Illinois 2025 2025-2026 Regular Session

Illinois Senate Bill SB1463 Introduced / Bill

Filed 01/31/2025

                    104TH GENERAL ASSEMBLY
 State of Illinois
 2025 and 2026 SB1463 Introduced 1/31/2025, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED: 5 ILCS 80/4.365 ILCS 80/4.46 new225 ILCS 25/4225 ILCS 25/13.2 new225 ILCS 25/17225 ILCS 25/18 from Ch. 111, par. 2318225 ILCS 25/18.1 Amends the Regulatory Sunset Act. Changes the repeal date of the Illinois Dental Practice Act from January 1, 2026 to January 1, 2036. Amends the Illinois Dental Practice Act. In the definition of "branches of dentistry", adds oral and maxillofacial pathology, dental public health, oral medicine, and orofacial pain to the included specialties. Creates a temporary dental hygiene license for dental students who meet certain requirements. Provides that a licensee holding a temporary dental hygiene license must practice under the supervision of a dentist. Provides that the temporary dental hygiene license is active for one year from its issuance date. Changes the implementation deadline for an order regarding the services that are necessary to be performed on a patient who is in a State or federal prison and who cannot travel to a dental office to 180 days of the order's issuance (rather than 45 days of the order's issuance). Removes language providing that provisions concerning public health dentistry are inoperative on and after January 1, 2026. Effective immediately. LRB104 07067 AAS 17104 b   A BILL FOR 104TH GENERAL ASSEMBLY
 State of Illinois
 2025 and 2026 SB1463 Introduced 1/31/2025, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED:  5 ILCS 80/4.365 ILCS 80/4.46 new225 ILCS 25/4225 ILCS 25/13.2 new225 ILCS 25/17225 ILCS 25/18 from Ch. 111, par. 2318225 ILCS 25/18.1 5 ILCS 80/4.36  5 ILCS 80/4.46 new  225 ILCS 25/4  225 ILCS 25/13.2 new  225 ILCS 25/17  225 ILCS 25/18 from Ch. 111, par. 2318 225 ILCS 25/18.1  Amends the Regulatory Sunset Act. Changes the repeal date of the Illinois Dental Practice Act from January 1, 2026 to January 1, 2036. Amends the Illinois Dental Practice Act. In the definition of "branches of dentistry", adds oral and maxillofacial pathology, dental public health, oral medicine, and orofacial pain to the included specialties. Creates a temporary dental hygiene license for dental students who meet certain requirements. Provides that a licensee holding a temporary dental hygiene license must practice under the supervision of a dentist. Provides that the temporary dental hygiene license is active for one year from its issuance date. Changes the implementation deadline for an order regarding the services that are necessary to be performed on a patient who is in a State or federal prison and who cannot travel to a dental office to 180 days of the order's issuance (rather than 45 days of the order's issuance). Removes language providing that provisions concerning public health dentistry are inoperative on and after January 1, 2026. Effective immediately.  LRB104 07067 AAS 17104 b     LRB104 07067 AAS 17104 b   A BILL FOR
104TH GENERAL ASSEMBLY
 State of Illinois
 2025 and 2026 SB1463 Introduced 1/31/2025, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED:
5 ILCS 80/4.365 ILCS 80/4.46 new225 ILCS 25/4225 ILCS 25/13.2 new225 ILCS 25/17225 ILCS 25/18 from Ch. 111, par. 2318225 ILCS 25/18.1 5 ILCS 80/4.36  5 ILCS 80/4.46 new  225 ILCS 25/4  225 ILCS 25/13.2 new  225 ILCS 25/17  225 ILCS 25/18 from Ch. 111, par. 2318 225 ILCS 25/18.1
5 ILCS 80/4.36
5 ILCS 80/4.46 new
225 ILCS 25/4
225 ILCS 25/13.2 new
225 ILCS 25/17
225 ILCS 25/18 from Ch. 111, par. 2318
225 ILCS 25/18.1
Amends the Regulatory Sunset Act. Changes the repeal date of the Illinois Dental Practice Act from January 1, 2026 to January 1, 2036. Amends the Illinois Dental Practice Act. In the definition of "branches of dentistry", adds oral and maxillofacial pathology, dental public health, oral medicine, and orofacial pain to the included specialties. Creates a temporary dental hygiene license for dental students who meet certain requirements. Provides that a licensee holding a temporary dental hygiene license must practice under the supervision of a dentist. Provides that the temporary dental hygiene license is active for one year from its issuance date. Changes the implementation deadline for an order regarding the services that are necessary to be performed on a patient who is in a State or federal prison and who cannot travel to a dental office to 180 days of the order's issuance (rather than 45 days of the order's issuance). Removes language providing that provisions concerning public health dentistry are inoperative on and after January 1, 2026. Effective immediately.
LRB104 07067 AAS 17104 b     LRB104 07067 AAS 17104 b
    LRB104 07067 AAS 17104 b
A BILL FOR
SB1463LRB104 07067 AAS 17104 b   SB1463  LRB104 07067 AAS 17104 b
  SB1463  LRB104 07067 AAS 17104 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 Regulatory Sunset Act is amended by
5  changing Section 4.36 and by adding Section 4.46 as follows:
6  (5 ILCS 80/4.36)
7  Sec. 4.36. Acts repealed on January 1, 2026. The following
8  Acts are repealed on January 1, 2026:
9  The Barber, Cosmetology, Esthetics, Hair Braiding, and
10  Nail Technology Act of 1985.
11  The Collection Agency Act.
12  The Hearing Instrument Consumer Protection Act.
13  The Illinois Athletic Trainers Practice Act.
14  The Illinois Dental Practice Act.
15  The Illinois Roofing Industry Licensing Act.
16  The Illinois Physical Therapy Act.
17  The Professional Geologist Licensing Act.
18  The Respiratory Care Practice Act.
19  (Source: P.A. 99-26, eff. 7-10-15; 99-204, eff. 7-30-15;
20  99-227, eff. 8-3-15; 99-229, eff. 8-3-15; 99-230, eff. 8-3-15;
21  99-427, eff. 8-21-15; 99-469, eff. 8-26-15; 99-492, eff.
22  12-31-15; 99-642, eff. 7-28-16.)

