Florida 2025 Regular Session

Florida House Bill H0021 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	~~CS/~~CS/HB 21 2025
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10	10		F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
11	11
12	12
13	13
14	14		A bill to be entitled 1
15	15		An act relating to dental therapy; amending s. 2
16	16		409.906, F.S.; authorizing Medicaid to reimburse for 3
17	17		dental services provided in a mobile dental unit that 4
18	18		is owned by, operated by, or contracted with a health 5
19	19		access setting or another similar setting or pro gram; 6
20	20		amending s. 466.001, F.S.; revising legislative 7
21	21		purpose and intent; amending s. 466.002, F.S.; 8
22	22		providing applicability; amending s. 466.003, F.S.; 9
23	23		defining the terms "dental therapist" and "dental 10
24	24		therapy"; amending s. 466.004, F.S.; requiring the 11
25	25		chair of the Board of Dentistry to appoint a Council 12
26	26		on Dental Therapy, effective after a specified 13
27	27		timeframe; providing for membership, meetings, and the 14
28	28		purpose of the council; amending s. 466.006, F.S.; 15
29	29		revising the definitions of the terms "full -time 16
30	30		practice" and "full-time practice of dentistry within 17
31	31		the geographic boundaries of this state within 1 year" 18
32	32		to include full-time faculty members of certain dental 19
33	33		therapy schools; amending s. 466.009, F.S.; requiring 20
34	34		the Department of Health to allow any per son who fails 21
35	35		the dental therapy examination to retake the 22
36	36		examination; providing that a person who fails a 23
37	37		practical or clinical examination to practice dental 24
38	38		therapy and who has failed one part or procedure of 25
39	39
40		-	~~CS/~~CS/HB 21 2025
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47	47		F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
48	48
49	49
50	50
51	51		the examination may be required to retake o nly that 26
52	52		part or procedure to pass the examination; amending s. 27
53	53		466.011, F.S.; requiring the board to certify an 28
54	54		applicant for licensure as a dental therapist; 29
55	55		creating s. 466.0136, F.S.; requiring the board to 30
56	56		require each licensed dental therapist to com plete a 31
57	57		specified number of hours of continuing education; 32
58	58		requiring the board to adopt rules and guidelines; 33
59	59		authorizing the board to excuse licensees from 34
60	60		continuing education requirements in certain 35
61	61		circumstances; amending s. 466.016, F.S.; requiring a 36
62	62		practitioner of dental therapy to post and display her 37
63	63		or his license in each office where she or he 38
64	64		practices; amending s. 466.017, F.S.; requiring the 39
65	65		board to adopt certain rules relating to dental 40
66	66		therapists; authorizing a dental therapist to 41
67	67		administer local anesthesia under certain 42
68	68		circumstances; authorizing a dental therapist under 43
69	69		the direct supervision of a dentist to perform certain 44
70	70		duties if specified requirements are met; authorizing 45
71	71		a dental therapist providing services in a mobile 46
72	72		dental unit under the general supervision of a dentist 47
73	73		to perform certain duties if specified requirements 48
74	74		are met; requiring a dental therapist to notify the 49
75	75		board in writing within a specified timeframe after 50
76	76
77		-	~~CS/~~CS/HB 21 2025
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84	84		F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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88	88		specified adverse incidents; requiring a complete 51
89	89		written report to be filed with the board within a 52
90	90		specified timeframe; providing for disciplinary action 53
91	91		of a dental therapist; amending s. 466.018, F.S.; 54
92	92		providing that a dentist of record remains primarily 55
93	93		responsible for the dental treatment of a patient 56
94	94		regardless of whether the treatment is provided by a 57
95	95		dental therapist; requiring that the initials of a 58
96	96		dental therapist who renders treatment to a patient be 59
97	97		placed in the record of the patient; creating s. 60
98	98		466.0225, F.S.; providing application requirements a nd 61
99	99		examination and licensure qualifications for dental 62
100	100		therapists; creating s. 466.0227, F.S.; authorizing a 63
101	101		dental therapist to perform specified services under 64
102	102		the general supervision of a dentist under certain 65
103		-	conditions; requiring that a collaborative management 66
104		-	agreement be signed by a supervising dentist and a 67
105		-	dental therapist and to include certain information; 68
106		-	requiring the supervising dentist to determine the 69
107		-	number of hours of practice that a dental therapist 70
108		-	must complete before performing certai n authorized 71
109		-	services; authorizing a supervising dentist to 72
110		-	restrict or limit the dental therapist's practice in a 73
111		-	collaborative management agreement; providing that a 74
112		-	supervising dentist may authorize a dental therapist 75
113		-
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121		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
122		-
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125		-	to provide dental therapy services to a patient before 76
126		-	the dentist examines or diagnoses the patient under 77
127		-	certain conditions; requiring a supervising dentist to 78
128		-	be licensed and practicing in this state; specifying 79
129		-	that the supervising dentist is responsible for 80
130		-	certain services; amending s . 466.026, F.S.; providing 81
131		-	criminal penalties; amending s. 466.028, F.S.; 82
132		-	revising grounds for denial of a license or 83
133		-	disciplinary action to include the practice of dental 84
134		-	therapy; amending s. 466.0285, F.S.; prohibiting 85
135		-	persons other than licensed dentist s from employing a 86
136		-	dental therapist in the operation of a dental office 87
137		-	and from controlling the use of any dental equipment 88
138		-	or material in certain circumstances; amending s. 89
139		-	921.0022, F.S.; conforming a provision to changes made 90
140		-	by the act; requiring the department, in consultation 91
141		-	with the board and the Agency for Health Care 92
142		-	Administration, to provide reports to the Legislature 93
143		-	by specified dates; requiring that certain information 94
144		-	and recommendations be included in the reports; 95
145		-	providing an effective da te. 96
146		-	97
147		-	Be It Enacted by the Legislature of the State of Florida: 98
148		-	99
149		-	Section 1. Paragraph (c) of subsection (1) of section 100
150		-
151		-	CS/CS/HB 21 2025
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158		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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160		-
161		-
162		-	409.906, Florida Statutes, is amended, and paragraph (e) is 101
163		-	added to subsection (6) of that section, to read: 102
164		-	409.906 Optional Medicaid services.—Subject to specific 103
165		-	appropriations, the agency may make payments for services which 104
166		-	are optional to the state under Title XIX of the Social Security 105
167		-	Act and are furnished by Medicaid providers to recipients who 106
168		-	are determined to be eligib le on the dates on which the services 107
169		-	were provided. Any optional service that is provided shall be 108
170		-	provided only when medically necessary and in accordance with 109
171		-	state and federal law. Optional services rendered by providers 110
172		-	in mobile units to Medicaid rec ipients may be restricted or 111
173		-	prohibited by the agency. Nothing in this section shall be 112
174		-	construed to prevent or limit the agency from adjusting fees, 113
175		-	reimbursement rates, lengths of stay, number of visits, or 114
176		-	number of services, or making any other adjustm ents necessary to 115
177		-	comply with the availability of moneys and any limitations or 116
178		-	directions provided for in the General Appropriations Act or 117
179		-	chapter 216. If necessary to safeguard the state's systems of 118
180		-	providing services to elderly and disabled persons an d subject 119
181		-	to the notice and review provisions of s. 216.177, the Governor 120
182		-	may direct the Agency for Health Care Administration to amend 121
183		-	the Medicaid state plan to delete the optional Medicaid service 122
184		-	known as "Intermediate Care Facilities for the Developme ntally 123
185		-	Disabled." Optional services may include: 124
186		-	(1) ADULT DENTAL SERVICES. — 125
187		-
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195		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
196		-
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199		-	(c) However, Medicaid will not provide reimbursement for 126
200		-	dental services provided in a mobile dental unit, except for a 127
201		-	mobile dental unit: 128
202		-	1. Owned by, operated by, or havi ng a contractual 129
203		-	agreement with the Department of Health and complying with 130
204		-	Medicaid's county health department clinic services program 131
205		-	specifications as a county health department clinic services 132
206		-	provider. 133
207		-	2. Owned by, operated by, or having a contractu al 134
208		-	arrangement with a federally qualified health center and 135
209		-	complying with Medicaid's federally qualified health center 136
210		-	specifications as a federally qualified health center provider. 137
211		-	3. Rendering dental services to Medicaid recipients, 21 138
212		-	years of age and older, at nursing facilities. 139
213		-	4. Owned by, operated by, or having a contractual 140
214		-	agreement with a state -approved dental educational institution. 141
215		-	5. Owned by, operated by, or having a contractual 142
216		-	agreement with a health access setting as defined in s. 466.003 143
217		-	or a similar setting or program. 144
218		-	(6) CHILDREN'S DENTAL SERVICES. —The agency may pay for 145
219		-	diagnostic, preventive, or corrective procedures, including 146
220		-	orthodontia in severe cases, provided to a recipient under age 147
221		-	21, by or under the supervision of a licensed dentist. The 148
222		-	agency may also reimburse a health access setting as defined in 149
223		-	s. 466.003 for the remediable tasks that a licensed dental 150
224		-
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232		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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234		-
235		-
236		-	hygienist is authorized to perform under s. 466.024(2). Services 151
237		-	provided under this program include treatme nt of the teeth and 152
238		-	associated structures of the oral cavity, as well as treatment 153
239		-	of disease, injury, or impairment that may affect the oral or 154
240		-	general health of the individual. However, Medicaid will not 155
241		-	provide reimbursement for dental services provided in a mobile 156
242		-	dental unit, except for a mobile dental unit: 157
243		-	(e) Owned by, operated by, or having a contractual 158
244		-	agreement with a health access setting as defined in s. 466.003 159
245		-	or a similar setting or program. 160
246		-	Section 2. Section 466.001, Florida Statute s, is amended 161
247		-	to read: 162
248		-	466.001 Legislative purpose and intent. —The legislative 163
249		-	purpose for enacting this chapter is to ensure that every 164
250		-	dentist, dental therapist, or dental hygienist practicing in 165
251		-	this state meets minimum requirements for safe practice without 166
252		-	undue clinical interference by persons not licensed under this 167
253		-	chapter. It is the legislative intent that dental services be 168
254		-	provided only in accordance with the provisions of this chapter 169
255		-	and not be delegated to unauthorized individuals. It is the 170
256		-	further legislative intent that dentists , dental therapists, and 171
257		-	dental hygienists who fall below minimum competency or who 172
258		-	otherwise present a danger to the public shall be prohibited 173
259		-	from practicing in this state. All provisions of this chapter 174
260		-	relating to the practice of dentistry , dental therapy, and 175
261		-
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269		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
270		-
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272		-
273		-	dental hygiene shall be liberally construed to carry out such 176
274		-	purpose and intent. 177
275		-	Section 3. Subsections (5) a nd (6) of section 466.002, 178
276		-	Florida Statutes, are amended to read: 179
277		-	466.002 Persons exempt from operation of chapter. —Nothing 180
278		-	in This chapter does not shall apply to the following practices, 181
279		-	acts, and operations: 182
280		-	(5) Students in Florida schools of dentis try, dental 183
281		-	therapy, and dental hygiene or dental assistant educational 184
282		-	programs, while performing regularly assigned work under the 185
283		-	curriculum of such schools or programs. 186
284		-	(6) Instructors in Florida schools of dentistry, 187
285		-	instructors in dental programs t hat prepare persons holding 188
286		-	D.D.S. or D.M.D. degrees for certification by a specialty board 189
287		-	and that are accredited in the United States by January 1, 2005, 190
288		-	in the same manner as the board recognizes accreditation for 191
289		-	Florida schools of dentistry that are not otherwise affiliated 192
290		-	with a Florida school of dentistry, or instructors in Florida 193
291		-	schools of dental hygiene , dental therapy, or dental assistant 194
292		-	educational programs, while performing regularly assigned 195
293		-	instructional duties under the curriculum of suc h schools or 196
294		-	programs. A full-time dental instructor at a dental school or 197
295		-	dental program approved by the board may be allowed to practice 198
296		-	dentistry at the teaching facilities of such school or program, 199
297		-	upon receiving a teaching permit issued by the board, in strict 200
298		-
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306		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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308		-
309		-
310		-	compliance with such rules as are adopted by the board 201
311		-	pertaining to the teaching permit and with the established rules 202
312		-	and procedures of the dental school or program as recognized in 203
313		-	this section. 204
314		-	Section 4. Section 466.003, Florida Statute s, is reordered 205
315		-	and amended to read: 206
316		-	466.003 Definitions. —As used in this chapter , the term: 207
317		-	(1) "Board" means the Board of Dentistry. 208
318		-	(2)(6) "Dental assistant" means a person, other than a 209
319		-	dental hygienist, who, under the supervision and authorizati on 210
320		-	of a dentist, provides dental care services directly to a 211
321		-	patient. This term does shall not include a certified registered 212
322		-	nurse anesthetist licensed under part I of chapter 464. 213
323		-	(3)(4) "Dental hygiene" means the rendering of 214
324		-	educational, preventive, and therapeutic dental services 215
325		-	pursuant to ss. 466.023 and 466.024 and any related extra -oral 216
326		-	procedure required in the performance of such services. 217
327		-	(4)(5) "Dental hygienist" means a person licensed to 218
328		-	practice dental hygiene pursuant to this chapter. 219
329		-	(5) "Dental therapist" means a person licensed to practice 220
330		-	dental therapy pursuant to s. 466.0225. 221
331		-	(6) "Dental therapy" means the rendering of services 222
332		-	pursuant to s. 466.0227 and any related extraoral services or 223
333		-	procedures required in the performance of such services. 224
334		-	(7)(2) "Dentist" means a person licensed to practice 225
335		-
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343		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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345		-
346		-
347		-	dentistry pursuant to this chapter. 226
348		-	(8)(3) "Dentistry" means the healing art which is 227
349		-	concerned with the examination, diagnosis, treatment planning, 228
350		-	and care of conditions within t he human oral cavity and its 229
351		-	adjacent tissues and structures. It includes the performance or 230
352		-	attempted performance of any dental operation, or oral or oral -231
353		-	maxillofacial surgery and any procedures adjunct thereto, 232
354		-	including physical evaluation directly rel ated to such operation 233
355		-	or surgery pursuant to hospital rules and regulations. It also 234
356		-	includes dental service of any kind gratuitously or for any 235
357		-	remuneration paid, or to be paid, directly or indirectly, to any 236
358		-	person or agency. The term "dentistry" shall also includes 237
359		-	include the following: 238
360		-	(a) The Taking of an impression of the human tooth, teeth, 239
361		-	or jaws directly or indirectly and by any means or method. 240
362		-	(b) Supplying artificial substitutes for the natural teeth 241
363		-	or furnishing, supplying, constructing, reproducing, or 242
364		-	repairing any prosthetic denture, bridge, appliance, or any 243
365		-	other structure designed to be worn in the human mouth except on 244
366		-	the written work order of a duly licensed dentist. 245
367		-	(c) The Placing of an appliance or structure in the human 246
368		-	mouth or the adjusting or attempting to adjust the same. 247
369		-	(d) Delivering the same to any person other than the 248
370		-	dentist upon whose work order the work was performed. 249
371		-	(e) Professing to the public by any method to furnish, 250
372		-
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380		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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383		-
384		-	supply, construct, repr oduce, or repair any prosthetic denture, 251
385		-	bridge, appliance, or other structure designed to be worn in the 252
386		-	human mouth. 253
387		-	(f) Diagnosing, prescribing, or treating or professing to 254
388		-	diagnose, prescribe, or treat disease, pain, deformity, 255
389		-	deficiency, injury, o r physical condition of the human teeth or 256
390		-	jaws or oral-maxillofacial region. 257
391		-	(g) Extracting or attempting to extract human teeth. 258
392		-	(h) Correcting or attempting to correct malformations of 259
393		-	teeth or of jaws. 260
394		-	(i) Repairing or attempting to repair caviti es in the 261
395		-	human teeth. 262
396		-	(9)(7) "Department" means the Department of Health. 263
397		-	(10)(8) "Digital scanning" means the use of digital 264
398		-	technology that creates a computer -generated replica of the hard 265
399		-	and soft tissue of the oral cavity using enhanced digital 266
400		-	photography, lasers, or other optical scanning devices. 267
401		-	(11)(9) "Direct supervision" means supervision whereby a 268
402		-	dentist diagnoses the condition to be treated, a dentist 269
403		-	authorizes the procedure to be performed, a dentist remains on 270
404		-	the premises while the procedures are performed, and a dentist 271
405		-	approves the work performed before dismissal of the patient. 272
406		-	(12)(11) "General supervision" means supervision whereby a 273
407		-	dentist authorizes the procedures which are being carried out 274
408		-	but need not be present when the authorized procedures are being 275
409		-
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417		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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421		-	performed. The authorized procedures may also be performed at a 276
422		-	place other than the dentist's usual place of practice. The 277
423		-	issuance of a written work authorization to a commercial dental 278
424		-	laboratory by a dentist does not co nstitute general supervision. 279
425		-	(13)(15) "Health access setting" means a program or an 280
426		-	institution of the Department of Children and Families, the 281
427		-	Department of Health, the Department of Juvenile Justice, a 282
428		-	nonprofit community health center, a Head Start c enter, a 283
429		-	federally qualified health center or look -alike as defined by 284
430		-	federal law, a school -based prevention program, a clinic 285
431		-	operated by an accredited college of dentistry, or an accredited 286
432		-	dental hygiene program in this state if such community service 287
433		-	program or institution immediately reports to the Board of 288
434		-	Dentistry all violations of s. 466.027, s. 466.028, or other 289
435		-	practice act or standard of care violations related to the 290
436		-	actions or inactions of a dentist, dental hygienist, or dental 291
437		-	assistant engaged in the delivery of dental care in such 292
438		-	setting. 293
439		-	(14)(10) "Indirect supervision" means supervision whereby 294
440		-	a dentist authorizes the procedure and a dentist is on the 295
441		-	premises while the procedures are performed. 296
442		-	(15)(12) "Irremediable tasks" are those intraoral 297
443		-	treatment tasks which, when performed, are irreversible and 298
444		-	create unalterable changes within the oral cavity or the 299
445		-	contiguous structures or which cause an increased risk to the 300
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454		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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458		-	patient. The administration of ane sthetics other than topical 301
459		-	anesthesia is considered to be an "irremediable task" for 302
460		-	purposes of this chapter. 303
461		-	(16)(14) "Oral and maxillofacial surgery" means the 304
462		-	specialty of dentistry involving diagnosis, surgery, and 305
463		-	adjunctive treatment of diseases, injuries, and defects 306
464		-	involving the functional and esthetic aspects of the hard and 307
465		-	soft tissues of the oral and maxillofacial regions. This term 308
466		-	may not be construed to apply to any individual exempt under s. 309
467		-	466.002(1). 310
468		-	(17)(13) "Remediable tasks" are those intraoral treatment 311
469		-	tasks which are reversible and do not create unalterable changes 312
470		-	within the oral cavity or the contiguous structures and which do 313
471		-	not cause an increased risk to the patient. 314
472		-	(18)(16) "School-based prevention program" means 315
473		-	preventive oral health services offered at a school by one of 316
474		-	the entities described defined in subsection (13) (15) or by a 317
475		-	nonprofit organization that is exempt from federal income 318
476		-	taxation under s. 501(a) of the Internal Revenue Code, and 319
477		-	described in s. 501(c)(3) of the Internal Revenue Code. 320
478		-	Section 5. Subsection (2) of section 466.004, Florida 321
479		-	Statutes, is amended to read: 322
480		-	466.004 Board of Dentistry. — 323
481		-	(2) To advise the board, it is the intent of the 324
482		-	Legislature that councils be appointed as specif ied in 325
483		-
484		-	CS/CS/HB 21 2025
485		-
486		-
487		-
488		-	CODING: Words stricken are deletions; words underlined are additions.
489		-	hb21-02-c2
490		-	Page 14 of 68
491		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
492		-
493		-
494		-
495		-	paragraphs (a)-(d) (a), (b), and (c). The department shall 326
496		-	provide administrative support to the councils and shall provide 327
497		-	public notice of meetings and agendas agenda of the councils. 328
498		-	Councils must shall include at least one board member , who shall 329
499		-	serve as chair, the council and must shall include nonboard 330
500		-	members. All council members shall be appointed by the board 331
501		-	chair. Council members shall be appointed for 4 -year terms, and 332
502		-	all members are shall be eligible for reimbursement of expenses 333
503		-	in the manner of board members. 334
504		-	(a) A Council on Dental Hygiene shall be appointed by the 335
505		-	board chair and shall include one dental hygienist member of the 336
506		-	board, who shall chair the council, one dental member of the 337
507		-	board, and three dental hygienists who are actively engaged in 338
508		-	the practice of dental hygiene in this state. In making the 339
509		-	appointments, the chair shall consider recommendations from the 340
510		-	Florida Dental Hygiene Association. The council shall meet at 341
511		-	the request of the board chair, a majority of the members of the 342
512		-	board, or the council chair; however, the council must meet at 343
513		-	least three times a year. The council is charged with the 344
514		-	responsibility of and shall meet for the purpose of developing 345
515		-	rules and policies for recommendation to the board, which the 346
516		-	board shall consider, on matters pertaining to that part of 347
517		-	dentistry consisting of educational, preventive, or therapeutic 348
518		-	dental hygiene services; dental hygiene licensure, discipline, 349
519		-	or regulation; and dental hygiene education. Rule and policy 350
520		-
521		-	CS/CS/HB 21 2025
522		-
523		-
524		-
525		-	CODING: Words stricken are deletions; words underlined are additions.
526		-	hb21-02-c2
527		-	Page 15 of 68
528		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
529		-
530		-
531		-
532		-	recommendations of the council must shall be considered by the 351
533		-	board at its next regularly scheduled meeting in the same manner 352
534		-	in which it considers rule and policy recommendations from 353
535		-	designated subcommittees of the board. Any rule or policy 354
536		-	proposed by the board pertaining to the specified part of 355
537		-	dentistry identified defined by this subsection must shall be 356
538		-	referred to the council for a recommendation before final action 357
539		-	by the board. The board may take final action on rules 358
540		-	pertaining to the specified part of dentistry identified defined 359
541		-	by this subsection without a council recommendation if the 360
542		-	council fails to submit a recommendation in a timely fashion as 361
543		-	prescribed by the board. 362
544		-	(b) A Council on Dental Assisting shall be appointed by 363
545		-	the board chair and shall include one board member who shall 364
546		-	chair the council and three dental assistants who are ac tively 365
547		-	engaged in dental assisting in this state. The council shall 366
548		-	meet at the request of the board chair or a majority of the 367
549		-	members of the board. The council shall meet for the purpose of 368
550		-	developing recommendations to the board on matters pertaining to 369
551		-	that part of dentistry related to dental assisting. 370
552		-	(c) Effective 28 months after the first dental therapy 371
553		-	license is granted by the board, the board chair shall appoint a 372
554		-	Council on Dental Therapy, which must include one board member 373
555		-	who shall chair the council and three dental therapists who are 374
556		-	actively engaged in the practice of dental therapy in this 375
557		-
558		-	CS/CS/HB 21 2025
559		-
560		-
561		-
562		-	CODING: Words stricken are deletions; words underlined are additions.
