AB668,17,44 6. Dental prophylaxis, including subgingival scaling and polishing procedures.
AB668,17,75 7. Dispensing and administration via the oral or topical route of nonnarcotic
6analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
7health care provider.
AB668,17,108 8. Application of topical preventive or prophylactic agents, including fluoride
9varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
10sealants.
AB668,17,1111 9. Pulp vitality testing.
AB668,17,1212 10. Application of desensitizing medications or resins.
AB668,17,1313 11. Fabrication of athletic mouth guards and soft occlusal guards.
AB668,17,1414 12. Changing of periodontal dressings.
AB668,17,1515 13. Administration of local anesthetic and nitrous oxide.
AB668,17,1616 14. Simple extraction of erupted primary teeth.
AB668,17,2017 15. Nonsurgical extraction of periodontally diseased permanent teeth with
18tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
19collaborative management agreement, except for the extraction of a tooth that is
20unerupted, impacted, or fractured or that needs to be sectioned for removal.
AB668,17,2221 16. Emergency palliative treatment of dental pain limited to the procedures in
22this paragraph.
AB668,17,2423 17. Preparation and placement of direct restoration in primary and permanent
24teeth.
AB668,17,2525 18. Fabrication and placement of single-tooth temporary crowns.
AB668,18,1
119. Preparation and placement of preformed crowns on primary teeth.
AB668,18,22 20. Indirect and direct pulp capping on permanent teeth.
AB668,18,33 21. Indirect pulp capping on primary teeth.
AB668,18,44 22. Intraoral suture placement and removal.
AB668,18,55 23. Minor adjustment and repair of removable prostheses.
AB668,18,66 24. Placement and removal of space maintainers.
AB668,18,77 25. Pulpotomy on primary teeth.
AB668,18,88 26. Tooth reimplantation and stabilization.
AB668,18,99 27. Recementing of a permanent crown.
AB668,18,1110 28. Any additional services, treatments, or procedures specified in the rules
11promulgated under s. 447.02 (1) (g).
AB668,18,1512 (bm) 1. Notwithstanding par. (b) 1. to 28., a dental therapist shall, except as
13provided in subd. 2., limit his or her practice of dental therapy to providing the
14services, treatments, and procedures covered by his or her dental therapy education
15program.
AB668,18,2016 2. If any service, treatment, or procedure under par. (b) 1. to 28. was not covered
17by a dental therapist's dental therapy education program, the dental therapist may
18provide that service, treatment, or procedure if the dental therapist has
19subsequently received additional dental therapy educational training to provide
20that service, treatment, or procedure.
AB668,18,2421 (c) 1. Except as provided in subd. 2., a dental therapist licensed under this
22chapter may provide dental therapy services in this state only under the direct
23supervision or indirect supervision of a qualifying dentist with whom the dental
24therapist has entered into a collaborative management agreement.
AB668,19,5
12. a. Once a dental therapist licensed under this chapter has provided dental
2therapy services for at least 2,000 hours under direct supervision or indirect
3supervision, the dental therapist may provide dental therapy services in this state
4under the general supervision of a qualifying dentist with whom the dental therapist
5has entered into a collaborative management agreement.
AB668,19,126 b. For purposes of the 2,000 hours requirement under subd. 2. a., hours may
7include hours of providing dental therapy services in this state under direct
8supervision or indirect supervision of a qualifying dentist as described in subd. 1. or
9hours of providing dental therapy services under direct supervision or indirect
10supervision while licensed as a dental therapist outside this state, but may not
11include any hours completed prior to graduating from the dental therapy education
12program.
AB668,19,1513 3. Notwithstanding subds. 1. and 2., the level of supervision for a dental
14therapist may be further limited under the terms of a collaborative management
15agreement under par. (d) 1. b.
AB668,19,2216 4. A supervising dentist shall accept responsibility for all services performed
17by a dental therapist pursuant to a collaborative management agreement. If services
18needed by a patient are beyond the dental therapist's scope of practice or
19authorization under the collaborative management agreement, the dental therapist
20shall, to the extent required under the collaborative management agreement,
21consult with the supervising dentist as needed to arrange for those services to be
22provided by a dentist or another qualified health care provider.
AB668,20,223 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
24enter into a written collaborative management agreement with a qualifying dentist

