LCO No. 5086 1 of 16 General Assembly Raised Bill No. 7303 January Session, 2019 LCO No. 5086 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT CONCERNING TH E RECOMMENDATIONS OF T HE DEPARTMENT OF PUBLIC HEALTH REGARDING DEN TAL PRACTITIONERS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 20-107 of the general statutes is repealed and the 1 following is substituted in lieu thereof (Effective January 1, 2020): 2 (a) Each application for a license to practice dentistry shall be [in 3 writing and signed by] submitted by the applicant and no license shall 4 be issued to any person unless he or she presents (1) a diploma or 5 other certificate of graduation conferring a dental degree from [some 6 reputable] a dental college or from a department of dentistry of a 7 medical college [conferring a dental degree, or unless he or she is 8 practicing as a legally qualified dentist in another state having 9 requirements for admission determined by the department to be 10 similar to or higher than the requirements of this state] accredited by 11 the American Dental Association's Commission on Dental 12 Accreditation or its successor organization; (2) evidence of satisfactory 13 completion of a written examination or examinations given by the 14 Raised Bill No. 7303 LCO No. 5086 2 of 16 Joint Commission on National Dental Examinations, subject to such 15 conditions as the State Dental Commission as described in section 20-16 103a, with the consent of the Commissioner of Public Health, may 17 prescribe; and (3) evidence of satisfactory completion of at least one 18 year of a clinically-based postdoctoral general practice or specialty 19 dental residency program accredited by the Commission on Dental 20 Accreditation, or its successor organization. 21 [(b) The Dental Commission may, with the consent of the 22 Commissioner of Public Health, determine the colleges which shall be 23 considered reputable dental or medical colleges for the purposes of 24 this chapter. The commission shall consult when possible with 25 nationally recognized accrediting agencies when making such 26 determinations.] 27 [(c)] (b) Notwithstanding the provisions of [subsections] subsection 28 (a) [and (b)] of this section, the department may issue a license to 29 practice dentistry to any applicant holding a diploma from a foreign 30 dental school, provided the applicant: (1) [is] Is a graduate of a dental 31 school located outside the United States and has received the degree of 32 doctor of dental medicine or surgery, or its equivalent; (2) [has] passed 33 the written and practical examination or examinations required in 34 subsection (a) of this section or section 20-108, as amended by this act; 35 (3) [has] successfully completed not less than two years of graduate 36 dental training as a resident dentist in a program accredited by the 37 Commission on Dental Accreditation; and (4) [has] successfully 38 completed, at a level greater than the second postgraduate year, not 39 less than three years of a residency or fellowship training program 40 accredited by the Commission on Dental Accreditation in a school of 41 dentistry in this state, or has served as a full-time faculty member of a 42 school of dentistry in this state pursuant to the provisions of section 43 20-120 for not less than three years. 44 Sec. 2. Section 20-108 of the general statutes is repealed and the 45 following is substituted in lieu thereof (Effective January 1, 2020): 46 Raised Bill No. 7303 LCO No. 5086 3 of 16 [(a) Except as provided in section 20-110 and subsection (b) of this 47 section, each applicant for a license to practice dental medicine or 48 dental surgery shall be examined by the Department of Public Health, 49 under the supervision of the Dental Commission as to his or her 50 professional knowledge and skill before such license is granted. Such 51 examination shall be conducted in the English language.] The State 52 Dental Commission may, with the consent of the Commissioner of 53 Public Health, accept and approve [, in lieu of the written examination 54 required by this section, the results of an examination given by the 55 Joint Commission on National Dental Examinations, subject to such 56 conditions as the commission may prescribe, and the Dental 57 Commission with the consent of the Commissioner of Public Health, 58 may accept and approve, in lieu of the written and practical 59 examination required by this section,] the results of [regional testing 60 agencies as to written and] clinical or practical examinations, subject to 61 such conditions as [the] said commission, with the consent of the 62 Commissioner of Public Health, may prescribe in lieu of the clinically 63 based postdoctoral general practice or specialty dental residency 64 program required pursuant to subsection (a) of section 20-107, as 65 amended by this act. On and after July 1, 2021, or upon the State 66 Dental Commission's approval of examinations that do not require the 67 participation of patients, whichever is later, such clinical or practical 68 examinations shall not require the participation of patients. Passing 69 scores shall be established by the department with the consent of the 70 commission. 