Illinois 2023-2024 Regular Session

Illinois House Bill HB2215 Latest Draft

Bill / Introduced Version Filed 02/07/2023

                            103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2215 Introduced , by Rep. Anna Moeller SYNOPSIS AS INTRODUCED:   225 ILCS 25/4  from Ch. 111, par. 2304  225 ILCS 25/17 from Ch. 111, par. 2317  225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new  Amends the Illinois Dental Practice Act. Provides that a person who provides teledentistry is considered to practice dentistry under the Act. Provides that a dentist practicing teledentistry is subject to the same standard of care as if those services were being delivered in a clinic or office setting. Provides that a patient receiving dental services through teledentistry shall be provided with the name, direct telephone number, and physical practice address of the treating dentist who will be involved in the teledentistry services. Provides that the Department of Financial and Professional Regulation may adopt rules to implement the provisions of the use of teledentistry services. Provides that it shall be a violation of the Act for a provider of dental services utilizing care through teledentistry to require a patient to sign an agreement that limits in any way the patient's ability to write a review of services received or file a complaint with the Department or other regulatory agency. Provides that a person may not sell a clear aligner to a patient unless the person has received written or electronic confirmation from a dentist licensed in this State that the patient has received an intraoral or extraoral dental examination and has had a review of new or recently conducted x-rays, panoramic x-rays, computed tomography, bone imaging scans, or other appropriate diagnostic imaging sufficient to allow the dentist to detect conditions in the patient that would preclude or contraindicate the provision of safe orthodontic treatment. Provides that a person who sells a clear aligner to a patient shall maintain any documents for not less than 7 years after the date of sale. Defines "informed consent" and "clear aligner". Changes the definitions of "patient of record" and "teledentistry".  LRB103 26931 AMQ 53295 b   A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2215 Introduced , by Rep. Anna Moeller SYNOPSIS AS INTRODUCED:  225 ILCS 25/4  from Ch. 111, par. 2304  225 ILCS 25/17 from Ch. 111, par. 2317  225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new 225 ILCS 25/4 from Ch. 111, par. 2304 225 ILCS 25/17 from Ch. 111, par. 2317 225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new  Amends the Illinois Dental Practice Act. Provides that a person who provides teledentistry is considered to practice dentistry under the Act. Provides that a dentist practicing teledentistry is subject to the same standard of care as if those services were being delivered in a clinic or office setting. Provides that a patient receiving dental services through teledentistry shall be provided with the name, direct telephone number, and physical practice address of the treating dentist who will be involved in the teledentistry services. Provides that the Department of Financial and Professional Regulation may adopt rules to implement the provisions of the use of teledentistry services. Provides that it shall be a violation of the Act for a provider of dental services utilizing care through teledentistry to require a patient to sign an agreement that limits in any way the patient's ability to write a review of services received or file a complaint with the Department or other regulatory agency. Provides that a person may not sell a clear aligner to a patient unless the person has received written or electronic confirmation from a dentist licensed in this State that the patient has received an intraoral or extraoral dental examination and has had a review of new or recently conducted x-rays, panoramic x-rays, computed tomography, bone imaging scans, or other appropriate diagnostic imaging sufficient to allow the dentist to detect conditions in the patient that would preclude or contraindicate the provision of safe orthodontic treatment. Provides that a person who sells a clear aligner to a patient shall maintain any documents for not less than 7 years after the date of sale. Defines "informed consent" and "clear aligner". Changes the definitions of "patient of record" and "teledentistry".  LRB103 26931 AMQ 53295 b     LRB103 26931 AMQ 53295 b   A BILL FOR
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2215 Introduced , by Rep. Anna Moeller SYNOPSIS AS INTRODUCED:
225 ILCS 25/4  from Ch. 111, par. 2304  225 ILCS 25/17 from Ch. 111, par. 2317  225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new 225 ILCS 25/4 from Ch. 111, par. 2304 225 ILCS 25/17 from Ch. 111, par. 2317 225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new
225 ILCS 25/4 from Ch. 111, par. 2304
225 ILCS 25/17 from Ch. 111, par. 2317
225 ILCS 25/26 from Ch. 111, par. 2326
225 ILCS 25/46.5 new
Amends the Illinois Dental Practice Act. Provides that a person who provides teledentistry is considered to practice dentistry under the Act. Provides that a dentist practicing teledentistry is subject to the same standard of care as if those services were being delivered in a clinic or office setting. Provides that a patient receiving dental services through teledentistry shall be provided with the name, direct telephone number, and physical practice address of the treating dentist who will be involved in the teledentistry services. Provides that the Department of Financial and Professional Regulation may adopt rules to implement the provisions of the use of teledentistry services. Provides that it shall be a violation of the Act for a provider of dental services utilizing care through teledentistry to require a patient to sign an agreement that limits in any way the patient's ability to write a review of services received or file a complaint with the Department or other regulatory agency. Provides that a person may not sell a clear aligner to a patient unless the person has received written or electronic confirmation from a dentist licensed in this State that the patient has received an intraoral or extraoral dental examination and has had a review of new or recently conducted x-rays, panoramic x-rays, computed tomography, bone imaging scans, or other appropriate diagnostic imaging sufficient to allow the dentist to detect conditions in the patient that would preclude or contraindicate the provision of safe orthodontic treatment. Provides that a person who sells a clear aligner to a patient shall maintain any documents for not less than 7 years after the date of sale. Defines "informed consent" and "clear aligner". Changes the definitions of "patient of record" and "teledentistry".
LRB103 26931 AMQ 53295 b     LRB103 26931 AMQ 53295 b
    LRB103 26931 AMQ 53295 b
A BILL FOR
HB2215LRB103 26931 AMQ 53295 b   HB2215  LRB103 26931 AMQ 53295 b
  HB2215  LRB103 26931 AMQ 53295 b
1  AN ACT concerning regulation.
2  Be it enacted by the People of the State of Illinois,
3  represented in the General Assembly:
4  Section 5. The Illinois Dental Practice Act is amended by
5  changing Sections 4, 17, and 26 and by adding Section 46.5 as
6  follows:
7  (225 ILCS 25/4)  (from Ch. 111, par. 2304)
8  (Section scheduled to be repealed on January 1, 2026)
9  Sec. 4. Definitions. As used in this Act:
10  "Address of record" means the designated address recorded
11  by the Department in the applicant's or licensee's application
12  file or license file as maintained by the Department's
13  licensure maintenance unit. It is the duty of the applicant or
14  licensee to inform the Department of any change of address and
15  those changes must be made either through the Department's
16  website or by contacting the Department.
17  "Department" means the Department of Financial and
18  Professional Regulation.
19  "Secretary" means the Secretary of Financial and
20  Professional Regulation.
21  "Board" means the Board of Dentistry.
22  "Dentist" means a person who has received a general
23  license pursuant to paragraph (a) of Section 11 of this Act and