563		-	hb21-02-c2
564		-	Page 16 of 68
565		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
566		-
567		-
568		-
569		-	state. The council shall meet at the request of the board chair, 376
570		-	a majority of the members of the board, or the council chair; 377
571		-	however, the council sha ll meet at least three times per year. 378
572		-	The council is charged with the responsibility of, and shall 379
573		-	meet for the purpose of, developing rules and policies for 380
574		-	recommendation to the board on matters pertaining to that part 381
575		-	of dentistry consisting of educati onal, preventive, or 382
576		-	therapeutic dental therapy services; dental therapy licensure, 383
577		-	discipline, or regulation; and dental therapy education. Rule 384
578		-	and policy recommendations of the council must be considered by 385
579		-	the board at its next regularly scheduled meet ing in the same 386
580		-	manner in which it considers rule and policy recommendations 387
581		-	from designated subcommittees of the board. Any rule or policy 388
582		-	proposed by the board pertaining to the specified part of 389
583		-	dentistry identified by this subsection must be referred t o the 390
584		-	council for a recommendation before final action by the board. 391
585		-	The board may take final action on rules pertaining to the 392
586		-	specified part of dentistry identified by this subsection 393
587		-	without a council recommendation if the council fails to submit 394
588		-	a recommendation in a timely fashion as prescribed by the board. 395
589		-	(d)(c) With the concurrence of the State Surgeon General, 396
590		-	the board chair may create and abolish other advisory councils 397
591		-	relating to dental subjects, including, but not limited to: 398
592		-	examinations, access to dental care, indigent care, nursing home 399
593		-	and institutional care, public health, disciplinary guidelines, 400
594		-
595		-	CS/CS/HB 21 2025
596		-
597		-
598		-
599		-	CODING: Words stricken are deletions; words underlined are additions.
600		-	hb21-02-c2
601		-	Page 17 of 68
602		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
603		-
604		-
605		-
606		-	and other subjects as appropriate. Such councils shall be 401
607		-	appointed by the board chair and shall include at least one 402
608		-	board member who shall serve as chair. 403
609		-	Section 6. Paragraph (b) of subsection (4) of section 404
610		-	466.006, Florida Statutes, is amended to read: 405
611		-	466.006 Examination of dentists. — 406
612		-	(4) Notwithstanding any other provision of law in chapter 407
613		-	456 pertaining to the clinical dental l icensure examination or 408
614		-	national examinations, to be licensed as a dentist in this 409
615		-	state, an applicant must successfully complete both of the 410
616		-	following: 411
617		-	(b) A practical or clinical examination, which must be the 412
618		-	American Dental Licensing Examination prod uced by the American 413
619		-	Board of Dental Examiners, Inc., or its successor entity, if 414
620		-	any, which is administered in this state, provided that the 415
621		-	board has attained, and continues to maintain thereafter, 416
622		-	representation on the board of directors of the American Board 417
623		-	of Dental Examiners, the examination development committee of 418
624		-	the American Board of Dental Examiners, and such other 419
625		-	committees of the American Board of Dental Examiners as the 420
626		-	board deems appropriate by rule to assure that the standards 421
627		-	established herein are maintained organizationally. 422
628		-	1. As an alternative to such practical or clinical 423
629		-	examination, an applicant may submit scores from an American 424
630		-	Dental Licensing Examination previously administered in a 425
631		-
632		-	CS/CS/HB 21 2025
633		-
634		-
635		-
636		-	CODING: Words stricken are deletions; words underlined are additions.
637		-	hb21-02-c2
638		-	Page 18 of 68
639		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
640		-
641		-
642		-
643		-	jurisdiction other than this state after Oc tober 1, 2011, and 426
644		-	such examination results are recognized as valid for the purpose 427
645		-	of licensure in this state. A passing score on the American 428
646		-	Dental Licensing Examination administered out of state is the 429
647		-	same as the passing score for the American Dental Licensing 430
648		-	Examination administered in this state. The applicant must have 431
649		-	completed the examination after October 1, 2011. This 432
650		-	subparagraph may not be given retroactive application. 433
651		-	2. If the date of an applicant's passing American Dental 434
652		-	Licensing Examination scores from an examination previously 435
653		-	administered in a jurisdiction other than this state under 436
654		-	subparagraph 1. is older than 365 days, such scores are 437
655		-	nevertheless valid for the purpose of licensure in this state, 438
656		-	but only if the applicant demons trates that all of the following 439
657		-	additional standards have been met: 440
658		-	a. The applicant completed the American Dental Licensing 441
659		-	Examination after October 1, 2011. This sub -subparagraph may not 442
660		-	be given retroactive application. 443
661		-	b. The applicant graduated from a dental school accredited 444
662		-	by the American Dental Association Commission on Dental 445
663		-	Accreditation or its successor entity, if any, or any other 446
664		-	dental accrediting organization recognized by the United States 447
665		-	Department of Education. Provided, however, if the applicant did 448
666		-	not graduate from such a dental school, the applicant may submit 449
667		-	proof of having successfully completed a full -time supplemental 450
668		-
669		-	CS/CS/HB 21 2025
670		-
671		-
672		-
673		-	CODING: Words stricken are deletions; words underlined are additions.
674		-	hb21-02-c2
675		-	Page 19 of 68
676		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
677		-
678		-
679		-
680		-	general dentistry program accredited by the American Dental 451
681		-	Association Commission on Dental Accreditation of at least 2 452
682		-	consecutive academic years at such accredited sponsoring 453
683		-	institution. Such program must provide didactic and clinical 454
684		-	education at the level of a D.D.S. or D.M.D. program accredited 455
685		-	by the American Dental Association Commission on Dental 456
686		-	Accreditation. For purposes of this sub -subparagraph, a 457
687		-	supplemental general dentistry program does not include an 458
688		-	advanced education program in a dental specialty. 459
689		-	c. The applicant currently possesses a valid and active 460
690		-	dental license in good standing, wit h no restriction, which has 461
691		-	never been revoked, suspended, restricted, or otherwise 462
692		-	disciplined, from another state or territory of the United 463
693		-	States, the District of Columbia, or the Commonwealth of Puerto 464
694		-	Rico. 465
695		-	d. The applicant must disclose to the boa rd during the 466
696		-	application process if he or she has been reported to the 467
697		-	National Practitioner Data Bank, the Healthcare Integrity and 468
698		-	Protection Data Bank, or the American Association of Dental 469
699		-	Boards Clearinghouse. This sub -subparagraph does not apply if 470
700		-	the applicant successfully appealed to have his or her name 471
701		-	removed from the data banks of these agencies. 472
702		-	e.(I)(A) The applicant submits proof of having been 473
703		-	consecutively engaged in the full -time practice of dentistry in 474
704		-	another state or territory of t he United States, the District of 475
705		-
706		-	CS/CS/HB 21 2025
707		-
708		-
709		-
710		-	CODING: Words stricken are deletions; words underlined are additions.
711		-	hb21-02-c2
712		-	Page 20 of 68
713		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
714		-
715		-
716		-
717		-	Columbia, or the Commonwealth of Puerto Rico in the 5 years 476
718		-	immediately preceding the date of application for licensure in 477
719		-	this state; or 478
720		-	(B) If the applicant has been licensed in another state or 479
721		-	territory of the United States, the District of Columbia, or the 480
722		-	Commonwealth of Puerto Rico for less than 5 years, the applicant 481
723		-	submits proof of having been engaged in the full -time practice 482
724		-	of dentistry since the date of his or her initial licensure. 483
725		-	(II) As used in this se ction, "full-time practice" is 484
726		-	defined as a minimum of 1,200 hours per year for each year in 485
727		-	the consecutive 5-year period or, when applicable, the period 486
728		-	since initial licensure, and must include any combination of the 487
729		-	following: 488
730		-	(A) Active clinical pra ctice of dentistry providing direct 489
731		-	patient care. 490
732		-	(B) Full-time practice as a faculty member employed by a 491
733		-	dental, dental therapy, or dental hygiene school approved by the 492
734		-	board or accredited by the American Dental Association 493
735		-	Commission on Dental Accred itation. 494
736		-	(C) Full-time practice as a student at a postgraduate 495
737		-	dental education program approved by the board or accredited by 496
738		-	the American Dental Association Commission on Dental 497
739		-	Accreditation. 498
740		-	(III) The board shall develop rules to determine what typ e 499
741		-	of proof of full-time practice is required and to recoup the 500
742		-
743		-	CS/CS/HB 21 2025
744		-
745		-
746		-
747		-	CODING: Words stricken are deletions; words underlined are additions.
748		-	hb21-02-c2
749		-	Page 21 of 68
750		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
751		-
752		-
753		-
754		-	cost to the board of verifying full -time practice under this 501
755		-	section. Such proof must, at a minimum, be: 502
756		-	(A) Admissible as evidence in an administrative 503
757		-	proceeding; 504
758		-	(B) Submitted in writing; 505
759		-	(C) Further documented by an applicant's annual income tax 506
760		-	return filed with the Internal Revenue Service for each year in 507
761		-	the preceding 5-year period or, if the applicant has been 508
762		-	practicing for less than 5 years, the period since initial 509
763		-	licensure; and 510
764		-	(D) Specifically found by the board to be both credible 511
765		-	and admissible. 512
766		-	(IV) The board may excuse applicants from the 1,200 -hour 513
767		-	requirement in the event of hardship, as defined by the board. 514
768		-	f. The applicant submits documentation that he o r she has 515
769		-	completed, or will complete before he or she is licensed in this 516
770		-	state, continuing education equivalent to this state's 517
771		-	requirements for the last full reporting biennium. 518
772		-	g. The applicant proves that he or she has never been 519
773		-	convicted of, or pled nolo contendere to, regardless of 520
774		-	adjudication, any felony or misdemeanor related to the practice 521
775		-	of a health care profession in any jurisdiction. 522
776		-	h. The applicant has successfully passed a written 523
777		-	examination on the laws and rules of this state regul ating the 524
778		-	practice of dentistry and the computer -based diagnostic skills 525
779		-
780		-	CS/CS/HB 21 2025
781		-
782		-
783		-
784		-	CODING: Words stricken are deletions; words underlined are additions.
785		-	hb21-02-c2
786		-	Page 22 of 68
787		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
788		-
789		-
790		-
791		-	examination. 526
792		-	i. The applicant submits documentation that he or she has 527
793		-	successfully completed the applicable examination administered 528
794		-	by the Joint Commission on National Dental Exam inations or its 529
795		-	successor organization. 530
796		-	Section 7. Subsection (1) of section 466.009, Florida 531
797		-	Statutes, is amended, and subsection (4) is added to that 532
798		-	section, to read: 533
799		-	466.009 Reexamination. — 534
800		-	(1) Any person who fails an examination that is requir ed 535
801		-	under s. 466.006, or s. 466.007, or s. 466.0225 may retake the 536
802		-	examination. 537
803		-	(4) If an applicant for a license to practice dental 538
804		-	therapy fails the practical or clinical examination and she or 539
805		-	he has failed only one part or procedure of such examinatio n, 540
806		-	she or he may be required to retake only that part or procedure 541
807		-	to pass such examination. However, if any such applicant fails 542
808		-	more than one part or procedure of any such examination, she or 543
809		-	he must be required to retake the entire examination. 544
810		-	Section 8. Section 466.011, Florida Statutes, is amended 545
811		-	to read: 546
812		-	466.011 Licensure.—The board shall certify for licensure 547
813		-	by the department any applicant who satisfies the requirements 548
814		-	of s. 466.006, s. 466.0067, or s. 466.007, or s. 466.0225. The 549
815		-	board may refuse to certify an applicant who has violated any of 550
816		-
817		-	CS/CS/HB 21 2025
818		-
819		-
820		-
821		-	CODING: Words stricken are deletions; words underlined are additions.
822		-	hb21-02-c2
823		-	Page 23 of 68
824		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
825		-
826		-
827		-
828		-	the provisions of s. 466.026 or s. 466.028. 551
829		-	Section 9. Section 466.0136, Florida Statutes, is created 552
830		-	to read: 553
831		-	466.0136 Continuing education; dental therapists. —In 554
832		-	addition to any other requirem ents for relicensure for dental 555
833		-	therapists specified in this chapter, the board shall require 556
834		-	each licensed dental therapist to complete at least 24 hours, 557
835		-	but not more than 36 hours, biennially of continuing education 558
836		-	in dental subjects in programs approv ed by the board or in 559
837		-	equivalent programs of continuing education. Programs of 560
838		-	continuing education approved by the board must be programs of 561
839		-	learning which, in the opinion of the board, contribute directly 562
840		-	to the dental education of the dental therapist. An individual 563
841		-	who is licensed as both a dental therapist and a dental 564
842		-	hygienist may use 2 hours of continuing education that is 565
843		-	approved for both dental therapy and dental hygiene education to 566
844		-	satisfy both dental therapy and dental hygiene continuing 567
845		-	education requirements. The board shall adopt rules and 568
846		-	guidelines to administer and enforce this section. The dental 569
847		-	therapist shall retain in her or his records any receipts, 570
848		-	vouchers, or certificates necessary to document completion of 571
849		-	the continuing educati on. Compliance with the continuing 572
850		-	education requirements is mandatory for issuance of the renewal 573
851		-	certificate. The board may excuse licensees, as a group or as 574
852		-	individuals, from all or part of the continuing education 575
853		-
854		-	CS/CS/HB 21 2025
855		-
856		-
857		-
858		-	CODING: Words stricken are deletions; words underlined are additions.
859		-	hb21-02-c2
860		-	Page 24 of 68
861		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
862		-
863		-
864		-
865		-	requirements if an unusual circumstan ce, emergency, or hardship 576
866		-	prevents compliance with this section. 577
867		-	Section 10. Subsection (1) of section 466.016, Florida 578
868		-	Statutes, is amended to read: 579
869		-	466.016 License to be displayed. — 580
870		-	(1) Every practitioner of dentistry , dental therapy, or 581
871		-	dental hygiene within the meaning of this chapter shall post and 582
872		-	keep conspicuously displayed her or his license in the office 583
873		-	where wherein she or he practices, in plain sight of the 584
874		-	practitioner's patients. Any dentist , dental therapist, or 585
875		-	dental hygienist who practices at more than one location must 586
876		-	display a copy of her or his license in each office where she or 587
877		-	he practices. 588
878		-	Section 11. Section 466.017, Florida Statutes, is amended, 589
879		-	to read: 590
880		-	466.017 Prescription of drugs; anesthesia. — 591
881		-	(1) A dentist shall have the right to prescribe drugs or 592
882		-	medicine, subject to limitations imposed by law; perform 593
883		-	surgical operations within the scope of her or his practice and 594
884		-	training; administer general or local anesthesia or sedation, 595
885		-	subject to limitations imposed by law; and use such appliances 596
886		-	as may be necessary to the proper practice of dentistry. 597
887		-	(2) Pharmacists licensed pursuant to chapter 465 may fill 598
888		-	prescriptions of legally licensed dentists in this state for any 599
889		-	drugs necessary for the practice of dentis try. 600
890		-
891		-	CS/CS/HB 21 2025
892		-
893		-
894		-
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898		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
899		-
900		-
901		-
902		-	(3) The board shall adopt rules which: 601
903		-	(d) Establish further requirements relating to the use of 602
904		-	general anesthesia or sedation, including, but not limited to, 603
905		-	office equipment and the training of dental assistants , dental 604
906		-	therapists, or dental hygienists who work with dentists using 605
907		-	general anesthesia or sedation. 606
908		-	(e) Establish an administrative mechanism enabling the 607
909		-	board to verify compliance with training, education, experience, 608
910		-	equipment, or certification requirements of dentists, dental 609
911		-	therapists, dental hygienists, and dental assistants adopted 610
912		-	pursuant to this subsection. The board may charge a fee to 611
913		-	defray the cost of verifying compliance with requirements 612
914		-	adopted pursuant to this paragraph. 613
915		-	(4) A dentist, dental therapist, or dental hygienist who 614
916		-	administers or employs the use of any form of anesthesia must 615
917		-	possess a certification in either basic cardiopulmonary 616
918		-	resuscitation for health professionals or advanced cardiac life 617
919		-	support approved by the American Heart Association or the 618
920		-	American Red Cross or an equivalent agency -sponsored course with 619
921		-	recertification every 2 years. Each dental office that which 620
922		-	uses any form of anesthesia must have immediately available and 621
923		-	in good working order such resuscitative equipment, oxygen, and 622
924		-	other resuscitative drugs as are specified by rule of the board 623
925		-	in order to manage possible adverse reactions. 624
926		-	(5) A dental hygienist under the direct supervision of a 625
927		-
928		-	CS/CS/HB 21 2025
929		-
930		-
931		-
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935		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
936		-
937		-
938		-
939		-	dentist may administer local anesthesia, including intraoral 626
940		-	block anesthesia, soft tissue infiltration anesthesia, or both, 627
941		-	to a nonsedated patient who is 18 years of age or older, if the 628
942		-	following criteria are met: 629
943		-	(a) The dental hygienist has successfully completed a 630
944		-	course in the administration of local anesthesia which is 631
945		-	offered by a dental or dental hygiene program accredited by the 632
946		-	Commission on Dental Accreditation of the American Dental 633
947		-	Association or approved by the board. The course must include a 634
948		-	minimum of 30 hours of didactic instruction and 30 hours of 635
949		-	clinical experience, an d instruction in: 636
950		-	1. Theory of pain control. 637
951		-	2. Selection-of-pain-control modalities. 638
952		-	3. Anatomy. 639
953		-	4. Neurophysiology. 640
954		-	5. Pharmacology of local anesthetics. 641
955		-	6. Pharmacology of vasoconstrictors. 642
956		-	7. Psychological aspects of pain control. 643
957		-	8. Systematic complications. 644
958		-	9. Techniques of maxillary anesthesia. 645
959		-	10. Techniques of mandibular anesthesia. 646
960		-	11. Infection control. 647
961		-	12. Medical emergencies involving local anesthesia. 648
962		-	(b) The dental hygienist presents evidence of current 649
963		-	certification in basic or advanced cardiac life support. 650
964		-
965		-	CS/CS/HB 21 2025
966		-
967		-
968		-
969		-	CODING: Words stricken are deletions; words underlined are additions.
970		-	hb21-02-c2
971		-	Page 27 of 68
972		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
973		-
974		-
975		-
976		-	(c) The dental hygienist possesses a valid certificate 651
977		-	issued under subsection (8) (6). 652
978		-	(6) A dental therapist, under the direct supervision of a 653
979		-	dentist may administer local anesthesia, including intraoral 654
980		-	block anesthesia, soft tissue infiltration anesthesia, or both, 655
981		-	if the following criteria are met: 656
982		-	(a) The dental therapist has successfully completed a 657
983		-	course in the administration of local anesthesia that meets the 658
984		-	requirements described in paragraph (5 )(a). 659
985		-	(b) The dental therapist presents evidence of current 660
986		-	certification in basic or advanced cardiac life support. 661
987		-	(c) The dental therapist possesses a valid certificate 662
988		-	issued under subsection (8). 663
989		-	(7) A dental therapist providing services in a m obile 664
990		-	dental unit may administer local anesthesia, including intraoral 665
991		-	block anesthesia, soft tissue infiltration anesthesia, or both, 666
992		-	under the general supervision of a dentist, if she or he meets 667
993		-	the criteria described in subsection (6). 668
994		-	(8)(6) Any dental therapist or dental hygienist seeking a 669
995		-	certificate to administer local anesthesia must apply to the 670
996		-	department, remit an application fee, and submit proof of 671
997		-	successful completion of a course in the administration of local 672
998		-	anesthesia pursuant to su bsection (5). The board shall certify, 673
999		-	and the department shall issue a certificate to, any dental 674
1000		-	therapist or dental hygienist who fulfills the qualifications of 675
1001		-
1002		-	CS/CS/HB 21 2025
1003		-
1004		-
1005		-
1006		-	CODING: Words stricken are deletions; words underlined are additions.
1007		-	hb21-02-c2
1008		-	Page 28 of 68
1009		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1010		-
1011		-
1012		-
1013		-	subsection (5). The board shall establish a one -time application 676
1014		-	fee not to exceed $35. The certificate is not subject to renewal 677
1015		-	but is part of the dental therapist's or dental hygienist's 678
1016		-	permanent record and must be prominently displayed at the 679
1017		-	location where the dental therapist or dental hygienist is 680
1018		-	authorized to administer local anesthesia . The board shall adopt 681
1019		-	rules necessary to administer subsections subsection (5), (6), 682
1020		-	and (7) and this subsection. 683
1021		-	(9)(7) A licensed dentist, or a dental therapist who is 684
1022		-	authorized by her or his supervising dentist, may operate 685
1023		-	utilize an X-ray machine, expose dental X-ray films, and 686
1024		-	interpret or read such films. Notwithstanding The provisions of 687
1025		-	part IV of chapter 468 to the contrary notwithstanding , a 688
1026		-	licensed dentist, or a dental therapist who is authorized by her 689
1027		-	or his supervising dentist, may authorize or direct a dental 690
1028		-	assistant to operate such equipment and expose such films under 691
1029		-	her or his direction and supervision, pursuant to rules adopted 692
1030		-	by the board in accordance with s. 466.024 which ensure that the 693
1031		-	said assistant is competent by reason of training and experience 694
1032		-	to operate the X-ray said equipment in a safe and efficient 695
1033		-	manner. The board may charge a fee not to exceed $35 to defray 696
1034		-	the cost of verifying compliance with requirements adopted 697
1035		-	pursuant to this section. 698
1036		-	(10)(8) Notwithstanding The provisions of s. 465.0276 699
1037		-	notwithstanding, a dentist need not register with the board or 700
1038		-
1039		-	CS/CS/HB 21 2025
1040		-
1041		-
1042		-
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1046		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1047		-
1048		-
1049		-
1050		-	comply with the continuing education requirements of that 701
1051		-	section if the dentist confines her or his dispensing activity 702
1052		-	to the dispensing of fluorides and chlorhexidine chlorohexidine 703
1053		-	rinse solutions; provided that the dentist complies with and is 704
1054		-	subject to all laws and rules applicable to pharmacists and 705
1055		-	pharmacies, including, but not limited to, chapters 465, 499, 706
1056		-	and 893, and all applicable federal laws an d regulations, when 707
1057		-	dispensing such products. 708
1058		-	(11)(9) Any adverse incident that occurs in an office 709
1059		-	maintained by a dentist must be reported to the department. The 710
1060		-	required notification to the department must be submitted in 711
1061		-	writing by certified mail and postmarked within 48 hours after 712
1062		-	the incident occurs. 713
1063		-	(12)(10) A dentist practicing in this state must notify 714
1064		-	the board in writing by certified mail within 48 hours after any 715
1065		-	adverse incident that occurs in the dentist's outpatient 716
1066		-	facility. A complete written report must be filed with the board 717
1067		-	within 30 days after the incident occurs. 718
1068		-	(13)(11) Any certified registered dental hygienist 719
1069		-	administering local anesthesia must notify the board in writing 720
1070		-	by registered mail within 48 hours after any adverse incident 721
1071		-	that was related to or the result of the administration of local 722
1072		-	anesthesia. A complete written report must be filed with the 723
1073		-	board within 30 days after the mortality or other adverse 724
1074		-	incident. 725
1075		-
1076		-	CS/CS/HB 21 2025
1077		-
1078		-
1079		-
1080		-	CODING: Words stricken are deletions; words underlined are additions.