71 [(b) In lieu of the practical examination required by subsection (a) of 72 this section, an applicant for licensure may submit evidence of having 73 successfully completed not less than one year of graduate dental 74 training as a resident dentist in a program accredited by the 75 Commission on Dental Accreditation, provided the director of the 76 dental residency program at the facility in which the applicant 77 completed the residency training provides documentation satisfactory 78 to the Department of Public Health attesting to the resident dentist's 79 competency in all areas tested on the practical examination required by 80 Raised Bill No. 7303 LCO No. 5086 4 of 16 subsection (a) of this section. Not later than December 1, 2005, the 81 Dental Commission, in consultation with the Department of Public 82 Health, shall develop a form upon which such documentation shall be 83 provided.] 84 Sec. 3. Section 20-110 of the general statutes is repealed and the 85 following is substituted in lieu thereof (Effective January 1, 2020): 86 The Department of Public Health may, upon receipt of an 87 application and a fee of five hundred sixty-five dollars, issue a license 88 without examination to a practicing dentist in another state or territory 89 who (1) holds a current valid license in good professional standing 90 issued after examination by another state or territory that maintains 91 licensing standards which, except for the practical examination, are 92 commensurate with the state's standards, and (2) has worked 93 continuously as a licensed dentist in an academic or clinical setting in 94 another state or territory for a period of not less than [five years] one 95 year immediately preceding the application for licensure without 96 examination. No license shall be issued under this section to any 97 applicant against whom professional disciplinary action is pending or 98 who is the subject of an unresolved complaint. The department shall 99 inform the Dental Commission annually of the number of applications 100 it receives for licensure under this section. 101 Sec. 4. (NEW) (Effective January 1, 2020) (a) As used in this section: 102 (1) "Practice of dental therapy" means the performance of 103 educational, preventive and therapeutic services through any one or 104 more of the following practices and procedures: (A) Identification of 105 oral and systemic conditions requiring evaluation or treatment by 106 dentists, physicians or other healthcare providers, and management of 107 referrals; (B) diagnosis of, and treatment for, oral diseases and 108 conditions within the dental therapist scope of practice, limited to the 109 procedures in this section; (C) comprehensive charting of the oral 110 cavity; (D) oral health instruction and disease prevention education, 111 including nutritional counseling and dietary analysis; (E) dispensing 112 Raised Bill No. 7303 LCO No. 5086 5 of 16 and administering nonnarcotic analgesics, anti-inflammatory and 113 antibiotic medications as prescribed by a licensed health care provider, 114 except schedule II, III or IV controlled substances; (F) applying topical 115 preventive or prophylactic agents, including fluoride varnish, 116 antimicrobial agents and pit and fissure sealants; (G) pulp vitality 117 testing; (H) applying desensitizing medication or resin; (I) interim 118 therapeutic restorations; (J) fabricating athletic mouth guards; (K) 119 changing periodontal dressings; (L) administering local anesthetics 120 under the general supervision of a dentist; (M) simple extraction of 121 erupted primary teeth; (N) nonsurgical extractions of periodontally 122 diseased permanent teeth with tooth mobility of three or greater, but 123 not including an extraction of a tooth if it is unerupted, impacted, 124 fractured or needs to be sectioned for removal; (O) emergency 125 palliative treatment of dental pain, limited to the procedures in this 126 section; (P) preparation and placement of direct restoration in primary 127 and permanent teeth, that does not require the fabrication of crowns, 128 bridges, veneers or dentures; (Q) fabrication and placement of single-129 tooth temporary crowns; (R) preparation and placement of preformed 130 crowns on primary teeth; (S) indirect and direct pulp capping on 131 permanent teeth; (T) indirect pulp capping on primary teeth; (U) 132 suture removal; (V) minor adjustments and repairs on removable 133 prostheses; (W) placement and removal of space maintainers; and (X) 134 recementing permanent crowns; 