 

103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2215 Introduced , by Rep. Anna Moeller SYNOPSIS AS INTRODUCED:
225 ILCS 25/4  from Ch. 111, par. 2304  225 ILCS 25/17 from Ch. 111, par. 2317  225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new 225 ILCS 25/4 from Ch. 111, par. 2304 225 ILCS 25/17 from Ch. 111, par. 2317 225 ILCS 25/26 from Ch. 111, par. 2326 225 ILCS 25/46.5 new
225 ILCS 25/4 from Ch. 111, par. 2304
225 ILCS 25/17 from Ch. 111, par. 2317
225 ILCS 25/26 from Ch. 111, par. 2326
225 ILCS 25/46.5 new
Amends the Illinois Dental Practice Act. Provides that a person who provides teledentistry is considered to practice dentistry under the Act. Provides that a dentist practicing teledentistry is subject to the same standard of care as if those services were being delivered in a clinic or office setting. Provides that a patient receiving dental services through teledentistry shall be provided with the name, direct telephone number, and physical practice address of the treating dentist who will be involved in the teledentistry services. Provides that the Department of Financial and Professional Regulation may adopt rules to implement the provisions of the use of teledentistry services. Provides that it shall be a violation of the Act for a provider of dental services utilizing care through teledentistry to require a patient to sign an agreement that limits in any way the patient's ability to write a review of services received or file a complaint with the Department or other regulatory agency. Provides that a person may not sell a clear aligner to a patient unless the person has received written or electronic confirmation from a dentist licensed in this State that the patient has received an intraoral or extraoral dental examination and has had a review of new or recently conducted x-rays, panoramic x-rays, computed tomography, bone imaging scans, or other appropriate diagnostic imaging sufficient to allow the dentist to detect conditions in the patient that would preclude or contraindicate the provision of safe orthodontic treatment. Provides that a person who sells a clear aligner to a patient shall maintain any documents for not less than 7 years after the date of sale. Defines "informed consent" and "clear aligner". Changes the definitions of "patient of record" and "teledentistry".
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    LRB103 26931 AMQ 53295 b
A BILL FOR