 

104TH GENERAL ASSEMBLY
 State of Illinois
 2025 and 2026 SB1463 Introduced 1/31/2025, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED:
5 ILCS 80/4.365 ILCS 80/4.46 new225 ILCS 25/4225 ILCS 25/13.2 new225 ILCS 25/17225 ILCS 25/18 from Ch. 111, par. 2318225 ILCS 25/18.1 5 ILCS 80/4.36  5 ILCS 80/4.46 new  225 ILCS 25/4  225 ILCS 25/13.2 new  225 ILCS 25/17  225 ILCS 25/18 from Ch. 111, par. 2318 225 ILCS 25/18.1
5 ILCS 80/4.36
5 ILCS 80/4.46 new
225 ILCS 25/4
225 ILCS 25/13.2 new
225 ILCS 25/17
225 ILCS 25/18 from Ch. 111, par. 2318
225 ILCS 25/18.1
Amends the Regulatory Sunset Act. Changes the repeal date of the Illinois Dental Practice Act from January 1, 2026 to January 1, 2036. Amends the Illinois Dental Practice Act. In the definition of "branches of dentistry", adds oral and maxillofacial pathology, dental public health, oral medicine, and orofacial pain to the included specialties. Creates a temporary dental hygiene license for dental students who meet certain requirements. Provides that a licensee holding a temporary dental hygiene license must practice under the supervision of a dentist. Provides that the temporary dental hygiene license is active for one year from its issuance date. Changes the implementation deadline for an order regarding the services that are necessary to be performed on a patient who is in a State or federal prison and who cannot travel to a dental office to 180 days of the order's issuance (rather than 45 days of the order's issuance). Removes language providing that provisions concerning public health dentistry are inoperative on and after January 1, 2026. Effective immediately.
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    LRB104 07067 AAS 17104 b
A BILL FOR

 

 