135 (2) "Collaborative agreement" means a written agreement between a 136 dental therapist and a dentist licensed pursuant to chapter 379 of the 137 general statutes, that defines the working relationship between the 138 dental therapist and the dentist and the parameters of the practice 139 provided by such dental therapist in accordance with subdivision (1) 140 of this subsection; 141 (3) "Dental therapist" means a person authorized to engage in the 142 practice of dental therapy under a collaborative agreement; 143 (4) "Public health facility" has the same meaning as provided in 144 section 20-126l of the general statutes, as amended by this act. 145 Raised Bill No. 7303 LCO No. 5086 6 of 16 (b) No person shall engage in the practice of dental therapy unless 146 such person (1) is a dental hygienist licensed pursuant to chapter 379a 147 of the general statutes; (2) has obtained a dental therapist certification, 148 that shall be (A) in writing, on forms issued by an institution of higher 149 education accredited by the Commission on Dental Accreditation, after 150 successful completion of a dental therapy program which includes, in 151 accordance with the Commission on Dental Accreditation Dental 152 Therapy Standards, full-time instruction, or its equivalent, at the 153 postsecondary college level and incorporate all dental therapy practice 154 competencies, (B) signed by the dental therapist and the dental therapy 155 program director, and (C) made available to the Department of Public 156 Health upon request; (3) has successfully completed a comprehensive 157 examination prescribed by the Commission on Dental Competency 158 Assessments, or its equivalent, and administered independently of any 159 institution of higher education that offers a program in dental therapy; 160 (4) prior to entering the first collaborative agreement, (A) has received 161 a certificate of completion, signed by a dentist licensed pursuant to 162 chapter 379 of the general statutes, that verifies completion of one 163 thousand hours of clinical training under the direct supervision of such 164 dentist, and (B) has successfully completed six hours of continuing 165 education related to dental therapy; and (5) has entered into a 166 collaborative agreement. 167 (c) A dental therapist shall practice in a public health facility under 168 the general supervision of a licensed dentist in accordance with a 169 collaborative agreement. 170 (d) No provision of this section shall be construed to prohibit a 171 dental hygienist enrolled in a dental therapy program, as described in 172 subdivision (2) of subsection (b) of this section, from performing dental 173 therapy work as a required component of his or her course of study in 174 such program, provided such dental hygienist (1) performs such work 175 under the direct supervision of a dentist licensed pursuant to chapter 176 379 of the general statutes, (2) shall not hold himself or herself out as a 177 certified dental therapist, and (3) shall not receive compensation for 178 such work. 179 Raised Bill No. 7303 LCO No. 5086 7 of 16 (e) (1) A collaborative agreement required pursuant to subsection 180 (b) of this section shall include: (A) Identification of public health 181 facilities where services may be provided and the populations to be 182 served; (B) any limitations on the services that may be provided by the 183 dental therapist; (C) age and procedure-specific practice protocols, 184 including case selection criteria, assessment guidelines and imaging 185 frequency; (D) a procedure for creating and maintaining dental records 186 for the patients that are treated by the dental therapist; (E) a plan to 187 manage medical emergencies in each public health facility where the 188 dental therapist provides care; (F) a quality assurance plan for 189 monitoring care provided by the dental therapist, including patient 190 care review, referral follow-up and a quality assurance chart review; 191 (G) protocols for dispensing and administering medications, including 192 the specific conditions and circumstances under which these 193 medications may be dispensed and administered; (H) criteria relating 194 to the provision of care to patients with specific medical conditions or 195 complex medication histories, including requirements for consultation 196 prior to the initiation of care; (I) criteria for the supervision of dental 197 assistants and dental hygienists in accordance with subsection (j) of 198 this section; and (J) a plan for the provision of referrals in situations 199 that are beyond the capabilities of the dental therapist. 200 (2) A collaborative agreement shall be (A) signed and maintained by 201 the supervising dentist and the dental therapist and kept on file at the 202 locations where such dental therapist is employed, (B) reviewed by the 203 dentist and dental therapist on an annual basis and revised as needed, 204 and (C) available for inspection upon the request of the Department of 205 Public Health. 