 

 

225 ILCS 25/4 from Ch. 111, par. 2304
225 ILCS 25/17 from Ch. 111, par. 2317
225 ILCS 25/26 from Ch. 111, par. 2326
225 ILCS 25/46.5 new



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1  who may perform any intraoral and extraoral procedure required
2  in the practice of dentistry and to whom is reserved the
3  responsibilities specified in Section 17.
4  "Dental hygienist" means a person who holds a license
5  under this Act to perform dental services as authorized by
6  Section 18.
7  "Dental assistant" means an appropriately trained person
8  who, under the supervision of a dentist, provides dental
9  services as authorized by Section 17.
10  "Expanded function dental assistant" means a dental
11  assistant who has completed the training required by Section
12  17.1 of this Act.
13  "Dental laboratory" means a person, firm or corporation
14  which:
15  (i) engages in making, providing, repairing or
16  altering dental prosthetic appliances and other artificial
17  materials and devices which are returned to a dentist for
18  insertion into the human oral cavity or which come in
19  contact with its adjacent structures and tissues; and
20  (ii) utilizes or employs a dental technician to
21  provide such services; and
22  (iii) performs such functions only for a dentist or
23  dentists.
24  "Supervision" means supervision of a dental hygienist or a
25  dental assistant requiring that a dentist authorize the
26  procedure, remain in the dental facility while the procedure

 

 

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1  is performed, and approve the work performed by the dental
2  hygienist or dental assistant before dismissal of the patient,
3  but does not mean that the dentist must be present at all times
4  in the treatment room.
5  "General supervision" means supervision of a dental
6  hygienist requiring that the patient be a patient of record,
7  that the dentist examine the patient in accordance with
8  Section 18 prior to treatment by the dental hygienist, and
9  that the dentist authorize the procedures which are being
10  carried out by a notation in the patient's record, but not
11  requiring that a dentist be present when the authorized
12  procedures are being performed. The issuance of a prescription
13  to a dental laboratory by a dentist does not constitute
14  general supervision.
15  "Public member" means a person who is not a health
16  professional. For purposes of board membership, any person
17  with a significant financial interest in a health service or
18  profession is not a public member.
19  "Dentistry" means the healing art which is concerned with
20  the examination, diagnosis, treatment planning and care of
21  conditions within the human oral cavity and its adjacent
22  tissues and structures, as further specified in Section 17.
23  "Branches of dentistry" means the various specialties of
24  dentistry which, for purposes of this Act, shall be limited to
25  the following: endodontics, oral and maxillofacial surgery,
26  orthodontics and dentofacial orthopedics, pediatric dentistry,

 

 