1081		-	hb21-02-c2
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1083		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1084		-
1085		-
1086		-
1087		-	(14) A dental therapist must notify the board in wr iting 726
1088		-	by registered mail within 48 hours after any adverse incident 727
1089		-	related to or resulting from the administration of local 728
1090		-	anesthesia. A complete written report must be filed with the 729
1091		-	board within 30 days after the mortality or other adverse 730
1092		-	incident. 731
1093		-	(15)(12) A failure by the dentist , dental therapist, or 732
1094		-	dental hygienist to timely and completely comply with all the 733
1095		-	reporting requirements in this section is the basis for 734
1096		-	disciplinary action by the board pursuant to s. 466.028(1). 735
1097		-	(16)(13) The department shall review each adverse incident 736
1098		-	and determine whether it involved conduct by a health care 737
1099		-	professional subject to disciplinary action, in which case s. 738
1100		-	456.073 applies. Disciplinary action, if any, shall be taken by 739
1101		-	the board under which the health care professional is licensed. 740
1102		-	(17)(14) As used in subsections (11)-(16) (9)-(13), the 741
1103		-	term "adverse incident" means any mortality that occurs during 742
1104		-	or as the result of a dental procedure, or an incident that 743
1105		-	results in a temporary or permanent physical or mental injury 744
1106		-	that requires hospitalization or emergency room treatment of a 745
1107		-	dental patient which occurs during or as a direct result of the 746
1108		-	use of general anesthesia, deep sedation, moderate sedation, 747
1109		-	pediatric moderate sedation, oral sedation , minimal sedation 748
1110		-	(anxiolysis), nitrous oxide, or local anesthesia. 749
1111		-	(18)(15) The board may adopt rules to administer this 750
1112		-
1113		-	CS/CS/HB 21 2025
1114		-
1115		-
1116		-
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1118		-	hb21-02-c2
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1120		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1121		-
1122		-
1123		-
1124		-	section. 751
1125		-	Section 12. Subsection (1) of section 466.018, Florida 752
1126		-	Statutes, is amended to read: 753
1127		-	466.018 Dentist of record; pati ent records.— 754
1128		-	(1) Each patient must shall have a dentist of record. The 755
1129		-	dentist of record shall remain primarily responsible for all 756
1130		-	dental treatment on such patient regardless of whether the 757
1131		-	treatment is rendered by that the dentist or by another dentist, 758
1132		-	a dental therapist, a dental hygienist, or a dental assistant 759
1133		-	rendering such treatment in conjunction with, at the direction 760
1134		-	or request of, or under the supervision of such dentist of 761
1135		-	record. The dentist of record must shall be identified in the 762
1136		-	record of the patient. If treatment is rendered by a dentist 763
1137		-	other than the dentist of record or by a dental hygienist , 764
1138		-	dental therapist, or dental assistant, the name or initials of 765
1139		-	such person must shall be placed in the record of t he patient. 766
1140		-	In any disciplinary proceeding brought pursuant to this chapter 767
1141		-	or chapter 456, it must shall be presumed as a matter of law 768
1142		-	that treatment was rendered by the dentist of record unless 769
1143		-	otherwise noted on the patient record pursuant to this sect ion. 770
1144		-	The dentist of record and any other treating dentist are subject 771
1145		-	to discipline pursuant to this chapter or chapter 456 for 772
1146		-	treatment rendered to the patient and performed in violation of 773
1147		-	such chapter. One of the purposes of this section is to ensure 774
1148		-	that the responsibility for each patient is assigned to one 775
1149		-
1150		-	CS/CS/HB 21 2025
1151		-
1152		-
1153		-
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1157		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1158		-
1159		-
1160		-
1161		-	dentist in a multidentist practice of any nature and to assign 776
1162		-	primary responsibility to the dentist for treatment rendered by 777
1163		-	a dental hygienist, dental therapist, or dental assistant under 778
1164		-	her or his supervision. This section may shall not be construed 779
1165		-	to assign any responsibility to a dentist of record for 780
1166		-	treatment rendered pursuant to a proper referral to another 781
1167		-	dentist who does not in practice with the dentist of record or 782
1168		-	to prohibit a patient from voluntarily selecting a new dentist 783
1169		-	without permission of the dentist of record. 784
1170		-	Section 13. Section 466.0225, Florida Statutes, is created 785
1171		-	to read: 786
1172		-	466.0225 Examination of dental therapists; licensing. — 787
1173		-	(1)(a) Any person desiring to be lic ensed as a dental 788
1174		-	therapist must apply to the department. 789
1175		-	(b) Applicants for licensure must also submit to 790
1176		-	background screening in accordance with s. 456.0135. 791
1177		-	(2) The department shall issue a license to an applicant 792
1178		-	who the board certifies meets all of the following criteria: 793
1179		-	(a) Is 18 years of age or older. 794
1180		-	(b) Is a graduate of a dental therapy college or school 795
1181		-	accredited by the American Dental Association Commission on 796
1182		-	Dental Accreditation or its successor entity, if any, or any 797
1183		-	other dental therapy accrediting entity recognized by the United 798
1184		-	States Department of Education. For applicants applying for a 799
1185		-	dental therapy license before January 1, 2030, the board must 800
1186		-
1187		-	CS/CS/HB 21 2025
1188		-
1189		-
1190		-
1191		-	CODING: Words stricken are deletions; words underlined are additions.
1192		-	hb21-02-c2
1193		-	Page 33 of 68
1194		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1195		-
1196		-
1197		-
1198		-	approve the applicant's dental therapy education program if the 801
1199		-	program was administered by a college or school that operates an 802
1200		-	accredited dental or dental hygiene program and the college or 803
1201		-	school certifies to the board that the applicant's education 804
1202		-	substantially conformed to the education standards established 805
1203		-	by the American Dental Association Commission on Dental 806
1204		-	Accreditation or its successor entity. 807
1205		-	(c) Has successfully completed a dental therapy practical 808
1206		-	or clinical examination produced by the American Board of Dental 809
1207		-	Examiners, Inc., or its successor entity, if any, if the b oard 810
1208		-	finds that the successor entity's examination meets or exceeds 811
1209		-	the requirements of this section. If an applicant fails to pass 812
1210		-	such an examination in three attempts, the applicant is not 813
1211		-	eligible to retake the examination unless the applicant 814
1212		-	completes additional education requirements as specified by the 815
1213		-	board. 816
1214		-	(d) Has successfully completed a written examination on 817
1215		-	the laws and rules of this state regulating the practice of 818
1216		-	dental therapy. 819
1217		-	(e) Has not been disciplined by a board, except for 820
1218		-	citation offenses or minor violations. 821
1219		-	(f) Has not been convicted of or pled nolo contendere to, 822
1220		-	regardless of adjudication, any felony or misdemeanor related to 823
1221		-	the practice of a health care profession. 824
1222		-	(3) An applicant who meets the requirements of this 825
1223		-
1224		-	CS/CS/HB 21 2025
1225		-
1226		-
1227		-
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1231		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1232		-
1233		-
1234		-
1235		-	section and who has successfully completed an examination 826
1236		-	identified in paragraph (2)(c) in a jurisdiction other than this 827
1237		-	state, or who has successfully completed a comparable 828
1238		-	examination administered or approved by the licensing authority 829
1239		-	in a jurisdiction other than this state, shall be licensed to 830
1240		-	practice dental therapy in this state if the board determines 831
1241		-	that the other jurisdiction's examination is substantially 832
1242		-	similar to those identified in paragraph (2)(c). 833
1243		-	Section 14. Section 466.0227, Florid a Statutes, is created 834
1244		-	to read: 835
1245		-	466.0227 Dental therapists; scope and area of practice. — 836
1246		-	(1) Except as otherwise provided in this chapter, a dental 837
1247		-	therapist may perform the dental therapy services specified in 838
1248		-	subsection (2) under the general supervis ion of a dentist if 839
1249		-	providing services in a mobile dental unit and under direct 840
1250		-	supervision of a dentist in all other service scenarios to the 841
1251		-	extent authorized by the supervising dentist and provided within 842
1252		-	the terms of a written collaborative management agreement signed 843
1253		-	by the dental therapist and the supervising dentist which meets 844
1254		-	the requirements of subsection (3). 845
1255		-	(2) The scope of practice of a dental therapist, subject 846
1256		-	to the terms of a written collaborative management agreement, 847
1257		-	includes all of the following: 848
1258		-	(a) Oral evaluation and assessment of dental disease and 849
1259		-	formulation of an individualized treatment plan. 850
1260		-
1261		-	CS/CS/HB 21 2025
1262		-
1263		-
1264		-
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1268		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1269		-
1270		-
1271		-
1272		-	(b) Identification of oral and systemic conditions 851
1273		-	requiring evaluation or treatment by dentists, physicians, or 852
1274		-	other health care pr oviders and managing referrals. 853
1275		-	(c) Comprehensive charting of the oral cavity. 854
1276		-	(d) Oral health instruction and disease prevention 855
1277		-	education, including, but not limited to, nutritional counseling 856
1278		-	and dietary analysis. 857
1279		-	(e) Exposure and evaluation of radiographic images. 858
1280		-	(f) Dental prophylaxis, including, but not limited to, 859
1281		-	subgingival scaling and polishing procedures. 860
1282		-	(g) Dispensing and administration via the oral or topical 861
1283		-	route of nonnarcotic analgesic, anti -inflammatory, and 862
1284		-	antibiotic medications as prescribed by a licensed health care 863
1285		-	provider. 864
1286		-	(h) Application of topical preventive or prophylactic 865
1287		-	agents, including, but not limited to, fluoride varnish, 866
1288		-	antimicrobial agents, caries arresting medicaments, and pit and 867
1289		-	fissure sealants. 868
1290		-	(i) Pulp vitality testing. 869
1291		-	(j) Application of desensitizing medications or resins. 870
1292		-	(k) Fabrication of athletic mouth guards and soft occlusal 871
1293		-	guards. 872
1294		-	(l) Changing of periodontal dressings. 873
1295		-	(m) Administration of local anesthetic and nitrous oxide. 874
1296		-	(n) Simple extraction of erupted primary teeth. 875
1297		-
1298		-	CS/CS/HB 21 2025
1299		-
1300		-
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1305		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1306		-
1307		-
1308		-
1309		-	(o) Nonsurgical extraction of periodontally diseased 876
1310		-	permanent teeth with tooth mobility of +3 to +4 to the extent 877
1311		-	authorized in the dental therapist's collaborative management 878
1312		-	agreement, except for the extra ction of a tooth that is 879
1313		-	unerupted, impacted, or fractured or that needs to be sectioned 880
1314		-	for removal. 881
1315		-	(p) Emergency palliative treatment of dental pain limited 882
1316		-	to the procedures in this subsection. 883
1317		-	(q) Preparation and placement of direct restoration in 884
1318		-	primary and permanent teeth. 885
1319		-	(r) Fabrication and placement of single -tooth temporary 886
1320		-	crowns. 887
1321		-	(s) Preparation and placement of preformed crowns on 888
1322		-	primary teeth. 889
1323		-	(t) Indirect and direct pulp capping on permanent teeth. 890
1324		-	(u) Indirect pulp capping on primary teeth. 891
1325		-	(v) Intraoral suture placement and removal. 892
1326		-	(w) Minor adjustment and repair of removable prostheses. 893
1327		-	(x) Placement and removal of space maintainers. 894
1328		-	(y) Pulpotomy on primary teeth. 895
1329		-	(z) Tooth reimplantation and stabilization. 896
1330		-	(aa) Recementing of a permanent crown. 897
1331		-	(bb) Additional services, treatments, or procedures as the 898
1332		-	board deems appropriate by rule. 899
1333		-	(3) Before performing any of the services authorized in 900
1334		-
1335		-	CS/CS/HB 21 2025
1336		-
1337		-
1338		-
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1342		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1343		-
1344		-
1345		-
1346		-	subsection (2), a dental therapist must enter into a written 901
1347		-	collaborative management agreement with a supervising dentist. 902
1348		-	The agreement must be signed by the dental therapist and the 903
1349		-	supervising dentist and must include all of the following 904
1350		-	information: 905
1351		-	(a) Practice settings where services may be provided by 906
1352		-	the dental therapist and the populations to be served by the 907
1353		-	dental therapist. 908
1354		-	(b) Any limitations on the services that may be provided 909
1355		-	by the dental therapist, including the level of supervision 910
1356		-	required by the supervising dentist. This may include 911
1357		-	telehealth. 912
1358		-	(c) Age-specific and procedure -specific practice protocols 913
1359		-	for the dental therapist, including case selection criteria, 914
1360		-	assessment guidelines, and imaging frequency. 915
1361		-	(d) A procedure for creating and maintaining dental 916
1362		-	records for the patients who are trea ted by the dental 917
1363		-	therapist. 918
1364		-	(e) A plan to manage medical emergencies in each practice 919
1365		-	setting where the dental therapist provides care. 920
1366		-	(f) A quality assurance plan for monitoring care provided 921
1367		-	by the dental therapist, including patient care review, r eferral 922
1368		-	follow-up, and a quality assurance chart review. 923
1369		-	(g) Protocols for the dental therapist to administer and 924
1370		-	dispense medications, including the specific conditions and 925
1371		-
1372		-	CS/CS/HB 21 2025
1373		-
1374		-
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1379		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1380		-
1381		-
1382		-
1383		-	circumstances under which the medications are to be dispensed 926
1384		-	and administered. 927
1385		-	(h) Criteria relating to the provision of care by the 928
1386		-	dental therapist to patients with specific medical conditions or 929
1387		-	complex medication histories, including requirements for 930
1388		-	consultation before the initiation of care. 931
1389		-	(i) Supervision criteria of dent al therapists. 932
1390		-	(j) A plan for the provision of clinical resources and 933
1391		-	referrals in situations that are beyond the capabilities of the 934
1392		-	dental therapist. 935
1393		-	(4) A supervising dentist shall determine the number of 936
1394		-	hours of practice that a dental therapist mu st complete under 937
1395		-	direct or indirect supervision of the supervising dentist before 938
1396		-	the dental therapist may perform any of the services authorized 939
1397		-	in subsection (2) under general or direct supervision. 940
1398		-	(5) A supervising dentist may restrict or limit the dental 941
1399		-	therapist's practice in the written collaborative management 942
1400		-	agreement to be less than the full scope of practice for dental 943
1401		-	therapists which is authorized in subsection (2). 944
1402		-	(6) A supervising dentist may authorize a dental therapist 945
1403		-	to provide dental therapy services to a patient before the 946
1404		-	supervising dentist examines or diagnoses the patient if the 947
1405		-	authority, conditions, and protocols are established in a 948
1406		-	written collaborative management agreement and if the patient is 949
1407		-	subsequently referred to a dentist for any needed additional 950
1408		-
1409		-	CS/CS/HB 21 2025
1410		-
1411		-
1412		-
1413		-	CODING: Words stricken are deletions; words underlined are additions.
1414		-	hb21-02-c2
1415		-	Page 39 of 68
1416		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1417		-
1418		-
1419		-
1420		-	services that exceed the dental therapist's scope of practice or 951
1421		-	authorization under the collaborative management agreement. 952
1422		-	(7) A supervising dentist must be licensed and practicing 953
1423		-	in this state. The supervising denti st is responsible for all 954
1424		-	services authorized and performed by the dental therapist 955
1425		-	pursuant to the collaborative management agreement and for 956
1426		-	providing or arranging followup services to be provided by a 957
1427		-	dentist for any additional services that exceed the dental 958
1428		-	therapist's scope of practice or authorization under the 959
1429		-	collaborative management agreement. 960
1430		-	Section 15. Section 466.026, Florida Statutes, is amended 961
1431		-	to read: 962
1432		-	466.026 Prohibitions; penalties. — 963
1433		-	(1) Each of the following acts constitutes a fe lony of the 964
1434		-	third degree, punishable as provided in s. 775.082, s. 775.083, 965
1435		-	or s. 775.084: 966
1436		-	(a) Practicing dentistry , dental therapy, or dental 967
1437		-	hygiene unless the person has an appropriate, active license 968
1438		-	issued by the department pursuant to this chapter. 969
1439		-	(b) Using or attempting to use a license issued pursuant 970
1440		-	to this chapter which license has been suspended or revoked. 971
1441		-	(c) Knowingly employing any person to perform duties 972
1442		-	outside the scope allowed such person under this chapter or the 973
1443		-	rules of the board. 974
1444		-	(d) Giving false or forged evidence to the department or 975
1445		-
1446		-	CS/CS/HB 21 2025
1447		-
1448		-
1449		-
1450		-	CODING: Words stricken are deletions; words underlined are additions.
1451		-	hb21-02-c2
1452		-	Page 40 of 68
1453		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1454		-
1455		-
1456		-
1457		-	board for the purpose of obtaining a license. 976
1458		-	(e) Selling or offering to sell a diploma conferring a 977
1459		-	degree from a dental college , or dental hygiene school or 978
1460		-	college, or dental therapy school or college, or a license 979
1461		-	issued pursuant to this chapter, or procuring such diploma or 980
1462		-	license with intent that it will shall be used as evidence of 981
1463		-	that which the document stands for, by a person other than the 982
1464		-	one upon whom it was conferred or to whom it was granted. 983
1465		-	(2) Each of the following acts constitutes a misdemeanor 984
1466		-	of the first degree, punishable as provided in s. 775.082 or s. 985
1467		-	775.083: 986
1468		-	(a) Using the name or title "dentist," the letters 987
1469		-	"D.D.S." or "D.M.D.", or any other words, letters, title, or 988
1470		-	descriptive matter which in any way represents a person as being 989
1471		-	able to diagnose, treat, prescribe, or operate for any disease, 990
1472		-	pain, deformity, deficiency, injury, or physical condition of 991
1473		-	the teeth or jaws or oral -maxillofacial region unless the person 992
1474		-	has an active dentist's license issued by the department 993
1475		-	pursuant to this chapter. 994
1476		-	(b) Using the name "dental hygienist" or the initials 995
1477		-	"R.D.H." or otherwise holding herself or himself out as an 996
1478		-	actively licensed dental hygienist or implying to any patient or 997
1479		-	consumer that she or he is an actively licensed dental hygienist 998
1480		-	unless that person has an active dental hygienist's license 999
1481		-	issued by the department pursuant to this chapter. 1000
1482		-
1483		-	CS/CS/HB 21 2025
1484		-
1485		-
1486		-
1487		-	CODING: Words stricken are deletions; words underlined are additions.
1488		-	hb21-02-c2
1489		-	Page 41 of 68
1490		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1491		-
1492		-
1493		-
1494		-	(c) Using the name "dental therapist" or the initials 1001
1495		-	"D.T." or otherwise holding herself or himself out as an 1002
1496		-	actively licensed dental therapist or implying to any patient or 1003
1497		-	consumer that she or he is an actively licensed dental therapist 1004
1498		-	unless that person has an active dental therapist's license 1005
1499		-	issued by the department pursuant to this chapter. 1006
1500		-	(d)(c) Presenting as her or his own the license of 1007
1501		-	another. 1008
1502		-	(e)(d) Knowingly concealing information relative to 1009
1503		-	violations of this chapter. 1010
1504		-	(f)(e) Performing any services as a dental assistant as 1011
1505		-	defined herein, except in the office of a licensed dentist, 1012
1506		-	unless authorized by this chapter or by rule of the board. 1013
1507		-	Section 16. Paragraphs (b), (c), (g), (s), and (t) of 1014
1508		-	subsection (1) of section 466.028, Florida Statutes, are amended 1015
1509		-	to read: 1016
1510		-	466.028 Grounds for d isciplinary action; action by the 1017
1511		-	board.— 1018
1512		-	(1) The following acts constitute grounds for denial of a 1019
1513		-	license or disciplinary action, as specified in s. 456.072(2): 1020
1514		-	(b) Having a license to practice dentistry , dental 1021
1515		-	therapy, or dental hygiene revoked, su spended, or otherwise 1022
1516		-	acted against, including the denial of licensure, by the 1023
1517		-	licensing authority of another state, territory, or country. 1024
1518		-	(c) Being convicted or found guilty of or entering a plea 1025
1519		-
1520		-	CS/CS/HB 21 2025
1521		-
1522		-
1523		-
1524		-	CODING: Words stricken are deletions; words underlined are additions.
1525		-	hb21-02-c2
1526		-	Page 42 of 68
1527		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1528		-
1529		-
1530		-
1531		-	of nolo contendere to, regardless of adjudication, a cri me in 1026
1532		-	any jurisdiction which relates to the practice of dentistry , 1027
1533		-	dental therapy, or dental hygiene. A plea of nolo contendere 1028
1534		-	creates shall create a rebuttable presumption of guilt to the 1029
1535		-	underlying criminal charges. 1030
1536		-	(g) Aiding, assisting, procuring, o r advising any 1031
1537		-	unlicensed person to practice dentistry , dental therapy, or 1032
1538		-	dental hygiene contrary to this chapter or to a rule of the 1033
1539		-	department or the board. 1034
1540		-	(s) Being unable to practice her or his profession with 1035
1541		-	reasonable skill and safety to patient s by reason of illness or 1036
1542		-	use of alcohol, drugs, narcotics, chemicals, or any other type 1037
1543		-	of material or as a result of any mental or physical condition. 1038
1544		-	In enforcing this paragraph, the department shall have, upon a 1039
1545		-	finding of the State Surgeon General or her or his designee that 1040
1546		-	probable cause exists to believe that the licensee is unable to 1041
1547		-	practice dentistry, dental therapy, or dental hygiene because of 1042
1548		-	the reasons stated in this paragraph, has the authority to issue 1043
1549		-	an order to compel a licensee to subm it to a mental or physical 1044
1550		-	examination by physicians designated by the department. If the 1045
1551		-	licensee refuses to comply with such order, the department's 1046
1552		-	order directing such examination may be enforced by filing a 1047
1553		-	petition for enforcement in the circuit cour t where the licensee 1048
1554		-	resides or does business. The licensee against whom the petition 1049
1555		-	is filed may shall not be named or identified by initials in any 1050
1556		-
1557		-	CS/CS/HB 21 2025
1558		-
1559		-
1560		-
1561		-	CODING: Words stricken are deletions; words underlined are additions.
1562		-	hb21-02-c2
1563		-	Page 43 of 68
1564		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1565		-
1566		-
1567		-
1568		-	public court records or documents, and the proceedings must 1051
1569		-	shall be closed to the public. The department is shall be 1052
1570		-	entitled to the summary procedure provided in s. 51.011. A 1053
1571		-	licensee affected under this paragraph must shall at reasonable 1054
1572		-	intervals be afforded an opportunity to demonstrate that she or 1055
1573		-	he can resume the competent practice of her or his profe ssion 1056
1574		-	with reasonable skill and safety to patients. 1057
1575		-	(t) Fraud, deceit, or misconduct in the practice of 1058
1576		-	dentistry, dental therapy, or dental hygiene. 1059
1577		-	Section 17. Paragraphs (a) and (b) of subsection (1) of 1060
1578		-	section 466.0285, Florida Statutes, are amended to read: 1061
1579		-	466.0285 Proprietorship by nondentists. — 1062
1580		-	(1) No person other than a dentist licensed pursuant to 1063
1581		-	this chapter, nor any entity other than a professional 1064
1582		-	corporation or limited liability company composed of dentists, 1065
1583		-	may: 1066
1584		-	(a) Employ a dentist, a dental therapist, or a dental 1067
1585		-	hygienist in the operation of a dental office. 1068
1586		-	(b) Control the use of any dental equipment or material 1069
1587		-	while such equipment or material is being used for the provision 1070
1588		-	of dental services, whether those services ar e provided by a 1071
1589		-	dentist, a dental therapist, a dental hygienist, or a dental 1072
1590		-	assistant. 1073
1591		-	1074
1592		-	Any lease agreement, rental agreement, or other arrangement 1075
1593		-
1594		-	CS/CS/HB 21 2025
1595		-
1596		-
1597		-
1598		-	CODING: Words stricken are deletions; words underlined are additions.
