SB181: Bill Text

The bill subjects dental therapists to, or covers dental therapists under, various other laws, including the health care records law, the volunteer health care provider program, the health care worker protection law, and the emergency volunteer health care practitioner law. The bill also provides for loan forgiveness for dental therapists under the health care provider loan assistance program.

Finally, the bill requires, effective when 50 individuals become licensed as a dental therapist in this state or five years after the bill is enacted, that, to the extent possible, one of the dental hygienist members on the board also be licensed as a dental therapist.

For further information see the state fiscal estimate, which will be printed as an appendix to this bill.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

SB181,1 Section 1. 15.405 (6) (b) of the statutes is amended to read:

SB181,3,7 15.405 (6) (b) Three dental hygienists who are licensed under ch. 447. The governor shall, to the extent possible, appoint members under this paragraph so that at least one of the members under this paragraph is an individual who is also a dental therapist licensed under ch. 447. Notwithstanding s. 15.08 (1m) (a), the dental hygienist members under this paragraph may participate in the preparation and grading of licensing examinations for dental hygienists.

SB181,2 Section 2 . 36.61 (1) (ak) of the statutes is created to read:

SB181,3,10 36.61 (1) (ak) “Dental therapist” means an individual licensed under s. 447.04 (1m).

SB181,3 Section 3 . 36.61 (1) (b) of the statutes is amended to read:

SB181,3,13 36.61 (1) (b) “Health care provider" means a dental therapist, dental hygienist, physician assistant, nurse-midwife, or nurse practitioner.

SB181,4 Section 4 . 36.61 (3) (a) of the statutes is amended to read:

SB181,3,21 36.61 (3) (a) The board shall enter into a written agreement with the health care provider. In the agreement, the health care provider shall agree to practice at least 32 clinic hours per week for 3 years in one or more eligible practice areas in this state or in a rural area, except that a health care provider in the expanded loan assistance program under sub. (8) who is not a dental therapist or dental hygienist may only agree to practice at a public or private nonprofit entity in a health professional shortage area.

SB181,5 Section 5. 36.61 (5) (b) 1. of the statutes is amended to read:

SB181,4,7 36.61 (5) (b) 1. The degree to which there is an extremely high need for medical care in the eligible practice area, health professional shortage area, or rural area in which an eligible applicant who is not a dental therapist or dental hygienist desires to practice and the degree to which there is an extremely high need for dental care in the dental health shortage area or rural area in which an eligible applicant who is a dental therapist or dental hygienist desires to practice.

SB181,6 Section 6 . 36.61 (8) (c) 3. of the statutes is amended to read:

SB181,4,12 36.61 (8) (c) 3. Practice at a public or private nonprofit entity in a health professional shortage area, if the health care provider is not a dental therapist or dental hygienist, or in a dental health shortage area, if the health care provider is a dental therapist or dental hygienist.

SB181,7 Section 7 . 146.81 (1) (c) of the statutes is amended to read:

SB181,4,14 146.81 (1) (c) A dentist or dental therapist licensed under ch. 447.

SB181,8 Section 8 . 146.89 (1) (r) 1. of the statutes is amended to read:

SB181,4,20 146.89 (1) (r) 1. Licensed as a physician under ch. 448, a dentist, dental therapist, or dental hygienist under ch. 447, a registered nurse, practical nurse, or nurse-midwife under ch. 441, an optometrist under ch. 449, a physician assistant under ch. 448, a pharmacist under ch. 450, a chiropractor under ch. 446, a podiatrist under subch. IV of ch. 448, or a physical therapist under subch. III of ch. 448.

SB181,9 Section 9 . 146.89 (1) (r) 5. of the statutes is amended to read:

SB181,5,2 146.89 (1) (r) 5. An individual who holds a valid, unexpired license, certification, or registration issued by another state or territory that authorizes or qualifies the individual to perform acts that are substantially the same as those acts that an individual who is described in subds. 1. to 4., except a dentist , dental therapist, or dental hygienist, is licensed or certified to perform and who performs acts that are within the scope of that license, certification, or registration.