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1  periodontics, prosthodontics, oral and maxillofacial
2  radiology, and dental anesthesiology.
3  "Specialist" means a dentist who has received a specialty
4  license pursuant to Section 11(b).
5  "Dental technician" means a person who owns, operates, or
6  is employed by a dental laboratory and engages in making,
7  providing, repairing, or altering dental prosthetic appliances
8  and other artificial materials and devices which are returned
9  to a dentist for insertion into the human oral cavity or which
10  come in contact with its adjacent structures and tissues.
11  "Informed consent" means the treating dentist has provided
12  the patient with an opportunity to directly communicate with
13  the treating dentist, whether in person, by telephone, or
14  through synchronous technology, about the treatment to be
15  provided.
16  "Impaired dentist" or "impaired dental hygienist" means a
17  dentist or dental hygienist who is unable to practice with
18  reasonable skill and safety because of a physical or mental
19  disability as evidenced by a written determination or written
20  consent based on clinical evidence, including deterioration
21  through the aging process, loss of motor skills, abuse of
22  drugs or alcohol, or a psychiatric disorder, of sufficient
23  degree to diminish the person's ability to deliver competent
24  patient care.
25  "Nurse" means a registered professional nurse, a certified
26  registered nurse anesthetist licensed as an advanced practice

 

 

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1  registered nurse, or a licensed practical nurse licensed under
2  the Nurse Practice Act.
3  "Patient of record" means a patient for whom the patient's
4  most recent dentist has obtained a relevant medical and dental
5  history and on whom the dentist has performed an a physical
6  examination within the last year and evaluated the condition
7  to be treated, including a review of the patient's most recent
8  x-rays.
9  "Dental responder" means a dentist or dental hygienist who
10  is appropriately certified in disaster preparedness,
11  immunizations, and dental humanitarian medical response
12  consistent with the Society of Disaster Medicine and Public
13  Health and training certified by the National Incident
14  Management System or the National Disaster Life Support
15  Foundation.
16  "Mobile dental van or portable dental unit" means any
17  self-contained or portable dental unit in which dentistry is
18  practiced that can be moved, towed, or transported from one
19  location to another in order to establish a location where
20  dental services can be provided.
21  "Public health dental hygienist" means a hygienist who
22  holds a valid license to practice in the State, has 2 years of
23  full-time clinical experience or an equivalent of 4,000 hours
24  of clinical experience, and has completed at least 42 clock
25  hours of additional structured courses in dental education in
26  advanced areas specific to public health dentistry.

 

 

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1  "Public health setting" means a federally qualified health
2  center; a federal, State, or local public health facility;
3  Head Start; a special supplemental nutrition program for
4  Women, Infants, and Children (WIC) facility; a certified
5  school-based health center or school-based oral health
6  program; a prison; or a long-term care facility.
7  "Public health supervision" means the supervision of a
8  public health dental hygienist by a licensed dentist who has a
9  written public health supervision agreement with that public
10  health dental hygienist while working in an approved facility
11  or program that allows the public health dental hygienist to
12  treat patients, without a dentist first examining the patient
13  and being present in the facility during treatment, (1) who
14  are eligible for Medicaid or (2) who are uninsured and whose
15  household income is not greater than 200% of the federal
16  poverty level.
17  "Teledentistry" means the use of telehealth systems and
18  methodologies in dentistry and includes patient diagnosis,
19  treatment planning, care, and education delivery for a patient
20  of record using synchronous and asynchronous communications
21  under an Illinois licensed a dentist's authority as provided
22  under this Act.
23  "Clear aligner" means a medical device, excluding a
24  retainer used to keep teeth in a fixed position, that is used
25  in orthodontic treatment to gradually move a patient's teeth
26  or jaw and correct misalignment and manufactured to address

 

 

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1  the patient's unique orthodontic needs.
2  (Source: P.A. 101-64, eff. 7-12-19; 101-162, eff. 7-26-19;
3  102-93, eff. 1-1-22; 102-588, eff. 8-20-21; 102-936, eff.
4  1-1-23.)
5  (225 ILCS 25/17) (from Ch. 111, par. 2317)
6  (Section scheduled to be repealed on January 1, 2026)
7  Sec. 17. Acts constituting the practice of dentistry. A
8  person practices dentistry, within the meaning of this Act:
9  (1) Who represents himself or herself as being able to
10  diagnose or diagnoses, treats, prescribes, or operates for
11  any disease, pain, deformity, deficiency, injury, or
12  physical condition of the human tooth, teeth, alveolar
13  process, gums, or jaw; or
14  (2) Who is a manager, proprietor, operator, or
15  conductor of a business where dental operations are
16  performed; or
17  (3) Who performs dental operations of any kind; or
18  (4) Who uses an X-Ray machine or X-Ray films for
19  dental diagnostic purposes; or
20  (5) Who extracts a human tooth or teeth, or corrects
21  or attempts to correct malpositions of the human teeth or
22  jaws; or
23  (6) Who offers or undertakes, by any means or method,
24  to diagnose, treat, or remove stains, calculus, and
25  bonding materials from human teeth or jaws; or