1599		-	hb21-02-c2
1600		-	Page 44 of 68
1601		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1602		-
1603		-
1604		-
1605		-	between a nondentist and a dentist whereby the nondentist 1076
1606		-	provides the dentist with dental equipment or den tal materials 1077
1607		-	shall contain a provision whereby the dentist expressly 1078
1608		-	maintains complete care, custody, and control of the equipment 1079
1609		-	or practice. 1080
1610		-	Section 18. Paragraph (g) of subsection (3) of section 1081
1611		-	921.0022, Florida Statutes, is amended to read: 1082
1612		-	921.0022 Criminal Punishment Code; offense severity 1083
1613		-	ranking chart.— 1084
1614		-	(3) OFFENSE SEVERITY RANKING CHART 1085
1615		-	(g) LEVEL 7 1086
1616		-	1087
	103	+	conditions; specifying state -specific dental therapy 66
	104	+	services; requiring that a collaborative management 67
	105	+	agreement be signed by a supervising dentist and a 68
	106	+	dental therapist and to include certain information; 69
	107	+	requiring the supervising dentist to determine the 70
	108	+	number of hours of practice that a dent al therapist 71
	109	+	must complete before performing certain authorized 72
	110	+	services; authorizing a supervising dentist to 73
	111	+	restrict or limit the dental therapist's practice in a 74
	112	+	collaborative management agreement; providing that a 75
	113	+
	114	+	CS/HB 21 2025
	115	+
	116	+
	117	+
	118	+	CODING: Words stricken are deletions; words underlined are additions.
	119	+	hb21-01-c1
	120	+	Page 4 of 67
	121	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	122	+
	123	+
	124	+
	125	+	supervising dentist may authorize a d ental therapist 76
	126	+	to provide dental therapy services to a patient before 77
	127	+	the dentist examines or diagnoses the patient under 78
	128	+	certain conditions; requiring a supervising dentist to 79
	129	+	be licensed and practicing in this state; specifying 80
	130	+	that the supervising dent ist is responsible for 81
	131	+	certain services; amending s. 466.026, F.S.; providing 82
	132	+	criminal penalties; amending s. 466.028, F.S.; 83
	133	+	revising grounds for denial of a license or 84
	134	+	disciplinary action to include the practice of dental 85
	135	+	therapy; amending s. 466.0285, F. S.; prohibiting 86
	136	+	persons other than licensed dentists from employing a 87
	137	+	dental therapist in the operation of a dental office 88
	138	+	and from controlling the use of any dental equipment 89
	139	+	or material in certain circumstances; amending s. 90
	140	+	921.0022, F.S.; conforming a p rovision to changes made 91
	141	+	by the act; requiring the department, in consultation 92
	142	+	with the board and the Agency for Health Care 93
	143	+	Administration, to provide reports to the Legislature 94
	144	+	by specified dates; requiring that certain information 95
	145	+	and recommendations be included in the reports; 96
	146	+	providing an effective date. 97
	147	+	98
	148	+	Be It Enacted by the Legislature of the State of Florida: 99
	149	+	100
	150	+
	151	+	CS/HB 21 2025
	152	+
	153	+
	154	+
	155	+	CODING: Words stricken are deletions; words underlined are additions.
	156	+	hb21-01-c1
	157	+	Page 5 of 67
	158	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	159	+
	160	+
	161	+
	162	+	Section 1. Paragraph (c) of subsection (1) of section 101
	163	+	409.906, Florida Statutes, is amended, and paragraph (e) is 102
	164	+	added to subsection (6) of that section, to read: 103
	165	+	409.906 Optional Medicaid services. —Subject to specific 104
	166	+	appropriations, the agency may make payments for services which 105
	167	+	are optional to the state under Title XIX of the Social Security 106
	168	+	Act and are furnished by Medicaid prov iders to recipients who 107
	169	+	are determined to be eligible on the dates on which the services 108
	170	+	were provided. Any optional service that is provided shall be 109
	171	+	provided only when medically necessary and in accordance with 110
	172	+	state and federal law. Optional services re ndered by providers 111
	173	+	in mobile units to Medicaid recipients may be restricted or 112
	174	+	prohibited by the agency. Nothing in this section shall be 113
	175	+	construed to prevent or limit the agency from adjusting fees, 114
	176	+	reimbursement rates, lengths of stay, number of visits, or 115
	177	+	number of services, or making any other adjustments necessary to 116
	178	+	comply with the availability of moneys and any limitations or 117
	179	+	directions provided for in the General Appropriations Act or 118
	180	+	chapter 216. If necessary to safeguard the state's systems of 119
	181	+	providing services to elderly and disabled persons and subject 120
	182	+	to the notice and review provisions of s. 216.177, the Governor 121
	183	+	may direct the Agency for Health Care Administration to amend 122
	184	+	the Medicaid state plan to delete the optional Medicaid service 123
	185	+	known as "Intermediate Care Facilities for the Developmentally 124
	186	+	Disabled." Optional services may include: 125
	187	+
	188	+	CS/HB 21 2025
	189	+
	190	+
	191	+
	192	+	CODING: Words stricken are deletions; words underlined are additions.
	193	+	hb21-01-c1
	194	+	Page 6 of 67
	195	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	196	+
	197	+
	198	+
	199	+	(1) ADULT DENTAL SERVICES. — 126
	200	+	(c) However, Medicaid will not provide reimbursement for 127
	201	+	dental services provided in a mobile dental unit, except for a 128
	202	+	mobile dental unit: 129
	203	+	1. Owned by, operated by, or having a contractual 130
	204	+	agreement with the Department of Health and complying with 131
	205	+	Medicaid's county health department clinic services program 132
	206	+	specifications as a county health department clinic services 133
	207	+	provider. 134
	208	+	2. Owned by, operated by, or having a contractual 135
	209	+	arrangement with a federally qualified health center and 136
	210	+	complying with Medicaid's federally qualified health center 137
	211	+	specifications as a federally qualified health center provider. 138
	212	+	3. Rendering dental services to Medicaid recipients, 21 139
	213	+	years of age and older, at nursing facilities. 140
	214	+	4. Owned by, operated by, or having a contractual 141
	215	+	agreement with a state -approved dental educational institution. 142
	216	+	5. Owned by, operated by, or having a contractual 143
	217	+	agreement with a health access setting as defined in s. 466.003 144
	218	+	or a similar setting or program. 145
	219	+	(6) CHILDREN'S DENTAL SERVICES. —The agency may pay for 146
	220	+	diagnostic, preventive, or corrective procedures, including 147
	221	+	orthodontia in severe cases, provided to a rec ipient under age 148
	222	+	21, by or under the supervision of a licensed dentist. The 149
	223	+	agency may also reimburse a health access setting as defined in 150
	224	+
	225	+	CS/HB 21 2025
	226	+
	227	+
	228	+
	229	+	CODING: Words stricken are deletions; words underlined are additions.
	230	+	hb21-01-c1
	231	+	Page 7 of 67
	232	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	233	+
	234	+
	235	+
	236	+	s. 466.003 for the remediable tasks that a licensed dental 151
	237	+	hygienist is authorized to perform under s. 466.024(2). S ervices 152
	238	+	provided under this program include treatment of the teeth and 153
	239	+	associated structures of the oral cavity, as well as treatment 154
	240	+	of disease, injury, or impairment that may affect the oral or 155
	241	+	general health of the individual. However, Medicaid will not 156
	242	+	provide reimbursement for dental services provided in a mobile 157
	243	+	dental unit, except for a mobile dental unit: 158
	244	+	(e) Owned by, operated by, or having a contractual 159
	245	+	agreement with a health access setting as defined in s. 466.003 160
	246	+	or a similar setting or progr am. 161
	247	+	Section 2. Section 466.001, Florida Statutes, is amended 162
	248	+	to read: 163
	249	+	466.001 Legislative purpose and intent. —The legislative 164
	250	+	purpose for enacting this chapter is to ensure that every 165
	251	+	dentist, dental therapist, or dental hygienist practicing in 166
	252	+	this state meets minimum requirements for safe practice without 167
	253	+	undue clinical interference by persons not licensed under this 168
	254	+	chapter. It is the legislative intent that dental services be 169
	255	+	provided only in accordance with the provisions of this chapter 170
	256	+	and not be delegated to unauthorized individuals. It is the 171
	257	+	further legislative intent that dentists , dental therapists, and 172
	258	+	dental hygienists who fall below minimum competency or who 173
	259	+	otherwise present a danger to the public shall be prohibited 174
	260	+	from practicing in this state. All provisions of this chapter 175
	261	+
	262	+	CS/HB 21 2025
	263	+
	264	+
	265	+
	266	+	CODING: Words stricken are deletions; words underlined are additions.
	267	+	hb21-01-c1
	268	+	Page 8 of 67
	269	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	270	+
	271	+
	272	+
	273	+	relating to the practice of dentistry , dental therapy, and 176
	274	+	dental hygiene shall be liberally construed to carry out such 177
	275	+	purpose and intent. 178
	276	+	Section 3. Subsections (5) and (6) of section 466.002, 179
	277	+	Florida Statutes, are amended to read: 180
	278	+	466.002 Persons exempt from operation of chapter. —Nothing 181
	279	+	in This chapter does not shall apply to the following practices, 182
	280	+	acts, and operations: 183
	281	+	(5) Students in Florida schools of dentistry , dental 184
	282	+	therapy, and dental hygiene or dental assistant educational 185
	283	+	programs, while performing regularly assigned work under the 186
	284	+	curriculum of such schools or programs. 187
	285	+	(6) Instructors in Florida schools of dentistry, 188
	286	+	instructors in dental programs that prepare persons holding 189
	287	+	D.D.S. or D.M.D. degrees for certification by a specialty board 190
	288	+	and that are accredited in the United States by January 1, 2005, 191
	289	+	in the same manner as the board recognizes accreditation for 192
	290	+	Florida schools of dentistry that are not otherwise affiliated 193
	291	+	with a Florida school of dentistry, or instructors in Florida 194
	292	+	schools of dental hygiene , dental therapy, or dental assistant 195
	293	+	educational programs, while performing regularly assigned 196
	294	+	instructional duties under the curriculum of such schools or 197
	295	+	programs. A full-time dental instructor at a dental school or 198
	296	+	dental program approved by the board may be allowed to practice 199
	297	+	dentistry at the teaching facilities of such school or program, 200
	298	+
	299	+	CS/HB 21 2025
	300	+
	301	+
	302	+
	303	+	CODING: Words stricken are deletions; words underlined are additions.
	304	+	hb21-01-c1
	305	+	Page 9 of 67
	306	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	307	+
	308	+
	309	+
	310	+	upon receiving a teaching permit issued by the board, in strict 201
	311	+	compliance with such rul es as are adopted by the board 202
	312	+	pertaining to the teaching permit and with the established rules 203
	313	+	and procedures of the dental school or program as recognized in 204
	314	+	this section. 205
	315	+	Section 4. Section 466.003, Florida Statutes, is reordered 206
	316	+	and amended to read: 207
	317	+	466.003 Definitions. —As used in this chapter , the term: 208
	318	+	(1) "Board" means the Board of Dentistry. 209
	319	+	(2)(6) "Dental assistant" means a person, other than a 210
	320	+	dental hygienist, who, under the supervision and authorization 211
	321	+	of a dentist, provides dental ca re services directly to a 212
	322	+	patient. This term does shall not include a certified registered 213
	323	+	nurse anesthetist licensed under part I of chapter 464. 214
	324	+	(3)(4) "Dental hygiene" means the rendering of 215
	325	+	educational, preventive, and therapeutic dental services 216
	326	+	pursuant to ss. 466.023 and 466.024 and any related extra -oral 217
	327	+	procedure required in the performance of such services. 218
	328	+	(4)(5) "Dental hygienist" means a person licensed to 219
	329	+	practice dental hygiene pursuant to this chapter. 220
	330	+	(5) "Dental therapist" means a pe rson licensed to practice 221
	331	+	dental therapy pursuant to s. 466.0225. 222
	332	+	(6) "Dental therapy" means the rendering of services 223
	333	+	pursuant to s. 466.0227 and any related extraoral services or 224
	334	+	procedures required in the performance of such services. 225
	335	+
	336	+	CS/HB 21 2025
	337	+
	338	+
	339	+
	340	+	CODING: Words stricken are deletions; words underlined are additions.
	341	+	hb21-01-c1
	342	+	Page 10 of 67
	343	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	344	+
	345	+
	346	+
	347	+	(7)(2) "Dentist" means a person licensed to practice 226
	348	+	dentistry pursuant to this chapter. 227
	349	+	(8)(3) "Dentistry" means the healing art which is 228
	350	+	concerned with the examination, diagnosis, treatment planning, 229
	351	+	and care of conditions within the human oral cavity and its 230
	352	+	adjacent tissues and structures. It includes the performance or 231
	353	+	attempted performance of any dental operation, or oral or oral -232
	354	+	maxillofacial surgery and any procedures adjunct thereto, 233
	355	+	including physical evaluation directly related to such operation 234
	356	+	or surgery pursuant to hospital rules and regulations. It also 235
	357	+	includes dental service of any kind gratuitously or for any 236
	358	+	remuneration paid, or to be paid, directly or indirectly, to any 237
	359	+	person or agency. The term "dentistry" shall also includes 238
	360	+	include the following: 239
	361	+	(a) The Taking of an impression of the human tooth, teeth, 240
	362	+	or jaws directly or indirectly and by any means or method. 241
	363	+	(b) Supplying artificial substitutes for the natural teeth 242
	364	+	or furnishing, supplying, constructing, reproducing, or 243
	365	+	repairing any prosthetic denture, bridge, appliance, or any 244
	366	+	other structure designed to be worn in the human mouth except on 245
	367	+	the written work order of a duly licensed dentist. 246
	368	+	(c) The Placing of an appliance or structure in the human 247
	369	+	mouth or the adjusting or attempti ng to adjust the same. 248
	370	+	(d) Delivering the same to any person other than the 249
	371	+	dentist upon whose work order the work was performed. 250
	372	+
	373	+	CS/HB 21 2025
	374	+
	375	+
	376	+
	377	+	CODING: Words stricken are deletions; words underlined are additions.
	378	+	hb21-01-c1
	379	+	Page 11 of 67
	380	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	381	+
	382	+
	383	+
	384	+	(e) Professing to the public by any method to furnish, 251
	385	+	supply, construct, reproduce, or repair any prosthetic denture, 252
	386	+	bridge, appliance, or other structure designed to be worn in the 253
	387	+	human mouth. 254
	388	+	(f) Diagnosing, prescribing, or treating or professing to 255
	389	+	diagnose, prescribe, or treat disease, pain, deformity, 256
	390	+	deficiency, injury, or physical condition of the human teeth or 257
	391	+	jaws or oral-maxillofacial region. 258
	392	+	(g) Extracting or attempting to extract human teeth. 259
	393	+	(h) Correcting or attempting to correct malformations of 260
	394	+	teeth or of jaws. 261
	395	+	(i) Repairing or attempting to repair cavities in the 262
	396	+	human teeth. 263
	397	+	(9)(7) "Department" means the Department of Health. 264
	398	+	(10)(8) "Digital scanning" means the use of digital 265
	399	+	technology that creates a computer -generated replica of the hard 266
	400	+	and soft tissue of the oral cavity using enhanced digital 267
	401	+	photography, lasers, or other optical scanning devices. 268
	402	+	(11)(9) "Direct supervision" means supervision whereby a 269
	403	+	dentist diagnoses the condition to be treated, a dentist 270
	404	+	authorizes the procedure to be performed, a dentist remains on 271
	405	+	the premises while the procedures are performed, and a dentist 272
	406	+	approves the work performed before dismissal of the patient. 273
	407	+	(12)(11) "General supervision" means supervision whereby a 274
	408	+	dentist authorizes the procedures which are being carried out 275
	409	+
	410	+	CS/HB 21 2025
	411	+
	412	+
	413	+
	414	+	CODING: Words stricken are deletions; words underlined are additions.
	415	+	hb21-01-c1
	416	+	Page 12 of 67
	417	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	418	+
	419	+
	420	+
	421	+	but need not be present when the authorized procedures are being 276
	422	+	performed. The authorized procedures may also be performed at a 277
	423	+	place other than the dentist's usual place of practice. The 278
	424	+	issuance of a written work authorization to a commercial dental 279
	425	+	laboratory by a dentist does not constitute general supervision. 280
	426	+	(13)(15) "Health access setting" means a program or an 281
	427	+	institution of the Department of Children and Families, the 282
	428	+	Department of Health, the Department of Juvenile Justice, a 283
	429	+	nonprofit community health center, a Head Start center, a 284
	430	+	federally qualified health center o r look-alike as defined by 285
	431	+	federal law, a school -based prevention program, a clinic 286
	432	+	operated by an accredited college of dentistry, or an accredited 287
	433	+	dental hygiene program in this state if such community service 288
	434	+	program or institution immediately reports t o the Board of 289
	435	+	Dentistry all violations of s. 466.027, s. 466.028, or other 290
	436	+	practice act or standard of care violations related to the 291
	437	+	actions or inactions of a dentist, dental hygienist, or dental 292
	438	+	assistant engaged in the delivery of dental care in such 293
	439	+	setting. 294
	440	+	(14)(10) "Indirect supervision" means supervision whereby 295
	441	+	a dentist authorizes the procedure and a dentist is on the 296
	442	+	premises while the procedures are performed. 297
	443	+	(15)(12) "Irremediable tasks" are those intraoral 298
	444	+	treatment tasks which, when performed, are irreversible and 299
	445	+	create unalterable changes within the oral cavity or the 300
	446	+
	447	+	CS/HB 21 2025
	448	+
	449	+
	450	+
	451	+	CODING: Words stricken are deletions; words underlined are additions.
	452	+	hb21-01-c1
	453	+	Page 13 of 67
	454	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	455	+
	456	+
	457	+
	458	+	contiguous structures or which cause an increased risk to the 301
	459	+	patient. The administration of ane sthetics other than topical 302
	460	+	anesthesia is considered to be an "irremediable task" for 303
	461	+	purposes of this chapter. 304
	462	+	(16)(14) "Oral and maxillofacial surgery" means the 305
	463	+	specialty of dentistry involving diagnosis, surgery, and 306
	464	+	adjunctive treatment of diseases, injuries, and defects 307
	465	+	involving the functional and esthetic aspects of the hard and 308
	466	+	soft tissues of the oral and maxillofacial regions. This term 309
	467	+	may not be construed to apply to any individual exempt under s. 310
	468	+	466.002(1). 311
	469	+	(17)(13) "Remediable tasks" are those intraoral treatment 312
	470	+	tasks which are reversible and do not create unalterable changes 313
	471	+	within the oral cavity or the contiguous structures and which do 314
	472	+	not cause an increased risk to the patient. 315
	473	+	(18)(16) "School-based prevention program" means 316
	474	+	preventive oral health services offered at a school by one of 317
	475	+	the entities described defined in subsection (13) (15) or by a 318
	476	+	nonprofit organization that is exempt from federal income 319
	477	+	taxation under s. 501(a) of the Internal Revenue Code, and 320
	478	+	described in s. 501(c)(3) of the Internal Revenue Code. 321
	479	+	Section 5. Subsection (2) of section 466.004, Florida 322
	480	+	Statutes, is amended to read: 323
	481	+	466.004 Board of Dentistry. — 324
	482	+	(2) To advise the board, it is the intent of the 325
	483	+
	484	+	CS/HB 21 2025
	485	+
	486	+
	487	+
	488	+	CODING: Words stricken are deletions; words underlined are additions.
	489	+	hb21-01-c1
	490	+	Page 14 of 67
	491	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	492	+
	493	+
	494	+
	495	+	Legislature that councils be appointed as specif ied in 326
	496	+	paragraphs (a)-(d) (a), (b), and (c). The department shall 327
	497	+	provide administrative support to the councils and shall provide 328
	498	+	public notice of meetings and agendas agenda of the councils. 329
	499	+	Councils must shall include at least one board member , who shall 330
	500	+	serve as chair, the council and must shall include nonboard 331
	501	+	members. All council members shall be appointed by the board 332
	502	+	chair. Council members shall be appointed for 4 -year terms, and 333
	503	+	all members are shall be eligible for reimbursement of expenses 334
	504	+	in the manner of board members. 335
	505	+	(a) A Council on Dental Hygiene shall be appointed by the 336
	506	+	board chair and shall include one dental hygienist member of the 337
	507	+	board, who shall chair the council, one dental member of the 338
	508	+	board, and three dental hygienists who are actively engaged in 339
	509	+	the practice of dental hygiene in this state. In making the 340
	510	+	appointments, the chair shall consider recommendations from the 341
	511	+	Florida Dental Hygiene Association. The council shall meet at 342
	512	+	the request of the board chair, a majority of the members of the 343
	513	+	board, or the council chair; however, the council must meet at 344
	514	+	least three times a year. The council is charged with the 345
	515	+	responsibility of and shall meet for the purpose of developing 346
	516	+	rules and policies for recommendation to the board, which the 347
	517	+	board shall consider, on matters pertaining to that part of 348
	518	+	dentistry consisting of educational, preventive, or therapeutic 349
	519	+	dental hygiene services; dental hygiene licensure, discipline, 350
	520	+
	521	+	CS/HB 21 2025
	522	+
	523	+
	524	+
	525	+	CODING: Words stricken are deletions; words underlined are additions.
	526	+	hb21-01-c1
	527	+	Page 15 of 67
	528	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	529	+
	530	+
	531	+
	532	+	or regulation; and dental hygiene education. Rule and policy 351
	533	+	recommendations of the council must shall be considered by the 352
	534	+	board at its next regularly scheduled meeting in the same manner 353
	535	+	in which it considers rule and policy recommendations from 354
	536	+	designated subcommittees of the board. Any rule or policy 355
	537	+	proposed by the board pertaining to the specified part of 356
	538	+	dentistry identified defined by this subsection must shall be 357
	539	+	referred to the council for a recommendation before final action 358
	540	+	by the board. The board may take final action on rules 359
	541	+	pertaining to the specified part of dentistry identified defined 360
	542	+	by this subsection without a council recommendation if the 361
	543	+	council fails to submit a recommendation in a timely fashion as 362
	544	+	prescribed by the board. 363
	545	+	(b) A Council on Dental Assisting shall be appointed by 364
	546	+	the board chair and shall include one board member who shall 365
	547	+	chair the council and three dental assistants who are ac tively 366
	548	+	engaged in dental assisting in this state. The council shall 367
	549	+	meet at the request of the board chair or a majority of the 368
	550	+	members of the board. The council shall meet for the purpose of 369
	551	+	developing recommendations to the board on matters pertaining to 370
	552	+	that part of dentistry related to dental assisting. 371
	553	+	(c) Effective 28 months after the first dental therapy 372
	554	+	license is granted by the board, the board chair shall appoint a 373
	555	+	Council on Dental Therapy, which must include one board member 374
	556	+	who shall chair the council and three dental therapists who are 375
	557	+
	558	+	CS/HB 21 2025
	559	+
	560	+
	561	+
	562	+	CODING: Words stricken are deletions; words underlined are additions.