5 ILCS 80/4.36
5 ILCS 80/4.46 new
225 ILCS 25/4
225 ILCS 25/13.2 new
225 ILCS 25/17
225 ILCS 25/18 from Ch. 111, par. 2318
225 ILCS 25/18.1



    LRB104 07067 AAS 17104 b

 

 



 

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1  (5 ILCS 80/4.46 new)
2  Sec. 4.46. Act repealed on January 1, 2036. The following
3  Act is repealed on January 1, 2036:
4  The Illinois Dental Practice Act.
5  Section 10. The Illinois Dental Practice Act is amended by
6  changing Sections 4, 17, 18, and 18.1 and by adding Section
7  13.2 as follows:
8  (225 ILCS 25/4)
9  (Section scheduled to be repealed on January 1, 2026)
10  Sec. 4. Definitions. As used in this Act:
11  "Address of record" means the designated address recorded
12  by the Department in the applicant's or licensee's application
13  file or license file as maintained by the Department's
14  licensure maintenance unit. It is the duty of the applicant or
15  licensee to inform the Department of any change of address and
16  those changes must be made either through the Department's
17  website or by contacting the Department.
18  "Department" means the Department of Financial and
19  Professional Regulation.
20  "Secretary" means the Secretary of Financial and
21  Professional Regulation.
22  "Board" means the Board of Dentistry.
23  "Dentist" means a person who has received a general
24  license pursuant to subsection paragraph (a) of Section 11 of

 

 

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1  this Act and who may perform any intraoral and extraoral
2  procedure required in the practice of dentistry and to whom is
3  reserved the 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, oral and maxillofacial
3  pathology, dental public health, oral medicine, and orofacial
4  pain.
5  "Specialist" means a dentist who has received a specialty
6  license pursuant to subsection (b) of Section 11 11(b).
7  "Dental technician" means a person who owns, operates, or
8  is employed by a dental laboratory and engages in making,
9  providing, repairing, or altering dental prosthetic appliances
10  and other artificial materials and devices which are returned
11  to a dentist for insertion into the human oral cavity or which
12  come in contact with its adjacent structures and tissues.
13  "Informed consent" means legally valid consent that is
14  given by a patient or legal guardian, that is recorded in
15  writing or digitally, that authorizes intervention or
16  treatment services from the treating dentist, and that
17  documents agreement to participate in those services and
18  knowledge of the risks, benefits, and alternatives, including
19  the decision to withdraw from or decline treatment.
20  "Impaired dentist" or "impaired dental hygienist" means a
21  dentist or dental hygienist who is unable to practice with
22  reasonable skill and safety because of a physical or mental
23  disability as evidenced by a written determination or written
24  consent based on clinical evidence, including deterioration
25  through the aging process, loss of motor skills, abuse of
26  drugs or alcohol, or a psychiatric disorder, of sufficient

 

 

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1  degree to diminish the person's ability to deliver competent
2  patient care.
3  "Nurse" means a registered professional nurse, a certified
4  registered nurse anesthetist licensed as an advanced practice
5  registered nurse, or a licensed practical nurse licensed under
6  the Nurse Practice Act.
7  "Patient of record", except as provided in Section 17.2,
8  means a patient for whom the patient's most recent dentist has
9  obtained a relevant medical and dental history and on whom the
10  dentist has performed a physical examination within the last
11  year and evaluated the condition to be treated, including a
12  review of the patient's most recent x-rays.
13  "Dental responder" means a dentist or dental hygienist who
14  is appropriately certified in disaster preparedness,
15  immunizations, and dental humanitarian medical response
16  consistent with the Society of Disaster Medicine and Public
17  Health and training certified by the National Incident
18  Management System or the National Disaster Life Support
19  Foundation.
20  "Mobile dental van or portable dental unit" means any
21  self-contained or portable dental unit in which dentistry is
22  practiced that can be moved, towed, or transported from one
23  location to another in order to establish a location where
24  dental services can be provided.
25  "Public health dental hygienist" means a hygienist who
26  holds a valid license to practice in the State, has 2 years of

 

 