 

 

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1  (7) Who uses or administers local or general
2  anesthetics in the treatment of dental or oral diseases or
3  in any preparation incident to a dental operation of any
4  kind or character; or
5  (8) Who takes material or digital scans for final
6  impressions of the human tooth, teeth, or jaws or performs
7  any phase of any operation incident to the replacement of
8  a part of a tooth, a tooth, teeth, or associated tissues by
9  means of a filling, crown, a bridge, a denture, or other
10  appliance; or
11  (9) Who offers to furnish, supply, construct,
12  reproduce, or repair, or who furnishes, supplies,
13  constructs, reproduces, or repairs, prosthetic dentures,
14  bridges, or other substitutes for natural teeth, to the
15  user or prospective user thereof; or
16  (10) Who instructs students on clinical matters or
17  performs any clinical operation included in the curricula
18  of recognized dental schools and colleges; or
19  (11) Who takes material or digital scans for final
20  impressions of human teeth or places his or her hands in
21  the mouth of any person for the purpose of applying teeth
22  whitening materials, or who takes impressions of human
23  teeth or places his or her hands in the mouth of any person
24  for the purpose of assisting in the application of teeth
25  whitening materials. A person does not practice dentistry
26  when he or she discloses to the consumer that he or she is

 

 

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1  not licensed as a dentist under this Act and (i) discusses
2  the use of teeth whitening materials with a consumer
3  purchasing these materials; (ii) provides instruction on
4  the use of teeth whitening materials with a consumer
5  purchasing these materials; or (iii) provides appropriate
6  equipment on-site to the consumer for the consumer to
7  self-apply teeth whitening materials; or .
8  (12) Who provides teledentistry. A dentist may provide
9  and delegate dental services using telehealth only under
10  the supervision requirements as specified in this Act for
11  in-person care. A dentist practicing dentistry through
12  teledentistry is subject to the same standard of care as
13  if those services were being delivered in a clinic or
14  office setting. A patient receiving dental services
15  through teledentistry shall be provided with the name,
16  direct telephone number, and physical practice address of
17  the treating dentist who will be involved in the
18  teledentistry services. The information shall be provided
19  to the patient prior to the provision of services. The
20  Department may adopt rules to implement this paragraph.
21  The fact that any person engages in or performs, or offers
22  to engage in or perform, any of the practices, acts, or
23  operations set forth in this Section, shall be prima facie
24  evidence that such person is engaged in the practice of
25  dentistry.
26  The following practices, acts, and operations, however,

 

 

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1  are exempt from the operation of this Act:
2  (a) The rendering of dental relief in emergency cases
3  in the practice of his or her profession by a physician or
4  surgeon, licensed as such under the laws of this State,
5  unless he or she undertakes to reproduce or reproduces
6  lost parts of the human teeth in the mouth or to restore or
7  replace lost or missing teeth in the mouth; or
8  (b) The practice of dentistry in the discharge of
9  their official duties by dentists in any branch of the
10  Armed Services of the United States, the United States
11  Public Health Service, or the United States Veterans
12  Administration; or
13  (c) The practice of dentistry by students in their
14  course of study in dental schools or colleges approved by
15  the Department, when acting under the direction and
16  supervision of dentists acting as instructors; or
17  (d) The practice of dentistry by clinical instructors
18  in the course of their teaching duties in dental schools
19  or colleges approved by the Department:
20  (i) when acting under the direction and
21  supervision of dentists, provided that such clinical
22  instructors have instructed continuously in this State
23  since January 1, 1986; or
24  (ii) when holding the rank of full professor at
25  such approved dental school or college and possessing
26  a current valid license or authorization to practice

