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:
AB668,25,2519 447.07 (6) The examining board shall immediately revoke the license to
20practice dental therapy granted under s. 447.04 (1m) of an individual who qualified
21for the license on the basis of graduation from a dental therapy education program
22described in s. 447.04 (1m) (c) 3. if, upon the conclusion of the 4-year period described
23in s. 447.04 (1m) (c) 3., the program is not accredited as described in s. 447.04 (1m)
24(c) 1. If the program subsequently becomes accredited, the examining board may
25allow reinstatement of a revoked license described in this subsection.
AB668,51
1Section 51. 447.40 (intro.) of the statutes is amended to read:
AB668,26,9 2447.40 Informed consent. (intro.) Any dentist or dental therapist who treats
3a patient shall inform the patient about the availability of reasonable alternate
4modes of treatment and about the benefits and risks of these treatments. The
5reasonable dentist standard is the standard for informing a patient under this
6section. The reasonable dentist standard requires disclosure only of information
7that a reasonable dentist would know and disclose under the circumstances. The
8dentist's or dental therapist's duty to inform the patient under this section does not
9require disclosure of any of the following:
AB668,52 10Section 52 . 447.40 (6) of the statutes is amended to read:
AB668,26,1311 447.40 (6) Information about alternate modes of treatment for any condition
12the dentist or dental therapist has not included in his or her diagnosis, assessment,
13or treatment plan
at the time the dentist or dental therapist informs the patient.
AB668,53 14Section 53. 448.03 (2) (a) of the statutes is amended to read:
AB668,26,2315 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
16permit, registration, certificate, or certification granted to practice midwifery under
17subch. XIII of ch. 440, to practice professional or practical nursing or
18nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
19dentistry, dental therapy, or dental hygiene or as an expanded function dental
20auxiliary under ch. 447, to practice optometry under ch. 449, to practice as a
21physician assistant under subch. IX, to practice acupuncture under ch. 451 or under
22any other statutory provision, to practice naturopathic medicine under ch. 466, or as
23otherwise provided by statute.
AB668,54 24Section 54. 448.975 (2) (c) 1. of the statutes is amended to read:
AB668,27,2
1448.975 (2) (c) 1. The practice of dentistry , dental therapy, or dental hygiene
2within the meaning of ch. 447.
AB668,55 3Section 55. 450.03 (1) (e) of the statutes is amended to read:
AB668,27,114 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
5permit, registration, certificate, or certification granted to practice as a pharmacy
6technician under s. 450.068, to provide home medical oxygen under s. 450.076, to
7practice professional or practical nursing or nurse-midwifery under ch. 441, to
8practice dentistry, dental therapy, or dental hygiene or as an expanded function
9dental auxiliary under ch. 447, to practice medicine and surgery under ch. 448, to
10practice optometry under ch. 449, to practice naturopathic medicine under ch. 466,
11or to practice veterinary medicine under ch. 89, or as otherwise provided by statute.
AB668,56 12Section 56 . 450.10 (3) (a) 4. of the statutes is amended to read:
AB668,27,1313 450.10 (3) (a) 4. A dentist or dental therapist licensed under ch. 447.
AB668,57 14Section 57. 462.02 (2) (d) of the statutes is amended to read:
AB668,27,1815 462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental therapist licensed
16under s. 447.04 (1m),
a dental hygienist licensed under s. 447.04 (2), a person
17certified as an expanded function dental auxiliary under s. 447.04 (3), or a person
18under the direct supervision of a dentist.
AB668,58 19Section 58. 462.04 of the statutes, as affected by 2021 Wisconsin Act 251, is
20amended to read:
AB668,28,5 21462.04 Prescription or order required. A person who holds a license or
22limited X-ray machine operator permit under this chapter may not use diagnostic
23X-ray equipment on humans for diagnostic purposes unless authorized to do so by
24prescription or order of a physician licensed under s. 448.04 (1) (a), a naturopathic
25doctor licensed under s. 466.04 (1), a dentist licensed under s. 447.04 (1), a dental

1therapist licensed under s. 447.04 (1m),
a podiatrist licensed under s. 448.63, a
2chiropractor licensed under s. 446.02, an advanced practice nurse certified under s.
3441.16 (2), a physician assistant licensed under s. 448.974, or, subject to s. 448.56 (7)
4(a), a physical therapist who is licensed under s. 448.53 or who holds a compact
5privilege under subch. XI of ch. 448.
AB668,59 6Section 59 . 463.10 (5) of the statutes is amended to read:
AB668,28,107 463.10 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
8licensed under s. 447.03 (1) or to a
, dental therapist, or physician who tattoos or
9offers to tattoo a person in the course of the dentist's, dental therapist's, or physician's
10professional practice.
AB668,60 11Section 60 . 463.12 (5) of the statutes is amended to read:
AB668,28,1512 463.12 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
13licensed under s. 447.03 (1) or to a
, dental therapist, or physician who pierces the
14body of or offers to pierce the body of a person in the course of the dentist's, dental
15therapist's,
or physician's professional practice.
AB668,61 16Section 61 . 632.87 (4) of the statutes is amended to read:
AB668,28,2117 632.87 (4) No policy, plan or contract may exclude coverage for diagnosis and
18treatment of a condition or complaint by a licensed dentist or dental therapist within
19the scope of the dentist's or dental therapist's license, if the policy, plan or contract
20covers diagnosis and treatment of the condition or complaint by another health care
21provider, as defined in s. 146.81 (1) (a) to (p).
