Illinois 2023 2023-2024 Regular Session

Illinois Senate Bill SB2822 Engrossed / Bill

Filed 04/12/2024

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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, 8.1, 17, 19.2, and 45 as follows:
6  (225 ILCS 25/4)
7  (Section scheduled to be repealed on January 1, 2026)
8  Sec. 4. Definitions. As used in this Act:
9  "Address of record" means the designated address recorded
10  by the Department in the applicant's or licensee's application
11  file or license file as maintained by the Department's
12  licensure maintenance unit. It is the duty of the applicant or
13  licensee to inform the Department of any change of address and
14  those changes must be made either through the Department's
15  website or by contacting the Department.
16  "Department" means the Department of Financial and
17  Professional Regulation.
18  "Secretary" means the Secretary of Financial and
19  Professional Regulation.
20  "Board" means the Board of Dentistry.
21  "Dentist" means a person who has received a general
22  license pursuant to paragraph (a) of Section 11 of this Act and
23  who may perform any intraoral and extraoral procedure required

 

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

 

 

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

 

 

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

 

 

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1  "Dental responder" means a dentist or dental hygienist who
2  is appropriately certified in disaster preparedness,
3  immunizations, and dental humanitarian medical response
4  consistent with the Society of Disaster Medicine and Public
5  Health and training certified by the National Incident
6  Management System or the National Disaster Life Support
7  Foundation.
8  "Mobile dental van or portable dental unit" means any
9  self-contained or portable dental unit in which dentistry is
10  practiced that can be moved, towed, or transported from one
11  location to another in order to establish a location where
12  dental services can be provided.
13  "Public health dental hygienist" means a hygienist who
14  holds a valid license to practice in the State, has 2 years of
15  full-time clinical experience or an equivalent of 4,000 hours
16  of clinical experience, and has completed at least 42 clock
17  hours of additional structured courses in dental education in
18  advanced areas specific to public health dentistry.
19  "Public health setting" means a federally qualified health
20  center; a federal, State, or local public health facility;
21  Head Start; a special supplemental nutrition program for
22  Women, Infants, and Children (WIC) facility; a certified
23  school-based health center or school-based oral health
24  program; a prison; or a long-term care facility.
25  "Public health supervision" means the supervision of a
26  public health dental hygienist by a licensed dentist who has a

 

 

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1  written public health supervision agreement with that public
2  health dental hygienist while working in an approved facility
3  or program that allows the public health dental hygienist to
4  treat patients, without a dentist first examining the patient
5  and being present in the facility during treatment, (1) who
6  are eligible for Medicaid or (2) who are uninsured or whose
7  household income is not greater than 300% of the federal
8  poverty level.
9  "Teledentistry" means the use of telehealth systems and
10  methodologies in dentistry and includes patient care and
11  education delivery using synchronous and asynchronous
12  communications under a dentist's authority as provided under
13  this Act.
14  "Moderate sedation" means a drug-induced depression of
15  consciousness during which: (1) patients respond purposefully
16  to verbal commands, either alone or accompanied by light
17  tactile stimulation; (2) no interventions are required to
18  maintain a patient's airway and spontaneous ventilation is
19  adequate; and (3) cardiovascular function is usually
20  maintained.
21  "Deep sedation" means a drug-induced depression of
22  consciousness during which: (1) patients cannot be easily
23  aroused, but respond purposefully following repeated or
24  painful stimulation; (2) the ability to independently maintain
25  ventilatory function may be impaired; (3) patients may require
26  assistance in maintaining airways and spontaneous ventilation

 

 