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1  full-time clinical experience or an equivalent of 4,000 hours
2  of clinical experience, and has completed at least 42 clock
3  hours of additional structured courses in dental education in
4  advanced areas specific to public health dentistry.
5  "Public health setting" means a federally qualified health
6  center; a federal, State, or local public health facility;
7  Head Start; a special supplemental nutrition program for
8  Women, Infants, and Children (WIC) facility; a certified
9  school-based health center or school-based oral health
10  program; a prison; or a long-term care facility.
11  "Public health supervision" means the supervision of a
12  public health dental hygienist by a licensed dentist who has a
13  written public health supervision agreement with that public
14  health dental hygienist while working in an approved facility
15  or program that allows the public health dental hygienist to
16  treat patients, without a dentist first examining the patient
17  and being present in the facility during treatment, (1) who
18  are eligible for Medicaid or (2) who are uninsured or whose
19  household income is not greater than 300% of the federal
20  poverty level.
21  "Teledentistry" means the use of telehealth systems and
22  methodologies in dentistry and includes patient diagnosis,
23  treatment planning, care, and education delivery for a patient
24  of record using synchronous and asynchronous communications
25  under an Illinois licensed dentist's authority as provided
26  under this Act.

 

 

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1  "Moderate sedation" means a drug-induced depression of
2  consciousness during which: (1) patients respond purposefully
3  to verbal commands, either alone or accompanied by light
4  tactile stimulation; (2) no interventions are required to
5  maintain a patient's airway and spontaneous ventilation is
6  adequate; and (3) cardiovascular function is usually
7  maintained.
8  "Deep sedation" means a drug-induced depression of
9  consciousness during which: (1) patients cannot be easily
10  aroused, but respond purposefully following repeated or
11  painful stimulation; (2) the ability to independently maintain
12  ventilatory function may be impaired; (3) patients may require
13  assistance in maintaining airways and spontaneous ventilation
14  may be inadequate; and (4) cardiovascular function is usually
15  maintained.
16  "General anesthesia" means a drug-induced loss of
17  consciousness during which: (1) patients are not arousable,
18  even by painful stimulation; (2) the ability to independently
19  maintain ventilatory function is often impaired; (3) patients
20  often require assistance in maintaining airways and positive
21  pressure ventilation may be required because of depressed
22  spontaneous ventilation or drug-induced depression of
23  neuromuscular function; and (4) cardiovascular function may be
24  impaired.
25  "Venipuncture" means the puncture of a vein as part of a
26  medical procedure, typically to withdraw a blood sample or for

 

 

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1  an intravenous catheter for the administration of medication
2  or fluids.
3  "Enteral route of administration" means administration of
4  a drug that is absorbed through the gastrointestinal tract or
5  through oral, rectal, or sublingual mucosa.
6  "Parenteral route of administration" means administration
7  of a drug by which the drug bypasses the gastrointestinal
8  tract through intramuscular, intravenous, intranasal,
9  submucosal, subcutaneous, or intraosseous methods.
10  (Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;
11  102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
12  1-1-24; 103-605, eff. 7-1-24; 103-628, eff. 7-1-24; 103-902,
13  eff. 8-9-24; revised 10-10-24.)
14  (225 ILCS 25/13.2 new)
15  Sec. 13.2. Temporary dental hygiene license for dental
16  students.
17  (a) The Department shall issue a temporary license to
18  practice dental hygiene to dental students who meet the
19  qualifications set forth in this Section. To be eligible for a
20  temporary license under this Section, an applicant must:
21  (1) be enrolled at a dental school program that is
22  approved by the Commission on Dental Accreditation and
23  located within this State; and
24  (2) have completed at least 75% of the approved dental
25  school program.