 

 

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1  dentistry in another country; or
2  (e) The practice of dentistry by licensed dentists of
3  other states or countries at meetings of the Illinois
4  State Dental Society or component parts thereof, alumni
5  meetings of dental colleges, or any other like dental
6  organizations, while appearing as clinicians; or
7  (f) The use of X-Ray machines for exposing X-Ray films
8  of dental or oral tissues by dental hygienists or dental
9  assistants; or
10  (g) The performance of any dental service by a dental
11  assistant, if such service is performed under the
12  supervision and full responsibility of a dentist. In
13  addition, after being authorized by a dentist, a dental
14  assistant may, for the purpose of eliminating pain or
15  discomfort, remove loose, broken, or irritating
16  orthodontic appliances on a patient of record.
17  For purposes of this paragraph (g), "dental service"
18  is defined to mean any intraoral procedure or act which
19  shall be prescribed by rule or regulation of the
20  Department. Dental service, however, shall not include:
21  (1) Any and all diagnosis of or prescription for
22  treatment of disease, pain, deformity, deficiency,
23  injury, or physical condition of the human teeth or
24  jaws, or adjacent structures.
25  (2) Removal of, or restoration of, or addition to
26  the hard or soft tissues of the oral cavity, except for

 

 

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1  the placing, carving, and finishing of amalgam
2  restorations and placing, packing, and finishing
3  composite restorations by dental assistants who have
4  had additional formal education and certification.
5  A dental assistant may place, carve, and finish
6  amalgam restorations, place, pack, and finish
7  composite restorations, and place interim restorations
8  if he or she (A) has successfully completed a
9  structured training program as described in item (2)
10  of subsection (g) provided by an educational
11  institution accredited by the Commission on Dental
12  Accreditation, such as a dental school or dental
13  hygiene or dental assistant program, or (B) has at
14  least 4,000 hours of direct clinical patient care
15  experience and has successfully completed a structured
16  training program as described in item (2) of
17  subsection (g) provided by a statewide dental
18  association, approved by the Department to provide
19  continuing education, that has developed and conducted
20  training programs for expanded functions for dental
21  assistants or hygienists. The training program must:
22  (i) include a minimum of 16 hours of didactic study and
23  14 hours of clinical manikin instruction; all training
24  programs shall include areas of study in nomenclature,
25  caries classifications, oral anatomy, periodontium,
26  basic occlusion, instrumentations, pulp protection

 

 

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1  liners and bases, dental materials, matrix and wedge
2  techniques, amalgam placement and carving, rubber dam
3  clamp placement, and rubber dam placement and removal;
4  (ii) include an outcome assessment examination that
5  demonstrates competency; (iii) require the supervising
6  dentist to observe and approve the completion of 8
7  amalgam or composite restorations; and (iv) issue a
8  certificate of completion of the training program,
9  which must be kept on file at the dental office and be
10  made available to the Department upon request. A
11  dental assistant must have successfully completed an
12  approved coronal polishing and dental sealant course
13  prior to taking the amalgam and composite restoration
14  course.
15  A dentist utilizing dental assistants shall not
16  supervise more than 4 dental assistants at any one
17  time for placing, carving, and finishing of amalgam
18  restorations or for placing, packing, and finishing
19  composite restorations.
20  (3) Any and all correction of malformation of
21  teeth or of the jaws.
22  (4) Administration of anesthetics, except for
23  monitoring of nitrous oxide, conscious sedation, deep
24  sedation, and general anesthetic as provided in
25  Section 8.1 of this Act, that may be performed only
26  after successful completion of a training program

 

 