206 (f) A dentist who enters into a collaborative agreement with a dental 207 therapist (1) shall be professionally responsible and legally liable for all 208 services authorized and performed by a dental therapist pursuant to a 209 collaborative agreement, and (2) may not enter into a collaborative 210 agreement with more than two dental therapists at any one time. 211 Nothing in this section shall be construed to require a dentist to enter 212 into a collaborative agreement with a dental therapist. 213 Raised Bill No. 7303 LCO No. 5086 8 of 16 (g) A dental therapist may directly supervise not more than two 214 dental assistants or expanded function dental assistants, as defined in 215 section 20-112a of the general statutes, or dental hygienists licensed 216 pursuant to chapter 379a of the general statutes to the extent permitted 217 in the collaborative agreement. 218 (h) (1) Upon each renewal of a dental hygiene license pursuant to 219 chapter 379a of the general statutes, each dental therapist shall 220 complete six hours of continuing education in addition to the 221 requirements of subsection (g) of section 20-126l of the general statutes, 222 as amended by this act, for a total of twenty-two hours of continuing 223 education within the preceding twenty-four-month period. 224 (2) Each dental therapist applying for a renewal of a dental hygiene 225 license pursuant to chapter 379a of the general statutes and in 226 accordance with section 19a-88 of the general statutes shall sign a 227 statement attesting that he or she has satisfied the continuing 228 education requirements described in subdivision (1) of this subsection 229 on a form prescribed by the Department of Public Health. Each dental 230 therapist shall retain records of attendance or certificates of completion 231 that demonstrate compliance with the continuing education 232 requirements described in subdivision (1) of this subsection for not less 233 than three years following the date on which the continuing education 234 was completed or the license was renewed. Each dental therapist shall 235 submit such records to the department for inspection not later than 236 forty-five days after a request by the department for such records. A 237 dental therapist who fails to comply with the provisions of this section 238 may be subject to disciplinary action pursuant to section 20-126o of the 239 general statutes, as amended by this act. 240 Sec. 5. Subsection (a) of section 20-126o of the general statutes is 241 repealed and the following is substituted in lieu thereof (Effective 242 January 1, 2020): 243 (a) The Department of Public Health may take any of the actions set 244 forth in section 19a-17 for any of the following causes: (1) The 245 Raised Bill No. 7303 LCO No. 5086 9 of 16 presentation to the department of any diploma, license or certificate 246 illegally or fraudulently obtained, or obtained from an institution that 247 is not accredited or from an unrecognized or irregular institution or 248 state board, or obtained by the practice of any fraud or deception; (2) 249 illegal conduct; (3) negligent, incompetent or wrongful conduct in 250 professional activities; (4) conviction of the violation of any of the 251 provisions of sections 20-126h to 20-126w, inclusive, or section 4 of this 252 act by any court of criminal jurisdiction; (5) the violation of any of the 253 provisions of said sections or of the regulations adopted hereunder or 254 the refusal to comply with any of said provisions or regulations; (6) the 255 aiding or abetting in the practice of dental hygiene of a person not 256 licensed to practice dental hygiene in this state; (7) engaging in fraud 257 or material deception in the course of professional activities; (8) the 258 effects of physical or mental illness, emotional disorder or loss of 259 motor skill, including, but not limited to, deterioration through the 260 aging process, upon the license holder; (9) abuse or excessive use of 261 drugs, including alcohol, narcotics or chemicals; or (10) failure to 262 provide information to the Department of Public Health required to 263 complete a health care provider profile, as set forth in section 20-13j. A 264 violation of any of the provisions of sections 20-126h to 20-126w, 265 inclusive, or section 4 of this act by any unlicensed employee in the 266 practice of dental hygiene, with the knowledge of his or her employer, 267 shall be deemed a violation thereof by his or her employer. The 268 Commissioner of Public Health may order a license holder to submit to 269 a reasonable physical or mental examination if his or her physical or 270 mental capacity to practice safely is the subject of an investigation. Said 271 commissioner may petition the superior court for the judicial district of 272 Hartford to enforce such order or any action taken pursuant to said 273 section 19a-17. 