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1  may be inadequate; and (4) cardiovascular function is usually
2  maintained.
3  "General anesthesia" means a drug-induced loss of
4  consciousness during which: (1) patients are not arousable,
5  even by painful stimulation; (2) the ability to independently
6  maintain ventilatory function is often impaired; (3) patients
7  often require assistance in maintaining airways and positive
8  pressure ventilation may be required because of depressed
9  spontaneous ventilation or drug-induced depression of
10  neuromuscular function; and (4) cardiovascular function may be
11  impaired.
12  "Venipuncture" means the puncture of a vein as part of a
13  medical procedure, typically to withdraw a blood sample or for
14  an intravenous catheter for the administration of medication
15  or fluids.
16  "Enteral route of administration" means administration of
17  a drug that is absorbed through the gastrointestinal tract or
18  through oral, rectal, or sublingual mucosa.
19  "Parenteral route of administration" means administration
20  of a drug by which the drug bypasses the gastrointestinal
21  tract through intramuscular, intravenous, intranasal,
22  submucosal, subcutaneous, or intraosseous methods.
23  (Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;
24  102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
25  1-1-24; revised 12-15-23.)

 

 

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1  (225 ILCS 25/8.1) (from Ch. 111, par. 2308.1)
2  (Section scheduled to be repealed on January 1, 2026)
3  Sec. 8.1. Permit for the administration of anesthesia and
4  sedation.
5  (a) No licensed dentist shall administer general
6  anesthesia, deep sedation, or moderate conscious sedation
7  without first applying for and obtaining a permit for such
8  purpose from the Department. The Department shall issue such
9  permit only after ascertaining that the applicant possesses
10  the minimum qualifications necessary to protect public safety.
11  A person with a dental degree who administers anesthesia, deep
12  sedation, or moderate conscious sedation in an approved
13  hospital training program under the supervision of either a
14  licensed dentist holding such permit or a physician licensed
15  to practice medicine in all its branches shall not be required
16  to obtain such permit.
17  (b) The minimum requirements for a permit to administer
18  moderate sedation issued after the effective date of this
19  amendatory Act of the 103rd General Assembly shall include the
20  completion of a minimum of 75 hours of didactic and supervised
21  clinical study in either:
22  (1) an American Dental Association Commission on
23  Dental Accreditation accredited dental specialty program,
24  general practice residency, or advanced education in
25  general dentistry residency that includes training and
26  documentation in moderate sedation techniques appropriate

 

 

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1  for each specialty or an American Dental Association
2  Commission on Dental Accreditation accredited dental
3  anesthesiology residency program and proof of completion
4  of 20 individually managed patients utilizing appropriate
5  routes of administration, in which the applicant is the
6  sole provider, which can include, but are not limited to,
7  intravenous, oral, intranasal, or intramuscular or
8  combinations thereof; or
9  (2) a structured course of study provided by an
10  approved continuing education provider that includes
11  training and documentation in moderate sedation, physical
12  evaluation, venipuncture, advanced airway management,
13  technical administration, recognition and management of
14  complications and emergencies and monitoring with
15  additional supervised experience and documentation
16  demonstrating competence in providing moderate sedation
17  utilizing enteral and parenteral routes of administration
18  of medications to competency to 20 individual patient
19  experiences on a 1 to 1 ratio with an instructor, in which
20  the applicant is the sole provider of sedation over a
21  continuous time frame as set by the Department and as
22  provided in the American Dental Association's Guidelines
23  for Teaching Pain Control and Sedation to Dentists and
24  Dental Students.
25  (b-5) The minimum requirements for a permit to administer
26  deep sedation and general anesthesia issued after the

 

 

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1  effective date of this amendatory Act of the 103rd General
2  Assembly shall include:
3  (1) the completion of a minimum of 2 years of advanced
4  training in anesthesiology beyond the pre-doctoral level
5  in a training program approved by the American Dental
6  Association's Council on Dental Education and Licensure,
7  as outlined in Guidelines for Teaching Pain Control and
8  Sedation to Dentists and Dental Students, as published by
9  the American Dental Association's Council on Dental
10  Education and Licensure;
11  (2) a specialty license in oral and maxillofacial
12  surgery;
13  (3) completion of an accredited oral or maxillofacial
14  surgery residency program; or
15  (4) the completion of an American Dental Association
16  Commission on Dental Accreditation accredited dental
17  anesthesiology residency program.
18  (b-10) The Department may establish, by rule, additional
19  training programs and training requirements consistent with
20  this Section to ensure patient safety in dental offices
21  administering anesthesia, which shall include, but not be
22  limited to the following In determining the minimum permit
23  qualifications that are necessary to protect public safety,
24  the Department, by rule, shall:
25  (1) (blank); establish the minimum educational and
26  training requirements necessary for a dentist to be issued

