Connecticut 2019 2019 Regular Session

Connecticut House Bill HB07303 Introduced / Bill

Filed 03/05/2019

                        
 
 
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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 Section 20-107 of the general statutes is repealed and the 1 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 
 
 
 
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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 
 
 
 
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[(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 
 
 
 
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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 
 
 
 
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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 
 
 
 
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(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 
 
 
 
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(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 
 
 
 
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(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 
 
 
 
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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 
 
 
 
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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 
 
 
 
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(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 
 
 
 
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(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 
 
 
 
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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 
 
 
 
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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 
 
 
 
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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 
 
 
 
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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.]