274 Sec. 6. Subsections (c) and (d) of section 20-112a of the general 275 statutes are repealed and the following is substituted in lieu thereof 276 (Effective January 1, 2020): 277 (c) (1) A licensed dentist may delegate to dental assistants such 278 dental procedures as the dentist may deem advisable, including: (A) 279 Raised Bill No. 7303 LCO No. 5086 10 of 16 The taking of dental x-rays if the dental assistant can demonstrate 280 successful completion of the dental radiation health and safety 281 examination administered by the Dental Assisting National Board; (B) 282 the taking of impressions of teeth for study models; and (C) the 283 provision of fluoride varnish treatments. Such procedures shall be 284 performed under direct supervision and the dentist providing direct 285 supervision shall assume responsibility for such procedures. 286 (2) A licensed dentist may delegate to an expanded function dental 287 assistant such dental procedures as the dentist may deem advisable, 288 including: (A) The placing, finishing and adjustment of temporary 289 restorations and long-term individual fillings, capping materials and 290 cement bases; (B) oral health education for patients; (C) dental sealants; 291 [and] (D) coronal polishing, provided the procedure is not represented 292 or billed as prophylaxis; (E) administration of topical anesthetic under 293 the direct supervision of the dentist prior to the administration of local 294 anesthetic by a dentist or dental hygienist; and (F) taking alginate 295 impressions of teeth, under the direct supervision of the dentist, for 296 use in study models, orthodontic appliances, whitening trays, mouth 297 guards or fabrication of temporary crowns. Such procedures shall be 298 performed under [the] either direct or indirect supervision, except as 299 specifically provided in this subdivision, and the dentist providing 300 such supervision shall assume responsibility for such procedures. 301 (3) On or after July 1, 2018, (A) no licensed dentist may delegate 302 dental procedures to a dental assistant or expanded function dental 303 assistant unless the dental assistant or expanded function dental 304 assistant provides records demonstrating successful completion of the 305 Dental Assisting National Board's infection control examination, 306 except as provided in subdivision (2) of this subsection, (B) a dental 307 assistant may receive not more than nine months of on-the-job training 308 by a licensed dentist for purposes of preparing the dental assistant for 309 the Dental Assisting National Board's infection control examination, 310 and (C) any licensed dentist who delegates dental procedures to a 311 dental assistant shall retain and make such records available for 312 inspection upon request of the Department of Public Health. 313 Raised Bill No. 7303 LCO No. 5086 11 of 16 (4) On and after January 1, 2018, upon successful completion of the 314 Dental Assisting National Board's infection control examination, each 315 dental assistant or expanded function dental assistant shall complete 316 not less than one hour of training or education in infection control in a 317 dental setting every two years, including, but not limited to, courses, 318 including online courses, offered or approved by a dental school or 319 another institution of higher education that is accredited or recognized 320 by the Commission on Dental Accreditation, a regional accrediting 321 organization, the American Dental Association or a state, district or 322 local dental association or society affiliated with the American Dental 323 Association or the American Dental Assistants Association. 324 (d) [Under] Except as provided in subsection (c) of this section, 325 under no circumstances may a dental assistant or expanded function 326 dental assistant engage in: (1) Diagnosis for dental procedures or 327 dental treatment; (2) the cutting or removal of any hard or soft tissue 328 or suturing; (3) the prescribing of drugs or medications that require the 329 written or oral order of a licensed dentist or physician; (4) the 330 administration of local, parenteral, inhalation or general anesthetic 331 agents in connection with any dental operative procedure; (5) the 332 taking of any final impression of the teeth or jaws or the relationship of 333 the teeth or jaws for the purpose of fabricating any appliance or 334 prosthesis; or (6) the practice of dental hygiene as defined in section 335 20-126l, as amended by this act. 336 Sec. 7. Subsections (a) and (b) of section 20-126c of the general 337 statutes are repealed and the following is substituted in lieu thereof 338 (Effective January 1, 2020): 339 (a) As used in this section: 340 (1) "Commissioner" means the Commissioner of Public Health; 341 (2) "Contact hour" means a minimum of fifty minutes of continuing 342 education activity; 343 (3) "Department" means the Department of Public Health; 344 Raised Bill No. 7303 LCO No. 5086 12 of 16 (4) "Licensee" means any person who receives a license from the 345 department pursuant to this chapter; [and] 346 (5) "Registration period" means the one-year period for which a 347 license renewed in accordance with section 19a-88 is current and valid; 348 and 349 (6) "Temporary dental clinic" means a dental clinic that provides 350 dental care services at no cost to uninsured or underinsured persons 351 and operates for not more than seventy-two consecutive hours. 