 

 

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1  an appropriate permit;
2  (2) establish the standards for properly equipped
3  dental facilities (other than licensed hospitals and
4  ambulatory surgical treatment centers) in which general
5  anesthesia, deep sedation, or moderate conscious sedation
6  is administered, as necessary to protect public safety;
7  (3) establish minimum requirements for all persons who
8  assist the dentist in the administration of general
9  anesthesia, deep sedation, or moderate conscious sedation,
10  including minimum training requirements for each member of
11  the dental team, monitoring requirements, recordkeeping
12  requirements, and emergency procedures;
13  (4) ensure that the dentist has completed and
14  maintains current certification in advanced cardiac life
15  support or pediatric advanced life support and all persons
16  assisting the dentist or monitoring the administration of
17  general anesthesia, deep sedation, or moderate conscious
18  sedation maintain current certification in Basic Life
19  Support (BLS); and
20  (5) establish continuing education requirements in
21  sedation techniques and airway management for dentists who
22  possess a permit under this Section.
23  The Department shall adopt rules that ensure that a
24  continuing education course designed to meet the permit
25  requirements for moderate sedation training is reviewed and
26  certified by the Department if the course is not accredited by

 

 

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1  the American Dental Association Commission on Dental
2  Accreditation.
3  When establishing requirements under this Section, the
4  Department shall consider the current American Dental
5  Association guidelines on sedation and general anesthesia, the
6  current "Guidelines for Monitoring and Management of Pediatric
7  Patients During and After Sedation for Diagnostic and
8  Therapeutic Procedures" established by the American Academy of
9  Pediatrics and the American Academy of Pediatric Dentistry,
10  and the current parameters of care and Office Anesthesia
11  Evaluation (OAE) Manual established by the American
12  Association of Oral and Maxillofacial Surgeons.
13  (c) A licensed dentist must hold an appropriate permit
14  issued under this Section in order to perform dentistry while
15  a nurse anesthetist administers moderate conscious sedation,
16  and a valid written collaborative agreement must exist between
17  the dentist and the nurse anesthetist, in accordance with the
18  Nurse Practice Act.
19  A licensed dentist must hold an appropriate permit issued
20  under this Section in order to perform dentistry while a nurse
21  anesthetist administers deep sedation or general anesthesia,
22  and a valid written collaborative agreement must exist between
23  the dentist and the nurse anesthetist, in accordance with the
24  Nurse Practice Act.
25  For the purposes of this subsection (c), "nurse
26  anesthetist" means a licensed certified registered nurse

 

 

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1  anesthetist who holds a license as an advanced practice
2  registered nurse.
3  (Source: P.A. 100-201, eff. 8-18-17; 100-513, eff. 1-1-18;
4  101-162, eff. 7-26-19.)
5  (225 ILCS 25/17)
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, a 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.
8  The fact that any person engages in or performs, or offers
9  to engage in or perform, any of the practices, acts, or
10  operations set forth in this Section, shall be prima facie
11  evidence that such person is engaged in the practice of
12  dentistry.
13  The following practices, acts, and operations, however,
14  are exempt from the operation of this Act:
15  (a) The rendering of dental relief in emergency cases
16  in the practice of his or her profession by a physician or
17  surgeon, licensed as such under the laws of this State,
18  unless he or she undertakes to reproduce or reproduces
19  lost parts of the human teeth in the mouth or to restore or
20  replace lost or missing teeth in the mouth; or
21  (b) The practice of dentistry in the discharge of
22  their official duties by dentists in any branch of the
23  Armed Services of the United States, the United States
24  Public Health Service, or the United States Veterans
25  Administration; or
26  (c) The practice of dentistry by students in their

