SB2965 101ST GENERAL ASSEMBLY

May 2024 ยท 8 minute read

101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020
SB2965
Introduced 2/4/2020, by Sen. Rachelle CroweSYNOPSIS AS INTRODUCED:
225 ILCS 25/4from Ch. 111, par. 2304
225 ILCS 25/54.3
Amends the Illinois Dental Practice Act. Makes changes to the definitions of "branches of dentistry" and "teledentistry". Provides that a dentist may administer vaccinations to patients 18 years of age and older if it is a general policy or recommendation published by the Centers for Disease Control or the Director of Public Health. Effective immediately.
LRB101 19598 SPS 69074 b

A BILL FOR
SB2965LRB101 19598 SPS 69074 b

1AN ACT concerning regulation.
2Be it enacted by the People of the State of Illinois,3represented in the General Assembly:
4Section 5. The Illinois Dental Practice Act is amended by5changing Sections 4 and 54.3 as follows:
6(225 ILCS 25/4) (from Ch. 111, par. 2304) 7(Section scheduled to be repealed on January 1, 2026)8Sec. 4. Definitions. As used in this Act:9"Address of record" means the designated address recorded10by the Department in the applicant's or licensee's application11file or license file as maintained by the Department's12licensure maintenance unit. It is the duty of the applicant or13licensee to inform the Department of any change of address and14those changes must be made either through the Department's15website or by contacting the Department.16"Department" means the Department of Financial and17Professional Regulation.18"Secretary" means the Secretary of Financial and19Professional Regulation.20"Board" means the Board of Dentistry.21"Dentist" means a person who has received a general license22pursuant to paragraph (a) of Section 11 of this Act and who may23perform any intraoral and extraoral procedure required in the
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1practice of dentistry and to whom is reserved the2responsibilities specified in Section 17.3"Dental hygienist" means a person who holds a license under4this Act to perform dental services as authorized by Section518.6"Dental assistant" means an appropriately trained person7who, under the supervision of a dentist, provides dental8services as authorized by Section 17.9"Expanded function dental assistant" means a dental10assistant who has completed the training required by Section1117.1 of this Act.12"Dental laboratory" means a person, firm or corporation13which:14(i) engages in making, providing, repairing or15altering dental prosthetic appliances and other artificial16materials and devices which are returned to a dentist for17insertion into the human oral cavity or which come in18contact with its adjacent structures and tissues; and19(ii) utilizes or employs a dental technician to provide20such services; and21(iii) performs such functions only for a dentist or22dentists.23"Supervision" means supervision of a dental hygienist or a24dental assistant requiring that a dentist authorize the25procedure, remain in the dental facility while the procedure is26performed, and approve the work performed by the dental
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1hygienist or dental assistant before dismissal of the patient,2but does not mean that the dentist must be present at all times3in the treatment room.4"General supervision" means supervision of a dental5hygienist requiring that the patient be a patient of record,6that the dentist examine the patient in accordance with Section718 prior to treatment by the dental hygienist, and that the8dentist authorize the procedures which are being carried out by9a notation in the patient's record, but not requiring that a10dentist be present when the authorized procedures are being11performed. The issuance of a prescription to a dental12laboratory by a dentist does not constitute general13supervision.14"Public member" means a person who is not a health15professional. For purposes of board membership, any person with16a significant financial interest in a health service or17profession is not a public member.18"Dentistry" means the healing art which is concerned with19the examination, diagnosis, treatment planning and care of20conditions within the human oral cavity and its adjacent21tissues and structures, as further specified in Section 17.22"Branches of dentistry" means the various specialties of23dentistry which, for purposes of this Act, shall be limited to24the following: endodontics, oral and maxillofacial surgery,25orthodontics and dentofacial orthopedics, pediatric dentistry,26periodontics, prosthodontics, and oral and maxillofacial
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1radiology, and dental anesthesiology.2"Specialist" means a dentist who has received a specialty3license pursuant to Section 11(b).4"Dental technician" means a person who owns, operates or is5employed by a dental laboratory and engages in making,6providing, repairing or altering dental prosthetic appliances7and other artificial materials and devices which are returned8to a dentist for insertion into the human oral cavity or which9come in contact with its adjacent structures and tissues.10"Impaired dentist" or "impaired dental hygienist" means a11dentist or dental hygienist who is unable to practice with12reasonable skill and safety because of a physical or mental13disability as evidenced by a written determination or written14consent based on clinical evidence, including deterioration15through the aging process, loss of motor skills, abuse of drugs16or alcohol, or a psychiatric disorder, of sufficient degree to17diminish the person's ability to deliver competent patient18care.19"Nurse" means a registered professional nurse, a certified20registered nurse anesthetist licensed as an advanced practice21registered nurse, or a licensed practical nurse licensed under22the Nurse Practice Act.23"Patient of record" means a patient for whom the patient's24most recent dentist has obtained a relevant medical and dental25history and on whom the dentist has performed an examination26and evaluated the condition to be treated.