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  HB2215 - 14 - LRB103 26931 AMQ 53295 b
1  approved by the Department. A dentist utilizing dental
2  assistants shall not supervise more than 4 dental
3  assistants at any one time for the monitoring of
4  nitrous oxide.
5  (5) Removal of calculus from human teeth.
6  (6) Taking of material or digital scans for final
7  impressions for the fabrication of prosthetic
8  appliances, crowns, bridges, inlays, onlays, or other
9  restorative or replacement dentistry.
10  (7) The operative procedure of dental hygiene
11  consisting of oral prophylactic procedures, except for
12  coronal polishing and pit and fissure sealants, which
13  may be performed by a dental assistant who has
14  successfully completed a training program approved by
15  the Department. Dental assistants may perform coronal
16  polishing under the following circumstances: (i) the
17  coronal polishing shall be limited to polishing the
18  clinical crown of the tooth and existing restorations,
19  supragingivally; (ii) the dental assistant performing
20  the coronal polishing shall be limited to the use of
21  rotary instruments using a rubber cup or brush
22  polishing method (air polishing is not permitted); and
23  (iii) the supervising dentist shall not supervise more
24  than 4 dental assistants at any one time for the task
25  of coronal polishing or pit and fissure sealants.
26  In addition to coronal polishing and pit and

 

 

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  HB2215 - 15 - LRB103 26931 AMQ 53295 b
1  fissure sealants as described in this item (7), a
2  dental assistant who has at least 2,000 hours of
3  direct clinical patient care experience and who has
4  successfully completed a structured training program
5  provided by (1) an educational institution including,
6  but not limited to, a dental school or dental hygiene
7  or dental assistant program, or (2) a continuing
8  education provider approved by the Department, or (3)
9  a statewide dental or dental hygienist association,
10  approved by the Department on or before January 1,
11  2017 (the effective date of Public Act 99-680), that
12  has developed and conducted a training program for
13  expanded functions for dental assistants or hygienists
14  may perform: (A) coronal scaling above the gum line,
15  supragingivally, on the clinical crown of the tooth
16  only on patients 17 years of age or younger who have an
17  absence of periodontal disease and who are not
18  medically compromised or individuals with special
19  needs and (B) intracoronal temporization of a tooth.
20  The training program must: (I) include a minimum of 32
21  hours of instruction in both didactic and clinical
22  manikin or human subject instruction; all training
23  programs shall include areas of study in dental
24  anatomy, public health dentistry, medical history,
25  dental emergencies, and managing the pediatric
26  patient; (II) include an outcome assessment

 

 

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  HB2215 - 16 - LRB103 26931 AMQ 53295 b
1  examination that demonstrates competency; (III)
2  require the supervising dentist to observe and approve
3  the completion of 6 full mouth supragingival scaling
4  procedures unless the training was received as part of
5  a Commission on Dental Accreditation approved dental
6  assistant program; and (IV) issue a certificate of
7  completion of the training program, which must be kept
8  on file at the dental office and be made available to
9  the Department upon request. A dental assistant must
10  have successfully completed an approved coronal
11  polishing course prior to taking the coronal scaling
12  course. A dental assistant performing these functions
13  shall be limited to the use of hand instruments only.
14  In addition, coronal scaling as described in this
15  paragraph shall only be utilized on patients who are
16  eligible for Medicaid, who are uninsured, or whose
17  household income is not greater than 300% of the
18  federal poverty level. A dentist may not supervise
19  more than 2 dental assistants at any one time for the
20  task of coronal scaling. This paragraph is inoperative
21  on and after January 1, 2026.
22  The limitations on the number of dental assistants a
23  dentist may supervise contained in items (2), (4), and (7)
24  of this paragraph (g) mean a limit of 4 total dental
25  assistants or dental hygienists doing expanded functions
26  covered by these Sections being supervised by one dentist;

 

 

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  HB2215 - 17 - LRB103 26931 AMQ 53295 b
1  or
2  (h) The practice of dentistry by an individual who:
3  (i) has applied in writing to the Department, in
4  form and substance satisfactory to the Department, for
5  a general dental license and has complied with all
6  provisions of Section 9 of this Act, except for the
7  passage of the examination specified in subsection (e)
8  of Section 9 of this Act; or
9  (ii) has applied in writing to the Department, in
10  form and substance satisfactory to the Department, for
11  a temporary dental license and has complied with all
12  provisions of subsection (c) of Section 11 of this
13  Act; and
14  (iii) has been accepted or appointed for specialty
15  or residency training by a hospital situated in this
16  State; or
17  (iv) has been accepted or appointed for specialty
18  training in an approved dental program situated in
19  this State; or
20  (v) has been accepted or appointed for specialty
21  training in a dental public health agency situated in
22  this State.
23  The applicant shall be permitted to practice dentistry
24  for a period of 3 months from the starting date of the
25  program, unless authorized in writing by the Department to
26  continue such practice for a period specified in writing