 

 

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1  course of study in dental schools or colleges approved by
2  the Department, when acting under the direction and
3  supervision of dentists acting as instructors; or
4  (d) The practice of dentistry by clinical instructors
5  in the course of their teaching duties in dental schools
6  or colleges approved by the Department:
7  (i) when acting under the direction and
8  supervision of dentists, provided that such clinical
9  instructors have instructed continuously in this State
10  since January 1, 1986; or
11  (ii) when holding the rank of full professor at
12  such approved dental school or college and possessing
13  a current valid license or authorization to practice
14  dentistry in another country; or
15  (e) The practice of dentistry by licensed dentists of
16  other states or countries at meetings of the Illinois
17  State Dental Society or component parts thereof, alumni
18  meetings of dental colleges, or any other like dental
19  organizations, while appearing as clinicians; or
20  (f) The use of X-Ray machines for exposing X-Ray films
21  of dental or oral tissues by dental hygienists or dental
22  assistants; or
23  (g) The performance of any dental service by a dental
24  assistant, if such service is performed under the
25  supervision and full responsibility of a dentist. In
26  addition, after being authorized by a dentist, a dental

 

 

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1  assistant may, for the purpose of eliminating pain or
2  discomfort, remove loose, broken, or irritating
3  orthodontic appliances on a patient of record.
4  For purposes of this paragraph (g), "dental service"
5  is defined to mean any intraoral procedure or act which
6  shall be prescribed by rule or regulation of the
7  Department. "Dental service", however, shall not include:
8  (1) Any and all diagnosis of or prescription for
9  treatment of disease, pain, deformity, deficiency,
10  injury, or physical condition of the human teeth or
11  jaws, or adjacent structures.
12  (2) Removal of, restoration of, or addition to the
13  hard or soft tissues of the oral cavity, except for the
14  placing, carving, and finishing of amalgam
15  restorations and placing, packing, and finishing
16  composite restorations by dental assistants who have
17  had additional formal education and certification.
18  A dental assistant may place, carve, and finish
19  amalgam restorations, place, pack, and finish
20  composite restorations, and place interim restorations
21  if he or she (A) has successfully completed a
22  structured training program as described in item (2)
23  of subsection (g) provided by an educational
24  institution accredited by the Commission on Dental
25  Accreditation, such as a dental school or dental
26  hygiene or dental assistant program, or (B) has at

 

 

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1  least 4,000 hours of direct clinical patient care
2  experience and has successfully completed a structured
3  training program as described in item (2) of
4  subsection (g) provided by a statewide dental
5  association, approved by the Department to provide
6  continuing education, that has developed and conducted
7  training programs for expanded functions for dental
8  assistants or hygienists. The training program must:
9  (i) include a minimum of 16 hours of didactic study and
10  14 hours of clinical manikin instruction; all training
11  programs shall include areas of study in nomenclature,
12  caries classifications, oral anatomy, periodontium,
13  basic occlusion, instrumentations, pulp protection
14  liners and bases, dental materials, matrix and wedge
15  techniques, amalgam placement and carving, rubber dam
16  clamp placement, and rubber dam placement and removal;
17  (ii) include an outcome assessment examination that
18  demonstrates competency; (iii) require the supervising
19  dentist to observe and approve the completion of 8
20  amalgam or composite restorations; and (iv) issue a
21  certificate of completion of the training program,
22  which must be kept on file at the dental office and be
23  made available to the Department upon request. A
24  dental assistant must have successfully completed an
25  approved coronal polishing and dental sealant course
26  prior to taking the amalgam and composite restoration

 

 