1who will serve as a supervising dentist under par. (c). The agreement must be signed
2by the dental therapist and the qualifying dentist and address all of the following:
AB668,20,43 a. The practice settings where services may be provided and the patient
4populations that may be served.
AB668,20,85 b. Consistent with and subject to pars. (bm) and (c), any conditions or
6limitations on the services that may be provided by the dental therapist, the level of
7supervision required, and any circumstances requiring consultation prior to
8performing services.
AB668,20,99 c. Age-specific and procedure-specific practice protocols.
AB668,20,1010 d. Dental record-keeping procedures.
AB668,20,1111 e. Plans for managing dental or medical emergencies.
AB668,20,1312 f. A quality assurance plan for monitoring care provided by the dental
13therapist.
AB668,20,1414 g. Protocols for administering and dispensing medications.
AB668,20,1615 h. Criteria or protocols relating to the provision of care to patients with specific
16medical conditions, treatments, or medications.
AB668,20,1717 i. Policies relating to supervision of dental hygienists and other staff.
AB668,20,2018 j. A plan for the referral of patients to other dental or health care providers or
19clinics when services needed are beyond the scope of practice or authorization of the
20dental therapist.
AB668,20,2221 k. Whether and to what extent the dental therapist may perform services
22described in par. (b) 15.
AB668,20,2423 2. a. A collaborative management agreement shall be limited to covering one
24qualifying dentist and one dental therapist.
AB668,21,2
1b. A dental therapist may enter into multiple collaborative management
2agreements.
AB668,21,43 c. No dentist may have collaborative management agreements with more than
44 dental therapists at any time.
AB668,21,65 (dm) A dental therapist may, subject to par. (e), provide dental therapy services
6only as an employee of one or more of the following that satisfies par. (dr):
AB668,21,87 1. A dentist with whom the dental therapist has entered into a collaborative
8management agreement.
AB668,21,99 2. A dental practice.
AB668,21,1110 3. A school district or the operator of a private school, as defined in s. 115.001
11(3r), or a tribal school, as defined in s. 115.001 (15m).
AB668,21,1212 4. The operator of a school for the education of dentists or dental hygienists.
AB668,21,1513 5. A state or federal prison, a county jail, or other federal, state, county, or
14municipal correctional or detention facility, or a facility established to provide care
15for terminally ill patients.
AB668,21,1616 6. A local health department, as defined in s. 250.01 (4).
AB668,21,1817 7. A charitable institution open to the general public or to members of a
18religious sect or order.
AB668,21,1919 8. A nonprofit home health care agency.
AB668,21,2120 9. The operator of a nonprofit dental care program serving primarily indigent,
21economically disadvantaged, or migrant worker populations.
AB668,21,2222 10. A health care employer, as defined in s. 440.094 (1) (b).
AB668,22,223 (dr) A dentist may not enter into a collaborative management agreement with
24a dental therapist unless the dentist directly employs the dental therapist as

1provided in par. (dm) 1. or the dentist is employed by or contracts with the dental
2therapist's employer described in par. (dm) 2. to 10.
AB668,22,33 (e) A dental therapist shall at all times comply with at least one of the following:
AB668,22,94 1. Limit his or her practice to practicing in one or more dental health shortage
5areas. If a dental therapist begins practicing in a dental health shortage area, and
6that area loses its designation as a dental health shortage area while the dental
7therapist continues to practice in that area, the dental therapist is considered to
8satisfy this subdivision as long as the dental therapist continues to practice in that
9area.
AB668,22,1110 2. Practice in one or more settings in which at least 50 percent of the total
11patient base of the dental therapist consists of patients who are any of the following:
AB668,22,1212 a. Medical Assistance patients.
AB668,22,1313 b. Uninsured patients.
AB668,22,1414 c. Patients receiving dental care at free and charitable clinics.
AB668,22,1515 d. Patients receiving dental care at federally qualified health centers.
AB668,22,1616 e. Patients who reside in long-term care facilities.
AB668,22,1717 f. Veterans.
AB668,22,1818 g. Patients who are members of a federally recognized Indian tribe or band.
AB668,22,1919 h. Patients receiving dental care at clinics or facilities located on tribal lands.
AB668,22,2120 i. Patients with medical disabilities or chronic conditions that create barriers
21of access to dental care.
AB668,45 22Section 45. 447.063 of the statutes is amended to read:
AB668,23,3 23447.063 Preservation and transfer of patient health care records. (1)
24A person who manages or controls a business that offers dental, dental therapy, or
25dental hygiene services, including management or control of a business through