SB181,10 Section 10 . 146.89 (3) (b) 8. of the statutes is amended to read:

SB181,5,8 146.89 (3) (b) 8. Dental services, including tooth extractions and other procedures done under local anesthesia only and any necessary suturing related to the extractions, performed by a dentist or dental therapist who is a volunteer health provider; and dental hygiene services, performed by a dental hygienist who is a volunteer health provider.

SB181,11 Section 11 . 146.89 (3m) (intro.) of the statutes is amended to read:

SB181,5,13 146.89 (3m) (intro.) A volunteer health care provider who is a dentist or dental therapist may provide dental services or a volunteer health care provider who is a dental hygienist may provide dental hygiene services, to persons who are recipients of Medical Assistance, if all of the following apply:

SB181,12 Section 12 . 146.997 (1) (d) 3. of the statutes is amended to read:

SB181,5,15 146.997 (1) (d) 3. A dentist or dental therapist licensed under ch. 447.

SB181,13 Section 13. 155.01 (7) of the statutes is amended to read:

SB181,6,3 155.01 (7) “Health care provider" means a nurse licensed or permitted under ch. 441, a chiropractor licensed under ch. 446, a dentist or dental therapist licensed under ch. 447, a physician, physician assistant, perfusionist, podiatrist, physical therapist, physical therapist assistant, occupational therapist, or occupational therapy assistant licensed under ch. 448, a person practicing Christian Science treatment, an optometrist licensed under ch. 449, a psychologist licensed under ch. 455, a physical therapist or physical therapist assistant who holds a compact privilege under subch. IX of ch. 448, a partnership thereof, a corporation or limited liability company thereof that provides health care services, a cooperative health care association organized under s. 185.981 that directly provides services through salaried employees in its own facility, or a home health agency, as defined in s. 50.49 (1) (a).

SB181,14 Section 14 . 252.14 (1) (ar) 3. of the statutes is amended to read:

SB181,6,5 252.14 (1) (ar) 3. A dentist or dental therapist licensed under ch. 447.

SB181,15 Section 15 . 257.01 (5) (a) of the statutes is amended to read:

SB181,6,12 257.01 (5) (a) An individual who is licensed as a physician, a physician assistant, or a podiatrist under ch. 448, licensed as a registered nurse, licensed practical nurse, or nurse-midwife under ch. 441, licensed as a dentist or dental therapist under ch. 447, licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary technician under ch. 89, or certified as a respiratory care practitioner under ch. 448.

SB181,16 Section 16 . 257.01 (5) (b) of the statutes is amended to read:

SB181,6,21 257.01 (5) (b) An individual who was at any time within the previous 10 years, but is not currently, licensed as a physician, a physician assistant, or a podiatrist under ch. 448, licensed as a registered nurse, licensed practical nurse or nurse-midwife, under ch. 441, licensed as a dentist or dental therapist under ch. 447, licensed as a pharmacist under ch. 450, licensed as a veterinarian or certified as a veterinary technician under ch. 89, or certified as a respiratory care practitioner under ch. 448, if the individual's license or certification was never revoked, limited, suspended, or denied renewal.

SB181,17 Section 17 . 440.03 (13) (b) 20m. of the statutes is created to read:

SB181,6,23 440.03 (13) (b) 20m. Dental therapist.

SB181,18 Section 18 . 440.08 (2) (a) 25m. of the statutes is created to read:

SB181,6,25 440.08 (2) (a) 25m. Dental therapist: October 1 of each odd-numbered year.

SB181,19 Section 19. 447.01 (6g) of the statutes is created to read:

SB181,7,3 447.01 (6g) “Dental therapist” means an individual who practices dental therapy.

SB181,20 Section 20 . 447.01 (6r) of the statutes is created to read:

SB181,7,6 447.01 (6r) “Dental therapy” means the limited practice of dentistry, consisting of the services, treatments, and procedures specified in s. 447.06 (3) (b).

SB181,21 Section 21 . 447.02 (1) (a) of the statutes is amended to read:

SB181,7,11 447.02 (1) (a) Governing the reexamination of an applicant who fails an examination specified in s. 447.04 (1) (a) 5., (1m) (e), or (2) (a) 5. The rules may specify additional educational requirements for those applicants and may specify the number of times an applicant may be examined.

SB181,22 Section 22 . 447.02 (1) (b) of the statutes is amended to read:

SB181,7,14 447.02 (1) (b) Governing the standards and conditions for the use of radiation and ionizing equipment in the practice of dentistry or dental therapy.