 

 

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1  (b) A dental student applying for a temporary dental
2  hygiene license shall provide the following to the Department:
3  (1) an accurate, complete, and signed application;
4  (2) payment of a nonrefundable licensing and
5  application fee that shall not exceed $50;
6  (3) documentation of passage of the Integrated Dental
7  Board Examination;
8  (4) a letter of good standing from the dental school
9  in which the student is enrolled; and
10  (5) documentation of either a current Basic Life
11  Support certification or current certification in
12  cardiopulmonary resuscitation and automated external
13  defibrillator use.
14  (c) A licensee holding a temporary dental hygiene license
15  must practice under the supervision of a dentist.
16  (d) A temporary dental hygiene license is active for one
17  year from its issuance date.
18  (225 ILCS 25/17)
19  (Section scheduled to be repealed on January 1, 2026)
20  Sec. 17. Acts constituting the practice of dentistry. A
21  person practices dentistry, within the meaning of this Act:
22  (1) Who represents himself or herself as being able to
23  diagnose or diagnoses, treats, prescribes, or operates for
24  any disease, pain, deformity, deficiency, injury, or
25  physical condition of the human tooth, teeth, alveolar

 

 

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1  process, gums, or jaw; or
2  (2) Who is a manager, proprietor, operator, or
3  conductor of a business where dental operations are
4  performed; or
5  (3) Who performs dental operations of any kind; or
6  (4) Who uses an X-Ray machine or X-Ray films for
7  dental diagnostic purposes; or
8  (5) Who extracts a human tooth or teeth, or corrects
9  or attempts to correct malpositions of the human teeth or
10  jaws; or
11  (6) Who offers or undertakes, by any means or method,
12  to diagnose, treat, or remove stains, calculus, and
13  bonding materials from human teeth or jaws; or
14  (7) Who uses or administers local or general
15  anesthetics in the treatment of dental or oral diseases or
16  in any preparation incident to a dental operation of any
17  kind or character; or
18  (8) Who takes material or digital scans for final
19  impressions of the human tooth, teeth, or jaws or performs
20  any phase of any operation incident to the replacement of
21  a part of a tooth, a tooth, teeth, or associated tissues by
22  means of a filling, a crown, a bridge, a denture, or other
23  appliance; or
24  (9) Who offers to furnish, supply, construct,
25  reproduce, or repair, or who furnishes, supplies,
26  constructs, reproduces, or repairs, prosthetic dentures,

 

 

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1  bridges, or other substitutes for natural teeth to the
2  user or prospective user thereof; or
3  (10) Who instructs students on clinical matters or
4  performs any clinical operation included in the curricula
5  of recognized dental schools and colleges; or
6  (11) Who takes material or digital scans for final
7  impressions of human teeth or places his or her hands in
8  the mouth of any person for the purpose of applying teeth
9  whitening materials, or who takes impressions of human
10  teeth or places his or her hands in the mouth of any person
11  for the purpose of assisting in the application of teeth
12  whitening materials. A person does not practice dentistry
13  when he or she discloses to the consumer that he or she is
14  not licensed as a dentist under this Act and (i) discusses
15  the use of teeth whitening materials with a consumer
16  purchasing these materials; (ii) provides instruction on
17  the use of teeth whitening materials with a consumer
18  purchasing these materials; or (iii) provides appropriate
19  equipment on-site to the consumer for the consumer to
20  self-apply teeth whitening materials.
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, restoration of, or addition to the
26  hard or soft tissues of the oral cavity, except for the

 

 

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1  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, moderate 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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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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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, (2) a continuing
8  education provider approved by the Department, or (3)
9  a statewide dental or dental hygienist association
10  that has developed and conducted a training program
11  for expanded functions for dental assistants or
12  hygienists may perform: (A) coronal scaling above the
13  gum line, supragingivally, on the clinical crown of
14  the tooth only on patients 17 years of age or younger
15  who have an absence of periodontal disease and who are
16  not medically compromised or individuals with special
17  needs and (B) intracoronal temporization of a tooth.
18  The training program must: (I) include a minimum of 32
19  hours of instruction in both didactic and clinical
20  manikin or human subject instruction; all training
21  programs shall include areas of study in dental
22  anatomy, public health dentistry, medical history,
23  dental emergencies, and managing the pediatric
24  patient; (II) include an outcome assessment
25  examination that demonstrates competency; (III)
26  require the supervising dentist to observe and approve

 

 

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

 

 

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

 

 