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1  course.
2  A dentist utilizing dental assistants shall not
3  supervise more than 4 dental assistants at any one
4  time for placing, carving, and finishing of amalgam
5  restorations or for placing, packing, and finishing
6  composite restorations.
7  (3) Any and all correction of malformation of
8  teeth or of the jaws.
9  (4) Administration of anesthetics, except for
10  monitoring of nitrous oxide, moderate conscious
11  sedation, deep sedation, and general anesthetic as
12  provided in Section 8.1 of this Act, that may be
13  performed only after successful completion of a
14  training program approved by the Department. A dentist
15  utilizing dental assistants shall not supervise more
16  than 4 dental assistants at any one time for the
17  monitoring of nitrous oxide.
18  (5) Removal of calculus from human teeth.
19  (6) Taking of material or digital scans for final
20  impressions for the fabrication of prosthetic
21  appliances, crowns, bridges, inlays, onlays, or other
22  restorative or replacement dentistry.
23  (7) The operative procedure of dental hygiene
24  consisting of oral prophylactic procedures, except for
25  coronal polishing and pit and fissure sealants, which
26  may be performed by a dental assistant who has

 

 

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1  successfully completed a training program approved by
2  the Department. Dental assistants may perform coronal
3  polishing under the following circumstances: (i) the
4  coronal polishing shall be limited to polishing the
5  clinical crown of the tooth and existing restorations,
6  supragingivally; (ii) the dental assistant performing
7  the coronal polishing shall be limited to the use of
8  rotary instruments using a rubber cup or brush
9  polishing method (air polishing is not permitted); and
10  (iii) the supervising dentist shall not supervise more
11  than 4 dental assistants at any one time for the task
12  of coronal polishing or pit and fissure sealants.
13  In addition to coronal polishing and pit and
14  fissure sealants as described in this item (7), a
15  dental assistant who has at least 2,000 hours of
16  direct clinical patient care experience and who has
17  successfully completed a structured training program
18  provided by (1) an educational institution including,
19  but not limited to, a dental school or dental hygiene
20  or dental assistant program, (2) a continuing
21  education provider approved by the Department, or (3)
22  a statewide dental or dental hygienist association
23  that has developed and conducted a training program
24  for expanded functions for dental assistants or
25  hygienists may perform: (A) coronal scaling above the
26  gum line, supragingivally, on the clinical crown of

 

 

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1  the tooth only on patients 17 years of age or younger
2  who have an absence of periodontal disease and who are
3  not medically compromised or individuals with special
4  needs and (B) intracoronal temporization of a tooth.
5  The training program must: (I) include a minimum of 32
6  hours of instruction in both didactic and clinical
7  manikin or human subject instruction; all training
8  programs shall include areas of study in dental
9  anatomy, public health dentistry, medical history,
10  dental emergencies, and managing the pediatric
11  patient; (II) include an outcome assessment
12  examination that demonstrates competency; (III)
13  require the supervising dentist to observe and approve
14  the completion of 6 full mouth supragingival scaling
15  procedures unless the training was received as part of
16  a Commission on Dental Accreditation approved dental
17  assistant program; and (IV) issue a certificate of
18  completion of the training program, which must be kept
19  on file at the dental office and be made available to
20  the Department upon request. A dental assistant must
21  have successfully completed an approved coronal
22  polishing course prior to taking the coronal scaling
23  course. A dental assistant performing these functions
24  shall be limited to the use of hand instruments only.
25  In addition, coronal scaling as described in this
26  paragraph shall only be utilized on patients who are

 

 

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1  eligible for Medicaid, who are uninsured, or whose
2  household income is not greater than 300% of the
3  federal poverty level. A dentist may not supervise
4  more than 2 dental assistants at any one time for the
5  task of coronal scaling. This paragraph is inoperative
6  on and after January 1, 2026.
7  The limitations on the number of dental assistants a
8  dentist may supervise contained in items (2), (4), and (7)
9  of this paragraph (g) mean a limit of 4 total dental
10  assistants or dental hygienists doing expanded functions
11  covered by these Sections being supervised by one dentist;
12  or
13  (h) The practice of dentistry by an individual who:
14  (i) has applied in writing to the Department, in
15  form and substance satisfactory to the Department, for
16  a general dental license and has complied with all
17  provisions of Section 9 of this Act, except for the
18  passage of the examination specified in subsection (e)
19  of Section 9 of this Act; or
20  (ii) has applied in writing to the Department, in
21  form and substance satisfactory to the Department, for
22  a temporary dental license and has complied with all
23  provisions of subsection (c) of Section 11 of this
24  Act; and
25  (iii) has been accepted or appointed for specialty
26  or residency training by a hospital situated in this