352 (b) Except as otherwise provided in this section, a licensee applying 353 for license renewal shall earn a minimum of twenty-five contact hours 354 of continuing education within the preceding twenty-four-month 355 period. Such continuing education shall (1) be in an area of the 356 licensee's practice; (2) reflect the professional needs of the licensee in 357 order to meet the health care needs of the public; and (3) include not 358 less than one contact hour of training or education in (A) any three of 359 the ten mandatory topics for continuing education activities prescribed 360 by the commissioner pursuant to this subdivision, (B) for registration 361 periods beginning on and after October 1, 2016, infection control in a 362 dental setting, and (C) prescribing controlled substances and pain 363 management. For registration periods beginning on and after October 364 1, 2011, the Commissioner of Public Health, in consultation with the 365 Dental Commission, shall on or before October 1, 2010, and biennially 366 thereafter, issue a list that includes ten mandatory topics for 367 continuing education activities that will be required for the following 368 two-year registration period. Qualifying continuing education 369 activities include, but are not limited to, courses, including on-line 370 courses, offered or approved by the American Dental Association or 371 state, district or local dental associations and societies affiliated with 372 the American Dental Association; national, state, district or local dental 373 specialty organizations or the American Academy of General 374 Dentistry; a hospital or other health care institution; dental schools and 375 other schools of higher education accredited or recognized by the 376 Council on Dental Accreditation or a regional accrediting organization; 377 Raised Bill No. 7303 LCO No. 5086 13 of 16 agencies or businesses whose programs are accredited or recognized 378 by the Council on Dental Accreditation; local, state or national medical 379 associations; a state or local health department; or the Accreditation 380 Council for Graduate Medical Education. Eight hours of volunteer 381 dental practice at a public health facility, as defined in section 20-126l, 382 as amended by this act, or a temporary dental clinic may be 383 substituted for one contact hour of continuing education, up to a 384 maximum of ten contact hours in one twenty-four-month period. 385 Sec. 8. Subsection (a) of section 20-126l of the general statutes is 386 repealed and the following is substituted in lieu thereof (Effective 387 January 1, 2020): 388 (a) As used in this section: 389 (1) "General supervision of a licensed dentist" means supervision 390 that authorizes dental hygiene procedures to be performed with the 391 knowledge of said licensed dentist, whether or not the dentist is on the 392 premises when such procedures are being performed; 393 (2) "Public health facility" means an institution, as defined in section 394 19a-490, a community health center, a group home, a school, a 395 preschool operated by a local or regional board of education, a head 396 start program or a program offered or sponsored by the federal Special 397 Supplemental Food Program for Women, Infants and Children, a 398 senior center or a managed residential community, as defined in 399 section 19a-693, [or] a licensed child care center, as described in section 400 19a-77, or a temporary dental clinic, as defined in section 20-126c, as 401 amended by this act; 402 (3) The "practice of dental hygiene" means the performance of 403 educational, preventive and therapeutic services including: Complete 404 prophylaxis; the removal of calcerous deposits, accretions and stains 405 from the supragingival and subgingival surfaces of the teeth by 406 scaling, root planing and polishing; the application of pit and fissure 407 sealants and topical solutions to exposed portions of the teeth; dental 408 hygiene examinations and the charting of oral conditions; dental 409 Raised Bill No. 7303 LCO No. 5086 14 of 16 hygiene assessment, treatment planning and evaluation; the 410 administration of local anesthesia in accordance with the provisions of 411 subsection (d) of this section; taking alginate impressions of teeth, 412 under the indirect supervision of a dentist, for use in study models, 413 orthodontic appliances, whitening trays, mouth guards and fabrication 414 of temporary crowns; and collaboration in the implementation of the 415 oral health care regimen; and 416 (4) "Contact hour" means a minimum of fifty minutes of continuing 417 education activity. 