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1  acts as may be prescribed by and incidental to his or her
2  program of residency or specialty training and shall not
3  otherwise engage in the practice of dentistry in this
4  State.
5  The authority to practice shall terminate immediately
6  upon:
7  (1) the decision of the Department that the
8  applicant has failed the examination; or
9  (2) denial of licensure by the Department; or
10  (3) withdrawal of the application.
11  (Source: P.A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;
12  103-425, eff. 1-1-24; 103-431, eff. 1-1-24; 103-605, eff.
13  7-1-24; 103-628, eff. 7-1-24.)
14  (225 ILCS 25/18) (from Ch. 111, par. 2318)
15  (Section scheduled to be repealed on January 1, 2026)
16  Sec. 18. Acts constituting the practice of dental hygiene;
17  limitations.
18  (a) A person practices dental hygiene within the meaning
19  of this Act when he or she performs the following acts under
20  the supervision of a dentist:
21  (i) the operative procedure of dental hygiene,
22  consisting of oral prophylactic procedures;
23  (ii) the exposure and processing of X-Ray films of the
24  teeth and surrounding structures;
25  (iii) the application to the surfaces of the teeth or

 

 

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1  gums of chemical compounds designed to be desensitizing
2  agents or effective agents in the prevention of dental
3  caries or periodontal disease;
4  (iv) all services which may be performed by a dental
5  assistant as specified by rule pursuant to Section 17, and
6  a dental hygienist may engage in the placing, carving, and
7  finishing of amalgam restorations only after obtaining
8  formal education and certification as determined by the
9  Department;
10  (v) administration and monitoring of nitrous oxide
11  upon successful completion of a training program approved
12  by the Department;
13  (vi) administration of local anesthetics upon
14  successful completion of a training program approved by
15  the Department; and
16  (vii) such other procedures and acts as shall be
17  prescribed by rule or regulation of the Department.
18  (b) A dental hygienist may be employed or engaged only:
19  (1) by a dentist;
20  (2) by a federal, State, county, or municipal agency
21  or institution;
22  (3) by a public or private school; or
23  (4) by a public clinic operating under the direction
24  of a hospital or federal, State, county, municipal, or
25  other public agency or institution.
26  (c) When employed or engaged in the office of a dentist, a

 

 

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1  dental hygienist may perform, under general supervision, those
2  procedures found in items (i) through (iv) of subsection (a)
3  of this Section, provided the patient has been examined by the
4  dentist within one year of the provision of dental hygiene
5  services, the dentist has approved the dental hygiene services
6  by a notation in the patient's record and the patient has been
7  notified that the dentist may be out of the office during the
8  provision of dental hygiene services.
9  (d) If a patient of record is unable to travel to a dental
10  office because of illness, infirmity, or imprisonment, a
11  dental hygienist may perform, under the general supervision of
12  a dentist, those procedures found in items (i) through (iv) of
13  subsection (a) of this Section, provided the patient is
14  located in a long-term care facility licensed by the State of
15  Illinois, a mental health or developmental disability
16  facility, or a State or federal prison. The dentist shall
17  either personally examine and diagnose the patient or utilize
18  approved teledentistry communication methods and determine
19  which services are necessary to be performed, which shall be
20  contained in an order to the hygienist and a notation in the
21  patient's record. Such order must be implemented within 45
22  days of its issuance; except when a patient is located within a
23  State or federal prison, then the order must be implemented
24  within 180 days of its issuance, and an updated medical
25  history and observation of oral conditions must be performed
26  by the hygienist immediately prior to beginning the procedures

 

 

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1  to ensure that the patient's health has not changed in any
2  manner to warrant a reexamination by the dentist.
3  (e) School-based oral health care, consisting of and
4  limited to oral prophylactic procedures, sealants, and
5  fluoride treatments, may be provided by a dental hygienist
6  under the general supervision of a dentist. A dental hygienist
7  may not provide other dental hygiene treatment in a
8  school-based setting, including but not limited to
9  administration or monitoring of nitrous oxide or
10  administration of local anesthetics. The school-based
11  procedures may be performed provided the patient is located at
12  a public or private school and the program is being conducted
13  by a State, county or local public health department
14  initiative or in conjunction with a dental school or dental
15  hygiene program. The dentist shall personally examine and
16  diagnose the patient and determine which services are
17  necessary to be performed, which shall be contained in an
18  order to the hygienist and a notation in the patient's record.
19  Any such order for sealants must be implemented within 120
20  days after its issuance. Any such order for oral prophylactic
21  procedures or fluoride treatments must be implemented within
22  180 days after its issuance. An updated medical history and
23  observation of oral conditions must be performed by the
24  hygienist immediately prior to beginning the procedures to
25  ensure that the patient's health has not changed in any manner
26  to warrant a reexamination by the dentist.