	563	+	hb21-01-c1
	564	+	Page 16 of 67
	565	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	566	+
	567	+
	568	+
	569	+	actively engaged in the practice of dental therapy in this 376
	570	+	state. The council shall meet at the request of the board chair, 377
	571	+	a majority of the members of the board, or the council chair; 378
	572	+	however, the council sha ll meet at least three times per year. 379
	573	+	The council is charged with the responsibility of, and shall 380
	574	+	meet for the purpose of, developing rules and policies for 381
	575	+	recommendation to the board on matters pertaining to that part 382
	576	+	of dentistry consisting of educati onal, preventive, or 383
	577	+	therapeutic dental therapy services; dental therapy licensure, 384
	578	+	discipline, or regulation; and dental therapy education. Rule 385
	579	+	and policy recommendations of the council must be considered by 386
	580	+	the board at its next regularly scheduled meet ing in the same 387
	581	+	manner in which it considers rule and policy recommendations 388
	582	+	from designated subcommittees of the board. Any rule or policy 389
	583	+	proposed by the board pertaining to the specified part of 390
	584	+	dentistry identified by this subsection must be referred t o the 391
	585	+	council for a recommendation before final action by the board. 392
	586	+	The board may take final action on rules pertaining to the 393
	587	+	specified part of dentistry identified by this subsection 394
	588	+	without a council recommendation if the council fails to submit 395
	589	+	a recommendation in a timely fashion as prescribed by the board. 396
	590	+	(d)(c) With the concurrence of the State Surgeon General, 397
	591	+	the board chair may create and abolish other advisory councils 398
	592	+	relating to dental subjects, including, but not limited to: 399
	593	+	examinations, access to dental care, indigent care, nursing home 400
	594	+
	595	+	CS/HB 21 2025
	596	+
	597	+
	598	+
	599	+	CODING: Words stricken are deletions; words underlined are additions.
	600	+	hb21-01-c1
	601	+	Page 17 of 67
	602	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	603	+
	604	+
	605	+
	606	+	and institutional care, public health, disciplinary guidelines, 401
	607	+	and other subjects as appropriate. Such councils shall be 402
	608	+	appointed by the board chair and shall include at least one 403
	609	+	board member who shall serve as chair. 404
	610	+	Section 6. Paragraph (b) of subsection (4) of section 405
	611	+	466.006, Florida Statutes, is amended to read: 406
	612	+	466.006 Examination of dentists. — 407
	613	+	(4) Notwithstanding any other provision of law in chapter 408
	614	+	456 pertaining to the clinical dental l icensure examination or 409
	615	+	national examinations, to be licensed as a dentist in this 410
	616	+	state, an applicant must successfully complete both of the 411
	617	+	following: 412
	618	+	(b) A practical or clinical examination, which must be the 413
	619	+	American Dental Licensing Examination prod uced by the American 414
	620	+	Board of Dental Examiners, Inc., or its successor entity, if 415
	621	+	any, which is administered in this state, provided that the 416
	622	+	board has attained, and continues to maintain thereafter, 417
	623	+	representation on the board of directors of the American Board 418
	624	+	of Dental Examiners, the examination development committee of 419
	625	+	the American Board of Dental Examiners, and such other 420
	626	+	committees of the American Board of Dental Examiners as the 421
	627	+	board deems appropriate by rule to assure that the standards 422
	628	+	established herein are maintained organizationally. 423
	629	+	1. As an alternative to such practical or clinical 424
	630	+	examination, an applicant may submit scores from an American 425
	631	+
	632	+	CS/HB 21 2025
	633	+
	634	+
	635	+
	636	+	CODING: Words stricken are deletions; words underlined are additions.
	637	+	hb21-01-c1
	638	+	Page 18 of 67
	639	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	640	+
	641	+
	642	+
	643	+	Dental Licensing Examination previously administered in a 426
	644	+	jurisdiction other than this state after Oc tober 1, 2011, and 427
	645	+	such examination results are recognized as valid for the purpose 428
	646	+	of licensure in this state. A passing score on the American 429
	647	+	Dental Licensing Examination administered out of state is the 430
	648	+	same as the passing score for the American Dental Licensing 431
	649	+	Examination administered in this state. The applicant must have 432
	650	+	completed the examination after October 1, 2011. This 433
	651	+	subparagraph may not be given retroactive application. 434
	652	+	2. If the date of an applicant's passing American Dental 435
	653	+	Licensing Examination scores from an examination previously 436
	654	+	administered in a jurisdiction other than this state under 437
	655	+	subparagraph 1. is older than 365 days, such scores are 438
	656	+	nevertheless valid for the purpose of licensure in this state, 439
	657	+	but only if the applicant demons trates that all of the following 440
	658	+	additional standards have been met: 441
	659	+	a. The applicant completed the American Dental Licensing 442
	660	+	Examination after October 1, 2011. This sub -subparagraph may not 443
	661	+	be given retroactive application. 444
	662	+	b. The applicant graduated from a dental school accredited 445
	663	+	by the American Dental Association Commission on Dental 446
	664	+	Accreditation or its successor entity, if any, or any other 447
	665	+	dental accrediting organization recognized by the United States 448
	666	+	Department of Education. Provided, however, if the applicant did 449
	667	+	not graduate from such a dental school, the applicant may submit 450
	668	+
	669	+	CS/HB 21 2025
	670	+
	671	+
	672	+
	673	+	CODING: Words stricken are deletions; words underlined are additions.
	674	+	hb21-01-c1
	675	+	Page 19 of 67
	676	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	677	+
	678	+
	679	+
	680	+	proof of having successfully completed a full -time supplemental 451
	681	+	general dentistry program accredited by the American Dental 452
	682	+	Association Commission on Dental Accreditation of at least 2 453
	683	+	consecutive academic years at such accredited sponsoring 454
	684	+	institution. Such program must provide didactic and clinical 455
	685	+	education at the level of a D.D.S. or D.M.D. program accredited 456
	686	+	by the American Dental Association Commission on Dental 457
	687	+	Accreditation. For purposes of this sub -subparagraph, a 458
	688	+	supplemental general dentistry program does not include an 459
	689	+	advanced education program in a dental specialty. 460
	690	+	c. The applicant currently possesses a valid and active 461
	691	+	dental license in good standing, wit h no restriction, which has 462
	692	+	never been revoked, suspended, restricted, or otherwise 463
	693	+	disciplined, from another state or territory of the United 464
	694	+	States, the District of Columbia, or the Commonwealth of Puerto 465
	695	+	Rico. 466
	696	+	d. The applicant must disclose to the boa rd during the 467
	697	+	application process if he or she has been reported to the 468
	698	+	National Practitioner Data Bank, the Healthcare Integrity and 469
	699	+	Protection Data Bank, or the American Association of Dental 470
	700	+	Boards Clearinghouse. This sub -subparagraph does not apply if 471
	701	+	the applicant successfully appealed to have his or her name 472
	702	+	removed from the data banks of these agencies. 473
	703	+	e.(I)(A) The applicant submits proof of having been 474
	704	+	consecutively engaged in the full -time practice of dentistry in 475
	705	+
	706	+	CS/HB 21 2025
	707	+
	708	+
	709	+
	710	+	CODING: Words stricken are deletions; words underlined are additions.
	711	+	hb21-01-c1
	712	+	Page 20 of 67
	713	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	714	+
	715	+
	716	+
	717	+	another state or territory of t he United States, the District of 476
	718	+	Columbia, or the Commonwealth of Puerto Rico in the 5 years 477
	719	+	immediately preceding the date of application for licensure in 478
	720	+	this state; or 479
	721	+	(B) If the applicant has been licensed in another state or 480
	722	+	territory of the United States, the District of Columbia, or the 481
	723	+	Commonwealth of Puerto Rico for less than 5 years, the applicant 482
	724	+	submits proof of having been engaged in the full -time practice 483
	725	+	of dentistry since the date of his or her initial licensure. 484
	726	+	(II) As used in this se ction, "full-time practice" is 485
	727	+	defined as a minimum of 1,200 hours per year for each year in 486
	728	+	the consecutive 5-year period or, when applicable, the period 487
	729	+	since initial licensure, and must include any combination of the 488
	730	+	following: 489
	731	+	(A) Active clinical pra ctice of dentistry providing direct 490
	732	+	patient care. 491
	733	+	(B) Full-time practice as a faculty member employed by a 492
	734	+	dental, dental therapy, or dental hygiene school approved by the 493
	735	+	board or accredited by the American Dental Association 494
	736	+	Commission on Dental Accred itation. 495
	737	+	(C) Full-time practice as a student at a postgraduate 496
	738	+	dental education program approved by the board or accredited by 497
	739	+	the American Dental Association Commission on Dental 498
	740	+	Accreditation. 499
	741	+	(III) The board shall develop rules to determine what typ e 500
	742	+
	743	+	CS/HB 21 2025
	744	+
	745	+
	746	+
	747	+	CODING: Words stricken are deletions; words underlined are additions.
	748	+	hb21-01-c1
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	750	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	751	+
	752	+
	753	+
	754	+	of proof of full-time practice is required and to recoup the 501
	755	+	cost to the board of verifying full -time practice under this 502
	756	+	section. Such proof must, at a minimum, be: 503
	757	+	(A) Admissible as evidence in an administrative 504
	758	+	proceeding; 505
	759	+	(B) Submitted in writing; 506
	760	+	(C) Further documented by an applicant's annual income tax 507
	761	+	return filed with the Internal Revenue Service for each year in 508
	762	+	the preceding 5-year period or, if the applicant has been 509
	763	+	practicing for less than 5 years, the period since initial 510
	764	+	licensure; and 511
	765	+	(D) Specifically found by the board to be both credible 512
	766	+	and admissible. 513
	767	+	(IV) The board may excuse applicants from the 1,200 -hour 514
	768	+	requirement in the event of hardship, as defined by the board. 515
	769	+	f. The applicant submits documentation that he o r she has 516
	770	+	completed, or will complete before he or she is licensed in this 517
	771	+	state, continuing education equivalent to this state's 518
	772	+	requirements for the last full reporting biennium. 519
	773	+	g. The applicant proves that he or she has never been 520
	774	+	convicted of, or pled nolo contendere to, regardless of 521
	775	+	adjudication, any felony or misdemeanor related to the practice 522
	776	+	of a health care profession in any jurisdiction. 523
	777	+	h. The applicant has successfully passed a written 524
	778	+	examination on the laws and rules of this state regul ating the 525
	779	+
	780	+	CS/HB 21 2025
	781	+
	782	+
	783	+
	784	+	CODING: Words stricken are deletions; words underlined are additions.
	785	+	hb21-01-c1
	786	+	Page 22 of 67
	787	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	788	+
	789	+
	790	+
	791	+	practice of dentistry and the computer -based diagnostic skills 526
	792	+	examination. 527
	793	+	i. The applicant submits documentation that he or she has 528
	794	+	successfully completed the applicable examination administered 529
	795	+	by the Joint Commission on National Dental Exam inations or its 530
	796	+	successor organization. 531
	797	+	Section 7. Subsection (1) of section 466.009, Florida 532
	798	+	Statutes, is amended, and subsection (4) is added to that 533
	799	+	section, to read: 534
	800	+	466.009 Reexamination. — 535
	801	+	(1) Any person who fails an examination that is requir ed 536
	802	+	under s. 466.006, or s. 466.007, or s. 466.0225 may retake the 537
	803	+	examination. 538
	804	+	(4) If an applicant for a license to practice dental 539
	805	+	therapy fails the practical or clinical examination and she or 540
	806	+	he has failed only one part or procedure of such examinatio n, 541
	807	+	she or he may be required to retake only that part or procedure 542
	808	+	to pass such examination. However, if any such applicant fails 543
	809	+	more than one part or procedure of any such examination, she or 544
	810	+	he must be required to retake the entire examination. 545
	811	+	Section 8. Section 466.011, Florida Statutes, is amended 546
	812	+	to read: 547
	813	+	466.011 Licensure.—The board shall certify for licensure 548
	814	+	by the department any applicant who satisfies the requirements 549
	815	+	of s. 466.006, s. 466.0067, or s. 466.007, or s. 466.0225. The 550
	816	+
	817	+	CS/HB 21 2025
	818	+
	819	+
	820	+
	821	+	CODING: Words stricken are deletions; words underlined are additions.
	822	+	hb21-01-c1
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	824	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	825	+
	826	+
	827	+
	828	+	board may refuse to certify an applicant who has violated any of 551
	829	+	the provisions of s. 466.026 or s. 466.028. 552
	830	+	Section 9. Section 466.0136, Florida Statutes, is created 553
	831	+	to read: 554
	832	+	466.0136 Continuing education; dental therapists. —In 555
	833	+	addition to any other requirem ents for relicensure for dental 556
	834	+	therapists specified in this chapter, the board shall require 557
	835	+	each licensed dental therapist to complete at least 24 hours, 558
	836	+	but not more than 36 hours, biennially of continuing education 559
	837	+	in dental subjects in programs approv ed by the board or in 560
	838	+	equivalent programs of continuing education. Programs of 561
	839	+	continuing education approved by the board must be programs of 562
	840	+	learning which, in the opinion of the board, contribute directly 563
	841	+	to the dental education of the dental therapist. An individual 564
	842	+	who is licensed as both a dental therapist and a dental 565
	843	+	hygienist may use 2 hours of continuing education that is 566
	844	+	approved for both dental therapy and dental hygiene education to 567
	845	+	satisfy both dental therapy and dental hygiene continuing 568
	846	+	education requirements. The board shall adopt rules and 569
	847	+	guidelines to administer and enforce this section. The dental 570
	848	+	therapist shall retain in her or his records any receipts, 571
	849	+	vouchers, or certificates necessary to document completion of 572
	850	+	the continuing educati on. Compliance with the continuing 573
	851	+	education requirements is mandatory for issuance of the renewal 574
	852	+	certificate. The board may excuse licensees, as a group or as 575
	853	+
	854	+	CS/HB 21 2025
	855	+
	856	+
	857	+
	858	+	CODING: Words stricken are deletions; words underlined are additions.
	859	+	hb21-01-c1
	860	+	Page 24 of 67
	861	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	862	+
	863	+
	864	+
	865	+	individuals, from all or part of the continuing education 576
	866	+	requirements if an unusual circumstan ce, emergency, or hardship 577
	867	+	prevents compliance with this section. 578
	868	+	Section 10. Subsection (1) of section 466.016, Florida 579
	869	+	Statutes, is amended to read: 580
	870	+	466.016 License to be displayed. — 581
	871	+	(1) Every practitioner of dentistry , dental therapy, or 582
	872	+	dental hygiene within the meaning of this chapter shall post and 583
	873	+	keep conspicuously displayed her or his license in the office 584
	874	+	where wherein she or he practices, in plain sight of the 585
	875	+	practitioner's patients. Any dentist , dental therapist, or 586
	876	+	dental hygienist who practices at more than one location must 587
	877	+	display a copy of her or his license in each office where she or 588
	878	+	he practices. 589
	879	+	Section 11. Section 466.017, Florida Statutes, is amended, 590
	880	+	to read: 591
	881	+	466.017 Prescription of drugs; anesthesia. — 592
	882	+	(1) A dentist shall have the right to prescribe drugs or 593
	883	+	medicine, subject to limitations imposed by law; perform 594
	884	+	surgical operations within the scope of her or his practice and 595
	885	+	training; administer general or local anesthesia or sedation, 596
	886	+	subject to limitations imposed by law; and use such appliances 597
	887	+	as may be necessary to the proper practice of dentistry. 598
	888	+	(2) Pharmacists licensed pursuant to chapter 465 may fill 599
	889	+	prescriptions of legally licensed dentists in this state for any 600
	890	+
	891	+	CS/HB 21 2025
	892	+
	893	+
	894	+
	895	+	CODING: Words stricken are deletions; words underlined are additions.
	896	+	hb21-01-c1
	897	+	Page 25 of 67
	898	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	899	+
	900	+
	901	+
	902	+	drugs necessary for the practice of dentis try. 601
	903	+	(3) The board shall adopt rules which: 602
	904	+	(d) Establish further requirements relating to the use of 603
	905	+	general anesthesia or sedation, including, but not limited to, 604
	906	+	office equipment and the training of dental assistants , dental 605
	907	+	therapists, or dental hygienists who work with dentists using 606
	908	+	general anesthesia or sedation. 607
	909	+	(e) Establish an administrative mechanism enabling the 608
	910	+	board to verify compliance with training, education, experience, 609
	911	+	equipment, or certification requirements of dentists, dental 610
	912	+	therapists, dental hygienists, and dental assistants adopted 611
	913	+	pursuant to this subsection. The board may charge a fee to 612
	914	+	defray the cost of verifying compliance with requirements 613
	915	+	adopted pursuant to this paragraph. 614
	916	+	(4) A dentist, dental therapist, or dental hygienist who 615
	917	+	administers or employs the use of any form of anesthesia must 616
	918	+	possess a certification in either basic cardiopulmonary 617
	919	+	resuscitation for health professionals or advanced cardiac life 618
	920	+	support approved by the American Heart Association or the 619
	921	+	American Red Cross or an equivalent agency -sponsored course with 620
	922	+	recertification every 2 years. Each dental office that which 621
	923	+	uses any form of anesthesia must have immediately available and 622
	924	+	in good working order such resuscitative equipment, oxygen, and 623
	925	+	other resuscitative drugs as are specified by rule of the board 624
	926	+	in order to manage possible adverse reactions. 625
	927	+
	928	+	CS/HB 21 2025
	929	+
	930	+
	931	+
	932	+	CODING: Words stricken are deletions; words underlined are additions.
	933	+	hb21-01-c1
	934	+	Page 26 of 67
	935	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	936	+
	937	+
	938	+
	939	+	(5) A dental hygienist under the direct supervision of a 626
	940	+	dentist may administer local anesthesia, including intraoral 627
	941	+	block anesthesia, soft tissue infiltration anesthesia, or both, 628
	942	+	to a nonsedated patient who is 18 years of age or older, if the 629
	943	+	following criteria are met: 630
	944	+	(a) The dental hygienist has successfully completed a 631
	945	+	course in the administration of local anesthesia which is 632
	946	+	offered by a dental or dental hygiene program accredited by the 633
	947	+	Commission on Dental Accreditation of the American Dental 634
	948	+	Association or approved by the board. The course must include a 635
	949	+	minimum of 30 hours of didactic instruction and 30 hours of 636
	950	+	clinical experience, and instruction in: 637
	951	+	1. Theory of pain control. 638
	952	+	2. Selection-of-pain-control modalities. 639
	953	+	3. Anatomy. 640
	954	+	4. Neurophysiology. 641
	955	+	5. Pharmacology of local anesthetics. 642
	956	+	6. Pharmacology of vasoconstrictors. 643
	957	+	7. Psychological aspects of pain control. 644
	958	+	8. Systematic complications. 645
	959	+	9. Techniques of maxillary anesthesia. 646
	960	+	10. Techniques of mandibular anesthesia. 647
	961	+	11. Infection control. 648
	962	+	12. Medical emergencies involving local anesthesia. 649
	963	+	(b) The dental hygienist presents evidence of current 650
	964	+
	965	+	CS/HB 21 2025
	966	+
	967	+
	968	+
	969	+	CODING: Words stricken are deletions; words underlined are additions.
	970	+	hb21-01-c1
	971	+	Page 27 of 67
	972	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	973	+
	974	+
	975	+
	976	+	certification in basic or advanced cardiac life support. 651
	977	+	(c) The dental hygienist possesses a valid certificate 652
	978	+	issued under subsection (8) (6). 653
	979	+	(6) A dental therapist, under the direct supervision of a 654
	980	+	dentist may administer local anesthesia, including intraoral 655
	981	+	block anesthesia, soft tissue infiltration anesthesia, or both, 656
	982	+	if the following criteria are met: 657
	983	+	(a) The dental therapist has successfully completed a 658
	984	+	course in the administration of local anesthesia that meets the 659
	985	+	requirements described in paragraph (5)(a). 660
	986	+	(b) The dental therapist presents evidence of current 661
	987	+	certification in basic or advanced cardiac life support. 662
	988	+	(c) The dental therapist possesses a valid certificate 663
	989	+	issued under subsection (8). 664
	990	+	(7) A dental therapist providing services in a mobile 665
	991	+	dental unit may administer local anesthesia, including intraoral 666
	992	+	block anesthesia, soft tissue infiltration anesthesia, or both, 667
	993	+	under the general supervision of a dentist, if she or he meets 668
	994	+	the criteria described in subsection (6). 669
	995	+	(8)(6) Any dental therapist or dental hygienist seeking a 670
	996	+	certificate to administer local anesthesia must apply to the 671
	997	+	department, remit an application fee, and submit proof of 672
	998	+	successful completion of a course in the administration of local 673
	999	+	anesthesia pursuant to su bsection (5). The board shall certify, 674
	1000	+	and the department shall issue a certificate to, any dental 675
	1001	+
	1002	+	CS/HB 21 2025
	1003	+
	1004	+
	1005	+
	1006	+	CODING: Words stricken are deletions; words underlined are additions.
	1007	+	hb21-01-c1
	1008	+	Page 28 of 67
	1009	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1010	+
	1011	+
	1012	+
	1013	+	therapist or dental hygienist who fulfills the qualifications of 676
	1014	+	subsection (5). The board shall establish a one -time application 677
	1015	+	fee not to exceed $35. The certificate is not subject to renewal 678
	1016	+	but is part of the dental therapist's or dental hygienist's 679
	1017	+	permanent record and must be prominently displayed at the 680
	1018	+	location where the dental therapist or dental hygienist is 681
	1019	+	authorized to administer local anesthesia . The board shall adopt 682
	1020	+	rules necessary to administer subsections subsection (5), (6), 683
	1021	+	and (7) and this subsection. 684
	1022	+	(9)(7) A licensed dentist, or a dental therapist who is 685
	1023	+	authorized by her or his supervising dentist, may operate 686
	1024	+	utilize an X-ray machine, expose dental X-ray films, and 687
	1025	+	interpret or read such films. Notwithstanding The provisions of 688
	1026	+	part IV of chapter 468 to the contrary notwithstanding , a 689
	1027	+	licensed dentist, or a dental therapist who is authorized by her 690
	1028	+	or his supervising dentist, may authorize or direct a dental 691
	1029	+	assistant to operate such equipment and expose such films under 692
	1030	+	her or his direction and supervision, pursuant to rules adopted 693
	1031	+	by the board in accordance with s. 466.024 which ensure that the 694
	1032	+	said assistant is competent by reason of training and experience 695
	1033	+	to operate the X-ray said equipment in a safe and efficient 696
	1034	+	manner. The board may charge a fee not to exceed $35 to defray 697
	1035	+	the cost of verifying compliance with requirements adopted 698
	1036	+	pursuant to this section. 699
	1037	+	(10)(8) Notwithstanding The provisions of s. 465.0276 700
	1038	+
	1039	+	CS/HB 21 2025
	1040	+
	1041	+
	1042	+
	1043	+	CODING: Words stricken are deletions; words underlined are additions.
	1044	+	hb21-01-c1
	1045	+	Page 29 of 67
	1046	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1047	+
	1048	+
	1049	+
	1050	+	notwithstanding, a dentist need not register with the board or 701
	1051	+	comply with the continuing education requirements of that 702
	1052	+	section if the dentist confines her or his dispensing activity 703
	1053	+	to the dispensing of fluorides and chlorhexidine chlorohexidine 704
	1054	+	rinse solutions; provided that the dentist complies with and is 705
	1055	+	subject to all laws and rules applicable to pharmacists and 706
	1056	+	pharmacies, including, but not limited to, chapters 465, 499, 707
	1057	+	and 893, and all applicable federal laws an d regulations, when 708
	1058	+	dispensing such products. 709
	1059	+	(11)(9) Any adverse incident that occurs in an office 710
	1060	+	maintained by a dentist must be reported to the department. The 711
	1061	+	required notification to the department must be submitted in 712
	1062	+	writing by certified mail and postmarked within 48 hours after 713
	1063	+	the incident occurs. 714
	1064	+	(12)(10) A dentist practicing in this state must notify 715
	1065	+	the board in writing by certified mail within 48 hours after any 716
	1066	+	adverse incident that occurs in the dentist's outpatient 717
	1067	+	facility. A complete written report must be filed with the board 718
	1068	+	within 30 days after the incident occurs. 719
	1069	+	(13)(11) Any certified registered dental hygienist 720
	1070	+	administering local anesthesia must notify the board in writing 721
	1071	+	by registered mail within 48 hours after any adverse incident 722
	1072	+	that was related to or the result of the administration of local 723
	1073	+	anesthesia. A complete written report must be filed with the 724
	1074	+	board within 30 days after the mortality or other adverse 725
	1075	+
	1076	+	CS/HB 21 2025
	1077	+
	1078	+
	1079	+
	1080	+	CODING: Words stricken are deletions; words underlined are additions.