 

 

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1  State; or
2  (iv) has been accepted or appointed for specialty
3  training in an approved dental program situated in
4  this State; or
5  (v) has been accepted or appointed for specialty
6  training in a dental public health agency situated in
7  this State.
8  The applicant shall be permitted to practice dentistry
9  for a period of 3 months from the starting date of the
10  program, unless authorized in writing by the Department to
11  continue such practice for a period specified in writing
12  by the Department.
13  The applicant shall only be entitled to perform such
14  acts as may be prescribed by and incidental to his or her
15  program of residency or specialty training and shall not
16  otherwise engage in the practice of dentistry in this
17  State.
18  The authority to practice shall terminate immediately
19  upon:
20  (1) the decision of the Department that the
21  applicant has failed the examination; or
22  (2) denial of licensure by the Department; or
23  (3) withdrawal of the application.
24  (Source: P.A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;
25  103-425, eff. 1-1-24; 103-431, eff. 1-1-24; revised 12-15-23.)

 

 

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1  (225 ILCS 25/19.2)
2  (Section scheduled to be repealed on January 1, 2026)
3  Sec. 19.2. Temporary permit for free dental care.
4  (a) Upon Board recommendation, the Department may issue a
5  temporary permit authorizing the practice in this State,
6  without compensation, of dentistry to an applicant who is
7  licensed to practice dentistry in another state, if all of the
8  following apply:
9  (1) the Department determines that the applicant's
10  services will improve the welfare of Illinois residents
11  who are eligible for Medicaid or who are uninsured and
12  whose household income is not greater than 200% of the
13  federal poverty level;
14  (2) the applicant has graduated from a dental program
15  approved by the American Dental Association's Commission
16  on Dental Accreditation and maintains an equivalent
17  authorization to practice dentistry in good standing in
18  his or her native licensing jurisdiction during the period
19  of the temporary visiting dentist permit and can furnish
20  the Department a certified letter upon request from that
21  jurisdiction attesting to the fact that the applicant has
22  no pending action or violations against his or her
23  license;
24  (3) the applicant has received an invitation to
25  perform dental care by a charitable organization or has
26  received an invitation to study or receive training on

 

 

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1  specific dental or clinical subjects or techniques by a
2  licensed continuing education sponsor who is approved by
3  the Department to provide clinical training in the State
4  of Illinois on patients for the welfare of Illinois
5  residents pursuant to subsection (a-5) and is in
6  compliance with the provisions of this Act;
7  (4) the applicant will be working pursuant to a
8  collaborative agreement with and under the direct
9  supervision of an Illinois licensed dentist, who is in
10  good standing, during the duration of the program. The
11  supervising dentist must be physically present during all
12  clinical training courses; and
13  (5) payment of a fee established by rule.
14  The Department may adopt rules to implement this
15  subsection.
16  (a-5) Upon Board recommendation, after the filing of an
17  application, the Department may allow approved continuing
18  education sponsors to be licensed to provide live patient
19  continuing education clinical training courses if the
20  following requirements are met:
21  (1) the continuing education course provides services,
22  without compensation, that will improve the welfare of
23  Illinois residents as described in paragraph (1) of
24  subsection (a). The application to the Board must include
25  the following information for review and approval by the
26  Department:

 

 