 

 

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1  (f) Without the supervision of a dentist, a dental
2  hygienist may perform dental health education functions,
3  including instruction in proper oral health care and dental
4  hygiene in, for example, a school setting, a long-term care
5  facility, and a health fair. In addition, a dental hygienist
6  may record case histories and oral conditions observed at any
7  time prior to a clinical exam by a dentist.
8  (g) The number of dental hygienists practicing in a dental
9  office shall not exceed, at any one time, 4 times the number of
10  dentists practicing in the office at the time.
11  (h) A dental hygienist who is certified as a public health
12  dental hygienist may provide services to patients: (1) who are
13  eligible for Medicaid or (2) who are uninsured and whose
14  household income is not greater than 300% of the federal
15  poverty level. A public health dental hygienist may perform
16  oral assessments, perform screenings, and provide educational
17  and preventative services as provided in subsection (b) of
18  Section 18.1 of this Act. The public health dental hygienist
19  may not administer local anesthesia or nitrous oxide, or
20  place, carve, or finish amalgam restorations or provide
21  periodontal therapy under this exception. Each patient must
22  sign a consent form that acknowledges that the care received
23  does not take the place of a regular dental examination. The
24  public health dental hygienist must provide the patient or
25  guardian a written referral to a dentist for assessment of the
26  need for further dental care at the time of treatment. Any

 

 

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1  indication or observation of a condition that could warrant
2  the need for urgent attention must be reported immediately to
3  the supervising dentist for appropriate assessment and
4  treatment.
5  This subsection (h) is inoperative on and after January 1,
6  2026.
7  (i) A dental hygienist performing procedures listed in
8  paragraphs (1) through (4) of subsection (a) of Section 17.1
9  must be under the supervision of a dentist, requiring the
10  dentist authorizes the procedure, remains in the dental
11  facility while the procedure is performed, and approves the
12  work performed by the dental hygienist before dismissal of the
13  patient, but the dentist is not required to be present at all
14  times in the treatment room.
15  (j) A dental hygienist may perform actions described in
16  paragraph (5) of subsection (a) of Section 17.1 under the
17  general supervision of a dentist as described in this Section.
18  (Source: P.A. 102-936, eff. 1-1-23; 103-431, eff. 1-1-24.)
19  (225 ILCS 25/18.1)
20  (Section scheduled to be repealed on January 1, 2026)
21  Sec. 18.1. Public health dental supervision
22  responsibilities.
23  (a) When working together in a public health supervision
24  relationship, dentists and public health dental hygienists
25  shall enter into a public health supervision agreement. The

 

 

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1  dentist providing public health supervision must:
2  (1) be available to provide an appropriate level of
3  contact, communication, collaboration, and consultation
4  with the public health dental hygienist and must meet
5  in-person with the public health dental hygienist at least
6  quarterly for review and consultation;
7  (2) have specific standing orders or policy guidelines
8  for procedures that are to be carried out for each
9  location or program, although the dentist need not be
10  present when the procedures are being performed;
11  (3) provide for the patient's additional necessary
12  care in consultation with the public health dental
13  hygienist;
14  (4) file agreements and notifications as required; and
15  (5) include procedures for creating and maintaining
16  dental records, including protocols for transmission of
17  all records between the public health dental hygienist and
18  the dentist following each treatment, which shall include
19  a notation regarding procedures authorized by the dentist
20  and performed by the public health dental hygienist and
21  the location where those records are to be kept.
22  Each dentist and hygienist who enters into a public health
23  supervision agreement must document and maintain a copy of any
24  change or termination of that agreement.
25  Dental records shall be owned and maintained by the
26  supervising dentist for all patients treated under public