	1081	+	hb21-01-c1
	1082	+	Page 30 of 67
	1083	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1084	+
	1085	+
	1086	+
	1087	+	incident. 726
	1088	+	(14) A dental therapist must notify the board in wr iting 727
	1089	+	by registered mail within 48 hours after any adverse incident 728
	1090	+	related to or resulting from the administration of local 729
	1091	+	anesthesia. A complete written report must be filed with the 730
	1092	+	board within 30 days after the mortality or other adverse 731
	1093	+	incident. 732
	1094	+	(15)(12) A failure by the dentist , dental therapist, or 733
	1095	+	dental hygienist to timely and completely comply with all the 734
	1096	+	reporting requirements in this section is the basis for 735
	1097	+	disciplinary action by the board pursuant to s. 466.028(1). 736
	1098	+	(16)(13) The department shall review each adverse incident 737
	1099	+	and determine whether it involved conduct by a health care 738
	1100	+	professional subject to disciplinary action, in which case s. 739
	1101	+	456.073 applies. Disciplinary action, if any, shall be taken by 740
	1102	+	the board under which the health care professional is licensed. 741
	1103	+	(17)(14) As used in subsections (11)-(16) (9)-(13), the 742
	1104	+	term "adverse incident" means any mortality that occurs during 743
	1105	+	or as the result of a dental procedure, or an incident that 744
	1106	+	results in a temporary or permanent physica l or mental injury 745
	1107	+	that requires hospitalization or emergency room treatment of a 746
	1108	+	dental patient which occurs during or as a direct result of the 747
	1109	+	use of general anesthesia, deep sedation, moderate sedation, 748
	1110	+	pediatric moderate sedation, oral sedation, minim al sedation 749
	1111	+	(anxiolysis), nitrous oxide, or local anesthesia. 750
	1112	+
	1113	+	CS/HB 21 2025
	1114	+
	1115	+
	1116	+
	1117	+	CODING: Words stricken are deletions; words underlined are additions.
	1118	+	hb21-01-c1
	1119	+	Page 31 of 67
	1120	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1121	+
	1122	+
	1123	+
	1124	+	(18)(15) The board may adopt rules to administer this 751
	1125	+	section. 752
	1126	+	Section 12. Subsection (1) of section 466.018, Florida 753
	1127	+	Statutes, is amended to read: 754
	1128	+	466.018 Dentist of record; patient records.— 755
	1129	+	(1) Each patient must shall have a dentist of record. The 756
	1130	+	dentist of record shall remain primarily responsible for all 757
	1131	+	dental treatment on such patient regardless of whether the 758
	1132	+	treatment is rendered by that the dentist or by another dentist, 759
	1133	+	a dental therapist, a dental hygienist, or a dental assistant 760
	1134	+	rendering such treatment in conjunction with, at the direction 761
	1135	+	or request of, or under the supervision of such dentist of 762
	1136	+	record. The dentist of record must shall be identified in the 763
	1137	+	record of the patient. If treatment is rendered by a dentist 764
	1138	+	other than the dentist of record or by a dental hygienist , 765
	1139	+	dental therapist, or dental assistant, the name or initials of 766
	1140	+	such person must shall be placed in the record of the patient. 767
	1141	+	In any disciplinary p roceeding brought pursuant to this chapter 768
	1142	+	or chapter 456, it must shall be presumed as a matter of law 769
	1143	+	that treatment was rendered by the dentist of record unless 770
	1144	+	otherwise noted on the patient record pursuant to this section. 771
	1145	+	The dentist of record and an y other treating dentist are subject 772
	1146	+	to discipline pursuant to this chapter or chapter 456 for 773
	1147	+	treatment rendered to the patient and performed in violation of 774
	1148	+	such chapter. One of the purposes of this section is to ensure 775
	1149	+
	1150	+	CS/HB 21 2025
	1151	+
	1152	+
	1153	+
	1154	+	CODING: Words stricken are deletions; words underlined are additions.
	1155	+	hb21-01-c1
	1156	+	Page 32 of 67
	1157	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1158	+
	1159	+
	1160	+
	1161	+	that the responsibility for each p atient is assigned to one 776
	1162	+	dentist in a multidentist practice of any nature and to assign 777
	1163	+	primary responsibility to the dentist for treatment rendered by 778
	1164	+	a dental hygienist, dental therapist, or dental assistant under 779
	1165	+	her or his supervision. This section may shall not be construed 780
	1166	+	to assign any responsibility to a dentist of record for 781
	1167	+	treatment rendered pursuant to a proper referral to another 782
	1168	+	dentist who does not in practice with the dentist of record or 783
	1169	+	to prohibit a patient from voluntarily selecting a n ew dentist 784
	1170	+	without permission of the dentist of record. 785
	1171	+	Section 13. Section 466.0225, Florida Statutes, is created 786
	1172	+	to read: 787
	1173	+	466.0225 Examination of dental therapists; licensing. — 788
	1174	+	(1)(a) Any person desiring to be licensed as a dental 789
	1175	+	therapist must apply to the department. 790
	1176	+	(b) Applicants for licensure must also submit to 791
	1177	+	background screening in accordance with s. 456.0135. 792
	1178	+	(2) The department shall issue a license to an applicant 793
	1179	+	who the board certifies meets all of the following criteria: 794
	1180	+	(a) Is 18 years of age or older. 795
	1181	+	(b) Is a graduate of a dental therapy college or school 796
	1182	+	accredited by the American Dental Association Commission on 797
	1183	+	Dental Accreditation or its successor entity, if any, or any 798
	1184	+	other dental therapy accrediting entity recogniz ed by the United 799
	1185	+	States Department of Education. For applicants applying for a 800
	1186	+
	1187	+	CS/HB 21 2025
	1188	+
	1189	+
	1190	+
	1191	+	CODING: Words stricken are deletions; words underlined are additions.
	1192	+	hb21-01-c1
	1193	+	Page 33 of 67
	1194	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1195	+
	1196	+
	1197	+
	1198	+	dental therapy license before January 1, 2030, the board must 801
	1199	+	approve the applicant's dental therapy education program if the 802
	1200	+	program was administered by a college or school tha t operates an 803
	1201	+	accredited dental or dental hygiene program and the college or 804
	1202	+	school certifies to the board that the applicant's education 805
	1203	+	substantially conformed to the education standards established 806
	1204	+	by the American Dental Association Commission on Dental 807
	1205	+	Accreditation or its successor entity. 808
	1206	+	(c) Has successfully completed a dental therapy practical 809
	1207	+	or clinical examination produced by the American Board of Dental 810
	1208	+	Examiners, Inc., or its successor entity, if any, if the board 811
	1209	+	finds that the successor ent ity's examination meets or exceeds 812
	1210	+	the requirements of this section. If an applicant fails to pass 813
	1211	+	such an examination in three attempts, the applicant is not 814
	1212	+	eligible to retake the examination unless the applicant 815
	1213	+	completes additional education requiremen ts as specified by the 816
	1214	+	board. 817
	1215	+	(d) Has successfully completed a written examination on 818
	1216	+	the laws and rules of this state regulating the practice of 819
	1217	+	dental therapy. 820
	1218	+	(e) Has not been disciplined by a board, except for 821
	1219	+	citation offenses or minor violations. 822
	1220	+	(f) Has not been convicted of or pled nolo contendere to, 823
	1221	+	regardless of adjudication, any felony or misdemeanor related to 824
	1222	+	the practice of a health care profession. 825
	1223	+
	1224	+	CS/HB 21 2025
	1225	+
	1226	+
	1227	+
	1228	+	CODING: Words stricken are deletions; words underlined are additions.
	1229	+	hb21-01-c1
	1230	+	Page 34 of 67
	1231	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1232	+
	1233	+
	1234	+
	1235	+	(3) An applicant who meets the requirements of this 826
	1236	+	section and who has successfully c ompleted an examination 827
	1237	+	identified in paragraph (2)(c) in a jurisdiction other than this 828
	1238	+	state, or who has successfully completed a comparable 829
	1239	+	examination administered or approved by the licensing authority 830
	1240	+	in a jurisdiction other than this state, shall be licensed to 831
	1241	+	practice dental therapy in this state if the board determines 832
	1242	+	that the other jurisdiction's examination is substantially 833
	1243	+	similar to those identified in paragraph (2)(c). 834
	1244	+	Section 14. Section 466.0227, Florida Statutes, is created 835
	1245	+	to read: 836
	1246	+	466.0227 Dental therapists; scope and area of practice. — 837
	1247	+	(1) Except as otherwise provided in this chapter, a dental 838
	1248	+	therapist may perform the dental therapy services specified in 839
	1249	+	subsection (2) under the general supervision of a dentist if 840
	1250	+	providing services in a mobile dental unit and under direct 841
	1251	+	supervision of a dentist in all other service scenarios to the 842
	1252	+	extent authorized by the supervising dentist and provided within 843
	1253	+	the terms of a written collaborative management agreement signed 844
	1254	+	by the dental therapist and the supervising dentist which meets 845
	1255	+	the requirements of subsection (3). 846
	1256	+	(2) Dental therapy services include all of the following: 847
	1257	+	(a) All services, treatments, and competencies identified 848
	1258	+	by the American Dental Association Commission on Den tal 849
	1259	+	Accreditation in the commission's Accreditation Standards for 850
	1260	+
	1261	+	CS/HB 21 2025
	1262	+
	1263	+
	1264	+
	1265	+	CODING: Words stricken are deletions; words underlined are additions.
	1266	+	hb21-01-c1
	1267	+	Page 35 of 67
	1268	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1269	+
	1270	+
	1271	+
	1272	+	Dental Therapy Education Programs. 851
	1273	+	(b) The following state -specific services, if the dental 852
	1274	+	therapist's education included curriculum content satisfying the 853
	1275	+	American Dental Association Com mission on Dental Accreditation 854
	1276	+	criteria for state-specific dental therapy services: 855
	1277	+	1. Evaluating radiographs. 856
	1278	+	2. Placement of space maintainers. 857
	1279	+	3. Pulpotomies on primary teeth. 858
	1280	+	4. Dispensing and administering nonopioid analgesics, 859
	1281	+	including nitrous oxide, anti-inflammatories, and antibiotics, 860
	1282	+	as authorized by the supervising dentist and within the 861
	1283	+	parameters of the collaborative management agreement. 862
	1284	+	5. Oral evaluation and assessment of dental disease and 863
	1285	+	formulation of an individualized tr eatment plan if authorized by 864
	1286	+	the supervising dentist and subject to any conditions, 865
	1287	+	limitations, and protocols specified by the supervising dentist 866
	1288	+	in the collaborative management agreement. 867
	1289	+	(3) Before performing any of the services authorized in 868
	1290	+	subsection (2), a dental therapist must enter into a written 869
	1291	+	collaborative management agreement with a supervising dentist. 870
	1292	+	The agreement must be signed by the dental therapist and the 871
	1293	+	supervising dentist and must include all of the following 872
	1294	+	information: 873
	1295	+	(a) Practice settings where services may be provided by 874
	1296	+	the dental therapist and the populations to be served by the 875
	1297	+
	1298	+	CS/HB 21 2025
	1299	+
	1300	+
	1301	+
	1302	+	CODING: Words stricken are deletions; words underlined are additions.
	1303	+	hb21-01-c1
	1304	+	Page 36 of 67
	1305	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1306	+
	1307	+
	1308	+
	1309	+	dental therapist. 876
	1310	+	(b) Any limitations on the services that may be provided 877
	1311	+	by the dental therapist, including the level of supervision 878
	1312	+	required by the supervising dentist. This may include 879
	1313	+	telehealth. 880
	1314	+	(c) Age-specific and procedure -specific practice protocols 881
	1315	+	for the dental therapist, including case selection criteria, 882
	1316	+	assessment guidelines, and imaging frequency. 883
	1317	+	(d) A procedure for c reating and maintaining dental 884
	1318	+	records for the patients who are treated by the dental 885
	1319	+	therapist. 886
	1320	+	(e) A plan to manage medical emergencies in each practice 887
	1321	+	setting where the dental therapist provides care. 888
	1322	+	(f) A quality assurance plan for monitoring car e provided 889
	1323	+	by the dental therapist, including patient care review, referral 890
	1324	+	follow-up, and a quality assurance chart review. 891
	1325	+	(g) Protocols for the dental therapist to administer and 892
	1326	+	dispense medications, including the specific conditions and 893
	1327	+	circumstances under which the medications are to be dispensed 894
	1328	+	and administered. 895
	1329	+	(h) Criteria relating to the provision of care by the 896
	1330	+	dental therapist to patients with specific medical conditions or 897
	1331	+	complex medication histories, including requirements for 898
	1332	+	consultation before the initiation of care. 899
	1333	+	(i) Supervision criteria of dental therapists. 900
	1334	+
	1335	+	CS/HB 21 2025
	1336	+
	1337	+
	1338	+
	1339	+	CODING: Words stricken are deletions; words underlined are additions.
	1340	+	hb21-01-c1
	1341	+	Page 37 of 67
	1342	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1343	+
	1344	+
	1345	+
	1346	+	(j) A plan for the provision of clinical resources and 901
	1347	+	referrals in situations that are beyond the capabilities of the 902
	1348	+	dental therapist. 903
	1349	+	(4) A supervising dentist shall determine the number of 904
	1350	+	hours of practice that a dental therapist must complete under 905
	1351	+	direct or indirect supervision of the supervising dentist before 906
	1352	+	the dental therapist may perform any of the services authorized 907
	1353	+	in subsection (2) under general or direct supervision. 908
	1354	+	(5) A supervising dentist may restrict or limit the dental 909
	1355	+	therapist's practice in the written collaborative management 910
	1356	+	agreement to be less than the full scope of practice for dental 911
	1357	+	therapists which is authorized in subsection (2). 912
	1358	+	(6) A supervising dentist may authorize a dental therapist 913
	1359	+	to provide dental therapy services to a patient before the 914
	1360	+	supervising dentist examines or diagnoses the patient if the 915
	1361	+	authority, conditions, and protocols are established in a 916
	1362	+	written collaborative m anagement agreement and if the patient is 917
	1363	+	subsequently referred to a dentist for any needed additional 918
	1364	+	services that exceed the dental therapist's scope of practice or 919
	1365	+	authorization under the collaborative management agreement. 920
	1366	+	(7) A supervising dentist must be licensed and practicing 921
	1367	+	in this state. The supervising dentist is responsible for all 922
	1368	+	services authorized and performed by the dental therapist 923
	1369	+	pursuant to the collaborative management agreement and for 924
	1370	+	providing or arranging followup services to b e provided by a 925
	1371	+
	1372	+	CS/HB 21 2025
	1373	+
	1374	+
	1375	+
	1376	+	CODING: Words stricken are deletions; words underlined are additions.
	1377	+	hb21-01-c1
	1378	+	Page 38 of 67
	1379	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1380	+
	1381	+
	1382	+
	1383	+	dentist for any additional services that exceed the dental 926
	1384	+	therapist's scope of practice or authorization under the 927
	1385	+	collaborative management agreement. 928
	1386	+	Section 15. Section 466.026, Florida Statutes, is amended 929
	1387	+	to read: 930
	1388	+	466.026 Prohibitions; penalties.— 931
	1389	+	(1) Each of the following acts constitutes a felony of the 932
	1390	+	third degree, punishable as provided in s. 775.082, s. 775.083, 933
	1391	+	or s. 775.084: 934
	1392	+	(a) Practicing dentistry , dental therapy, or dental 935
	1393	+	hygiene unless the person has an appropriat e, active license 936
	1394	+	issued by the department pursuant to this chapter. 937
	1395	+	(b) Using or attempting to use a license issued pursuant 938
	1396	+	to this chapter which license has been suspended or revoked. 939
	1397	+	(c) Knowingly employing any person to perform duties 940
	1398	+	outside the scope allowed such person under this chapter or the 941
	1399	+	rules of the board. 942
	1400	+	(d) Giving false or forged evidence to the department or 943
	1401	+	board for the purpose of obtaining a license. 944
	1402	+	(e) Selling or offering to sell a diploma conferring a 945
	1403	+	degree from a dental c ollege, or dental hygiene school or 946
	1404	+	college, or dental therapy school or college, or a license 947
	1405	+	issued pursuant to this chapter, or procuring such diploma or 948
	1406	+	license with intent that it will shall be used as evidence of 949
	1407	+	that which the document stands for, b y a person other than the 950
	1408	+
	1409	+	CS/HB 21 2025
	1410	+
	1411	+
	1412	+
	1413	+	CODING: Words stricken are deletions; words underlined are additions.
	1414	+	hb21-01-c1
	1415	+	Page 39 of 67
	1416	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1417	+
	1418	+
	1419	+
	1420	+	one upon whom it was conferred or to whom it was granted. 951
	1421	+	(2) Each of the following acts constitutes a misdemeanor 952
	1422	+	of the first degree, punishable as provided in s. 775.082 or s. 953
	1423	+	775.083: 954
	1424	+	(a) Using the name or title "dentist," the letters 955
	1425	+	"D.D.S." or "D.M.D.", or any other words, letters, title, or 956
	1426	+	descriptive matter which in any way represents a person as being 957
	1427	+	able to diagnose, treat, prescribe, or operate for any disease, 958
	1428	+	pain, deformity, deficiency, injury, or physical cond ition of 959
	1429	+	the teeth or jaws or oral -maxillofacial region unless the person 960
	1430	+	has an active dentist's license issued by the department 961
	1431	+	pursuant to this chapter. 962
	1432	+	(b) Using the name "dental hygienist" or the initials 963
	1433	+	"R.D.H." or otherwise holding herself or hi mself out as an 964
	1434	+	actively licensed dental hygienist or implying to any patient or 965
	1435	+	consumer that she or he is an actively licensed dental hygienist 966
	1436	+	unless that person has an active dental hygienist's license 967
	1437	+	issued by the department pursuant to this chapter. 968
	1438	+	(c) Using the name "dental therapist" or the initials 969
	1439	+	"D.T." or otherwise holding herself or himself out as an 970
	1440	+	actively licensed dental therapist or implying to any patient or 971
	1441	+	consumer that she or he is an actively licensed dental therapist 972
	1442	+	unless that person has an active dental therapist's license 973
	1443	+	issued by the department pursuant to this chapter. 974
	1444	+	(d)(c) Presenting as her or his own the license of 975
	1445	+
	1446	+	CS/HB 21 2025
	1447	+
	1448	+
	1449	+
	1450	+	CODING: Words stricken are deletions; words underlined are additions.
	1451	+	hb21-01-c1
	1452	+	Page 40 of 67
	1453	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1454	+
	1455	+
	1456	+
	1457	+	another. 976
	1458	+	(e)(d) Knowingly concealing information relative to 977
	1459	+	violations of this chapter. 978
	1460	+	(f)(e) Performing any services as a dental assistant as 979
	1461	+	defined herein, except in the office of a licensed dentist, 980
	1462	+	unless authorized by this chapter or by rule of the board. 981
	1463	+	Section 16. Paragraphs (b), (c), (g), (s), and (t) of 982
	1464	+	subsection (1) of section 466.028, Florida Statutes, are amended 983
	1465	+	to read: 984
	1466	+	466.028 Grounds for disciplinary action; action by the 985
	1467	+	board.— 986
	1468	+	(1) The following acts constitute grounds for denial of a 987
	1469	+	license or disciplinary action, as specified in s. 456.072(2): 988
	1470	+	(b) Having a license to pr actice dentistry, dental 989
	1471	+	therapy, or dental hygiene revoked, suspended, or otherwise 990
	1472	+	acted against, including the denial of licensure, by the 991
	1473	+	licensing authority of another state, territory, or country. 992
	1474	+	(c) Being convicted or found guilty of or entering a plea 993
	1475	+	of nolo contendere to, regardless of adjudication, a crime in 994
	1476	+	any jurisdiction which relates to the practice of dentistry , 995
	1477	+	dental therapy, or dental hygiene. A plea of nolo contendere 996
	1478	+	creates shall create a rebuttable presumption of guilt to the 997
	1479	+	underlying criminal charges. 998
	1480	+	(g) Aiding, assisting, procuring, or advising any 999
	1481	+	unlicensed person to practice dentistry , dental therapy, or 1000
	1482	+
	1483	+	CS/HB 21 2025
	1484	+
	1485	+
	1486	+
	1487	+	CODING: Words stricken are deletions; words underlined are additions.
	1488	+	hb21-01-c1
	1489	+	Page 41 of 67
	1490	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1491	+
	1492	+
	1493	+
	1494	+	dental hygiene contrary to this chapter or to a rule of the 1001
	1495	+	department or the board. 1002
	1496	+	(s) Being unable to practice he r or his profession with 1003
	1497	+	reasonable skill and safety to patients by reason of illness or 1004
	1498	+	use of alcohol, drugs, narcotics, chemicals, or any other type 1005
	1499	+	of material or as a result of any mental or physical condition. 1006
	1500	+	In enforcing this paragraph, the departm ent shall have, upon a 1007
	1501	+	finding of the State Surgeon General or her or his designee that 1008
	1502	+	probable cause exists to believe that the licensee is unable to 1009
	1503	+	practice dentistry, dental therapy, or dental hygiene because of 1010
	1504	+	the reasons stated in this paragraph, has the authority to issue 1011
	1505	+	an order to compel a licensee to submit to a mental or physical 1012
	1506	+	examination by physicians designated by the department. If the 1013
	1507	+	licensee refuses to comply with such order, the department's 1014
	1508	+	order directing such examination may be en forced by filing a 1015
	1509	+	petition for enforcement in the circuit court where the licensee 1016
	1510	+	resides or does business. The licensee against whom the petition 1017
	1511	+	is filed may shall not be named or identified by initials in any 1018
	1512	+	public court records or documents, and the proceedings must 1019
	1513	+	shall be closed to the public. The department is shall be 1020
	1514	+	entitled to the summary procedure provided in s. 51.011. A 1021
	1515	+	licensee affected under this par agraph must shall at reasonable 1022
	1516	+	intervals be afforded an opportunity to demonstrate that she or 1023
	1517	+	he can resume the competent practice of her or his profession 1024
	1518	+	with reasonable skill and safety to patients. 1025
	1519	+
	1520	+	CS/HB 21 2025
	1521	+
	1522	+
	1523	+
	1524	+	CODING: Words stricken are deletions; words underlined are additions.