AB668,62 22Section 62. 895.48 (1m) (a) (intro.) of the statutes is amended to read:
AB668,29,923 895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician,
24naturopathic doctor, physician assistant, podiatrist, or athletic trainer licensed
25under ch. 448, chiropractor licensed under ch. 446, dentist or dental therapist

1licensed under ch. 447, emergency medical services practitioner licensed under s.
2256.15, emergency medical responder certified under s. 256.15 (8), registered nurse
3licensed under ch. 441, or a massage therapist or bodywork therapist licensed under
4ch. 460 who renders voluntary health care to a participant in an athletic event or
5contest sponsored by a nonprofit corporation, as defined in s. 66.0129 (6) (b), a private
6school, as defined in s. 115.001 (3r), a tribal school, as defined in s. 115.001 (15m), a
7public agency, as defined in s. 46.856 (1) (b), or a school, as defined in s. 609.655 (1)
8(c), is immune from civil liability for his or her acts or omissions in rendering that
9care if all of the following conditions exist:
AB668,63 10Section 63. 895.48 (1m) (a) 2. of the statutes is amended to read:
AB668,29,1611 895.48 (1m) (a) 2. The physician, naturopathic doctor, podiatrist, athletic
12trainer, chiropractor, dentist, dental therapist, emergency medical services
13practitioner, as defined in s. 256.01 (5), emergency medical responder, as defined in
14s. 256.01 (4p), physician assistant, registered nurse, massage therapist or bodywork
15therapist does not receive compensation for the health care, other than
16reimbursement for expenses.
AB668,64 17Section 64 . 941.315 (5) of the statutes is amended to read:
AB668,29,2118 941.315 (5) (a) Subsection (2) does not apply to a person to whom nitrous oxide
19is administered for the purpose of providing medical or dental care, if the nitrous
20oxide is administered by a physician or, dentist, or dental therapist or at the direction
21or under the supervision of a physician or, dentist, or dental therapist.
AB668,29,2522 (b) Subsection (3) does not apply to the administration of nitrous oxide by a
23physician or, dentist, or dental therapist, or by another person at the direction or
24under the supervision of a physician or, dentist, or dental therapist, for the purpose
25of providing medical or dental care.
AB668,30,4
1(c) Subsection (3) (c) does not apply to the sale to a hospital, health care clinic
2or other health care organization or to a physician or , dentist, or dental therapist of
3any object used, designed for use or primarily intended for use in administering
4nitrous oxide for the purpose of providing medical or dental care.
AB668,65 5Section 65 . Nonstatutory provisions.
AB668,30,96 (1) The dentistry examining board shall send a notice to the legislative
7reference bureau for publication in the Wisconsin Administrative Register when the
8board determines that 50 or more individuals are currently licensed as dental
9therapists in this state under s. 447.04 (1m).
AB668,30,1810 (2) (a) The dentistry examining board shall promulgate emergency rules under
11s. 227.24 that are necessary to implement this act. Notwithstanding s. 227.24 (1) (c)
12and (2), emergency rules promulgated under this paragraph remain in effect for 2
13years, or until the date on which permanent rules take effect, whichever is sooner.
14Notwithstanding s. 227.24 (1) (a) and (3), the board is not required to provide
15evidence that promulgating a rule under this paragraph as an emergency rule is
16necessary for the preservation of the public peace, health, safety, or welfare and is
17not required to provide a finding of emergency for a rule promulgated under this
18paragraph.
AB668,30,2519 (b) The dentistry examining board shall present a statement of scope for
20permanent and emergency rules required to implement this act to the department
21of administration under s. 227.135 (2) no later than the 30th day after the effective
22date of this paragraph. Notwithstanding s. 227.135 (2), if the governor does not
23disapprove the statement of scope by the 30th day after the statement is presented
24to the department of administration, the statement is considered to be approved by
25the governor.
AB668,31,6
1(c) The dentistry examining board shall submit a proposed emergency rule
2required to implement this act to the governor for approval under s. 227.24 (1) (e) 1g.
3no later than the 150th day after the effective date of this paragraph.
4Notwithstanding s. 227.24 (1) (e) 1g., if the governor does not reject the proposed
5emergency rule by the 14th day after the rule is submitted to the governor in final
6draft form, the rule is considered to be approved by the governor.
AB668,31,127 (d) The dentistry examining board shall submit a proposed permanent rule
8required to implement this act to the governor for approval under s. 227.185 no later
9than the 365th day after the effective date of this paragraph. Notwithstanding s.
10227.185, if the governor does not reject that proposed permanent rule by the 30th day
11after the rule is submitted to the governor in final draft form, the rule is considered
12to be approved by the governor.
AB668,66 13Section 66 . Effective dates. This act takes effect on the day after publication,
14except as follows:
AB668,31,1715 (1) The treatment of s. 15.405 (6) (b) takes effect on the date the notice under
16s. 447.02 (6) is published in the Wisconsin Administrative Register or on the first day
17of the 6th year beginning after publication, whichever occurs first.
AB668,31,1818 (End)
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