 

 

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1  by the Department.
2  The applicant shall only be entitled to perform such
3  acts as may be prescribed by and incidental to his or her
4  program of residency or specialty training and shall not
5  otherwise engage in the practice of dentistry in this
6  State.
7  The authority to practice shall terminate immediately
8  upon:
9  (1) the decision of the Department that the
10  applicant has failed the examination; or
11  (2) denial of licensure by the Department; or
12  (3) withdrawal of the application.
13  (Source: P.A. 101-162, eff. 7-26-19; 102-558, eff. 8-20-21;
14  102-936, eff. 1-1-23.)
15  (225 ILCS 25/26) (from Ch. 111, par. 2326)
16  (Section scheduled to be repealed on January 1, 2026)
17  Sec. 26. Disciplinary actions.
18  (a) In case the respondent, after receiving notice, fails
19  to file an answer, his or her license may, in the discretion of
20  the Secretary, having first received the recommendation of the
21  Board, be suspended, revoked, placed on probationary status,
22  or the Secretary may take whatever disciplinary or
23  non-disciplinary action he or she may deem proper, including
24  limiting the scope, nature, or extent of the person's practice
25  or the imposition of a fine, without a hearing, if the act or

 

 

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  HB2215 - 19 - LRB103 26931 AMQ 53295 b
1  acts charged constitute sufficient grounds for such action
2  under this Act.
3  (b) The Secretary may temporarily suspend the license of a
4  dentist or dental hygienist without a hearing, simultaneous to
5  the institution of proceedings for a hearing under this Act,
6  if the Secretary finds that evidence in his or her possession
7  indicates that a dentist's or dental hygienist's continuation
8  in practice would constitute an immediate danger to the
9  public. In the event that the Secretary temporarily suspends
10  the license of a dentist or a dental hygienist without a
11  hearing, a hearing by the Board must be held within 15 days
12  after such suspension has occurred.
13  (c) The entry of a judgment by any circuit court
14  establishing that any person holding a license under this Act
15  is a person subject to involuntary admission under the Mental
16  Health and Developmental Disabilities Code shall operate as a
17  suspension of that license. That person may resume his or her
18  practice only upon a finding by the Board that he or she has
19  been determined to be no longer subject to involuntary
20  admission by the court and upon the Board's recommendation to
21  the Secretary that he or she be permitted to resume his or her
22  practice.
23  (d) It shall be a violation of this Act for a provider of
24  dental services utilizing care through teledentistry to
25  require a patient to sign an agreement that limits in any way
26  the patient's ability to write a review of services received

 

 

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  HB2215 - 20 - LRB103 26931 AMQ 53295 b
1  or file a complaint with the Department or other regulatory
2  agency.
3  (Source: P.A. 99-492, eff. 12-31-15.)
4  (225 ILCS 25/46.5 new)
5  Sec. 46.5. Prohibition on sale of clear aligners to the
6  public.
7  (a) A person may not sell a clear aligner to a patient
8  unless the person has received written or electronic
9  confirmation from a dentist licensed in this State that the
10  patient has received an intraoral or extraoral dental
11  examination and has had a review of new or recently conducted
12  x-rays, panoramic x-rays, computed tomography, bone imaging
13  scans, or other appropriate diagnostic imaging sufficient to
14  allow the dentist to detect conditions in the patient that
15  would preclude or contraindicate the provision of safe
16  orthodontic treatment.
17  (b) A person who sells a clear aligner to a patient shall
18  maintain any documents received under subsection (a) for not
19  less than 7 years after the date of sale.

 

 

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