 

 

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1  health supervision, unless the supervising dentist is an
2  employee of a public health clinic or federally qualified
3  health center, in which case the public health clinic or
4  federally qualified health center shall maintain the records.
5  If a dentist ceases to be employed or contracted by the
6  facility, the dentist shall notify the facility administrator
7  that the public health supervision agreement is no longer in
8  effect. A new public health supervision agreement is required
9  for the public health dental hygienist to continue treating
10  patients under public health supervision.
11  A dentist entering into an agreement under this Section
12  may supervise and enter into agreements for public health
13  supervision with 4 public health dental hygienists. This shall
14  be in addition to the limit of 4 dental hygienists per dentist
15  set forth in subsection (g) of Section 18 of this Act.
16  (b) A public health dental hygienist providing services
17  under public health supervision may perform only those duties
18  within the accepted scope of practice of dental hygiene, as
19  follows:
20  (1) the operative procedures of dental hygiene,
21  consisting of oral prophylactic procedures, including
22  prophylactic cleanings, application of fluoride, and
23  placement of sealants;
24  (2) the exposure and processing of x-ray films of the
25  teeth and surrounding structures; and
26  (3) such other procedures and acts as shall be

 

 

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1  prescribed by rule of the Department.
2  Any patient treated under this subsection (b) must be
3  examined by a dentist before additional services can be
4  provided by a public health dental hygienist. However, if the
5  supervising dentist, after consultation with the public health
6  hygienist, determines that time is needed to complete an
7  approved treatment plan on a patient eligible under this
8  Section, then the dentist may instruct the hygienist to
9  complete the remaining services prior to an oral examination
10  by the dentist. Such instruction by the dentist to the
11  hygienist shall be noted in the patient's records. Any
12  services performed under this exception must be scheduled in a
13  timely manner and shall not occur more than 30 days after the
14  first appointment date.
15  (c) A public health dental hygienist providing services
16  under public health supervision must:
17  (1) provide to the patient, parent, or guardian a
18  written plan for referral or an agreement for follow-up
19  that records all conditions observed that should be called
20  to the attention of a dentist for proper diagnosis;
21  (2) have each patient sign a permission slip or
22  consent form that informs them that the service to be
23  received does not take the place of regular dental
24  checkups at a dental office and is meant for people who
25  otherwise would not have access to the service;
26  (3) inform each patient who may require further dental

 

 

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1  services of that need;
2  (4) maintain an appropriate level of contact and
3  communication with the dentist providing public health
4  supervision; and
5  (5) complete an additional 4 hours of continuing
6  education in areas specific to public health dentistry
7  yearly.
8  (d) Each public health dental hygienist who has rendered
9  services under subsections (c), (d), and (e) of this Section
10  must complete a summary report at the completion of a program
11  or, in the case of an ongoing program, at least annually. The
12  report must be completed in the manner specified by the
13  Department of Public Health Oral Health Section including
14  information about each location where the public health dental
15  hygienist has rendered these services. The public health
16  dental hygienist must submit the form to the dentist providing
17  supervision for his or her signature before sending it to the
18  Division. The Department of Public Health Oral Health Section
19  shall compile and publicize public health dental hygienist
20  service data annually.
21  (e) Public health dental hygienists providing services
22  under public health supervision may be compensated for their
23  work by salary, honoraria, and other mechanisms by the
24  employing or sponsoring entity. Nothing in this Act shall
25  preclude the entity that employs or sponsors a public health
26  dental hygienist from seeking payment, reimbursement, or other

 

 

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1  source of funding for the services provided.
2  (e-5) A patient who is provided services under a
3  supervision agreement by a public health dental hygienist as
4  described in this Section does not need to receive a physical
5  examination from a dentist prior to treatment if the public
6  health dental hygienist consults with the supervising dentist
7  prior to performing the teledentistry service.
8  (f) This Section is repealed on January 1, 2026.
9  (Source: P.A. 103-431, eff. 1-1-24; 103-902, eff. 8-9-24.)

 

 

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