	1525	+	hb21-01-c1
	1526	+	Page 42 of 67
	1527	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1528	+
	1529	+
	1530	+
	1531	+	(t) Fraud, deceit, or misconduct in the practice o f 1026
	1532	+	dentistry, dental therapy, or dental hygiene. 1027
	1533	+	Section 17. Paragraphs (a) and (b) of subsection (1) of 1028
	1534	+	section 466.0285, Florida Statutes, are amended to read: 1029
	1535	+	466.0285 Proprietorship by nondentists. — 1030
	1536	+	(1) No person other than a dentist licensed pu rsuant to 1031
	1537	+	this chapter, nor any entity other than a professional 1032
	1538	+	corporation or limited liability company composed of dentists, 1033
	1539	+	may: 1034
	1540	+	(a) Employ a dentist , a dental therapist, or a dental 1035
	1541	+	hygienist in the operation of a dental office. 1036
	1542	+	(b) Control the use of any dental equipment or material 1037
	1543	+	while such equipment or material is being used for the provision 1038
	1544	+	of dental services, whether those services are provided by a 1039
	1545	+	dentist, a dental therapist, a dental hygienist, or a dental 1040
	1546	+	assistant. 1041
	1547	+	1042
	1548	+	Any lease agreement, rental agreement, or other arrangement 1043
	1549	+	between a nondentist and a dentist whereby the nondentist 1044
	1550	+	provides the dentist with dental equipment or dental materials 1045
	1551	+	shall contain a provision whereby the dentist expressly 1046
	1552	+	maintains complete care, custody, and control of the equipment 1047
	1553	+	or practice. 1048
	1554	+	Section 18. Paragraph (g) of subsection (3) of section 1049
	1555	+	921.0022, Florida Statutes, is amended to read: 1050
	1556	+
	1557	+	CS/HB 21 2025
	1558	+
	1559	+
	1560	+
	1561	+	CODING: Words stricken are deletions; words underlined are additions.
	1562	+	hb21-01-c1
	1563	+	Page 43 of 67
	1564	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1565	+
	1566	+
	1567	+
	1568	+	921.0022 Criminal Punishment Code; offense severity 1051
	1569	+	ranking chart.— 1052
	1570	+	(3) OFFENSE SEVERITY RANKING CHART 1053
	1571	+	(g) LEVEL 7 1054
	1572	+	1055
1617	1573		Florida
1618	1574		Statute
1619	1575		Felony
1620	1576		Degree Description
1621		-	~~1088~~
	1577	+	1056
1622	1578		316.027(2)(c) 1st Accident involving death,
1623	1579		failure to stop; leaving scene.
1624		-	~~1089~~
	1580	+	1057
1625	1581		316.193(3)(c)2. 3rd DUI resulting in serious bodily
1626	1582		injury.
1627		-	~~1090~~
	1583	+	1058
1628	1584		316.1935(3)(b) 1st Causing serious bodily injury
1629	1585		or death to another person;
1630	1586		driving at high speed or with
1631	1587		wanton disregard for safety
1632		-
1633		-	CS/CS/HB 21 2025
1634		-
1635		-
1636		-
1637		-	CODING: Words stricken are deletions; words underlined are additions.
1638		-	hb21-02-c2
1639		-	Page 45 of 68
1640		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1641		-
1642		-
1643		-
1644	1588		while fleeing or attempting to
1645	1589		elude law enforcement officer
1646	1590		who is in a patrol vehicle with
1647	1591		siren and lights activated.
1648		-	~~1091~~
	1592	+	1059
1649	1593		327.35(3)(c)2. 3rd Vessel BUI resulting in serious
1650	1594		bodily injury.
1651		-	1092
	1595	+
	1596	+	CS/HB 21 2025
	1597	+
	1598	+
	1599	+
	1600	+	CODING: Words stricken are deletions; words underlined are additions.
	1601	+	hb21-01-c1
	1602	+	Page 44 of 67
	1603	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1604	+
	1605	+
	1606	+
	1607	+	1060
1652	1608		402.319(2) 2nd Misrepresentation and
1653	1609		negligence or intentional act
1654	1610		resulting in great bodily harm,
1655	1611		permanent disfiguration,
1656	1612		permanent disability, or death.
1657		-	~~1093~~
	1613	+	1061
1658	1614		409.920
1659	1615		(2)(b)1.a.
1660	1616		3rd Medicaid provider fraud;
1661	1617		$10,000 or less.
1662		-	~~1094~~
	1618	+	1062
1663	1619		409.920
1664	1620		(2)(b)1.b.
1665	1621		2nd Medicaid provider fraud; more
1666	1622		than $10,000, but less than
1667	1623		$50,000.
1668		-	~~1095~~
	1624	+	1063
1669	1625		456.065(2) 3rd Practicing a health care
1670	1626		profession without a license.
1671		-	~~1096~~
	1627	+	1064
1672	1628		456.065(2) 2nd Practicing a health care
1673		-
1674		-	CS/CS/HB 21 2025
1675		-
1676		-
1677		-
1678		-	CODING: Words stricken are deletions; words underlined are additions.
1679		-	hb21-02-c2
1680		-	Page 46 of 68
1681		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1682		-
1683		-
1684		-
1685	1629		profession without a license
1686	1630		which results in serious bodily
1687	1631		injury.
1688		-	~~1097~~
	1632	+	1065
1689	1633		458.327(1) 3rd Practicing medicine without a
1690	1634		license.
1691		-	1098
	1635	+	1066
	1636	+
	1637	+	CS/HB 21 2025
	1638	+
	1639	+
	1640	+
	1641	+	CODING: Words stricken are deletions; words underlined are additions.
	1642	+	hb21-01-c1
	1643	+	Page 45 of 67
	1644	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1645	+
	1646	+
	1647	+
1692	1648		459.013(1) 3rd Practicing osteopathic medicine
1693	1649		without a license.
1694		-	~~1099~~
	1650	+	1067
1695	1651		460.411(1) 3rd Practicing chiropractic
1696	1652		medicine without a license.
1697		-	~~1100~~
	1653	+	1068
1698	1654		461.012(1) 3rd Practicing podiatric medicine
1699	1655		without a license.
1700		-	~~1101~~
	1656	+	1069
1701	1657		462.17 3rd Practicing naturopathy without
1702	1658		a license.
1703		-	~~1102~~
	1659	+	1070
1704	1660		463.015(1) 3rd Practicing optometry without a
1705	1661		license.
1706		-	~~1103~~
	1662	+	1071
1707	1663		464.016(1) 3rd Practicing nursing without a
1708	1664		license.
1709		-	1104
1710		-
1711		-	CS/CS/HB 21 2025
1712		-
1713		-
1714		-
1715		-	CODING: Words stricken are deletions; words underlined are additions.
1716		-	hb21-02-c2
1717		-	Page 47 of 68
1718		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1719		-
1720		-
1721		-
	1665	+	1072
1722	1666		465.015(2) 3rd Practicing pharmacy without a
1723	1667		license.
1724		-	~~1105~~
	1668	+	1073
1725	1669		466.026(1) 3rd Practicing dentistry , dental
1726	1670		therapy, or dental hygiene
1727	1671		without a license.
1728		-	1106
	1672	+	1074
	1673	+
	1674	+	CS/HB 21 2025
	1675	+
	1676	+
	1677	+
	1678	+	CODING: Words stricken are deletions; words underlined are additions.
	1679	+	hb21-01-c1
	1680	+	Page 46 of 67
	1681	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1682	+
	1683	+
	1684	+
1729	1685		467.201 3rd Practicing midwifery without a
1730	1686		license.
1731		-	~~1107~~
	1687	+	1075
1732	1688		468.366 3rd Delivering respiratory care
1733	1689		services without a license.
1734		-	~~1108~~
	1690	+	1076
1735	1691		483.828(1) 3rd Practicing as clinical
1736	1692		laboratory personnel without a
1737	1693		license.
1738		-	~~1109~~
	1694	+	1077
1739	1695		483.901(7) 3rd Practicing medical physics
1740	1696		without a license.
1741		-	~~1110~~
	1697	+	1078
1742	1698		484.013(1)(c) 3rd Preparing or dispensing optical
1743	1699		devices without a prescription.
1744		-	~~1111~~
	1700	+	1079
1745	1701		484.053 3rd Dispensing hearing aids without
1746	1702		a license.
1747		-
1748		-	CS/CS/HB 21 2025
1749		-
1750		-
1751		-
1752		-	CODING: Words stricken are deletions; words underlined are additions.
1753		-	hb21-02-c2
1754		-	Page 48 of 68
1755		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1756		-
1757		-
1758		-
1759		-	1112
	1703	+	1080
1760	1704		494.0018(2) 1st Conviction of any violation of
1761	1705		chapter 494 in which the total
1762	1706		money and property unlawfully
1763	1707		obtained exceeded $50,000 and
1764	1708		there were five or more
1765	1709		victims.
1766		-	1113
	1710	+
	1711	+	CS/HB 21 2025
	1712	+
	1713	+
	1714	+
	1715	+	CODING: Words stricken are deletions; words underlined are additions.
	1716	+	hb21-01-c1
	1717	+	Page 47 of 67
	1718	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1719	+
	1720	+
	1721	+
	1722	+	1081
1767	1723		560.123(8)(b)1. 3rd Failure to report currency or
1768	1724		payment instruments exceeding
1769	1725		$300 but less than $20,000 by a
1770	1726		money services business.
1771		-	~~1114~~
	1727	+	1082
1772	1728		560.125(5)(a) 3rd Money services business by
1773	1729		unauthorized person, currency
1774	1730		or payment instruments
1775	1731		exceeding $300 but less than
1776	1732		$20,000.
1777		-	~~1115~~
	1733	+	1083
1778	1734		655.50(10)(b)1. 3rd Failure to report financial
1779	1735		transactions exceeding $300 but
1780	1736		less than $20,000 by financial
1781	1737		institution.
1782		-	~~1116~~
	1738	+	1084
1783	1739		775.21(10)(a) 3rd Sexual predator; failure to
1784		-
1785		-	CS/CS/HB 21 2025
1786		-
1787		-
1788		-
1789		-	CODING: Words stricken are deletions; words underlined are additions.
1790		-	hb21-02-c2
1791		-	Page 49 of 68
1792		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1793		-
1794		-
1795		-
1796	1740		register; failure to renew
1797	1741		driver license or
1798	1742		identification card; other
1799	1743		registration violations.
1800		-	~~1117~~
	1744	+	1085
1801	1745		775.21(10)(b) 3rd Sexual predator working where
1802	1746		children regularly congregate.
1803		-	1118
	1747	+
	1748	+	CS/HB 21 2025
	1749	+
	1750	+
	1751	+
	1752	+	CODING: Words stricken are deletions; words underlined are additions.
	1753	+	hb21-01-c1
	1754	+	Page 48 of 67
	1755	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1756	+
	1757	+
	1758	+
	1759	+	1086
1804	1760		775.21(10)(g) 3rd Failure to report or providing
1805	1761		false information about a
1806	1762		sexual predator; harbor or
1807	1763		conceal a sexual predator.
1808		-	~~1119~~
	1764	+	1087
1809	1765		782.051(3) 2nd Attempted felony murder of a
1810	1766		person by a person other than
1811	1767		the perpetrator or the
1812	1768		perpetrator of an attempted
1813	1769		felony.
1814		-	~~1120~~
	1770	+	1088
1815	1771		782.07(1) 2nd Killing of a human being by the
1816	1772		act, procurement, or culpable
1817	1773		negligence of another
1818	1774		(manslaughter).
1819		-	~~1121~~
	1775	+	1089
1820	1776		782.071 2nd Killing of a human being or
1821		-
1822		-	CS/CS/HB 21 2025
1823		-
1824		-
1825		-
1826		-	CODING: Words stricken are deletions; words underlined are additions.
1827		-	hb21-02-c2
1828		-	Page 50 of 68
1829		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1830		-
1831		-
1832		-
1833	1777		unborn child by the operation
1834	1778		of a motor vehicle in a
1835	1779		reckless manner (vehicular
1836	1780		homicide).
1837		-	~~1122~~
	1781	+	1090
1838	1782		782.072 2nd Killing of a human being by the
1839	1783		operation of a vessel in a
	1784	+
	1785	+	CS/HB 21 2025
	1786	+
	1787	+
	1788	+
	1789	+	CODING: Words stricken are deletions; words underlined are additions.
	1790	+	hb21-01-c1
	1791	+	Page 49 of 67
	1792	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1793	+
	1794	+
	1795	+
1840	1796		reckless manner (vessel
1841	1797		homicide).
1842		-	~~1123~~
	1798	+	1091
1843	1799		784.045(1)(a)1. 2nd Aggravated battery;
1844	1800		intentionally causing great
1845	1801		bodily harm or disfigurement.
1846		-	~~1124~~
	1802	+	1092
1847	1803		784.045(1)(a)2. 2nd Aggravated battery; using
1848	1804		deadly weapon.
1849		-	~~1125~~
	1805	+	1093
1850	1806		784.045(1)(b) 2nd Aggravated battery; perpetrator
1851	1807		aware victim pregnant.
1852		-	~~1126~~
	1808	+	1094
1853	1809		784.048(4) 3rd Aggravated stalking; violation
1854	1810		of injunction or court order.
1855		-	~~1127~~
	1811	+	1095
1856	1812		784.048(7) 3rd Aggravated stalking; violation
1857	1813		of court order.
1858		-
1859		-	CS/CS/HB 21 2025
1860		-
1861		-
1862		-
1863		-	CODING: Words stricken are deletions; words underlined are additions.
1864		-	hb21-02-c2
1865		-	Page 51 of 68
1866		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1867		-
1868		-
1869		-
1870		-	1128
	1814	+	1096
1871	1815		784.07(2)(d) 1st Aggravated battery on law
1872	1816		enforcement officer.
1873		-	~~1129~~
	1817	+	1097
1874	1818		784.074(1)(a) 1st Aggravated battery on sexually
1875	1819		violent predators facility
1876	1820		staff.
1877		-	1130
	1821	+
	1822	+	CS/HB 21 2025
	1823	+
	1824	+
	1825	+
	1826	+	CODING: Words stricken are deletions; words underlined are additions.
	1827	+	hb21-01-c1
	1828	+	Page 50 of 67
	1829	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1830	+
	1831	+
	1832	+
	1833	+	1098
1878	1834		784.08(2)(a) 1st Aggravated battery on a person
1879	1835		65 years of age or older.
1880		-	~~1131~~
	1836	+	1099
1881	1837		784.081(1) 1st Aggravated battery on specified
1882	1838		official or employee.
1883		-	~~1132~~
	1839	+	1100
1884	1840		784.082(1) 1st Aggravated battery by detained
1885	1841		person on visitor or other
1886	1842		detainee.
1887		-	~~1133~~
	1843	+	1101
1888	1844		784.083(1) 1st Aggravated battery on code
1889	1845		inspector.
1890		-	~~1134~~
	1846	+	1102
1891	1847		787.06(3)(a)2. 1st Human trafficking using
1892	1848		coercion for labor and services
1893	1849		of an adult.
1894		-	1135
1895		-
1896		-	CS/CS/HB 21 2025
1897		-
1898		-
1899		-
1900		-	CODING: Words stricken are deletions; words underlined are additions.
1901		-	hb21-02-c2
1902		-	Page 52 of 68
1903		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1904		-
1905		-
1906		-
	1850	+	1103
1907	1851		787.06(3)(e)2. 1st Human trafficking using
1908	1852		coercion for labor and services
1909	1853		by the transfer or transport of
1910	1854		an adult from outside Florida
1911	1855		to within the state.
1912		-	~~1136~~
	1856	+	1104
1913	1857		790.07(4) 1st Specified weapons violation
	1858	+
	1859	+	CS/HB 21 2025
	1860	+
	1861	+
	1862	+
	1863	+	CODING: Words stricken are deletions; words underlined are additions.
	1864	+	hb21-01-c1
	1865	+	Page 51 of 67
	1866	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1867	+
	1868	+
	1869	+
1914	1870		subsequent to previo us
1915	1871		conviction of s. 790.07(1) or
1916	1872		(2).
1917		-	~~1137~~
	1873	+	1105
1918	1874		790.16(1) 1st Discharge of a machine gun
1919	1875		under specified circumstances.
1920		-	~~1138~~
	1876	+	1106
1921	1877		790.165(2) 2nd Manufacture, sell, possess, or
1922	1878		deliver hoax bomb.
1923		-	~~1139~~
	1879	+	1107
1924	1880		790.165(3) 2nd Possessing, displaying, or
1925	1881		threatening to use any hoax
1926	1882		bomb while committing or
1927	1883		attempting to commit a felony.
1928		-	~~1140~~
	1884	+	1108
1929	1885		790.166(3) 2nd Possessing, selling, using, or
1930	1886		attempting to use a hoax weapon
1931	1887		of mass destruction.
1932		-
1933		-	CS/CS/HB 21 2025
1934		-
1935		-
1936		-
1937		-	CODING: Words stricken are deletions; words underlined are additions.
1938		-	hb21-02-c2
1939		-	Page 53 of 68
1940		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1941		-
1942		-
1943		-
1944		-	1141
	1888	+	1109
1945	1889		790.166(4) 2nd Possessing, displaying, or
1946	1890		threatening to use a hoax
1947	1891		weapon of mass destruction
1948	1892		while committing or attempting
1949	1893		to commit a felony.
1950		-	1142
	1894	+	1110
	1895	+
	1896	+	CS/HB 21 2025
	1897	+
	1898	+
	1899	+
	1900	+	CODING: Words stricken are deletions; words underlined are additions.
	1901	+	hb21-01-c1
	1902	+	Page 52 of 67
	1903	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1904	+
	1905	+
	1906	+
1951	1907		790.23 1st,PBL Possession of a firearm by a
1952	1908		person who qualifies for the
1953	1909		penalty enhancements provided
1954	1910		for in s. 874.04.
1955		-	~~1143~~
	1911	+	1111
1956	1912		794.08(4) 3rd Female genital mutilation;
1957	1913		consent by a parent, guardian,
1958	1914		or a person in custodial
1959	1915		authority to a victim younger
1960	1916		than 18 years of age.
1961		-	~~1144~~
	1917	+	1112
1962	1918		796.05(1) 1st Live on earnings of a
1963	1919		prostitute; 2nd offense.
1964		-	~~1145~~
	1920	+	1113
1965	1921		796.05(1) 1st Live on earnings of a
1966	1922		prostitute; 3rd and subsequent
1967	1923		offense.
1968		-	1146
1969		-
1970		-	CS/CS/HB 21 2025
1971		-
1972		-
1973		-
1974		-	CODING: Words stricken are deletions; words underlined are additions.
1975		-	hb21-02-c2
1976		-	Page 54 of 68
1977		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
1978		-
1979		-
1980		-
	1924	+	1114
1981	1925		800.04(5)(c)1. 2nd Lewd or lascivious molestation;
1982	1926		victim younger than 12 years of
1983	1927		age; offender younger than 18
1984	1928		years of age.
1985		-	~~1147~~
	1929	+	1115
1986	1930		800.04(5)(c)2. 2nd Lewd or lascivious molestation;
1987	1931		victim 12 years of age or older
	1932	+
	1933	+	CS/HB 21 2025
	1934	+
	1935	+
	1936	+
	1937	+	CODING: Words stricken are deletions; words underlined are additions.
	1938	+	hb21-01-c1
	1939	+	Page 53 of 67
	1940	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1941	+
	1942	+
	1943	+
1988	1944		but younger than 16 years of
1989	1945		age; offender 18 years of age
1990	1946		or older.
1991		-	~~1148~~
	1947	+	1116
1992	1948		800.04(5)(e) 1st Lewd or lascivious molestation;
1993	1949		victim 12 years of age or older
1994	1950		but younger than 16 years;
1995	1951		offender 18 years or older;
1996	1952		prior conviction for specified
1997	1953		sex offense.
1998		-	~~1149~~
	1954	+	1117
1999	1955		806.01(2) 2nd Maliciously damage structure by
2000	1956		fire or explosive.
2001		-	~~1150~~
	1957	+	1118
2002	1958		810.02(3)(a) 2nd Burglary of occupied dwelling;
2003	1959		unarmed; no assault or battery.
2004		-	~~1151~~
	1960	+	1119
2005	1961		810.02(3)(b) 2nd Burglary of unoccupied
2006		-
2007		-	CS/CS/HB 21 2025
2008		-
2009		-
2010		-
2011		-	CODING: Words stricken are deletions; words underlined are additions.
2012		-	hb21-02-c2
2013		-	Page 55 of 68
2014		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2015		-
2016		-
2017		-
2018	1962		dwelling; unarmed; no assault
2019	1963		or battery.
2020		-	~~1152~~
	1964	+	1120
2021	1965		810.02(3)(d) 2nd Burglary of occupied
2022	1966		conveyance; unarmed; no assault
2023	1967		or battery.
2024		-	1153
	1968	+	1121
	1969	+
	1970	+	CS/HB 21 2025
	1971	+
	1972	+
	1973	+
	1974	+	CODING: Words stricken are deletions; words underlined are additions.
	1975	+	hb21-01-c1
	1976	+	Page 54 of 67
	1977	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	1978	+
	1979	+
	1980	+
2025	1981		810.02(3)(e) 2nd Burglary of authorized
2026	1982		emergency vehicle.
2027		-	~~1154~~
	1983	+	1122
2028	1984		812.014(2)(a)1. 1st Property stolen, valued at
2029	1985		$100,000 or more or a
2030	1986		semitrailer deployed by a law
2031	1987		enforcement officer; property
2032	1988		stolen while causing other
2033	1989		property damage; 1st degree
2034	1990		grand theft.
2035		-	~~1155~~
	1991	+	1123
2036	1992		812.014(2)(b)2. 2nd Property stolen, cargo valued
2037	1993		at less than $50,000, grand
2038	1994		theft in 2nd degree.
2039		-	~~1156~~
	1995	+	1124
2040	1996		812.014(2)(b)3. 2nd Property stolen, emergency
2041	1997		medical equipment; 2nd degree
2042	1998		grand theft.
2043		-
2044		-	CS/CS/HB 21 2025
2045		-
2046		-
2047		-
2048		-	CODING: Words stricken are deletions; words underlined are additions.
2049		-	hb21-02-c2
2050		-	Page 56 of 68
2051		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2052		-
2053		-
2054		-
2055		-	1157
	1999	+	1125
2056	2000		812.014(2)(b)4. 2nd Property stolen, law
2057	2001		enforcement equipment from
2058	2002		authorized emergency veh icle.
2059		-	~~1158~~
	2003	+	1126
2060	2004		812.014(2)(g) 2nd Grand theft; second degree;
2061	2005		firearm with previous
	2006	+
	2007	+	CS/HB 21 2025
	2008	+
	2009	+
	2010	+
	2011	+	CODING: Words stricken are deletions; words underlined are additions.
	2012	+	hb21-01-c1
	2013	+	Page 55 of 67
	2014	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2015	+
	2016	+
	2017	+
2062	2018		conviction of s.
2063	2019		812.014(2)(c)5.
2064		-	~~1159~~
	2020	+	1127
2065	2021		812.0145(2)(a) 1st Theft from person 65 years of
2066	2022		age or older; $50,000 or more.
2067		-	~~1160~~
	2023	+	1128
2068	2024		812.019(2) 1st Stolen property; initiates,
2069	2025		organizes, plans, etc., the
2070	2026		theft of property and traffics
2071	2027		in stolen property.
2072		-	~~1161~~
	2028	+	1129
2073	2029		812.131(2)(a) 2nd Robbery by sudden snatching.
2074		-	~~1162~~
	2030	+	1130
2075	2031		812.133(2)(b) 1st Carjacking; no firearm, deadly
2076	2032		weapon, or other weapon.
2077		-	~~1163~~
	2033	+	1131
2078	2034		817.034(4)(a)1. 1st Communications fraud, value
2079	2035		greater than $50,000.
2080		-
2081		-	CS/CS/HB 21 2025
2082		-
2083		-
2084		-
2085		-	CODING: Words stricken are deletions; words underlined are additions.