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1  (i) a plan of follow-up care and training models;
2  (ii) any and all documentation to be signed by the
3  patients, including, but not limited to, waivers,
4  consent forms, and releases;
5  (iii) information related to the facilities being
6  utilized, staffing plans, and emergency plans;
7  (iv) the process by which patients will be
8  contacted before, during, and after treatment;
9  (v) the intended population that will be receiving
10  treatment; and
11  (vi) proof of valid malpractice insurance for the
12  approved continuing education sponsor that extends
13  coverage to clinical staff, trainees, and out-of-state
14  permit holders that meet the requirements of
15  subsection (a);
16  (2) a valid written collaborative agreement must exist
17  between the temporary visiting dentist and the Illinois
18  licensed dentist co-treating patients under this Section.
19  The collaborative agreement must include a description of
20  the care to be provided and procedures to be performed by
21  the temporary visiting dentist. There shall be no more
22  than 5 trainees per supervising dentist. A copy of this
23  agreement shall become part of the patient's dental record
24  and shall be made available upon request to the
25  Department; and
26  (3) payment of a fee established by rule.

 

 

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1  A continuing education sponsor license issued under this
2  Section shall be valid for a period of time as provided by
3  rule.
4  The Department shall adopt rules to implement this
5  subsection.
6  (b) (Blank).
7  (c) A temporary permit shall be valid for no longer than 5
8  consecutive clinical days within 6 months from the date of
9  issuance. The temporary permit may be issued once per year to a
10  visiting dentist. Temporary permits under subsection (a) may
11  be restored no more than one time within 5 years of the initial
12  permits issuance. The Department may require an applicant to
13  pay a fee for the issuance or restoration of a permit under
14  this Section.
15  (d) (Blank).
16  (e) The temporary permit shall only permit the holder to
17  practice dentistry within the scope of the dental studies and
18  in conjunction with one of the following:
19  (1) the charitable organization; or
20  (2) a continuing education program provided by a
21  continuing education sponsor approved by the Department
22  pursuant to this Section that the permit holder is
23  attending.
24  (f) The temporary visiting dentist may not administer
25  moderate conscious sedation, deep sedation, or general
26  anesthesia.

 

 

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1  (g) A patient who seeks treatment from a temporary
2  visiting dentist must sign a consent form acknowledging that
3  the care the patient will receive will be provided by a dentist
4  not licensed in the State of Illinois and that the Illinois
5  licensed dentist who has the collaborative agreement with the
6  temporary visiting dentist will be responsible for all the
7  follow-up care associated with the treatment rendered to the
8  patient.
9  (h) An application for the temporary permit shall be made
10  to the Department in writing on forms prescribed by the
11  Department and shall be accompanied by a nonrefundable fee
12  established by rule.
13  (i) An applicant for a temporary permit may be requested
14  to appear before the Board to respond to questions concerning
15  the applicant's qualifications to receive the permit. An
16  applicant's refusal to appear before the Board may be grounds
17  for denial of the application by the Department.
18  (j) The Secretary may summarily cancel any permit or
19  license issued pursuant to this Section without a hearing if
20  the Secretary finds that evidence in his or her possession
21  indicates that a continuing education sponsor licensed under
22  this Section or a temporary permit holder's continuation in
23  practice would constitute an imminent danger to the public or
24  violate any provision of this Act or its rules. If the
25  Secretary summarily cancels a permit or license issued
26  pursuant to this Section, the permit holder or licensee may

 

 

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1  petition the Department for a hearing in accordance with the
2  provisions of subsection (b) of Section 26 of this Act to
3  reinstate his or her permit or license.
4  (k) In addition to terminating any permit or license
5  issued pursuant to this Section, the Department may impose a
6  monetary penalty not to exceed $10,000 upon the temporary
7  permit holder or licensee and may notify any state in which the
8  temporary permit holder or licensee has been issued a license
9  that his or her Illinois permit or license has been terminated
10  and the reasons for the termination. The monetary penalty
11  shall be paid within 60 days after the effective date of the
12  order imposing the penalty. The order shall constitute a
13  judgment and may be filed and execution had thereon in the same
14  manner as any judgment from any court of record. It is the
15  intent of the General Assembly that a permit or license issued
16  pursuant to this Section shall be considered a privilege and
17  not a property right.
18  (Source: P.A. 102-582, eff. 1-1-22.)
19  (225 ILCS 25/45) (from Ch. 111, par. 2345)
20  (Section scheduled to be repealed on January 1, 2026)
21  Sec. 45. Advertising. The purpose of this Section is to
22  authorize and regulate the advertisement by dentists of
23  information which is intended to provide the public with a
24  sufficient basis upon which to make an informed selection of
25  dentists while protecting the public from false or misleading