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1"Dental responder" means a dentist or dental hygienist who2is appropriately certified in disaster preparedness,3immunizations, and dental humanitarian medical response4consistent with the Society of Disaster Medicine and Public5Health and training certified by the National Incident6Management System or the National Disaster Life Support7Foundation.8"Mobile dental van or portable dental unit" means any9self-contained or portable dental unit in which dentistry is10practiced that can be moved, towed, or transported from one11location to another in order to establish a location where12dental services can be provided.13"Public health dental hygienist" means a hygienist who14holds a valid license to practice in the State, has 2 years of15full-time clinical experience or an equivalent of 4,000 hours16of clinical experience and has completed at least 42 clock17hours of additional structured courses in dental education in18advanced areas specific to public health dentistry.19"Public health setting" means a federally qualified health20center; a federal, State, or local public health facility; Head21Start; a special supplemental nutrition program for Women,22Infants, and Children (WIC) facility; or a certified23school-based health center or school-based oral health24program.25"Public health supervision" means the supervision of a26public health dental hygienist by a licensed dentist who has a
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1written public health supervision agreement with that public2health dental hygienist while working in an approved facility3or program that allows the public health dental hygienist to4treat patients, without a dentist first examining the patient5and being present in the facility during treatment, (1) who are6eligible for Medicaid or (2) who are uninsured and whose7household income is not greater than 200% of the federal8poverty level.9"Teledentistry" means the use of telehealth systems and10methodologies in dentistry and includes limited patient11diagnosis, treatment planning, care and education delivery12using synchronous and asynchronous communications under an13Illinois licensed a dentist's authority as provided under this14Act.15(Source: P.A. 100-215, eff. 1-1-18; 100-513, eff. 1-1-18;16100-863, eff. 8-14-18; 101-64, eff. 7-12-19; 101-162, eff.177-26-19; revised 9-27-19.)
18(225 ILCS 25/54.3)19(Section scheduled to be repealed on January 1, 2026)20Sec. 54.3. Vaccinations.21(a) Notwithstanding Section 54.2 of this Act, a dentist may22administer vaccinations upon completion of appropriate23training set forth by rule and approved by the Department on24appropriate vaccine storage, proper administration, and25addressing contraindications and adverse reactions.
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1Vaccinations shall be limited to patients 18 years of age and2older pursuant to a valid prescription or standing order by a3physician licensed to practice medicine in all its branches4who, in the course of professional practice, administers5vaccines to patients or if it is a general policy or6recommendation published by the Centers for Disease Control or7the Director of Public Health. Methods of communication shall8be established for consultation with the physician in person or9by telecommunications.10(b) Vaccinations administered by a dentist shall be limited11to influenza (inactivated influenza vaccine and live12attenuated influenza intranasal vaccine). Vaccines shall only13be administered by the dentist and shall not be delegated to an14assistant or any other person. Vaccination of a patient by a15dentist shall be documented in the patient's dental record and16the record shall be retained in accordance with current dental17recordkeeping standards. The dentist shall notify the18patient's primary care physician of each dose of vaccine19administered to the patient and shall enter all patient level20data or update the patient's current record. The dentist may21provide this notice to the patient's physician electronically.22In addition, the dentist shall enter all patient level data on23vaccines administered in the immunization data registry24maintained by the Department of Public Health.25(c) A dentist shall only provide vaccinations under this26Section if contracted with and credentialed by the patient's
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1health insurance, health maintenance organization, or other2health plan to specifically provide the vaccinations allowed3under this Section. Persons enrolled in Medicare or Medicaid4may only receive the vaccinations allowed for under this5Section from dentists who are authorized to do so by the6federal Centers for Medicare and Medicaid Services or the7Department of Healthcare and Family Services.8(d) The Department shall adopt any rules necessary to9implement this Section.10(e) This Section is repealed on January 1, 2026.11(Source: P.A. 101-162, eff. 7-26-19.)
12Section 99. Effective date. This Act takes effect upon13becoming law.

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