2086		-	hb21-02-c2
2087		-	Page 57 of 68
2088		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2089		-
2090		-
2091		-
2092		-	1164
	2036	+	1132
2093	2037		817.234(8)(a) 2nd Solicitation of motor vehicle
2094	2038		accident victims with intent to
2095	2039		defraud.
2096		-	~~1165~~
	2040	+	1133
2097	2041		817.234(9) 2nd Organizing, planning, or
2098	2042		participating in an intentional
	2043	+
	2044	+	CS/HB 21 2025
	2045	+
	2046	+
	2047	+
	2048	+	CODING: Words stricken are deletions; words underlined are additions.
	2049	+	hb21-01-c1
	2050	+	Page 56 of 67
	2051	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2052	+
	2053	+
	2054	+
2099	2055		motor vehicle collision.
2100		-	~~1166~~
	2056	+	1134
2101	2057		817.234(11)(c) 1st Insurance fraud; property value
2102	2058		$100,000 or more.
2103		-	~~1167~~
	2059	+	1135
2104	2060		817.2341
2105	2061		(2)(b) &
2106	2062		(3)(b)
2107	2063		1st Making false entries of
2108	2064		material fact or false
2109	2065		statements regarding property
2110	2066		values relating to the solvency
2111	2067		of an insuring entity which are
2112	2068		a significant cause of the
2113	2069		insolvency of that entity.
2114		-	~~1168~~
	2070	+	1136
2115	2071		817.418(2)(a) 3rd Offering for sale or
2116	2072		advertising personal protective
2117	2073		equipment with intent to
2118	2074		defraud.
2119		-	1169
2120		-
2121		-	CS/CS/HB 21 2025
2122		-
2123		-
2124		-
2125		-	CODING: Words stricken are deletions; words underlined are additions.
2126		-	hb21-02-c2
2127		-	Page 58 of 68
2128		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2129		-
2130		-
2131		-
	2075	+	1137
2132	2076		817.504(1)(a) 3rd Offering or advertising a
2133	2077		vaccine with intent to defraud.
2134		-	~~1170~~
	2078	+	1138
2135	2079		817.535(2)(a) 3rd Filing false lien or other
2136	2080		unauthorized document.
2137		-	~~1171~~
	2081	+	1139
2138	2082		817.611(2)(b) 2nd Traffic in or possess 15 to 49
	2083	+
	2084	+	CS/HB 21 2025
	2085	+
	2086	+
	2087	+
	2088	+	CODING: Words stricken are deletions; words underlined are additions.
	2089	+	hb21-01-c1
	2090	+	Page 57 of 67
	2091	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2092	+
	2093	+
	2094	+
2139	2095		counterfeit credit cards or
2140	2096		related documents.
2141		-	~~1172~~
	2097	+	1140
2142	2098		825.102(3)(b) 2nd Neglecting an elderly person or
2143	2099		disabled adult causing great
2144	2100		bodily harm, disability, or
2145	2101		disfigurement.
2146		-	~~1173~~
	2102	+	1141
2147	2103		825.103(3)(b) 2nd Exploiting an elderly person or
2148	2104		disabled adult and property is
2149	2105		valued at $10,000 or more, but
2150	2106		less than $50,000.
2151		-	~~1174~~
	2107	+	1142
2152	2108		827.03(2)(b) 2nd Neglect of a child causing
2153	2109		great bodily harm, disability,
2154	2110		or disfigurement.
2155		-	~~1175~~
	2111	+	1143
2156	2112		827.04(3) 3rd Impregnation of a child under
2157		-
2158		-	CS/CS/HB 21 2025
2159		-
2160		-
2161		-
2162		-	CODING: Words stricken are deletions; words underlined are additions.
2163		-	hb21-02-c2
2164		-	Page 59 of 68
2165		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2166		-
2167		-
2168		-
2169	2113		16 years of age by person 21
2170	2114		years of age or older.
2171		-	~~1176~~
	2115	+	1144
2172	2116		827.071(2) & (3) 2nd Use or induce a child in a
2173	2117		sexual performance, or promote
2174	2118		or direct such performance.
2175		-	1177
	2119	+	1145
	2120	+
	2121	+	CS/HB 21 2025
	2122	+
	2123	+
	2124	+
	2125	+	CODING: Words stricken are deletions; words underlined are additions.
	2126	+	hb21-01-c1
	2127	+	Page 58 of 67
	2128	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2129	+
	2130	+
	2131	+
2176	2132		827.071(4) 2nd Possess with intent to promote
2177	2133		any photographic material,
2178	2134		motion picture, etc., which
2179	2135		includes child pornography.
2180		-	~~1178~~
	2136	+	1146
2181	2137		837.05(2) 3rd Giving false information about
2182	2138		alleged capital felony to a law
2183	2139		enforcement officer.
2184		-	~~1179~~
	2140	+	1147
2185	2141		838.015 2nd Bribery.
2186		-	~~1180~~
	2142	+	1148
2187	2143		838.016 2nd Unlawful compensation or reward
2188	2144		for official behavior.
2189		-	~~1181~~
	2145	+	1149
2190	2146		838.021(3)(a) 2nd Unlawful harm to a public
2191	2147		servant.
2192		-	~~1182~~
	2148	+	1150
2193	2149		838.22 2nd Bid tampering.
2194		-
2195		-	CS/CS/HB 21 2025
2196		-
2197		-
2198		-
2199		-	CODING: Words stricken are deletions; words underlined are additions.
2200		-	hb21-02-c2
2201		-	Page 60 of 68
2202		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2203		-
2204		-
2205		-
2206		-	1183
	2150	+	1151
2207	2151		843.0855(2) 3rd Impersonation of a public
2208	2152		officer or employee.
2209		-	~~1184~~
	2153	+	1152
2210	2154		843.0855(3) 3rd Unlawful simulation of legal
2211	2155		process.
2212		-	1185
	2156	+	1153
	2157	+
	2158	+	CS/HB 21 2025
	2159	+
	2160	+
	2161	+
	2162	+	CODING: Words stricken are deletions; words underlined are additions.
	2163	+	hb21-01-c1
	2164	+	Page 59 of 67
	2165	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2166	+
	2167	+
	2168	+
2213	2169		843.0855(4) 3rd Intimidation of a public
2214	2170		officer or employee.
2215		-	~~1186~~
	2171	+	1154
2216	2172		847.0135(3) 3rd Solicitation of a child, via a
2217	2173		computer service, to commit an
2218	2174		unlawful sex act.
2219		-	~~1187~~
	2175	+	1155
2220	2176		847.0135(4) 2nd Traveling to meet a minor to
2221	2177		commit an unlawful sex act.
2222		-	~~1188~~
	2178	+	1156
2223	2179		872.06 2nd Abuse of a dead human body.
2224		-	~~1189~~
	2180	+	1157
2225	2181		874.05(2)(b) 1st Encouraging or recruiting
2226	2182		person under 13 to join a
2227	2183		criminal gang; second or
2228	2184		subsequent offense.
2229		-	~~1190~~
	2185	+	1158
2230	2186		874.10 1st,PBL Knowingly initiates, organizes,
2231		-
2232		-	CS/CS/HB 21 2025
2233		-
2234		-
2235		-
2236		-	CODING: Words stricken are deletions; words underlined are additions.
2237		-	hb21-02-c2
2238		-	Page 61 of 68
2239		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2240		-
2241		-
2242		-
2243	2187		plans, finances, directs,
2244	2188		manages, or supervises criminal
2245	2189		gang-related activity.
2246		-	~~1191~~
	2190	+	1159
2247	2191		893.13(1)(c)1. 1st Sell, manufacture, or deliver
2248	2192		cocaine (or other drug
2249	2193		prohibited under s.
	2194	+
	2195	+	CS/HB 21 2025
	2196	+
	2197	+
	2198	+
	2199	+	CODING: Words stricken are deletions; words underlined are additions.
	2200	+	hb21-01-c1
	2201	+	Page 60 of 67
	2202	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2203	+
	2204	+
	2205	+
2250	2206		893.03(1)(a), (1)(b), (1)(d),
2251	2207		(2)(a), (2)(b), or (2)(c)5.)
2252	2208		within 1,000 feet of a child
2253	2209		care facility, school, or
2254	2210		state, county, or municipal
2255	2211		park or publicly owned
2256	2212		recreational facility or
2257	2213		community center.
2258		-	~~1192~~
	2214	+	1160
2259	2215		893.13(1)(e)1. 1st Sell, manufacture, or deliver
2260	2216		cocaine or other drug
2261	2217		prohibited under s.
2262	2218		893.03(1)(a), (1)(b), (1)(d),
2263	2219		(2)(a), (2)(b), or (2)(c)5.,
2264	2220		within 1,000 feet of property
2265	2221		used for religious services or
2266	2222		a specified business site.
2267		-	1193
2268		-
2269		-	CS/CS/HB 21 2025
2270		-
2271		-
2272		-
2273		-	CODING: Words stricken are deletions; words underlined are additions.
2274		-	hb21-02-c2
2275		-	Page 62 of 68
2276		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2277		-
2278		-
2279		-
	2223	+	1161
2280	2224		893.13(4)(a) 1st Use or hire of minor; deliver
2281	2225		to minor other controlled
2282	2226		substance.
2283		-	~~1194~~
	2227	+	1162
2284	2228		893.135(1)(a)1. 1st Trafficking in cannabis, more
2285	2229		than 25 lbs., less than 2,000
2286	2230		lbs.
2287		-	1195
	2231	+
	2232	+	CS/HB 21 2025
	2233	+
	2234	+
	2235	+
	2236	+	CODING: Words stricken are deletions; words underlined are additions.
	2237	+	hb21-01-c1
	2238	+	Page 61 of 67
	2239	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2240	+
	2241	+
	2242	+
	2243	+	1163
2288	2244		893.135
2289	2245		(1)(b)1.a.
2290	2246		1st Trafficking in cocaine, more
2291	2247		than 28 grams, less than 200
2292	2248		grams.
2293		-	~~1196~~
	2249	+	1164
2294	2250		893.135
2295	2251		(1)(c)1.a.
2296	2252		1st Trafficking in illegal drugs,
2297	2253		more than 4 grams, less than 14
2298	2254		grams.
2299		-	~~1197~~
	2255	+	1165
2300	2256		893.135
2301	2257		(1)(c)2.a.
2302	2258		1st Trafficking in hydrocodone, 28
2303	2259		grams or more, less than 50
2304	2260		grams.
2305		-	~~1198~~
	2261	+	1166
2306	2262		893.135
2307	2263		(1)(c)2.b.
2308	2264		1st Trafficking in hydrocodone, 50
2309	2265		grams or more, less than 100
2310	2266		grams.
2311		-	1199
2312		-	893.135 1st Trafficking in oxycodone, 7
2313		-
2314		-	CS/CS/HB 21 2025
2315		-
2316		-
2317		-
2318		-	CODING: Words stricken are deletions; words underlined are additions.
2319		-	hb21-02-c2
2320		-	Page 63 of 68
2321		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2322		-
2323		-
2324		-
2325		-	(1)(c)3.a. grams or more, less than 14
	2267	+	1167
	2268	+	893.135
	2269	+	(1)(c)3.a.
	2270	+	1st Trafficking in oxycodone, 7
	2271	+	grams or more, less than 14
2326	2272		grams.
2327		-	~~1200~~
	2273	+	1168
2328	2274		893.135
2329	2275		(1)(c)3.b.
2330	2276		1st Trafficking in oxycodone, 14
2331	2277		grams or more, less than 25
2332	2278		grams.
2333		-	1201
	2279	+	1169
	2280	+
	2281	+	CS/HB 21 2025
	2282	+
	2283	+
	2284	+
	2285	+	CODING: Words stricken are deletions; words underlined are additions.
	2286	+	hb21-01-c1
	2287	+	Page 62 of 67
	2288	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2289	+
	2290	+
	2291	+
2334	2292		893.135
2335	2293		(1)(c)4.b.(I)
2336	2294		1st Trafficking in fentanyl, 4
2337	2295		grams or more, less than 14
2338	2296		grams.
2339		-	~~1202~~
	2297	+	1170
2340	2298		893.135
2341	2299		(1)(d)1.a.
2342	2300		1st Trafficking in phencyclidine,
2343	2301		28 grams or more, less than 200
2344	2302		grams.
2345		-	~~1203~~
	2303	+	1171
2346	2304		893.135(1)(e)1. 1st Trafficking in methaqualone,
2347	2305		200 grams or more, less than 5
2348	2306		kilograms.
2349		-	~~1204~~
	2307	+	1172
2350	2308		893.135(1)(f)1. 1st Trafficking in amphetamine, 14
2351	2309		grams or more, less than 28
2352	2310		grams.
2353		-	~~1205~~
	2311	+	1173
2354	2312		893.135
2355	2313		(1)(g)1.a.
2356	2314		1st Trafficking in flunitrazepam, 4
2357	2315		grams or more, less than 14
2358		-
2359		-	CS/CS/HB 21 2025
2360		-
2361		-
2362		-
2363		-	CODING: Words stricken are deletions; words underlined are additions.
2364		-	hb21-02-c2
2365		-	Page 64 of 68
2366		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2367		-
2368		-
2369		-
2370	2316		grams.
2371		-	~~1206~~
	2317	+	1174
2372	2318		893.135
2373	2319		(1)(h)1.a.
2374	2320		1st Trafficking in gamma -
2375	2321		hydroxybutyric acid (GHB), 1
2376	2322		kilogram or more, less than 5
2377	2323		kilograms.
2378		-	1207
	2324	+	1175
	2325	+
	2326	+	CS/HB 21 2025
	2327	+
	2328	+
	2329	+
	2330	+	CODING: Words stricken are deletions; words underlined are additions.
	2331	+	hb21-01-c1
	2332	+	Page 63 of 67
	2333	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2334	+
	2335	+
	2336	+
2379	2337		893.135
2380	2338		(1)(j)1.a.
2381	2339		1st Trafficking in 1,4-Butanediol,
2382	2340		1 kilogram or more, less than 5
2383	2341		kilograms.
2384		-	~~1208~~
	2342	+	1176
2385	2343		893.135
2386	2344		(1)(k)2.a.
2387	2345		1st Trafficking in Phenethylamines,
2388	2346		10 grams or more, less than 200
2389	2347		grams.
2390		-	~~1209~~
	2348	+	1177
2391	2349		893.135
2392	2350		(1)(m)2.a.
2393	2351		1st Trafficking in synthetic
2394	2352		cannabinoids, 280 grams or
2395	2353		more, less than 500 grams.
2396		-	~~1210~~
	2354	+	1178
2397	2355		893.135
2398	2356		(1)(m)2.b.
2399	2357		1st Trafficking in synthetic
2400	2358		cannabinoids, 500 grams or
2401	2359		more, less than 1,000 grams.
2402		-	~~1211~~
	2360	+	1179
2403	2361		893.135
2404	2362		(1)(n)2.a.
2405	2363		1st Trafficking in n-benzyl
2406	2364		phenethylamines, 14 grams or
2407		-
2408		-	CS/CS/HB 21 2025
2409		-
2410		-
2411		-
2412		-	CODING: Words stricken are deletions; words underlined are additions.
2413		-	hb21-02-c2
2414		-	Page 65 of 68
2415		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2416		-
2417		-
2418		-
2419	2365		more, less than 100 grams.
2420		-	~~1212~~
	2366	+	1180
2421	2367		893.1351(2) 2nd Possession of place for
2422	2368		trafficking in or manufacturing
2423	2369		of controlled substance.
2424		-	~~1213~~
	2370	+	1181
2425	2371		896.101(5)(a) 3rd Money laundering, financial
	2372	+
	2373	+	CS/HB 21 2025
	2374	+
	2375	+
	2376	+
	2377	+	CODING: Words stricken are deletions; words underlined are additions.
	2378	+	hb21-01-c1
	2379	+	Page 64 of 67
	2380	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2381	+
	2382	+
	2383	+
2426	2384		transactions exceeding $300 but
2427	2385		less than $20,000.
2428		-	~~1214~~
	2386	+	1182
2429	2387		896.104(4)(a)1. 3rd Structuring transactions to
2430	2388		evade reporting or registration
2431	2389		requirements, financial
2432	2390		transactions exceeding $300 but
2433	2391		less than $20,000.
2434		-	~~1215~~
	2392	+	1183
2435	2393		943.0435(4)(c) 2nd Sexual offender vacating
2436	2394		permanent residence; failure to
2437	2395		comply with reporting
2438	2396		requirements.
2439		-	~~1216~~
	2397	+	1184
2440	2398		943.0435(8) 2nd Sexual offender; remains in
2441	2399		state after indicating intent
2442	2400		to leave; failure to comply
2443	2401		with reporting requirements.
2444		-
2445		-	CS/CS/HB 21 2025
2446		-
2447		-
2448		-
2449		-	CODING: Words stricken are deletions; words underlined are additions.
2450		-	hb21-02-c2
2451		-	Page 66 of 68
2452		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2453		-
2454		-
2455		-
2456		-	1217
	2402	+	1185
2457	2403		943.0435(9)(a) 3rd Sexual offender; failure to
2458	2404		comply with reporting
2459	2405		requirements.
2460		-	~~1218~~
	2406	+	1186
2461	2407		943.0435(13) 3rd Failure to report or providing
2462	2408		false information about a
	2409	+
	2410	+	CS/HB 21 2025
	2411	+
	2412	+
	2413	+
	2414	+	CODING: Words stricken are deletions; words underlined are additions.
	2415	+	hb21-01-c1
	2416	+	Page 65 of 67
	2417	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2418	+
	2419	+
	2420	+
2463	2421		sexual offender; harbor or
2464	2422		conceal a sexual offender.
2465		-	~~1219~~
	2423	+	1187
2466	2424		943.0435(14) 3rd Sexual offender; failure to
2467	2425		report and reregister; failure
2468	2426		to respond to address
2469	2427		verification; providing false
2470	2428		registration information.
2471		-	~~1220~~
	2429	+	1188
2472	2430		944.607(9) 3rd Sexual offender; failure to
2473	2431		comply with reporting
2474	2432		requirements.
2475		-	~~1221~~
	2433	+	1189
2476	2434		944.607(10)(a) 3rd Sexual offender; failure to
2477	2435		submit to the taking of a
2478	2436		digitized photograph.
2479		-	~~1222~~
	2437	+	1190
2480	2438		944.607(12) 3rd Failure to report or providing
2481		-
2482		-	CS/CS/HB 21 2025
2483		-
2484		-
2485		-
2486		-	CODING: Words stricken are deletions; words underlined are additions.
2487		-	hb21-02-c2
2488		-	Page 67 of 68
2489		-	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2490		-
2491		-
2492		-
2493	2439		false information about a
2494	2440		sexual offender; harbor or
2495	2441		conceal a sexual offender.
2496		-	~~1223~~
	2442	+	1191
2497	2443		944.607(13) 3rd Sexual offender; failure to
2498	2444		report and reregister; failure
2499	2445		to respond to address
	2446	+
	2447	+	CS/HB 21 2025
	2448	+
	2449	+
	2450	+
	2451	+	CODING: Words stricken are deletions; words underlined are additions.
	2452	+	hb21-01-c1
	2453	+	Page 66 of 67
	2454	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2455	+
	2456	+
	2457	+
2500	2458		verification; providing false
2501	2459		registration information.
2502		-	~~1224~~
	2460	+	1192
2503	2461		985.4815(10) 3rd Sexual offender; failure to
2504	2462		submit to the taking of a
2505	2463		digitized photograph.
2506		-	~~1225~~
	2464	+	1193
2507	2465		985.4815(12) 3rd Failure to report or providing
2508	2466		false information about a
2509	2467		sexual offender; harbor or
2510	2468		conceal a sexual offender.
2511		-	~~1226~~
	2469	+	1194
2512	2470		985.4815(13) 3rd Sexual offender; failure to
2513	2471		report and reregister; failure
2514	2472		to respond to address
2515	2473		verification; providing false
2516	2474		registration information.
2517		-	~~1227~~
2518		-
2519		-	~~CS/CS/HB 21~~ ~~2025~~
2520		-
2521		-
2522		-
2523		-	~~CODING: Words stricken are deletions; words underlined are additions~~.
2524		-	~~hb21-02-c2~~
2525		-	~~Page 68 of 68~~
2526		-	~~F L O R I D A H O U S E O F R E P R E S E N T A T I V E S~~
2527		-
2528		-
2529		-
2530		-	~~Section 19~~. ~~The Department of Health, in consultation with 1228~~
2531		-	~~the Board of Dentistry and the Agen cy for Health Care 1229~~
2532		-	~~Administration, shall submit a progress report to the President 1230~~
2533		-	~~of the Senate and the Speaker of the House of Representatives by 1231~~
2534		-	~~July 1, 2028, and a final report 4 years after the first dental 1232~~
2535		-	~~therapy license is issued. The reports must include all of the 1233~~
2536		-	~~following information and recommendations: 1234~~
2537		-	(1) The progress that has been made in this state to ~~1235~~
2538		-	implement dental therapy training programs, licensing, and ~~1236~~
2539		-	Medicaid reimbursement. ~~1237~~
2540		-	(2) Data demonstrating the effects of dental therapy ~~i n 1238~~
2541		-	this state on all of the following: ~~1239~~
2542		-	(a) Patient access to dental services. ~~1240~~
2543		-	(b) Costs to dental providers, patients, dental insurance ~~1241~~
2544		-	carriers, and the state. ~~1242~~
2545		-	(c) The quality and safety of dental services. ~~1243~~
2546		-	(3) Specific recommendations for any necessary ~~1244~~
2547		-	legislative, administrative, or ~~regulatory~~ reform relating to ~~1245~~
2548		-	the practice of dental therapy. ~~1246~~
2549		-	(4) Any other information the department deems ~~1247~~
2550		-	appropriate. ~~1248~~
2551		-	Section 20. This act shall take effect July 1, 2025. ~~1249~~
	2475	+	1195
	2476	+	Section 19. The Department of Health, in consultation with 1196
	2477	+	the Board of Dentistry and the Agency for Health Care 1197
	2478	+	Administration, shall subm it a progress report to the President 1198
	2479	+	of the Senate and the Speaker of the House of Representatives by 1199
	2480	+	July 1, 2028, and a final report 4 years after the first dental 1200
	2481	+	therapy license is issued. The reports must include all of the 1201
	2482	+	following information and recommendations: 1202
	2483	+
	2484	+	CS/HB 21 2025
	2485	+
	2486	+
	2487	+
	2488	+	CODING: Words stricken are deletions; words underlined are additions.
	2489	+	hb21-01-c1
	2490	+	Page 67 of 67
	2491	+	F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
	2492	+
	2493	+
	2494	+
	2495	+	(1) The progress that has been made in this state to 1203
	2496	+	implement dental therapy training programs, licensing, and 1204
	2497	+	Medicaid reimbursement. 1205
	2498	+	(2) Data demonstrating the effects of dental therapy in 1206
	2499	+	this state on all of the following: 1207
	2500	+	(a) Patient access to dental services. 1208
	2501	+	(b) Costs to dental providers, patients, dental insurance 1209
	2502	+	carriers, and the state. 1210
	2503	+	(c) The quality and safety of dental services. 1211
	2504	+	(3) Specific recommendations for any necessary 1212
	2505	+	legislative, administrative, or regulat ory reform relating to 1213
	2506	+	the practice of dental therapy. 1214
	2507	+	(4) Any other information the department deems 1215
	2508	+	appropriate. 1216
	2509	+	Section 20. This act shall take effect July 1, 2025. 1217