from the dental therapy education
23program.
AB43,1523,3
13. Notwithstanding subds. 1. and 2., the level of supervision for a dental
2therapist may be further limited under the terms of a collaborative management
3agreement under par. (d) 1. b.
AB43,1523,104 4. A supervising dentist shall accept responsibility for all services performed
5by a dental therapist pursuant to a collaborative management agreement. If services
6needed by a patient are beyond the dental therapist's scope of practice or
7authorization under the collaborative management agreement, the dental therapist
8shall, to the extent required under the collaborative management agreement,
9consult with the supervising dentist as needed to arrange for those services to be
10provided by a dentist or another qualified health care provider.
AB43,1523,1411 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
12enter into a written collaborative management agreement with a qualifying dentist
13who will serve as a supervising dentist under par. (c). The agreement must be signed
14by the dental therapist and the qualifying dentist and address all of the following:
AB43,1523,1615 a. The practice settings where services may be provided and the patient
16populations that may be served.
AB43,1523,2017 b. Consistent with and subject to pars. (bm) and (c), any conditions or
18limitations on the services that may be provided by the dental therapist, the level of
19supervision required, and any circumstances requiring consultation prior to
20performing services.
AB43,1523,2121 c. Age-specific and procedure-specific practice protocols.
AB43,1523,2222 d. Dental record-keeping procedures.
AB43,1523,2323 e. Plans for managing dental or medical emergencies.
AB43,1523,2524 f. A quality assurance plan for monitoring care provided by the dental
25therapist.
AB43,1524,1
1g. Protocols for administering and dispensing medications.
AB43,1524,32 h. Criteria or protocols relating to the provision of care to patients with specific
3medical conditions, treatments, or medications.
AB43,1524,44 i. Policies relating to supervision of dental hygienists and other staff.
AB43,1524,75 j. A plan for the referral of patients to other dental or health care providers or
6clinics when services needed are beyond the scope of practice or authorization of the
7dental therapist.
AB43,1524,98 k. Whether and to what extent the dental therapist may perform services
9described in par. (b) 15.
AB43,1524,1110 2. a. A collaborative management agreement shall be limited to covering one
11qualifying dentist and one dental therapist.
AB43,1524,1312 b. A dental therapist may enter into multiple collaborative management
13agreements.
AB43,1524,1514 c. No dentist may have collaborative management agreements with more than
154 dental therapists at any time.
AB43,1524,1616 (e) A dental therapist shall at all times comply with at least one of the following:
AB43,1524,2217 1. Limit his or her practice to practicing in one or more dental health shortage
18areas. If a dental therapist begins practicing in a dental health shortage area, and
19that area loses its designation as a dental health shortage area while the dental
20therapist continues to practice in that area, the dental therapist is considered to
21satisfy this subdivision as long as the dental therapist continues to practice in that
22area.
AB43,1524,2423 2. Practice in one or more settings in which at least 50 percent of the total
24patient base of the dental therapist consists of patients who are any of the following:
AB43,1524,2525 a. Medical Assistance patients.
AB43,1525,1
1b. Uninsured patients.
AB43,1525,22 c. Patients receiving dental care at free and charitable clinics.
AB43,1525,33 d. Patients receiving dental care at federally qualified health centers.
AB43,1525,44 e. Patients who reside in long-term care facilities.
AB43,1525,55 f. Veterans.
AB43,1525,66 g. Patients who are members of a federally recognized Indian tribe or band.
AB43,1525,77 h. Patients receiving dental care at clinics or facilities located on tribal lands.
AB43,1525,98 i. Patients with medical disabilities or chronic conditions that create barriers
9of access to dental care.
AB43,2937 10Section 2937 . 447.063 of the statutes is amended to read:
Loading...
Loading...