 

 

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1  advertisements which would detract from the fair and rational
2  selection process.
3  Any dentist may advertise the availability of dental
4  services in the public media or on the premises where such
5  dental services are rendered. Such advertising shall be
6  limited to the following information:
7  (a) The dental services available;
8  (b) Publication of the dentist's name, title, office
9  hours, address and telephone;
10  (c) Information pertaining to his or her area of
11  specialization, including appropriate board certification
12  or limitation of professional practice;
13  (d) Information on usual and customary fees for
14  routine dental services offered, which information shall
15  include notification that fees may be adjusted due to
16  complications or unforeseen circumstances;
17  (e) Announcement of the opening of, change of, absence
18  from, or return to business;
19  (f) Announcement of additions to or deletions from
20  professional dental staff;
21  (g) The issuance of business or appointment cards;
22  (h) Other information about the dentist, dentist's
23  practice or the types of dental services which the dentist
24  offers to perform which a reasonable person might regard
25  as relevant in determining whether to seek the dentist's
26  services. However, any advertisement which announces the

 

 

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1  availability of endodontics, pediatric dentistry,
2  periodontics, prosthodontics, orthodontics and
3  dentofacial orthopedics, oral and maxillofacial surgery,
4  or oral and maxillofacial radiology by a general dentist
5  or by a licensed specialist who is not licensed in that
6  specialty shall include a disclaimer stating that the
7  dentist does not hold a license in that specialty.
8  Any dental practice with more than one location that
9  enrolls its dentist as a participating provider in a managed
10  care plan's network must verify electronically or in writing
11  to the managed care plan whether the provider is accepting new
12  patients at each of the specific locations listing the
13  provider. The health plan shall remove the provider from the
14  directory in accordance with standard practices within 10
15  business days after being notified of the changes by the
16  provider. Nothing in this paragraph shall void any contractual
17  relationship between the provider and the plan.
18  It is unlawful for any dentist licensed under this Act to
19  do any of the following:
20  (1) Use claims of superior quality of care to entice
21  the public.
22  (2) Advertise in any way to practice dentistry without
23  causing pain.
24  (3) Pay a fee to any dental referral service or other
25  third party who advertises a dental referral service,
26  unless all advertising of the dental referral service

 

 

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1  makes it clear that dentists are paying a fee for that
2  referral service.
3  (4) Advertise or offer gifts as an inducement to
4  secure dental patronage. Dentists may advertise or offer
5  free examinations or free dental services; it shall be
6  unlawful, however, for any dentist to charge a fee to any
7  new patient for any dental service provided at the time
8  that such free examination or free dental services are
9  provided.
10  (5) Use the term "sedation dentistry" or similar terms
11  in advertising unless the advertising dentist holds a
12  valid and current permit issued by the Department to
13  administer either general anesthesia, deep sedation, or
14  moderate conscious sedation as required under Section 8.1
15  of this Act.
16  This Act does not authorize the advertising of dental
17  services when the offeror of such services is not a dentist.
18  Nor shall the dentist use statements which contain false,
19  fraudulent, deceptive or misleading material or guarantees of
20  success, statements which play upon the vanity or fears of the
21  public, or statements which promote or produce unfair
22  competition.
23  A dentist shall be required to keep a copy of all
24  advertisements for a period of 3 years. All advertisements in
25  the dentist's possession shall indicate the accurate date and
26  place of publication.

 

 

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1  The Department shall adopt rules to carry out the intent
2  of this Section.
3  (Source: P.A. 99-329, eff. 1-1-16.)

 

 

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