418 Sec. 9. Subsection (g) of section 20-126l of the general statutes is 419 repealed and the following is substituted in lieu thereof (Effective 420 January 1, 2020): 421 (g) Each licensed dental hygienist applying for license renewal shall 422 earn a minimum of sixteen contact hours of continuing education 423 within the preceding twenty-four-month period, including, for 424 registration periods beginning on and after October 1, 2016, at least 425 one contact hour of training or education in infection control in a 426 dental setting and, for registration periods beginning on and after 427 October 1, 2017, at least one contact hour of training or education in 428 cultural competency. The subject matter for continuing education shall 429 reflect the professional needs of the licensee in order to meet the health 430 care needs of the public. Continuing education activities shall provide 431 significant theoretical or practical content directly related to clinical or 432 scientific aspects of dental hygiene. Qualifying continuing education 433 activities include, but are not limited to, courses, including on-line 434 courses, that are offered or approved by dental schools and other 435 institutions of higher education that are accredited or recognized by 436 the Council on Dental Accreditation, a regional accrediting 437 organization, the American Dental Association, a state, district or local 438 dental association or society affiliated with the American Dental 439 Association, the National Dental Association, the American Dental 440 Hygienists Association or a state, district or local dental hygiene 441 association or society affiliated with the American Dental Hygienists 442 Raised Bill No. 7303 LCO No. 5086 15 of 16 Association, the Academy of General Dentistry, the Academy of 443 Dental Hygiene, the American Red Cross or the American Heart 444 Association when sponsoring programs in cardiopulmonary 445 resuscitation or cardiac life support, the United States Department of 446 Veterans Affairs and armed forces of the United States when 447 conducting programs at United States governmental facilities, a 448 hospital or other health care institution, agencies or businesses whose 449 programs are accredited or recognized by the Council on Dental 450 Accreditation, local, state or national medical associations, or a state or 451 local health department. Eight hours of volunteer dental practice at a 452 public health facility, as defined in subsection (a) of this section, may 453 be substituted for one contact hour of continuing education, up to a 454 maximum of five contact hours in one two-year period. Activities that 455 do not qualify toward meeting these requirements include professional 456 organizational business meetings, speeches delivered at luncheons or 457 banquets, and the reading of books, articles, or professional journals. 458 [Not more than four contact hours of continuing education may be 459 earned through an on-line or other distance learning program.] 460 Sec. 10. Section 20-126l of the general statutes is amended by adding 461 subsection (l) as follows (Effective January 1, 2020): 462 (NEW) (l) No provision of chapter 379a shall be construed to 463 prohibit a student of dental hygiene enrolled in a dental hygiene 464 program, as described in section 20-126i, from performing dental 465 hygiene work as a required component of his or her course of study in 466 such program, provided that the student (1) performs such work 467 under the direct supervision of a dentist licensed pursuant to chapter 468 379 or a dental hygienist licensed pursuant to chapter 379a, (2) shall 469 not hold himself or herself out as a licensed dental hygienist, and (3) 470 shall not receive compensation for such work. 471 This act shall take effect as follows and shall amend the following sections: Section 1 January 1, 2020 20-107 Sec. 2 January 1, 2020 20-108 Raised Bill No. 7303 LCO No. 5086 16 of 16 Sec. 3 January 1, 2020 20-110 Sec. 4 January 1, 2020 New section Sec. 5 January 1, 2020 20-126o(a) Sec. 6 January 1, 2020 20-112a(c) and (d) Sec. 7 January 1, 2020 20-126c(a) and (b) Sec. 8 January 1, 2020 20-126l(a) Sec. 9 January 1, 2020 20-126l(g) Sec. 10 January 1, 2020 20-126l Statement of Purpose: To implement various recommendations by the Department of Public Health regarding dental practitioners. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]