1which the person allows another person to offer dental, dental therapy, or dental
2hygiene services, shall preserve patient health care records, as defined in s. 146.81
3(4), for an amount of time determined by the examining board by rule.
AB668,23,10 4(2) A person who manages or controls a business that offers dental, dental
5therapy,
or dental hygiene services, including management or control of a business
6through which the person allows another person to offer dental, dental therapy, or
7dental hygiene services, shall, upon request of a patient or person authorized by the
8patient, as defined in s. 146.81 (5), transfer the patient health care records, as
9defined in s. 146.81 (4), of the patient to another person that the patient or person
10authorized by the patient specifies to receive the patient health care records.
AB668,46 11Section 46 . 447.065 of the statutes is amended to read:
AB668,23,16 12447.065 Delegation of remediable procedures and dental practices. (1)
13A dentist or dental therapist who is licensed to practice dentistry under this chapter
14may delegate to an individual who is not licensed under this chapter only the
15performance of remediable procedures, and only if all of the following conditions are
16met:
AB668,23,1817 (a) The unlicensed individual performs the remediable procedures in
18accordance with a treatment plan approved by the dentist or dental therapist.
AB668,23,2019 (b) The dentist or dental therapist is on the premises when the unlicensed
20individual performs the remediable procedures.
AB668,23,2221 (c) The unlicensed individual's performance of the remediable procedures is
22subject to inspection by the dentist or dental therapist.
AB668,24,4 23(2) Subject to the requirements under s. 447.06 (2), a dentist or dental therapist
24who is licensed to practice dentistry under this chapter may delegate to a dental
25hygienist who is licensed to practice dental hygiene under this chapter the

1performance of remediable procedures and the administration of oral systemic
2premedications, local anesthesia, nitrous oxide inhalation analgesia, and
3subgingival sustained release chemotherapeutic agents, to the extent the dentist or
4dental therapist has the authority to perform the activity personally
.
AB668,24,7 5(3) A dentist or dental therapist who delegates to another individual the
6performance of any practice or remediable procedure is responsible for that
7individual's performance of that delegated practice or procedure.
AB668,47 8Section 47 . 447.07 (1) of the statutes is amended to read:
AB668,24,149 447.07 (1) The examining board may, without further notice or process, limit,
10suspend, or revoke the license or certificate of any dentist, dental therapist, or dental
11hygienist, or the registration of a mobile dentistry program registrant, who fails,
12within 60 days after the mailing of written notice to the dentist's, dental therapist's,
13dental hygienist's, or registrant's last-known address, to renew the license,
14certificate, or registration.
AB668,48 15Section 48. 447.07 (3) (intro.) of the statutes is amended to read:
AB668,25,316 447.07 (3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
17examining board may make investigations and conduct hearings in regard to any
18alleged action of any dentist, dental therapist, dental hygienist, or expanded
19function dental auxiliary, of a mobile dentistry program registrant, or of any other
20person it has reason to believe is engaged in or has engaged in the practice of
21dentistry, dental therapy, or dental hygiene, or the operation of a mobile dentistry
22program, in this state, and may, on its own motion, or upon complaint in writing,
23reprimand any dentist, dental therapist, dental hygienist, or expanded function
24dental auxiliary who is licensed or certified under this chapter, or any mobile
25dentistry program registrant, or deny, limit, suspend, or revoke his or her license or

1certificate, or the registration of the mobile dentistry program registrant, if it finds
2that the dentist, dental therapist, dental hygienist, expanded function dental
3auxiliary, or mobile dentistry program registrant has done any of the following:
AB668,49 4Section 49. 447.07 (3) (e) to (h) of the statutes are amended to read:
AB668,25,85 447.07 (3) (e) Subject to ss. 111.321, 111.322, and 111.335, been convicted of a
6crime, the circumstances of which substantially relate to the practice of dentistry,
7dental therapy,
or dental hygiene, the practice of an expanded function dental
8auxiliary, or the operation of a mobile dentistry program.
AB668,25,119 (f) Violated this chapter or any federal or state statute or rule that relates to
10the practice of dentistry, dental therapy, dental hygiene, or an expanded function
11dental auxiliary, or the operation of a mobile dentistry program.
AB668,25,1412 (g) Subject to ss. 111.321, 111.322 and 111.34, practiced dentistry , dental
13therapy,
or dental hygiene or as an expanded function dental auxiliary while his or
14her ability was impaired by alcohol or other drugs.
AB668,25,1715 (h) Engaged in conduct that indicates a lack of knowledge of, an inability to
16apply or the negligent application of, principles or skills of dentistry , dental therapy,
17or dental hygiene or the practice of an expanded function dental auxiliary.
AB668,50 18Section 50. 447.07 (6) of the statutes is created to read:
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