SB181,23 Section 23 . 447.02 (1) (g) of the statutes is created to read:

SB181,7,18 447.02 (1) (g) Specifying services, treatments, or procedures, in addition to those specified under s. 447.06 (3) (b) 1. to 27., that are included within the practice of dental therapy.

SB181,24 Section 24 . 447.02 (2) (a) of the statutes is amended to read:

SB181,7,21 447.02 (2) (a) The conditions for supervision and the degree of supervision required under ss. 447.03 (3) (a), (am), (b) and (d) 2. and 447.065.

SB181,25 Section 25 . 447.02 (3) (a) (intro.) of the statutes is amended to read:

SB181,8,2 447.02 (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:

SB181,26 Section 26 . 447.02 (3) (a) 2. of the statutes is amended to read:

SB181,8,7 447.02 (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.

SB181,27 Section 27. 447.02 (3) (a) 3. of the statutes is created to read:

SB181,8,11 447.02 (3) (a) 3. If the applicant is applying for a permit to practice dental therapy, the applicant graduated from a dental therapy education program approved under s. 447.04 (1m) (c) 1. to 3.

SB181,28 Section 28 . 447.02 (3) (b) of the statutes is amended to read:

SB181,8,17 447.02 (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.

SB181,29 Section 29 . 447.02 (5) of the statutes is amended to read:

SB181,8,23 447.02 (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.

SB181,30 Section 30. 447.02 (6) of the statutes is created to read:

SB181,9,5 447.02 (6) The examining board shall send a notice to the legislative reference bureau for publication in the Wisconsin Administrative Register when the board determines that 50 or more individuals are currently licensed as dental therapists in this state under s. 447.04 (1m). This subsection does not apply on or after the first day of the 6th year beginning after publication of this act .... [LRB inserts date].

SB181,31 Section 31 . 447.03 (1m) of the statutes is created to read:

SB181,9,9 447.03 (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:

SB181,9,10 (a) Practice or offer to practice dental therapy.

SB181,9,13 (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.

SB181,32 Section 32 . 447.03 (3) (am) of the statutes is created to read:

SB181,9,19 447.03 (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 a dental therapy school accredited by the American Dental Association commission on dental accreditation or its successor agency.

SB181,33 Section 33 . 447.03 (3) (c) of the statutes is amended to read:

SB181,9,24 447.03 (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.

SB181,34 Section 34 . 447.04 (1m) of the statutes is created to read:

SB181,10,5 447.04 (1m) Dental therapists. The examining board shall grant a license to practice dental therapy to an individual who does all of the following:

SB181,10,7 (a) Submits an application for the license to the department on a form provided by the department.

SB181,10,8 (b) Pays the fee specified in s. 440.05 (1).

SB181,10,10 (c) Submits evidence satisfactory to the examining board that he or she has done one of the following:

SB181,10,13 1. Graduated from a dental therapy education program accredited by the American Dental Association commission on dental accreditation or its successor agency.

SB181,10,18 2. Graduated from a dental therapy education program that was not accredited by the American Dental Association commission on dental accreditation or its successor agency at the time of graduation, but was, on or before the effective date of this subdivision .... [LRB inserts date], accredited or approved by the Minnesota Board of Dentistry.

SB181,10,25 3. Graduated from a dental therapy education program located outside this state that was not accredited by the American Dental Association commission on dental accreditation or its successor agency, but that is approved by the examining board. The examining board shall approve a program under this subdivision if the examining board determines that the dental therapy education program is substantially similar to a program accredited by the American Dental Association commission on dental accreditation or its successor agency.

SB181,11,8 (d) 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.

SB181,11,10 (e) Passes an examination administered by the examining board on the statutes and rules relating to dental therapy.

SB181,11,15 (f) 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.

SB181,11,19 (g) If the individual was licensed or is currently licensed in another state or territory of the United States or in another country, the individual submits information related to his or her licensure in other jurisdictions as required by the examining board.

SB181,11,23 (h) 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.

SB181,35 Section 35 . 447.05 of the statutes is amended to read:

SB181,12,24 447.05 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.

SB181,36 Section 36 . 447.057 of the statutes is created to read: