Illinois 2025-2026 Regular Session

Illinois Senate Bill SB1463 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	SB1463 EngrossedLRB104 07067 AAS 17104 b SB1463 Engrossed LRB104 07067 AAS 17104 b
2		-	SB1463 Engrossed LRB104 07067 AAS 17104 b
	1	+	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
	2	+	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1463 Introduced 1/31/2025, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED:
	3	+	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
	4	+	5 ILCS 80/4.36
	5	+	5 ILCS 80/4.46 new
	6	+	225 ILCS 25/4
	7	+	225 ILCS 25/13.2 new
	8	+	225 ILCS 25/17
	9	+	225 ILCS 25/18 from Ch. 111, par. 2318
	10	+	225 ILCS 25/18.1
	11	+	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.
	12	+	LRB104 07067 AAS 17104 b LRB104 07067 AAS 17104 b
	13	+	LRB104 07067 AAS 17104 b
	14	+	A BILL FOR
	15	+	SB1463LRB104 07067 AAS 17104 b SB1463 LRB104 07067 AAS 17104 b
	16	+	SB1463 LRB104 07067 AAS 17104 b
3	17		1 AN ACT concerning regulation.
4	18		2 Be it enacted by the People of the State of Illinois,
5	19		3 represented in the General Assembly:
6		-	4 Section 5. The Illinois Dental Practice Act is amended by
7		-	5 changing Sections 4, 17, 18, and 18.1 and by adding Sections
8		-	6 13.2 and 13.4 as follows:
9		-	7 (225 ILCS 25/4)
10		-	8 (Section scheduled to be repealed on January 1, 2026)
11		-	9 Sec. 4. Definitions. As used in this Act:
12		-	10 "Address of record" means the designated address recorded
13		-	11 by the Department in the applicant's or licensee's application
14		-	12 file or license file as maintained by the Department's
15		-	13 licensure maintenance unit. It is the duty of the applicant or
16		-	14 licensee to inform the Department of any change of address and
17		-	15 those changes must be made either through the Department's
18		-	16 website or by contacting the Department.
19		-	17 "Department" means the Department of Financial and
20		-	18 Professional Regulation.
21		-	19 "Secretary" means the Secretary of Financial and
22		-	20 Professional Regulation.
23		-	21 "Board" means the Board of Dentistry.
24		-	22 "Dentist" means a person who has received a general
25		-	23 license pursuant to subsection paragraph (a) of Section 11 of
	20	+	4 Section 5. The Regulatory Sunset Act is amended by
	21	+	5 changing Section 4.36 and by adding Section 4.46 as follows:
	22	+	6 (5 ILCS 80/4.36)
	23	+	7 Sec. 4.36. Acts repealed on January 1, 2026. The following
	24	+	8 Acts are repealed on January 1, 2026:
	25	+	9 The Barber, Cosmetology, Esthetics, Hair Braiding, and
	26	+	10 Nail Technology Act of 1985.
	27	+	11 The Collection Agency Act.
	28	+	12 The Hearing Instrument Consumer Protection Act.
	29	+	13 The Illinois Athletic Trainers Practice Act.
	30	+	14 The Illinois Dental Practice Act.
	31	+	15 The Illinois Roofing Industry Licensing Act.
	32	+	16 The Illinois Physical Therapy Act.
	33	+	17 The Professional Geologist Licensing Act.
	34	+	18 The Respiratory Care Practice Act.
	35	+	19 (Source: P.A. 99-26, eff. 7-10-15; 99-204, eff. 7-30-15;
	36	+	20 99-227, eff. 8-3-15; 99-229, eff. 8-3-15; 99-230, eff. 8-3-15;
	37	+	21 99-427, eff. 8-21-15; 99-469, eff. 8-26-15; 99-492, eff.
	38	+	22 12-31-15; 99-642, eff. 7-28-16.)
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29		-	SB1463 Engrossed LRB104 07067 AAS 17104 b
	42	+	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1463 Introduced 1/31/2025, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED:
	43	+	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
	44	+	5 ILCS 80/4.36
	45	+	5 ILCS 80/4.46 new
	46	+	225 ILCS 25/4
	47	+	225 ILCS 25/13.2 new
	48	+	225 ILCS 25/17
	49	+	225 ILCS 25/18 from Ch. 111, par. 2318
	50	+	225 ILCS 25/18.1
	51	+	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.
	52	+	LRB104 07067 AAS 17104 b LRB104 07067 AAS 17104 b
	53	+	LRB104 07067 AAS 17104 b
	54	+	A BILL FOR
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	57	+
	58	+
	59	+
	60	+	5 ILCS 80/4.36
	61	+	5 ILCS 80/4.46 new
	62	+	225 ILCS 25/4
	63	+	225 ILCS 25/13.2 new
	64	+	225 ILCS 25/17
	65	+	225 ILCS 25/18 from Ch. 111, par. 2318
	66	+	225 ILCS 25/18.1
	67	+
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	69	+
	70	+	LRB104 07067 AAS 17104 b
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	85	+	1 (5 ILCS 80/4.46 new)
	86	+	2 Sec. 4.46. Act repealed on January 1, 2036. The following
	87	+	3 Act is repealed on January 1, 2036:
	88	+	4 The Illinois Dental Practice Act.
	89	+	5 Section 10. The Illinois Dental Practice Act is amended by
	90	+	6 changing Sections 4, 17, 18, and 18.1 and by adding Section
	91	+	7 13.2 as follows:
	92	+	8 (225 ILCS 25/4)
	93	+	9 (Section scheduled to be repealed on January 1, 2026)
	94	+	10 Sec. 4. Definitions. As used in this Act:
	95	+	11 "Address of record" means the designated address recorded
	96	+	12 by the Department in the applicant's or licensee's application
	97	+	13 file or license file as maintained by the Department's
	98	+	14 licensure maintenance unit. It is the duty of the applicant or
	99	+	15 licensee to inform the Department of any change of address and
	100	+	16 those changes must be made either through the Department's
	101	+	17 website or by contacting the Department.
	102	+	18 "Department" means the Department of Financial and
	103	+	19 Professional Regulation.
	104	+	20 "Secretary" means the Secretary of Financial and
	105	+	21 Professional Regulation.
	106	+	22 "Board" means the Board of Dentistry.
	107	+	23 "Dentist" means a person who has received a general
	108	+	24 license pursuant to subsection paragraph (a) of Section 11 of
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	114	+	SB1463 - 2 - LRB104 07067 AAS 17104 b
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34	119		1 this Act and who may perform any intraoral and extraoral
35	120		2 procedure required in the practice of dentistry and to whom is
36	121		3 reserved the responsibilities specified in Section 17.
37	122		4 "Dental hygienist" means a person who holds a license
38	123		5 under this Act to perform dental services as authorized by
39	124		6 Section 18.
40	125		7 "Dental assistant" means an appropriately trained person
41	126		8 who, under the supervision of a dentist, provides dental
42	127		9 services as authorized by Section 17.
43	128		10 "Expanded function dental assistant" means a dental
44	129		11 assistant who has completed the training required by Section
45	130		12 17.1 of this Act.
46	131		13 "Dental laboratory" means a person, firm, or corporation
47	132		14 which:
48	133		15 (i) engages in making, providing, repairing, or
49	134		16 altering dental prosthetic appliances and other artificial
50	135		17 materials and devices which are returned to a dentist for
51	136		18 insertion into the human oral cavity or which come in
52	137		19 contact with its adjacent structures and tissues; and
53	138		20 (ii) utilizes or employs a dental technician to
54	139		21 provide such services; and
55	140		22 (iii) performs such functions only for a dentist or
56	141		23 dentists.
57	142		24 "Supervision" means supervision of a dental hygienist or a
58	143		25 dental assistant requiring that a dentist authorize the
59	144		26 procedure, remain in the dental facility while the procedure
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70	155		1 is performed, and approve the work performed by the dental
71	156		2 hygienist or dental assistant before dismissal of the patient,
72	157		3 but does not mean that the dentist must be present at all times
73	158		4 in the treatment room.
74	159		5 "General supervision" means supervision of a dental
75	160		6 hygienist requiring that the patient be a patient of record,
76	161		7 that the dentist examine the patient in accordance with
77	162		8 Section 18 prior to treatment by the dental hygienist, and
78	163		9 that the dentist authorize the procedures which are being
79	164		10 carried out by a notation in the patient's record, but not
80	165		11 requiring that a dentist be present when the authorized
81	166		12 procedures are being performed. The issuance of a prescription
82	167		13 to a dental laboratory by a dentist does not constitute
83	168		14 general supervision.
84	169		15 "Public member" means a person who is not a health
85	170		16 professional. For purposes of board membership, any person
86	171		17 with a significant financial interest in a health service or
87	172		18 profession is not a public member.
88	173		19 "Dentistry" means the healing art which is concerned with
89	174		20 the examination, diagnosis, treatment planning, and care of
90	175		21 conditions within the human oral cavity and its adjacent
91	176		22 tissues and structures, as further specified in Section 17.
92	177		23 "Branches of dentistry" means the various specialties of
93	178		24 dentistry which, for purposes of this Act, shall be limited to
94	179		25 the following: endodontics, oral and maxillofacial surgery,
95	180		26 orthodontics and dentofacial orthopedics, pediatric dentistry,
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106	191		1 periodontics, prosthodontics, oral and maxillofacial
107	192		2 radiology, and dental anesthesiology, oral and maxillofacial
108	193		3 pathology, dental public health, oral medicine, and orofacial
109	194		4 pain.
110	195		5 "Specialist" means a dentist who has received a specialty
111	196		6 license pursuant to subsection (b) of Section 11 11(b).
112	197		7 "Dental technician" means a person who owns, operates, or
113	198		8 is employed by a dental laboratory and engages in making,
114	199		9 providing, repairing, or altering dental prosthetic appliances
115	200		10 and other artificial materials and devices which are returned
116	201		11 to a dentist for insertion into the human oral cavity or which
117	202		12 come in contact with its adjacent structures and tissues.
118	203		13 "Informed consent" means legally valid consent that is
119	204		14 given by a patient or legal guardian, that is recorded in
120	205		15 writing or digitally, that authorizes intervention or
121	206		16 treatment services from the treating dentist, and that
122	207		17 documents agreement to participate in those services and
123	208		18 knowledge of the risks, benefits, and alternatives, including
124	209		19 the decision to withdraw from or decline treatment.
125	210		20 "Impaired dentist" or "impaired dental hygienist" means a
126	211		21 dentist or dental hygienist who is unable to practice with
127	212		22 reasonable skill and safety because of a physical or mental
128	213		23 disability as evidenced by a written determination or written
129	214		24 consent based on clinical evidence, including deterioration
130	215		25 through the aging process, loss of motor skills, abuse of
131	216		26 drugs or alcohol, or a psychiatric disorder, of sufficient
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142	227		1 degree to diminish the person's ability to deliver competent
143	228		2 patient care.
144	229		3 "Nurse" means a registered professional nurse, a certified
145	230		4 registered nurse anesthetist licensed as an advanced practice
146	231		5 registered nurse, or a licensed practical nurse licensed under
147	232		6 the Nurse Practice Act.
148	233		7 "Patient of record", except as provided in Section 17.2,
149	234		8 means a patient for whom the patient's most recent dentist has
150	235		9 obtained a relevant medical and dental history and on whom the
151	236		10 dentist has performed a physical examination within the last
152	237		11 year and evaluated the condition to be treated, including a
153	238		12 review of the patient's most recent x-rays.
154	239		13 "Dental responder" means a dentist or dental hygienist who
155	240		14 is appropriately certified in disaster preparedness,
156	241		15 immunizations, and dental humanitarian medical response
157	242		16 consistent with the Society of Disaster Medicine and Public
158	243		17 Health and training certified by the National Incident
159	244		18 Management System or the National Disaster Life Support
160	245		19 Foundation.
161	246		20 "Mobile dental van or portable dental unit" means any
162	247		21 self-contained or portable dental unit in which dentistry is
163	248		22 practiced that can be moved, towed, or transported from one
164	249		23 location to another in order to establish a location where
165	250		24 dental services can be provided.
166	251		25 "Public health dental hygienist" means a hygienist who
167	252		26 holds a valid license to practice in the State, has 2 years of
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178	263		1 full-time clinical experience or an equivalent of 4,000 hours
179	264		2 of clinical experience, and has completed at least 42 clock
180	265		3 hours of additional structured courses in dental education in
181	266		4 advanced areas specific to public health dentistry.
182	267		5 "Public health setting" means a federally qualified health
183	268		6 center; a federal, State, or local public health facility;
184	269		7 Head Start; a special supplemental nutrition program for
185	270		8 Women, Infants, and Children (WIC) facility; a certified
186	271		9 school-based health center or school-based oral health
187	272		10 program; a prison; or a long-term care facility.
188	273		11 "Public health supervision" means the supervision of a
189	274		12 public health dental hygienist by a licensed dentist who has a
190	275		13 written public health supervision agreement with that public
191	276		14 health dental hygienist while working in an approved facility
192	277		15 or program that allows the public health dental hygienist to
193	278		16 treat patients, without a dentist first examining the patient
194	279		17 and being present in the facility during treatment, (1) who
195	280		18 are eligible for Medicaid or (2) who are uninsured or whose
196	281		19 household income is not greater than 300% of the federal
197	282		20 poverty level.
198	283		21 "Teledentistry" means the use of telehealth systems and
199	284		22 methodologies in dentistry and includes patient diagnosis,
200	285		23 treatment planning, care, and education delivery for a patient
201	286		24 of record using synchronous and asynchronous communications
202	287		25 under an Illinois licensed dentist's authority as provided
203	288		26 under this Act.
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214	299		1 "Moderate sedation" means a drug-induced depression of
215	300		2 consciousness during which: (1) patients respond purposefully
216	301		3 to verbal commands, either alone or accompanied by light
217	302		4 tactile stimulation; (2) no interventions are required to
218	303		5 maintain a patient's airway and spontaneous ventilation is
219	304		6 adequate; and (3) cardiovascular function is usually
220	305		7 maintained.
221	306		8 "Deep sedation" means a drug-induced depression of
222	307		9 consciousness during which: (1) patients cannot be easily
223	308		10 aroused, but respond purposefully following repeated or
224	309		11 painful stimulation; (2) the ability to independently maintain
225	310		12 ventilatory function may be impaired; (3) patients may require
226	311		13 assistance in maintaining airways and spontaneous ventilation
227	312		14 may be inadequate; and (4) cardiovascular function is usually
228	313		15 maintained.
229	314		16 "General anesthesia" means a drug-induced loss of
230	315		17 consciousness during which: (1) patients are not arousable,
231	316		18 even by painful stimulation; (2) the ability to independently
232	317		19 maintain ventilatory function is often impaired; (3) patients
233	318		20 often require assistance in maintaining airways and positive
234	319		21 pressure ventilation may be required because of depressed
235	320		22 spontaneous ventilation or drug-induced depression of
236	321		23 neuromuscular function; and (4) cardiovascular function may be
237	322		24 impaired.
238	323		25 "Venipuncture" means the puncture of a vein as part of a
239	324		26 medical procedure, typically to withdraw a blood sample or for
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250	335		1 an intravenous catheter for the administration of medication
251	336		2 or fluids.
252	337		3 "Enteral route of administration" means administration of
253	338		4 a drug that is absorbed through the gastrointestinal tract or
254	339		5 through oral, rectal, or sublingual mucosa.
255	340		6 "Parenteral route of administration" means administration
256	341		7 of a drug by which the drug bypasses the gastrointestinal
257	342		8 tract through intramuscular, intravenous, intranasal,
258	343		9 submucosal, subcutaneous, or intraosseous methods.
259	344		10 (Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;
260	345		11 102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
261	346		12 1-1-24; 103-605, eff. 7-1-24; 103-628, eff. 7-1-24; 103-902,
262	347		13 eff. 8-9-24; revised 10-10-24.)
263	348		14 (225 ILCS 25/13.2 new)
264		-	15 Sec. 13.2. ~~Practice of~~ license~~-pending general dentists.~~
265		-	16 ~~(a) An applicant for licensure as general dentist under~~
266		-	17 ~~this Act may obtain employment as~~ a license~~-pending general~~
267		-	18 ~~dentist and~~ practice ~~under~~ the ~~delegation of a licensed~~
268		-	19 ~~general dentist~~. ~~An applicant may~~ be ~~employed as~~ a
269		-	20 license~~-pending general dentist if all of the following~~
270		-	21 ~~criteria are met:~~
271		-	22 ~~(1)~~ the ~~applicant has completed~~ and ~~passed the~~
272		-	23 ~~Department-approved licensure examination~~ and ~~presents to~~
273		-	24 the ~~employer an official written notification indicating~~
274		-	25 ~~successful passage of the licensure examination;~~
	349	+	15 Sec. 13.2. Temporary dental hygiene license for dental
	350	+	16 students.
	351	+	17 (a) The Department shall issue a temporary license to
	352	+	18 practice dental hygiene to dental students who meet the
	353	+	19 qualifications set forth in this Section. To be eligible for a
	354	+	20 temporary license under this Section, an applicant must:
	355	+	21 (1) be enrolled at a dental school program that is
	356	+	22 approved by the Commission on Dental Accreditation and
	357	+	23 located within this State; and
	358	+	24 (2) have completed at least 75% of the approved dental
	359	+	25 school program.
275	360
276	361
277	362
278	363
279	364
280		-	SB1463 ~~Engrossed - 8~~ - LRB104 07067 AAS 17104 b
	365	+	SB1463 - 9 - LRB104 07067 AAS 17104 b
281	366
282	367
283		-	SB1463 ~~Engrossed- 9~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 9~~ - LRB104 07067 AAS 17104 b
284		-	SB1463 ~~Engrossed - 9~~ - LRB104 07067 AAS 17104 b
285		-	1 (2) ~~the applicant has completed and submitted to the~~
286		-	2 ~~Department an application for a general dentist~~ license
287		-	3 ~~under this Act;~~ and
288		-	4 (3) ~~the applicant has submitted the required licensure~~
289		-	5 fee.
290		-	6 (b) ~~An applicant's authorization to practice under this~~
291		-	7 ~~Section shall terminate upon the occurrence of any of the~~
292		-	8 ~~following:~~
293		-	9 ~~(1) receipt of a general dentist license from~~ the
294		-	10 ~~Department;~~
295		-	11 ~~(2) notification from the Department that the~~
296		-	12 ~~applicant's application for licensure has been denied;~~
297		-	13 ~~(3) a request by the Department that the applicant~~
298		-	14 ~~terminate practicing as~~ a license~~-pending general dentist~~
299		-	15 ~~until an official decision is made by~~ the ~~Department to~~
300		-	16 ~~grant or deny~~ a ~~general dentist~~ license ~~to the applicant;~~
301		-	17 or
302		-	18 (4) ~~6 months elapsing since the official date of the~~
303		-	19 ~~applicant's passage of the licensure examination~~, as
304		-	20 ~~specified on~~ the ~~formal written notification provided to~~
305		-	21 the ~~applicant upon passage~~ of ~~the examination. The 6-month~~
306		-	22 ~~period may be extended by the Department by rule.~~
307		-	23 ~~(225 ILCS 25/13.4 new)~~
308		-	24 ~~Sec. 13.4. Practice of license-pending~~ ~~dental hygienists.~~
309		-	25 ~~(a) An applicant for licensure as a dental hygienist under~~
	368	+	SB1463- 10 -LRB104 07067 AAS 17104 b SB1463 - 10 - LRB104 07067 AAS 17104 b
	369	+	SB1463 - 10 - LRB104 07067 AAS 17104 b
	370	+	1 (b) A dental student applying for a temporary dental
	371	+	2 hygiene license shall provide the following to the Department:
	372	+	3 (1) an accurate, complete, and signed application;
	373	+	4 (2) payment of a nonrefundable licensing and
	374	+	5 application fee that shall not exceed $50;
	375	+	6 (3) documentation of passage of the Integrated Dental
	376	+	7 Board Examination;
	377	+	8 (4) a letter of good standing from the dental school
	378	+	9 in which the student is enrolled; and
	379	+	10 (5) documentation of either a current Basic Life
	380	+	11 Support certification or current certification in
	381	+	12 cardiopulmonary resuscitation and automated external
	382	+	13 defibrillator use.
	383	+	14 (c) A licensee holding a temporary dental hygiene license
	384	+	15 must practice under the supervision of a dentist.
	385	+	16 (d) A temporary dental hygiene license is active for one
	386	+	17 year from its issuance date.
	387	+	18 (225 ILCS 25/17)
	388	+	19 (Section scheduled to be repealed on January 1, 2026)
	389	+	20 Sec. 17. Acts constituting the practice of dentistry. A
	390	+	21 person practices dentistry, within the meaning of this Act:
	391	+	22 (1) Who represents himself or herself as being able to
	392	+	23 diagnose or diagnoses, treats, prescribes, or operates for
	393	+	24 any disease, pain, deformity, deficiency, injury, or
	394	+	25 physical condition of the human tooth, teeth, alveolar
310	395
311	396
312	397
313	398
314	399
315		-	SB1463 ~~Engrossed - 9~~ - LRB104 07067 AAS 17104 b
	400	+	SB1463 - 10 - LRB104 07067 AAS 17104 b
316	401
317	402
318		-	SB1463 ~~Engrossed- 10~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 10~~ - LRB104 07067 AAS 17104 b
319		-	SB1463 ~~Engrossed - 10~~ - LRB104 07067 AAS 17104 b
320		-	1 ~~this Act may obtain employment as a license-pending dental~~
321		-	2 ~~hygienist and practice under the delegation of~~ a ~~licensed~~
322		-	3 ~~general dentist. An individual may be employed as~~ a
323		-	4 ~~license-pending dental hygienist if all of the following~~
324		-	5 ~~criteria are met:~~
325		-	6 (1) ~~the applicant has completed and passed the~~
326		-	7 ~~Department-approved licensure examination and presents to~~
327		-	8 ~~the employer an official written notification indicating~~
328		-	9 ~~successful passage~~ of the ~~licensure examination;~~
329		-	10 ~~(2) the applicant has completed and submitted to the~~
330		-	11 ~~Department an application for a dental hygienist license~~
331		-	12 ~~under this Act;~~ and
332		-	13 ~~(3) the applicant has submitted the required licensure~~
333		-	14 ~~fee.~~
334		-	15 ~~(b) An applicant's authorization to practice under this~~
335		-	16 ~~Section shall terminate upon the occurrence~~ of any ~~of the~~
336		-	17 ~~following:~~
337		-	18 (1) ~~receipt of a dental hygienist license from the~~
338		-	19 ~~Department;~~
339		-	20 ~~(2) notification from~~ the ~~Department that the~~
340		-	21 ~~applicant's application for licensure has been denied;~~
341		-	22 ~~(3)~~ a ~~request by the Department that the applicant~~
342		-	23 ~~terminate practicing as a license-pending dental hygienist~~
343		-	24 ~~until an official decision is made by the Department~~ to
344		-	25 ~~grant~~ or ~~deny a dental hygienist license to the applicant;~~
345		-	26 or
	403	+	SB1463- 11 -LRB104 07067 AAS 17104 b SB1463 - 11 - LRB104 07067 AAS 17104 b
	404	+	SB1463 - 11 - LRB104 07067 AAS 17104 b
	405	+	1 process, gums, or jaw; or
	406	+	2 (2) Who is a manager, proprietor, operator, or
	407	+	3 conductor of a business where dental operations are
	408	+	4 performed; or
	409	+	5 (3) Who performs dental operations of any kind; or
	410	+	6 (4) Who uses an X-Ray machine or X-Ray films for
	411	+	7 dental diagnostic purposes; or
	412	+	8 (5) Who extracts a human tooth or teeth, or corrects
	413	+	9 or attempts to correct malpositions of the human teeth or
	414	+	10 jaws; or
	415	+	11 (6) Who offers or undertakes, by any means or method,
	416	+	12 to diagnose, treat, or remove stains, calculus, and
	417	+	13 bonding materials from human teeth or jaws; or
	418	+	14 (7) Who uses or administers local or general
	419	+	15 anesthetics in the treatment of dental or oral diseases or
	420	+	16 in any preparation incident to a dental operation of any
	421	+	17 kind or character; or
	422	+	18 (8) Who takes material or digital scans for final
	423	+	19 impressions of the human tooth, teeth, or jaws or performs
	424	+	20 any phase of any operation incident to the replacement of
	425	+	21 a part of a tooth, a tooth, teeth, or associated tissues by
	426	+	22 means of a filling, a crown, a bridge, a denture, or other
	427	+	23 appliance; or
	428	+	24 (9) Who offers to furnish, supply, construct,
	429	+	25 reproduce, or repair, or who furnishes, supplies,
	430	+	26 constructs, reproduces, or repairs, prosthetic dentures,
346	431
347	432
348	433
349	434
350	435
351		-	SB1463 ~~Engrossed - 10~~ - LRB104 07067 AAS 17104 b
	436	+	SB1463 - 11 - LRB104 07067 AAS 17104 b
352	437
353	438
354		-	SB1463 Engrossed- 11 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 11 - LRB104 07067 AAS 17104 b
355		-	SB1463 Engrossed - 11 - LRB104 07067 AAS 17104 b
356		-	1 (4) 6 months elapsing since the official date of the
357		-	2 applicant's passage of the licensure examination, as
358		-	3 specified on the formal written notification provided to
359		-	4 the applicant upon passage of the examination. The 6-month
360		-	5 period may be extended by the Department by rule.
361		-	6 (225 ILCS 25/17)
362		-	7 (Section scheduled to be repealed on January 1, 2026)
363		-	8 Sec. 17. Acts constituting the practice of dentistry. A
364		-	9 person practices dentistry, within the meaning of this Act:
365		-	10 (1) Who represents himself or herself as being able to
366		-	11 diagnose or diagnoses, treats, prescribes, or operates for
367		-	12 any disease, pain, deformity, deficiency, injury, or
368		-	13 physical condition of the human tooth, teeth, alveolar
369		-	14 process, gums, or jaw; or
370		-	15 (2) Who is a manager, proprietor, operator, or
371		-	16 conductor of a business where dental operations are
372		-	17 performed; or
373		-	18 (3) Who performs dental operations of any kind; or
374		-	19 (4) Who uses an X-Ray machine or X-Ray films for
375		-	20 dental diagnostic purposes; or
376		-	21 (5) Who extracts a human tooth or teeth, or corrects
377		-	22 or attempts to correct malpositions of the human teeth or
378		-	23 jaws; or
379		-	24 (6) Who offers or undertakes, by any means or method,
380		-	25 to diagnose, treat, or remove stains, calculus, and
	439	+	SB1463- 12 -LRB104 07067 AAS 17104 b SB1463 - 12 - LRB104 07067 AAS 17104 b
	440	+	SB1463 - 12 - LRB104 07067 AAS 17104 b
	441	+	1 bridges, or other substitutes for natural teeth to the
	442	+	2 user or prospective user thereof; or
	443	+	3 (10) Who instructs students on clinical matters or
	444	+	4 performs any clinical operation included in the curricula
	445	+	5 of recognized dental schools and colleges; or
	446	+	6 (11) Who takes material or digital scans for final
	447	+	7 impressions of human teeth or places his or her hands in
	448	+	8 the mouth of any person for the purpose of applying teeth
	449	+	9 whitening materials, or who takes impressions of human
	450	+	10 teeth or places his or her hands in the mouth of any person
	451	+	11 for the purpose of assisting in the application of teeth
	452	+	12 whitening materials. A person does not practice dentistry
	453	+	13 when he or she discloses to the consumer that he or she is
	454	+	14 not licensed as a dentist under this Act and (i) discusses
	455	+	15 the use of teeth whitening materials with a consumer
	456	+	16 purchasing these materials; (ii) provides instruction on
	457	+	17 the use of teeth whitening materials with a consumer
	458	+	18 purchasing these materials; or (iii) provides appropriate
	459	+	19 equipment on-site to the consumer for the consumer to
	460	+	20 self-apply teeth whitening materials.
	461	+	21 The fact that any person engages in or performs, or offers
	462	+	22 to engage in or perform, any of the practices, acts, or
	463	+	23 operations set forth in this Section, shall be prima facie
	464	+	24 evidence that such person is engaged in the practice of
	465	+	25 dentistry.
	466	+	26 The following practices, acts, and operations, however,
381	467
382	468
383	469
384	470
385	471
386		-	SB1463 ~~Engrossed - 11~~ - LRB104 07067 AAS 17104 b
	472	+	SB1463 - 12 - LRB104 07067 AAS 17104 b
387	473
388	474
389		-	SB1463 ~~Engrossed- 12~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 12~~ - LRB104 07067 AAS 17104 b
390		-	SB1463 ~~Engrossed - 12~~ - LRB104 07067 AAS 17104 b
391		-	1 ~~bonding materials~~ from ~~human teeth or jaws;~~ or
392		-	2 (7) ~~Who uses or administers local or general~~
393		-	3 ~~anesthetics~~ in the ~~treatment~~ of ~~dental~~ or ~~oral diseases~~ or
394		-	4 ~~in any preparation incident to a dental operation~~ of ~~any~~
395		-	5 ~~kind~~ or ~~character;~~ or
396		-	6 ~~(8) Who takes material~~ or ~~digital scans for final~~
397		-	7 ~~impressions of~~ the ~~human tooth, teeth,~~ or ~~jaws or performs~~
398		-	8 ~~any phase~~ of ~~any operation incident to~~ the ~~replacement~~ of
399		-	9 ~~a part~~ of ~~a tooth, a tooth, teeth, or associated tissues by~~
400		-	10 ~~means~~ of ~~a filling~~, ~~a crown,~~ ~~a bridge, a denture, or other~~
401		-	11 ~~appliance;~~ or
402		-	12 ~~(9) Who offers to furnish, supply, construct,~~
403		-	13 ~~reproduce, or repair,~~ ~~or who furnishes,~~ ~~supplies,~~
404		-	14 ~~constructs, reproduces,~~ or ~~repairs, prosthetic dentures,~~
405		-	15 ~~bridges~~, ~~or other substitutes for natural teeth to~~ the
406		-	16 ~~user or prospective user thereof~~; or
407		-	17 (10) ~~Who instructs students on~~ clinical ~~matters or~~
408		-	18 ~~performs any clinical operation included~~ in the ~~curricula~~
409		-	19 ~~of recognized dental schools and~~ colleges~~; or~~
410		-	20 (11) ~~Who takes material or digital scans for final~~
411		-	21 ~~impressions~~ of ~~human teeth or places his or her hands in~~
412		-	22 ~~the mouth of any person for the purpose of applying teeth~~
413		-	23 ~~whitening materials~~, or ~~who takes impressions of human~~
414		-	24 ~~teeth or places his or her hands in~~ the ~~mouth~~ of ~~any person~~
415		-	25 ~~for the purpose of assisting in the application of teeth~~
416		-	26 ~~whitening materials.~~ A ~~person does not~~ practice ~~dentistry~~
	475	+	SB1463- 13 -LRB104 07067 AAS 17104 b SB1463 - 13 - LRB104 07067 AAS 17104 b
	476	+	SB1463 - 13 - LRB104 07067 AAS 17104 b
	477	+	1 are exempt from the operation of this Act:
	478	+	2 (a) The rendering of dental relief in emergency cases
	479	+	3 in the practice of his or her profession by a physician or
	480	+	4 surgeon, licensed as such under the laws of this State,
	481	+	5 unless he or she undertakes to reproduce or reproduces
	482	+	6 lost parts of the human teeth in the mouth or to restore or
	483	+	7 replace lost or missing teeth in the mouth; or
	484	+	8 (b) The practice of dentistry in the discharge of
	485	+	9 their official duties by dentists in any branch of the
	486	+	10 Armed Services of the United States, the United States
	487	+	11 Public Health Service, or the United States Veterans
	488	+	12 Administration; or
	489	+	13 (c) The practice of dentistry by students in their
	490	+	14 course of study in dental schools or colleges approved by
	491	+	15 the Department, when acting under the direction and
	492	+	16 supervision of dentists acting as instructors; or
	493	+	17 (d) The practice of dentistry by clinical instructors
	494	+	18 in the course of their teaching duties in dental schools
	495	+	19 or colleges approved by the Department:
	496	+	20 (i) when acting under the direction and
	497	+	21 supervision of dentists, provided that such clinical
	498	+	22 instructors have instructed continuously in this State
	499	+	23 since January 1, 1986; or
	500	+	24 (ii) when holding the rank of full professor at
	501	+	25 such approved dental school or college and possessing
	502	+	26 a current valid license or authorization to practice
417	503
418	504
419	505
420	506
421	507
422		-	SB1463 ~~Engrossed - 12~~ - LRB104 07067 AAS 17104 b
	508	+	SB1463 - 13 - LRB104 07067 AAS 17104 b
423	509
424	510
425		-	SB1463 ~~Engrossed- 13~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 13~~ - LRB104 07067 AAS 17104 b
426		-	SB1463 ~~Engrossed - 13~~ - LRB104 07067 AAS 17104 b
427		-	1 ~~when he~~ or ~~she discloses to the consumer that he or she is~~
428		-	2 ~~not~~ licensed ~~as a dentist under this Act and (i) discusses~~
429		-	3 ~~the use~~ of ~~teeth whitening materials with a consumer~~
430		-	4 ~~purchasing these materials;~~ ~~(ii) provides instruction on~~
431		-	5 ~~the use~~ of ~~teeth whitening materials with a consumer~~
432		-	6 ~~purchasing these materials~~; or ~~(iii) provides appropriate~~
433		-	7 ~~equipment on-site to~~ the ~~consumer~~ for ~~the consumer to~~
434		-	8 ~~self-apply teeth whitening materials.~~
435		-	9 ~~The fact that any person engages in~~ or ~~performs, or offers~~
436		-	10 ~~to engage in or perform,~~ any ~~of the practices,~~ ~~acts, or~~
437		-	11 ~~operations set forth in this Section~~, ~~shall be prima facie~~
438		-	12 ~~evidence that such person is engaged~~ in ~~the practice of~~
439		-	13 ~~dentistry.~~
440		-	14 The ~~following practices,~~ ~~acts, and operations, however,~~
441		-	15 ~~are exempt from the operation of this Act:~~
442		-	16 (a~~) The rendering~~ of ~~dental relief in emergency cases~~
443		-	17 ~~in the practice~~ of ~~his or her profession by a physician or~~
444		-	18 ~~surgeon, licensed as such under the laws of this State,~~
445		-	19 ~~unless he~~ or ~~she undertakes to reproduce or reproduces~~
446		-	20 ~~lost parts of the human teeth in the mouth or to restore or~~
447		-	21 ~~replace lost~~ or ~~missing teeth in the mouth; or~~
448		-	22 ~~(b) The practice~~ of ~~dentistry in the discharge of~~
449		-	23 ~~their official duties by dentists in any branch~~ of the
450		-	24 ~~Armed Services of the United States~~, ~~the United States~~
451		-	25 ~~Public Health Service~~, or the ~~United States Veterans~~
452		-	26 ~~Administration;~~ or
	511	+	SB1463- 14 -LRB104 07067 AAS 17104 b SB1463 - 14 - LRB104 07067 AAS 17104 b
	512	+	SB1463 - 14 - LRB104 07067 AAS 17104 b
	513	+	1 dentistry in another country; or
	514	+	2 (e) The practice of dentistry by licensed dentists of
	515	+	3 other states or countries at meetings of the Illinois
	516	+	4 State Dental Society or component parts thereof, alumni
	517	+	5 meetings of dental colleges, or any other like dental
	518	+	6 organizations, while appearing as clinicians; or
	519	+	7 (f) The use of X-Ray machines for exposing X-Ray films
	520	+	8 of dental or oral tissues by dental hygienists or dental
	521	+	9 assistants; or
	522	+	10 (g) The performance of any dental service by a dental
	523	+	11 assistant, if such service is performed under the
	524	+	12 supervision and full responsibility of a dentist. In
	525	+	13 addition, after being authorized by a dentist, a dental
	526	+	14 assistant may, for the purpose of eliminating pain or
	527	+	15 discomfort, remove loose, broken, or irritating
	528	+	16 orthodontic appliances on a patient of record.
	529	+	17 For purposes of this paragraph (g), "dental service"
	530	+	18 is defined to mean any intraoral procedure or act which
	531	+	19 shall be prescribed by rule or regulation of the
	532	+	20 Department. "Dental service", however, shall not include:
	533	+	21 (1) Any and all diagnosis of or prescription for
	534	+	22 treatment of disease, pain, deformity, deficiency,
	535	+	23 injury, or physical condition of the human teeth or
	536	+	24 jaws, or adjacent structures.
	537	+	25 (2) Removal of, restoration of, or addition to the
	538	+	26 hard or soft tissues of the oral cavity, except for the
453	539
454	540
455	541
456	542
457	543
458		-	SB1463 ~~Engrossed - 13~~ - LRB104 07067 AAS 17104 b
	544	+	SB1463 - 14 - LRB104 07067 AAS 17104 b
459	545
460	546
461		-	SB1463 ~~Engrossed- 14~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 14~~ - LRB104 07067 AAS 17104 b
462		-	SB1463 ~~Engrossed - 14~~ - LRB104 07067 AAS 17104 b
463		-	1 ~~(c) The practice~~ of ~~dentistry by students in their~~
464		-	2 ~~course of study in dental schools or colleges approved by~~
465		-	3 ~~the Department,~~ ~~when acting under the direction and~~
466		-	4 ~~supervision of dentists acting as instructors; or~~
467		-	5 ~~(d) The practice of dentistry by clinical instructors~~
468		-	6 ~~in the course of their teaching duties in dental schools~~
469		-	7 ~~or colleges approved by the Department:~~
470		-	8 (i) ~~when acting under the direction and~~
471		-	9 ~~supervision of dentists,~~ ~~provided that such clinical~~
472		-	10 ~~instructors have instructed continuously in this State~~
473		-	11 ~~since January 1,~~ ~~1986; or~~
474		-	12 ~~(ii) when holding the rank of full professor at~~
475		-	13 ~~such approved~~ dental ~~school~~ or ~~college and possessing~~
476		-	14 ~~a current valid license or authorization to practice~~
477		-	15 ~~dentistry in another country;~~ or
478		-	16 (e) ~~The practice~~ of ~~dentistry by licensed dentists of~~
479		-	17 ~~other states or countries at meetings of the Illinois~~
480		-	18 ~~State Dental Society or component parts thereof~~, ~~alumni~~
481		-	19 ~~meetings of dental colleges~~, ~~or any other like dental~~
482		-	20 ~~organizations, while appearing as clinicians;~~ or
483		-	21 ~~(f)~~ The ~~use of X-Ray machines for exposing X-Ray films~~
484		-	22 of ~~dental or oral tissues by dental hygienists or dental~~
485		-	23 ~~assistants~~; or
486		-	24 ~~(g) The performance~~ of ~~any dental service by a dental~~
487		-	25 ~~assistant~~, ~~if such service is performed under the~~
488		-	26 ~~supervision and full responsibility of a dentist. In~~
	547	+	SB1463- 15 -LRB104 07067 AAS 17104 b SB1463 - 15 - LRB104 07067 AAS 17104 b
	548	+	SB1463 - 15 - LRB104 07067 AAS 17104 b
	549	+	1 placing, carving, and finishing of amalgam
	550	+	2 restorations and placing, packing, and finishing
	551	+	3 composite restorations by dental assistants who have
	552	+	4 had additional formal education and certification.
	553	+	5 A dental assistant may place, carve, and finish
	554	+	6 amalgam restorations, place, pack, and finish
	555	+	7 composite restorations, and place interim restorations
	556	+	8 if he or she (A) has successfully completed a
	557	+	9 structured training program as described in item (2)
	558	+	10 of subsection (g) provided by an educational
	559	+	11 institution accredited by the Commission on Dental
	560	+	12 Accreditation, such as a dental school or dental
	561	+	13 hygiene or dental assistant program, or (B) has at
	562	+	14 least 4,000 hours of direct clinical patient care
	563	+	15 experience and has successfully completed a structured
	564	+	16 training program as described in item (2) of
	565	+	17 subsection (g) provided by a statewide dental
	566	+	18 association, approved by the Department to provide
	567	+	19 continuing education, that has developed and conducted
	568	+	20 training programs for expanded functions for dental
	569	+	21 assistants or hygienists. The training program must:
	570	+	22 (i) include a minimum of 16 hours of didactic study and
	571	+	23 14 hours of clinical manikin instruction; all training
	572	+	24 programs shall include areas of study in nomenclature,
	573	+	25 caries classifications, oral anatomy, periodontium,
	574	+	26 basic occlusion, instrumentations, pulp protection
489	575
490	576
491	577
492	578
493	579
494		-	SB1463 ~~Engrossed - 14~~ - LRB104 07067 AAS 17104 b
	580	+	SB1463 - 15 - LRB104 07067 AAS 17104 b
495	581
496	582
497		-	SB1463 ~~Engrossed- 15~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 15~~ - LRB104 07067 AAS 17104 b
498		-	SB1463 ~~Engrossed - 15~~ - LRB104 07067 AAS 17104 b
499		-	1 ~~addition~~, ~~after being authorized by a dentist~~, ~~a dental~~
500		-	2 ~~assistant may~~, ~~for the purpose of eliminating pain or~~
501		-	3 ~~discomfort~~, ~~remove loose,~~ ~~broken, or irritating~~
502		-	4 ~~orthodontic appliances on a patient of record.~~
503		-	5 ~~For purposes of this paragraph~~ (g)~~, "dental~~ ~~service"~~
504		-	6 ~~is defined~~ to ~~mean any intraoral procedure or act which~~
505		-	7 ~~shall be prescribed by rule~~ or ~~regulation of the~~
506		-	8 ~~Department. "Dental~~ ~~service"~~, ~~however, shall not include:~~
507		-	9 ~~(1) Any~~ and ~~all diagnosis of or prescription for~~
508		-	10 ~~treatment of disease,~~ ~~pain, deformity,~~ ~~deficiency,~~
509		-	11 ~~injury, or physical condition of the human teeth or~~
510		-	12 ~~jaws, or adjacent structures.~~
511		-	13 ~~(2) Removal of, restoration of, or addition~~ to the
512		-	14 ~~hard or soft tissues of the oral cavity, except for the~~
513		-	15 ~~placing, carving,~~ ~~and finishing of amalgam~~
514		-	16 ~~restorations and placing,~~ ~~packing, and finishing~~
515		-	17 ~~composite restorations by dental assistants who have~~
516		-	18 ~~had additional formal education~~ and ~~certification.~~
517		-	19 ~~A dental assistant may place, carve, and finish~~
518		-	20 ~~amalgam restorations, place, pack,~~ and ~~finish~~
519		-	21 ~~composite restorations,~~ ~~and place interim restorations~~
520		-	22 ~~if he or she~~ (A) ~~has successfully completed a~~
521		-	23 ~~structured training program as described in item (2)~~
522		-	24 ~~of subsection (g)~~ provided ~~by an educational~~
523		-	25 ~~institution accredited by the Commission on Dental~~
524		-	26 ~~Accreditation, such as~~ a ~~dental school or dental~~
	583	+	SB1463- 16 -LRB104 07067 AAS 17104 b SB1463 - 16 - LRB104 07067 AAS 17104 b
	584	+	SB1463 - 16 - LRB104 07067 AAS 17104 b
	585	+	1 liners and bases, dental materials, matrix and wedge
	586	+	2 techniques, amalgam placement and carving, rubber dam
	587	+	3 clamp placement, and rubber dam placement and removal;
	588	+	4 (ii) include an outcome assessment examination that
	589	+	5 demonstrates competency; (iii) require the supervising
	590	+	6 dentist to observe and approve the completion of 8
	591	+	7 amalgam or composite restorations; and (iv) issue a
	592	+	8 certificate of completion of the training program,
	593	+	9 which must be kept on file at the dental office and be
	594	+	10 made available to the Department upon request. A
	595	+	11 dental assistant must have successfully completed an
	596	+	12 approved coronal polishing and dental sealant course
	597	+	13 prior to taking the amalgam and composite restoration
	598	+	14 course.
	599	+	15 A dentist utilizing dental assistants shall not
	600	+	16 supervise more than 4 dental assistants at any one
	601	+	17 time for placing, carving, and finishing of amalgam
	602	+	18 restorations or for placing, packing, and finishing
	603	+	19 composite restorations.
	604	+	20 (3) Any and all correction of malformation of
	605	+	21 teeth or of the jaws.
	606	+	22 (4) Administration of anesthetics, except for
	607	+	23 monitoring of nitrous oxide, moderate sedation, deep
	608	+	24 sedation, and general anesthetic as provided in
	609	+	25 Section 8.1 of this Act, that may be performed only
	610	+	26 after successful completion of a training program
525	611
526	612
527	613
528	614
529	615
530		-	SB1463 ~~Engrossed - 15~~ - LRB104 07067 AAS 17104 b
	616	+	SB1463 - 16 - LRB104 07067 AAS 17104 b
531	617
532	618
533		-	SB1463 ~~Engrossed- 16~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 16~~ - LRB104 07067 AAS 17104 b
534		-	SB1463 ~~Engrossed - 16~~ - LRB104 07067 AAS 17104 b
535		-	1 ~~hygiene or~~ dental ~~assistant program, or (B) has at~~
536		-	2 ~~least~~ 4~~,000 hours of direct clinical patient care~~
537		-	3 ~~experience and has successfully completed a structured~~
538		-	4 ~~training program as described in item (2) of~~
539		-	5 ~~subsection~~ (g) ~~provided by a statewide dental~~
540		-	6 ~~association, approved by the Department to provide~~
541		-	7 ~~continuing education,~~ ~~that has developed and conducted~~
542		-	8 ~~training programs for expanded functions for dental~~
543		-	9 ~~assistants~~ or ~~hygienists~~. ~~The training program must:~~
544		-	10 (i) ~~include a minimum~~ of ~~16 hours of didactic study and~~
545		-	11 ~~14 hours~~ of ~~clinical manikin instruction;~~ ~~all training~~
546		-	12 ~~programs shall include areas of study in nomenclature,~~
547		-	13 ~~caries classifications,~~ ~~oral anatomy,~~ ~~periodontium,~~
548		-	14 ~~basic occlusion,~~ ~~instrumentations, pulp protection~~
549		-	15 ~~liners and bases,~~ dental ~~materials, matrix and wedge~~
550		-	16 ~~techniques, amalgam placement and carving,~~ ~~rubber dam~~
551		-	17 ~~clamp placement,~~ ~~and rubber dam placement and removal;~~
552		-	18 ~~(ii) include an outcome assessment examination that~~
553		-	19 ~~demonstrates competency~~; (~~iii~~) ~~require~~ the ~~supervising~~
554		-	20 ~~dentist~~ to ~~observe and approve~~ the ~~completion~~ of 8
555		-	21 ~~amalgam~~ or ~~composite restorations; and (iv) issue a~~
556		-	22 ~~certificate of completion of the training program,~~
557		-	23 ~~which must be kept on file at~~ the ~~dental office and be~~
558		-	24 ~~made available to~~ the ~~Department upon request. A~~
559		-	25 ~~dental assistant must have successfully completed an~~
560		-	26 ~~approved~~ coronal polishing and ~~dental sealant course~~
	619	+	SB1463- 17 -LRB104 07067 AAS 17104 b SB1463 - 17 - LRB104 07067 AAS 17104 b
	620	+	SB1463 - 17 - LRB104 07067 AAS 17104 b
	621	+	1 approved by the Department. A dentist utilizing dental
	622	+	2 assistants shall not supervise more than 4 dental
	623	+	3 assistants at any one time for the monitoring of
	624	+	4 nitrous oxide.
	625	+	5 (5) Removal of calculus from human teeth.
	626	+	6 (6) Taking of material or digital scans for final
	627	+	7 impressions for the fabrication of prosthetic
	628	+	8 appliances, crowns, bridges, inlays, onlays, or other
	629	+	9 restorative or replacement dentistry.
	630	+	10 (7) The operative procedure of dental hygiene
	631	+	11 consisting of oral prophylactic procedures, except for
	632	+	12 coronal polishing and pit and fissure sealants, which
	633	+	13 may be performed by a dental assistant who has
	634	+	14 successfully completed a training program approved by
	635	+	15 the Department. Dental assistants may perform coronal
	636	+	16 polishing under the following circumstances: (i) the
	637	+	17 coronal polishing shall be limited to polishing the
	638	+	18 clinical crown of the tooth and existing restorations,
	639	+	19 supragingivally; (ii) the dental assistant performing
	640	+	20 the coronal polishing shall be limited to the use of
	641	+	21 rotary instruments using a rubber cup or brush
	642	+	22 polishing method (air polishing is not permitted); and
	643	+	23 (iii) the supervising dentist shall not supervise more
	644	+	24 than 4 dental assistants at any one time for the task
	645	+	25 of coronal polishing or pit and fissure sealants.
	646	+	26 In addition to coronal polishing and pit and
561	647
562	648
563	649
564	650
565	651
566		-	SB1463 ~~Engrossed - 16~~ - LRB104 07067 AAS 17104 b
	652	+	SB1463 - 17 - LRB104 07067 AAS 17104 b
567	653
568	654
569		-	SB1463 ~~Engrossed- 17~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 17~~ - LRB104 07067 AAS 17104 b
570		-	SB1463 ~~Engrossed - 17~~ - LRB104 07067 AAS 17104 b
571		-	1 ~~prior to taking the amalgam and composite restoration~~
572		-	2 ~~course.~~
573		-	3 ~~A dentist utilizing dental assistants shall not~~
574		-	4 ~~supervise more than 4 dental assistants at any one~~
575		-	5 ~~time for placing~~, ~~carving, and finishing of amalgam~~
576		-	6 ~~restorations~~ or ~~for placing, packing, and finishing~~
577		-	7 ~~composite restorations.~~
578		-	8 (3) ~~Any and all correction of malformation of~~
579		-	9 ~~teeth~~ or ~~of the jaws.~~
580		-	10 ~~(4) Administration of anesthetics,~~ ~~except for~~
581		-	11 ~~monitoring of nitrous oxide,~~ ~~moderate sedation,~~ ~~deep~~
582		-	12 ~~sedation, and general anesthetic as provided in~~
583		-	13 ~~Section 8.1~~ of ~~this Act, that may be performed only~~
584		-	14 ~~after successful completion~~ of ~~a training program~~
585		-	15 ~~approved by the Department.~~ ~~A dentist utilizing dental~~
586		-	16 ~~assistants shall~~ not ~~supervise more than 4 dental~~
587		-	17 ~~assistants at any one time for the monitoring~~ of
588		-	18 ~~nitrous oxide.~~
589		-	19 ~~(5) Removal~~ of ~~calculus from human teeth.~~
590		-	20 ~~(6) Taking of material~~ or ~~digital scans for final~~
591		-	21 ~~impressions for the fabrication~~ of ~~prosthetic~~
592		-	22 ~~appliances~~, ~~crowns~~, ~~bridges~~, ~~inlays, onlays, or other~~
593		-	23 ~~restorative or replacement dentistry.~~
594		-	24 (7) ~~The operative procedure of dental hygiene~~
595		-	25 ~~consisting of oral prophylactic procedures, except for~~
596		-	26 ~~coronal polishing~~ and ~~pit and fissure sealants, which~~
	655	+	SB1463- 18 -LRB104 07067 AAS 17104 b SB1463 - 18 - LRB104 07067 AAS 17104 b
	656	+	SB1463 - 18 - LRB104 07067 AAS 17104 b
	657	+	1 fissure sealants as described in this item (7), a
	658	+	2 dental assistant who has at least 2,000 hours of
	659	+	3 direct clinical patient care experience and who has
	660	+	4 successfully completed a structured training program
	661	+	5 provided by (1) an educational institution including,
	662	+	6 but not limited to, a dental school or dental hygiene
	663	+	7 or dental assistant program, (2) a continuing
	664	+	8 education provider approved by the Department, or (3)
	665	+	9 a statewide dental or dental hygienist association
	666	+	10 that has developed and conducted a training program
	667	+	11 for expanded functions for dental assistants or
	668	+	12 hygienists may perform: (A) coronal scaling above the
	669	+	13 gum line, supragingivally, on the clinical crown of
	670	+	14 the tooth only on patients 17 years of age or younger
	671	+	15 who have an absence of periodontal disease and who are
	672	+	16 not medically compromised or individuals with special
	673	+	17 needs and (B) intracoronal temporization of a tooth.
	674	+	18 The training program must: (I) include a minimum of 32
	675	+	19 hours of instruction in both didactic and clinical
	676	+	20 manikin or human subject instruction; all training
	677	+	21 programs shall include areas of study in dental
	678	+	22 anatomy, public health dentistry, medical history,
	679	+	23 dental emergencies, and managing the pediatric
	680	+	24 patient; (II) include an outcome assessment
	681	+	25 examination that demonstrates competency; (III)
	682	+	26 require the supervising dentist to observe and approve
597	683
598	684
599	685
600	686
601	687
602		-	SB1463 ~~Engrossed - 17~~ - LRB104 07067 AAS 17104 b
	688	+	SB1463 - 18 - LRB104 07067 AAS 17104 b
603	689
604	690
605		-	SB1463 ~~Engrossed- 18~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 18~~ - LRB104 07067 AAS 17104 b
606		-	SB1463 ~~Engrossed - 18~~ - LRB104 07067 AAS 17104 b
607		-	1 ~~may be performed by a dental assistant who has~~
608		-	2 ~~successfully completed a~~ training ~~program approved by~~
609		-	3 ~~the Department.~~ Dental ~~assistants may perform coronal~~
610		-	4 ~~polishing under the following circumstances:~~ (i) ~~the~~
611		-	5 ~~coronal polishing shall~~ be ~~limited to polishing the~~
612		-	6 ~~clinical crown of~~ the ~~tooth~~ and ~~existing restorations,~~
613		-	7 ~~supragingivally; (ii) the~~ dental assistant ~~performing~~
614		-	8 ~~the~~ coronal ~~polishing shall be limited to the use of~~
615		-	9 ~~rotary instruments using a rubber cup or brush~~
616		-	10 ~~polishing method (air~~ ~~polishing is not permitted); and~~
617		-	11 ~~(iii)~~ the ~~supervising dentist shall not supervise more~~
618		-	12 ~~than 4 dental assistants at any one time for the task~~
619		-	13 ~~of coronal polishing or pit and fissure sealants.~~
620		-	14 ~~In addition to coronal polishing and pit and~~
621		-	15 ~~fissure sealants as described in this item (7), a~~
622		-	16 ~~dental assistant who has at least 2,000 hours of~~
623		-	17 ~~direct clinical patient care experience and who has~~
624		-	18 ~~successfully completed a structured training program~~
625		-	19 ~~provided by (~~1~~) an educational institution including,~~
626		-	20 ~~but not limited to,~~ a dental ~~school or dental hygiene~~
627		-	21 ~~or dental assistant program,~~ (2) ~~a continuing~~
628		-	22 ~~education provider approved by the Department, or~~ (3)
629		-	23 ~~a statewide dental~~ or dental ~~hygienist association~~
630		-	24 ~~that has developed and conducted a training program~~
631		-	25 ~~for expanded functions for dental assistants~~ or
632		-	26 ~~hygienists may perform:~~ (A) ~~coronal scaling above the~~
	691	+	SB1463- 19 -LRB104 07067 AAS 17104 b SB1463 - 19 - LRB104 07067 AAS 17104 b
	692	+	SB1463 - 19 - LRB104 07067 AAS 17104 b
	693	+	1 the completion of 6 full mouth supragingival scaling
	694	+	2 procedures unless the training was received as part of
	695	+	3 a Commission on Dental Accreditation approved dental
	696	+	4 assistant program; and (IV) issue a certificate of
	697	+	5 completion of the training program, which must be kept
	698	+	6 on file at the dental office and be made available to
	699	+	7 the Department upon request. A dental assistant must
	700	+	8 have successfully completed an approved coronal
	701	+	9 polishing course prior to taking the coronal scaling
	702	+	10 course. A dental assistant performing these functions
	703	+	11 shall be limited to the use of hand instruments only.
	704	+	12 In addition, coronal scaling as described in this
	705	+	13 paragraph shall only be utilized on patients who are
	706	+	14 eligible for Medicaid, who are uninsured, or whose
	707	+	15 household income is not greater than 300% of the
	708	+	16 federal poverty level. A dentist may not supervise
	709	+	17 more than 2 dental assistants at any one time for the
	710	+	18 task of coronal scaling. This paragraph is inoperative
	711	+	19 on and after January 1, 2026.
	712	+	20 The limitations on the number of dental assistants a
	713	+	21 dentist may supervise contained in items (2), (4), and (7)
	714	+	22 of this paragraph (g) mean a limit of 4 total dental
	715	+	23 assistants or dental hygienists doing expanded functions
	716	+	24 covered by these Sections being supervised by one dentist;
	717	+	25 or
	718	+	26 (h) The practice of dentistry by an individual who:
633	719
634	720
635	721
636	722
637	723
638		-	SB1463 ~~Engrossed - 18~~ - LRB104 07067 AAS 17104 b
	724	+	SB1463 - 19 - LRB104 07067 AAS 17104 b
639	725
640	726
641		-	SB1463 ~~Engrossed- 19~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 19~~ - LRB104 07067 AAS 17104 b
642		-	SB1463 ~~Engrossed - 19~~ - LRB104 07067 AAS 17104 b
643		-	1 ~~gum line,~~ ~~supragingivally, on~~ the ~~clinical crown of~~
644		-	2 the ~~tooth only on patients 17 years of age or younger~~
645		-	3 ~~who have an absence of periodontal disease~~ and ~~who are~~
646		-	4 ~~not medically compromised or individuals with special~~
647		-	5 ~~needs and (B) intracoronal temporization~~ of ~~a tooth.~~
648		-	6 ~~The training program must: (I) include a minimum~~ of 32
649		-	7 ~~hours of instruction~~ in ~~both didactic and clinical~~
650		-	8 ~~manikin or human subject instruction;~~ ~~all training~~
651		-	9 ~~programs shall include areas of study in~~ dental
652		-	10 ~~anatomy, public health dentistry,~~ ~~medical history,~~
653		-	11 ~~dental emergencies,~~ and ~~managing the pediatric~~
654		-	12 ~~patient;~~ (II) ~~include an outcome assessment~~
655		-	13 ~~examination that demonstrates competency;~~ ~~(III)~~
656		-	14 ~~require the supervising dentist to observe and approve~~
657		-	15 ~~the completion of 6 full mouth supragingival scaling~~
658		-	16 ~~procedures unless the~~ training ~~was received as part of~~
659		-	17 ~~a Commission on Dental Accreditation approved dental~~
660		-	18 ~~assistant program; and~~ (IV) ~~issue a certificate of~~
661		-	19 ~~completion of the~~ training ~~program, which must be kept~~
662		-	20 ~~on file at the dental office and be made available to~~
663		-	21 the ~~Department upon request.~~ ~~A dental assistant must~~
664		-	22 ~~have successfully completed an approved coronal~~
665		-	23 ~~polishing course prior to taking~~ the ~~coronal scaling~~
666		-	24 ~~course.~~ A ~~dental assistant performing these functions~~
667		-	25 ~~shall be limited to~~ the ~~use of hand instruments only~~.
668		-	26 ~~In addition,~~ ~~coronal scaling as described in this~~
	727	+	SB1463- 20 -LRB104 07067 AAS 17104 b SB1463 - 20 - LRB104 07067 AAS 17104 b
	728	+	SB1463 - 20 - LRB104 07067 AAS 17104 b
	729	+	1 (i) has applied in writing to the Department, in
	730	+	2 form and substance satisfactory to the Department, for
	731	+	3 a general dental license and has complied with all
	732	+	4 provisions of Section 9 of this Act, except for the
	733	+	5 passage of the examination specified in subsection (e)
	734	+	6 of Section 9 of this Act; or
	735	+	7 (ii) has applied in writing to the Department, in
	736	+	8 form and substance satisfactory to the Department, for
	737	+	9 a temporary dental license and has complied with all
	738	+	10 provisions of subsection (c) of Section 11 of this
	739	+	11 Act; and
	740	+	12 (iii) has been accepted or appointed for specialty
	741	+	13 or residency training by a hospital situated in this
	742	+	14 State; or
	743	+	15 (iv) has been accepted or appointed for specialty
	744	+	16 training in an approved dental program situated in
	745	+	17 this State; or
	746	+	18 (v) has been accepted or appointed for specialty
	747	+	19 training in a dental public health agency situated in
	748	+	20 this State.
	749	+	21 The applicant shall be permitted to practice dentistry
	750	+	22 for a period of 3 months from the starting date of the
	751	+	23 program, unless authorized in writing by the Department to
	752	+	24 continue such practice for a period specified in writing
	753	+	25 by the Department.
	754	+	26 The applicant shall only be entitled to perform such
669	755
670	756
671	757
672	758
673	759
674		-	SB1463 ~~Engrossed - 19~~ - LRB104 07067 AAS 17104 b
	760	+	SB1463 - 20 - LRB104 07067 AAS 17104 b
675	761
676	762
677		-	SB1463 Engrossed- 20 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 20 - LRB104 07067 AAS 17104 b
678		-	SB1463 Engrossed - 20 - LRB104 07067 AAS 17104 b
679		-	1 paragraph shall only be utilized on patients who are
680		-	2 eligible for Medicaid, who are uninsured, or whose
681		-	3 household income is not greater than 300% of the
682		-	4 federal poverty level. A dentist may not supervise
683		-	5 more than 2 dental assistants at any one time for the
684		-	6 task of coronal scaling. This paragraph is inoperative
685		-	7 on and after January 1, 2026.
686		-	8 The limitations on the number of dental assistants a
687		-	9 dentist may supervise contained in items (2), (4), and (7)
688		-	10 of this paragraph (g) mean a limit of 4 total dental
689		-	11 assistants or dental hygienists doing expanded functions
690		-	12 covered by these Sections being supervised by one dentist;
691		-	13 or
692		-	14 (h) The practice of dentistry by an individual who:
693		-	15 (i) has applied in writing to the Department, in
694		-	16 form and substance satisfactory to the Department, for
695		-	17 a general dental license and has complied with all
696		-	18 provisions of Section 9 of this Act, except for the
697		-	19 passage of the examination specified in subsection (e)
698		-	20 of Section 9 of this Act; or
699		-	21 (ii) has applied in writing to the Department, in
700		-	22 form and substance satisfactory to the Department, for
701		-	23 a temporary dental license and has complied with all
702		-	24 provisions of subsection (c) of Section 11 of this
703		-	25 Act; and
704		-	26 (iii) has been accepted or appointed for specialty
	763	+	SB1463- 21 -LRB104 07067 AAS 17104 b SB1463 - 21 - LRB104 07067 AAS 17104 b
	764	+	SB1463 - 21 - LRB104 07067 AAS 17104 b
	765	+	1 acts as may be prescribed by and incidental to his or her
	766	+	2 program of residency or specialty training and shall not
	767	+	3 otherwise engage in the practice of dentistry in this
	768	+	4 State.
	769	+	5 The authority to practice shall terminate immediately
	770	+	6 upon:
	771	+	7 (1) the decision of the Department that the
	772	+	8 applicant has failed the examination; or
	773	+	9 (2) denial of licensure by the Department; or
	774	+	10 (3) withdrawal of the application.
	775	+	11 (Source: P.A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;
	776	+	12 103-425, eff. 1-1-24; 103-431, eff. 1-1-24; 103-605, eff.
	777	+	13 7-1-24; 103-628, eff. 7-1-24.)
	778	+	14 (225 ILCS 25/18) (from Ch. 111, par. 2318)
	779	+	15 (Section scheduled to be repealed on January 1, 2026)
	780	+	16 Sec. 18. Acts constituting the practice of dental hygiene;
	781	+	17 limitations.
	782	+	18 (a) A person practices dental hygiene within the meaning
	783	+	19 of this Act when he or she performs the following acts under
	784	+	20 the supervision of a dentist:
	785	+	21 (i) the operative procedure of dental hygiene,
	786	+	22 consisting of oral prophylactic procedures;
	787	+	23 (ii) the exposure and processing of X-Ray films of the
	788	+	24 teeth and surrounding structures;
	789	+	25 (iii) the application to the surfaces of the teeth or
705	790
706	791
707	792
708	793
709	794
710		-	SB1463 ~~Engrossed - 20~~ - LRB104 07067 AAS 17104 b
	795	+	SB1463 - 21 - LRB104 07067 AAS 17104 b
711	796
712	797
713		-	SB1463 ~~Engrossed- 21~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 21~~ - LRB104 07067 AAS 17104 b
714		-	SB1463 ~~Engrossed - 21~~ - LRB104 07067 AAS 17104 b
715		-	1 ~~or residency training by a hospital situated in this~~
716		-	2 ~~State;~~ or
717		-	3 ~~(iv) has been accepted~~ or ~~appointed for specialty~~
718		-	4 ~~training in an approved~~ dental ~~program situated in~~
719		-	5 ~~this State;~~ or
720		-	6 ~~(v) has been accepted or appointed for specialty~~
721		-	7 ~~training in a dental public health agency situated in~~
722		-	8 ~~this State.~~
723		-	9 ~~The applicant shall be permitted to practice dentistry~~
724		-	10 ~~for a period~~ of ~~3 months from the starting date of the~~
725		-	11 program~~, unless authorized in writing by the Department to~~
726		-	12 ~~continue such practice for a period specified in writing~~
727		-	13 ~~by the Department.~~
728		-	14 ~~The applicant shall only be entitled to perform such~~
729		-	15 ~~acts as may be prescribed by~~ and ~~incidental to his or her~~
730		-	16 ~~program of residency or specialty training~~ and shall ~~not~~
731		-	17 ~~otherwise engage in~~ the ~~practice of dentistry in this~~
732		-	18 ~~State.~~
733		-	19 ~~The authority to practice shall terminate immediately~~
734		-	20 ~~upon:~~
735		-	21 ~~(1) the decision of the Department that the~~
736		-	22 ~~applicant has failed the examination~~; or
737		-	23 (2) ~~denial of licensure~~ by the ~~Department; or~~
738		-	24 ~~(3) withdrawal~~ of ~~the application.~~
739		-	25 ~~(Source: P~~.~~A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;~~
740		-	26 ~~103-425~~, ~~eff. 1-1-24; 103-431, eff. 1-1-24; 103-605, eff.~~
	798	+	SB1463- 22 -LRB104 07067 AAS 17104 b SB1463 - 22 - LRB104 07067 AAS 17104 b
	799	+	SB1463 - 22 - LRB104 07067 AAS 17104 b
	800	+	1 gums of chemical compounds designed to be desensitizing
	801	+	2 agents or effective agents in the prevention of dental
	802	+	3 caries or periodontal disease;
	803	+	4 (iv) all services which may be performed by a dental
	804	+	5 assistant as specified by rule pursuant to Section 17, and
	805	+	6 a dental hygienist may engage in the placing, carving, and
	806	+	7 finishing of amalgam restorations only after obtaining
	807	+	8 formal education and certification as determined by the
	808	+	9 Department;
	809	+	10 (v) administration and monitoring of nitrous oxide
	810	+	11 upon successful completion of a training program approved
	811	+	12 by the Department;
	812	+	13 (vi) administration of local anesthetics upon
	813	+	14 successful completion of a training program approved by
	814	+	15 the Department; and
	815	+	16 (vii) such other procedures and acts as shall be
	816	+	17 prescribed by rule or regulation of the Department.
	817	+	18 (b) A dental hygienist may be employed or engaged only:
	818	+	19 (1) by a dentist;
	819	+	20 (2) by a federal, State, county, or municipal agency
	820	+	21 or institution;
	821	+	22 (3) by a public or private school; or
	822	+	23 (4) by a public clinic operating under the direction
	823	+	24 of a hospital or federal, State, county, municipal, or
	824	+	25 other public agency or institution.
	825	+	26 (c) When employed or engaged in the office of a dentist, a
741	826
742	827
743	828
744	829
745	830
746		-	SB1463 ~~Engrossed - 21~~ - LRB104 07067 AAS 17104 b
	831	+	SB1463 - 22 - LRB104 07067 AAS 17104 b
747	832
748	833
749		-	SB1463 Engrossed- 22 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 22 - LRB104 07067 AAS 17104 b
750		-	SB1463 Engrossed - 22 - LRB104 07067 AAS 17104 b
751		-	1 7-1-24; 103-628, eff. 7-1-24.)
752		-	2 (225 ILCS 25/18) (from Ch. 111, par. 2318)
753		-	3 (Section scheduled to be repealed on January 1, 2026)
754		-	4 Sec. 18. Acts constituting the practice of dental hygiene;
755		-	5 limitations.
756		-	6 (a) A person practices dental hygiene within the meaning
757		-	7 of this Act when he or she performs the following acts under
758		-	8 the supervision of a dentist:
759		-	9 (i) the operative procedure of dental hygiene,
760		-	10 consisting of oral prophylactic procedures;
761		-	11 (ii) the exposure and processing of X-Ray films of the
762		-	12 teeth and surrounding structures;
763		-	13 (iii) the application to the surfaces of the teeth or
764		-	14 gums of chemical compounds designed to be desensitizing
765		-	15 agents or effective agents in the prevention of dental
766		-	16 caries or periodontal disease;
767		-	17 (iv) all services which may be performed by a dental
768		-	18 assistant as specified by rule pursuant to Section 17, and
769		-	19 a dental hygienist may engage in the placing, carving, and
770		-	20 finishing of amalgam restorations only after obtaining
771		-	21 formal education and certification as determined by the
772		-	22 Department;
773		-	23 (v) administration and monitoring of nitrous oxide
774		-	24 upon successful completion of a training program approved
775		-	25 by the Department;
	834	+	SB1463- 23 -LRB104 07067 AAS 17104 b SB1463 - 23 - LRB104 07067 AAS 17104 b
	835	+	SB1463 - 23 - LRB104 07067 AAS 17104 b
	836	+	1 dental hygienist may perform, under general supervision, those
	837	+	2 procedures found in items (i) through (iv) of subsection (a)
	838	+	3 of this Section, provided the patient has been examined by the
	839	+	4 dentist within one year of the provision of dental hygiene
	840	+	5 services, the dentist has approved the dental hygiene services
	841	+	6 by a notation in the patient's record and the patient has been
	842	+	7 notified that the dentist may be out of the office during the
	843	+	8 provision of dental hygiene services.
	844	+	9 (d) If a patient of record is unable to travel to a dental
	845	+	10 office because of illness, infirmity, or imprisonment, a
	846	+	11 dental hygienist may perform, under the general supervision of
	847	+	12 a dentist, those procedures found in items (i) through (iv) of
	848	+	13 subsection (a) of this Section, provided the patient is
	849	+	14 located in a long-term care facility licensed by the State of
	850	+	15 Illinois, a mental health or developmental disability
	851	+	16 facility, or a State or federal prison. The dentist shall
	852	+	17 either personally examine and diagnose the patient or utilize
	853	+	18 approved teledentistry communication methods and determine
	854	+	19 which services are necessary to be performed, which shall be
	855	+	20 contained in an order to the hygienist and a notation in the
	856	+	21 patient's record. Such order must be implemented within 45
	857	+	22 days of its issuance; except when a patient is located within a
	858	+	23 State or federal prison, then the order must be implemented
	859	+	24 within 180 days of its issuance, and an updated medical
	860	+	25 history and observation of oral conditions must be performed
	861	+	26 by the hygienist immediately prior to beginning the procedures
776	862
777	863
778	864
779	865
780	866
781		-	SB1463 ~~Engrossed - 22~~ - LRB104 07067 AAS 17104 b
	867	+	SB1463 - 23 - LRB104 07067 AAS 17104 b
782	868
783	869
784		-	SB1463 ~~Engrossed- 23~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 23~~ - LRB104 07067 AAS 17104 b
785		-	SB1463 ~~Engrossed - 23~~ - LRB104 07067 AAS 17104 b
786		-	1 ~~(vi) administration of local anesthetics upon~~
787		-	2 ~~successful completion of~~ a ~~training program approved~~ by
788		-	3 ~~the Department;~~ and
789		-	4 ~~(vii) such other~~ procedures and ~~acts as shall be~~
790		-	5 ~~prescribed~~ by ~~rule or regulation of the Department.~~
791		-	6 ~~(b)~~ A dental hygienist ~~may be employed or engaged only:~~
792		-	7 ~~(1) by~~ a ~~dentist;~~
793		-	8 ~~(2) by a federal~~, ~~State, county,~~ ~~or municipal agency~~
794		-	9 or ~~institution;~~
795		-	10 ~~(3) by a public or private~~ school~~; or~~
796		-	11 ~~(4) by a public clinic operating under~~ the ~~direction~~
797		-	12 of a ~~hospital~~ or ~~federal, State,~~ ~~county, municipal,~~ or
798		-	13 ~~other~~ public ~~agency or institution.~~
799		-	14 ~~(c) When employed~~ or ~~engaged~~ in ~~the office of~~ a ~~dentist, a~~
800		-	15 ~~dental hygienist may perform,~~ ~~under general supervision,~~ ~~those~~
801		-	16 ~~procedures found in items (i) through (iv) of subsection (a)~~
802		-	17 ~~of this Section~~, ~~provided the patient has been examined by the~~
803		-	18 ~~dentist within one year of~~ the ~~provision of dental hygiene~~
804		-	19 ~~services, the dentist has approved the dental hygiene services~~
805		-	20 ~~by a notation in the patient's record and the patient has been~~
806		-	21 ~~notified that the dentist may~~ be ~~out of the office during the~~
807		-	22 ~~provision of dental hygiene services~~.
808		-	23 ~~(d) If a patient~~ of ~~record is unable to travel to a dental~~
809		-	24 ~~office because of illness,~~ ~~infirmity, or imprisonment,~~ a
810		-	25 ~~dental hygienist may perform, under~~ the ~~general supervision of~~
811		-	26 a dentist~~, those procedures found in items (i) through (iv) of~~
	870	+	SB1463- 24 -LRB104 07067 AAS 17104 b SB1463 - 24 - LRB104 07067 AAS 17104 b
	871	+	SB1463 - 24 - LRB104 07067 AAS 17104 b
	872	+	1 to ensure that the patient's health has not changed in any
	873	+	2 manner to warrant a reexamination by the dentist.
	874	+	3 (e) School-based oral health care, consisting of and
	875	+	4 limited to oral prophylactic procedures, sealants, and
	876	+	5 fluoride treatments, may be provided by a dental hygienist
	877	+	6 under the general supervision of a dentist. A dental hygienist
	878	+	7 may not provide other dental hygiene treatment in a
	879	+	8 school-based setting, including but not limited to
	880	+	9 administration or monitoring of nitrous oxide or
	881	+	10 administration of local anesthetics. The school-based
	882	+	11 procedures may be performed provided the patient is located at
	883	+	12 a public or private school and the program is being conducted
	884	+	13 by a State, county or local public health department
	885	+	14 initiative or in conjunction with a dental school or dental
	886	+	15 hygiene program. The dentist shall personally examine and
	887	+	16 diagnose the patient and determine which services are
	888	+	17 necessary to be performed, which shall be contained in an
	889	+	18 order to the hygienist and a notation in the patient's record.
	890	+	19 Any such order for sealants must be implemented within 120
	891	+	20 days after its issuance. Any such order for oral prophylactic
	892	+	21 procedures or fluoride treatments must be implemented within
	893	+	22 180 days after its issuance. An updated medical history and
	894	+	23 observation of oral conditions must be performed by the
	895	+	24 hygienist immediately prior to beginning the procedures to
	896	+	25 ensure that the patient's health has not changed in any manner
	897	+	26 to warrant a reexamination by the dentist.
812	898
813	899
814	900
815	901
816	902
817		-	SB1463 ~~Engrossed - 23~~ - LRB104 07067 AAS 17104 b
	903	+	SB1463 - 24 - LRB104 07067 AAS 17104 b
818	904
819	905
820		-	SB1463 ~~Engrossed- 24~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 24~~ - LRB104 07067 AAS 17104 b
821		-	SB1463 ~~Engrossed - 24~~ - LRB104 07067 AAS 17104 b
822		-	1 ~~subsection (a)~~ of ~~this Section~~, ~~provided the patient is~~
823		-	2 ~~located in a long-term~~ ~~care facility licensed by the State of~~
824		-	3 ~~Illinois, a mental~~ health ~~or developmental disability~~
825		-	4 ~~facility~~, or a ~~State or federal prison.~~ ~~The dentist shall~~
826		-	5 ~~either personally examine~~ and ~~diagnose the patient or utilize~~
827		-	6 ~~approved teledentistry communication methods~~ and ~~determine~~
828		-	7 ~~which services are necessary~~ to ~~be performed,~~ ~~which shall be~~
829		-	8 ~~contained~~ in ~~an order to the hygienist and~~ a ~~notation in the~~
830		-	9 ~~patient's record.~~ ~~Such order must be implemented within 45~~
831		-	10 ~~days of its issuance;~~ ~~except when a patient is located within a~~
832		-	11 ~~State or federal prison,~~ ~~then the order must be implemented~~
833		-	12 ~~within 180 days of its issuance,~~ ~~and an updated medical~~
834		-	13 ~~history~~ and ~~observation of oral conditions must be performed~~
835		-	14 by the ~~hygienist immediately prior to beginning the procedures~~
836		-	15 ~~to ensure that the patient's~~ health ~~has not changed in any~~
837		-	16 ~~manner to warrant a reexamination by the dentist.~~
838		-	17 (e) ~~School-based oral health care, consisting~~ of ~~and~~
839		-	18 ~~limited to oral prophylactic procedures,~~ ~~sealants, and~~
840		-	19 ~~fluoride treatments~~, ~~may be provided by a dental hygienist~~
841		-	20 ~~under the general supervision of a dentist.~~ ~~A dental hygienist~~
842		-	21 ~~may not provide other dental hygiene treatment in a~~
843		-	22 ~~school-based setting,~~ ~~including but not limited to~~
844		-	23 ~~administration or monitoring~~ of ~~nitrous oxide or~~
845		-	24 ~~administration of local anesthetics.~~ The ~~school-based~~
846		-	25 ~~procedures may be performed provided~~ the ~~patient is located at~~
847		-	26 ~~a public or private school and~~ the ~~program is being conducted~~
	906	+	SB1463- 25 -LRB104 07067 AAS 17104 b SB1463 - 25 - LRB104 07067 AAS 17104 b
	907	+	SB1463 - 25 - LRB104 07067 AAS 17104 b
	908	+	1 (f) Without the supervision of a dentist, a dental
	909	+	2 hygienist may perform dental health education functions,
	910	+	3 including instruction in proper oral health care and dental
	911	+	4 hygiene in, for example, a school setting, a long-term care
	912	+	5 facility, and a health fair. In addition, a dental hygienist
	913	+	6 may record case histories and oral conditions observed at any
	914	+	7 time prior to a clinical exam by a dentist.
	915	+	8 (g) The number of dental hygienists practicing in a dental
	916	+	9 office shall not exceed, at any one time, 4 times the number of
	917	+	10 dentists practicing in the office at the time.
	918	+	11 (h) A dental hygienist who is certified as a public health
	919	+	12 dental hygienist may provide services to patients: (1) who are
	920	+	13 eligible for Medicaid or (2) who are uninsured and whose
	921	+	14 household income is not greater than 300% of the federal
	922	+	15 poverty level. A public health dental hygienist may perform
	923	+	16 oral assessments, perform screenings, and provide educational
	924	+	17 and preventative services as provided in subsection (b) of
	925	+	18 Section 18.1 of this Act. The public health dental hygienist
	926	+	19 may not administer local anesthesia or nitrous oxide, or
	927	+	20 place, carve, or finish amalgam restorations or provide
	928	+	21 periodontal therapy under this exception. Each patient must
	929	+	22 sign a consent form that acknowledges that the care received
	930	+	23 does not take the place of a regular dental examination. The
	931	+	24 public health dental hygienist must provide the patient or
	932	+	25 guardian a written referral to a dentist for assessment of the
	933	+	26 need for further dental care at the time of treatment. Any
848	934
849	935
850	936
851	937
852	938
853		-	SB1463 ~~Engrossed - 24~~ - LRB104 07067 AAS 17104 b
	939	+	SB1463 - 25 - LRB104 07067 AAS 17104 b
854	940
855	941
856		-	SB1463 Engrossed- 25 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 25 - LRB104 07067 AAS 17104 b
857		-	SB1463 Engrossed - 25 - LRB104 07067 AAS 17104 b
858		-	1 by a State, county or local public health department
859		-	2 initiative or in conjunction with a dental school or dental
860		-	3 hygiene program. The dentist shall personally examine and
861		-	4 diagnose the patient and determine which services are
862		-	5 necessary to be performed, which shall be contained in an
863		-	6 order to the hygienist and a notation in the patient's record.
864		-	7 Any such order for sealants must be implemented within 120
865		-	8 days after its issuance. Any such order for oral prophylactic
866		-	9 procedures or fluoride treatments must be implemented within
867		-	10 180 days after its issuance. An updated medical history and
868		-	11 observation of oral conditions must be performed by the
869		-	12 hygienist immediately prior to beginning the procedures to
870		-	13 ensure that the patient's health has not changed in any manner
871		-	14 to warrant a reexamination by the dentist.
872		-	15 (f) Without the supervision of a dentist, a dental
873		-	16 hygienist may perform dental health education functions,
874		-	17 including instruction in proper oral health care and dental
875		-	18 hygiene in, for example, a school setting, a long-term care
876		-	19 facility, and a health fair. In addition, a dental hygienist
877		-	20 may record case histories and oral conditions observed at any
878		-	21 time prior to a clinical exam by a dentist.
879		-	22 (g) The number of dental hygienists practicing in a dental
880		-	23 office shall not exceed, at any one time, 4 times the number of
881		-	24 dentists practicing in the office at the time.
882		-	25 (h) A dental hygienist who is certified as a public health
883		-	26 dental hygienist may provide services to patients: (1) who are
	942	+	SB1463- 26 -LRB104 07067 AAS 17104 b SB1463 - 26 - LRB104 07067 AAS 17104 b
	943	+	SB1463 - 26 - LRB104 07067 AAS 17104 b
	944	+	1 indication or observation of a condition that could warrant
	945	+	2 the need for urgent attention must be reported immediately to
	946	+	3 the supervising dentist for appropriate assessment and
	947	+	4 treatment.
	948	+	5 This subsection (h) is inoperative on and after January 1,
	949	+	6 2026.
	950	+	7 (i) A dental hygienist performing procedures listed in
	951	+	8 paragraphs (1) through (4) of subsection (a) of Section 17.1
	952	+	9 must be under the supervision of a dentist, requiring the
	953	+	10 dentist authorizes the procedure, remains in the dental
	954	+	11 facility while the procedure is performed, and approves the
	955	+	12 work performed by the dental hygienist before dismissal of the
	956	+	13 patient, but the dentist is not required to be present at all
	957	+	14 times in the treatment room.
	958	+	15 (j) A dental hygienist may perform actions described in
	959	+	16 paragraph (5) of subsection (a) of Section 17.1 under the
	960	+	17 general supervision of a dentist as described in this Section.
	961	+	18 (Source: P.A. 102-936, eff. 1-1-23; 103-431, eff. 1-1-24.)
	962	+	19 (225 ILCS 25/18.1)
	963	+	20 (Section scheduled to be repealed on January 1, 2026)
	964	+	21 Sec. 18.1. Public health dental supervision
	965	+	22 responsibilities.
	966	+	23 (a) When working together in a public health supervision
	967	+	24 relationship, dentists and public health dental hygienists
	968	+	25 shall enter into a public health supervision agreement. The
884	969
885	970
886	971
887	972
888	973
889		-	SB1463 ~~Engrossed - 25~~ - LRB104 07067 AAS 17104 b
	974	+	SB1463 - 26 - LRB104 07067 AAS 17104 b
890	975
891	976
892		-	SB1463 ~~Engrossed- 26~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 26~~ - LRB104 07067 AAS 17104 b
893		-	SB1463 ~~Engrossed - 26~~ - LRB104 07067 AAS 17104 b
894		-	1 ~~eligible for Medicaid or (2) who are uninsured and whose~~
895		-	2 ~~household income is not greater than 300%~~ of ~~the federal~~
896		-	3 ~~poverty level.~~ ~~A public health dental hygienist may perform~~
897		-	4 ~~oral assessments,~~ ~~perform screenings,~~ and ~~provide educational~~
898		-	5 ~~and preventative services as provided in subsection (b) of~~
899		-	6 ~~Section 18.1 of this Act. The public health dental hygienist~~
900		-	7 ~~may not administer local anesthesia~~ or ~~nitrous oxide, or~~
901		-	8 ~~place, carve,~~ ~~or finish amalgam restorations or provide~~
902		-	9 ~~periodontal therapy under this exception.~~ ~~Each patient must~~
903		-	10 ~~sign a consent form that acknowledges that~~ the ~~care received~~
904		-	11 ~~does not take~~ the ~~place of a regular dental examination. The~~
905		-	12 public health dental ~~hygienist must provide the patient or~~
906		-	13 ~~guardian a written referral to a dentist for assessment of the~~
907		-	14 ~~need for further dental care at the time of treatment. Any~~
908		-	15 ~~indication or observation of a condition that could warrant~~
909		-	16 ~~the need~~ for ~~urgent attention must be reported immediately to~~
910		-	17 the ~~supervising dentist for appropriate assessment~~ and
911		-	18 treatment.
912		-	19 ~~This subsection (h) is inoperative on and after January 1,~~
913		-	20 ~~2026.~~
914		-	21 ~~(i) A dental hygienist performing procedures listed in~~
915		-	22 ~~paragraphs (1) through (4) of subsection (~~a~~) of Section 17.1~~
916		-	23 must ~~be under the supervision~~ of ~~a dentist, requiring the~~
917		-	24 ~~dentist authorizes the procedure,~~ ~~remains in the dental~~
918		-	25 ~~facility while the procedure is performed,~~ and ~~approves~~ the
919		-	26 ~~work performed by the dental hygienist before dismissal of the~~
	977	+	SB1463- 27 -LRB104 07067 AAS 17104 b SB1463 - 27 - LRB104 07067 AAS 17104 b
	978	+	SB1463 - 27 - LRB104 07067 AAS 17104 b
	979	+	1 dentist providing public health supervision must:
	980	+	2 (1) be available to provide an appropriate level of
	981	+	3 contact, communication, collaboration, and consultation
	982	+	4 with the public health dental hygienist and must meet
	983	+	5 in-person with the public health dental hygienist at least
	984	+	6 quarterly for review and consultation;
	985	+	7 (2) have specific standing orders or policy guidelines
	986	+	8 for procedures that are to be carried out for each
	987	+	9 location or program, although the dentist need not be
	988	+	10 present when the procedures are being performed;
	989	+	11 (3) provide for the patient's additional necessary
	990	+	12 care in consultation with the public health dental
	991	+	13 hygienist;
	992	+	14 (4) file agreements and notifications as required; and
	993	+	15 (5) include procedures for creating and maintaining
	994	+	16 dental records, including protocols for transmission of
	995	+	17 all records between the public health dental hygienist and
	996	+	18 the dentist following each treatment, which shall include
	997	+	19 a notation regarding procedures authorized by the dentist
	998	+	20 and performed by the public health dental hygienist and
	999	+	21 the location where those records are to be kept.
	1000	+	22 Each dentist and hygienist who enters into a public health
	1001	+	23 supervision agreement must document and maintain a copy of any
	1002	+	24 change or termination of that agreement.
	1003	+	25 Dental records shall be owned and maintained by the
	1004	+	26 supervising dentist for all patients treated under public
920	1005
921	1006
922	1007
923	1008
924	1009
925		-	SB1463 ~~Engrossed - 26~~ - LRB104 07067 AAS 17104 b
	1010	+	SB1463 - 27 - LRB104 07067 AAS 17104 b
926	1011
927	1012
928		-	SB1463 Engrossed- 27 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 27 - LRB104 07067 AAS 17104 b
929		-	SB1463 Engrossed - 27 - LRB104 07067 AAS 17104 b
930		-	1 patient, but the dentist is not required to be present at all
931		-	2 times in the treatment room.
932		-	3 (j) A dental hygienist may perform actions described in
933		-	4 paragraph (5) of subsection (a) of Section 17.1 under the
934		-	5 general supervision of a dentist as described in this Section.
935		-	6 (Source: P.A. 102-936, eff. 1-1-23; 103-431, eff. 1-1-24.)
936		-	7 (225 ILCS 25/18.1)
937		-	8 (Section scheduled to be repealed on January 1, 2026)
938		-	9 Sec. 18.1. Public health dental supervision
939		-	10 responsibilities.
940		-	11 (a) When working together in a public health supervision
941		-	12 relationship, dentists and public health dental hygienists
942		-	13 shall enter into a public health supervision agreement. The
943		-	14 dentist providing public health supervision must:
944		-	15 (1) be available to provide an appropriate level of
945		-	16 contact, communication, collaboration, and consultation
946		-	17 with the public health dental hygienist and must meet
947		-	18 in-person with the public health dental hygienist at least
948		-	19 quarterly for review and consultation;
949		-	20 (2) have specific standing orders or policy guidelines
950		-	21 for procedures that are to be carried out for each
951		-	22 location or program, although the dentist need not be
952		-	23 present when the procedures are being performed;
953		-	24 (3) provide for the patient's additional necessary
954		-	25 care in consultation with the public health dental
	1013	+	SB1463- 28 -LRB104 07067 AAS 17104 b SB1463 - 28 - LRB104 07067 AAS 17104 b
	1014	+	SB1463 - 28 - LRB104 07067 AAS 17104 b
	1015	+	1 health supervision, unless the supervising dentist is an
	1016	+	2 employee of a public health clinic or federally qualified
	1017	+	3 health center, in which case the public health clinic or
	1018	+	4 federally qualified health center shall maintain the records.
	1019	+	5 If a dentist ceases to be employed or contracted by the
	1020	+	6 facility, the dentist shall notify the facility administrator
	1021	+	7 that the public health supervision agreement is no longer in
	1022	+	8 effect. A new public health supervision agreement is required
	1023	+	9 for the public health dental hygienist to continue treating
	1024	+	10 patients under public health supervision.
	1025	+	11 A dentist entering into an agreement under this Section
	1026	+	12 may supervise and enter into agreements for public health
	1027	+	13 supervision with 4 public health dental hygienists. This shall
	1028	+	14 be in addition to the limit of 4 dental hygienists per dentist
	1029	+	15 set forth in subsection (g) of Section 18 of this Act.
	1030	+	16 (b) A public health dental hygienist providing services
	1031	+	17 under public health supervision may perform only those duties
	1032	+	18 within the accepted scope of practice of dental hygiene, as
	1033	+	19 follows:
	1034	+	20 (1) the operative procedures of dental hygiene,
	1035	+	21 consisting of oral prophylactic procedures, including
	1036	+	22 prophylactic cleanings, application of fluoride, and
	1037	+	23 placement of sealants;
	1038	+	24 (2) the exposure and processing of x-ray films of the
	1039	+	25 teeth and surrounding structures; and
	1040	+	26 (3) such other procedures and acts as shall be
955	1041
956	1042
957	1043
958	1044
959	1045
960		-	SB1463 ~~Engrossed - 27~~ - LRB104 07067 AAS 17104 b
	1046	+	SB1463 - 28 - LRB104 07067 AAS 17104 b
961	1047
962	1048
963		-	SB1463 ~~Engrossed- 28~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 28~~ - LRB104 07067 AAS 17104 b
964		-	SB1463 ~~Engrossed - 28~~ - LRB104 07067 AAS 17104 b
965		-	1 ~~hygienist;~~
966		-	2 (4) ~~file agreements and notifications as required; and~~
967		-	3 ~~(5) include procedures for creating and maintaining~~
968		-	4 dental ~~records~~, ~~including protocols for transmission of~~
969		-	5 ~~all records between~~ the public health ~~dental hygienist and~~
970		-	6 ~~the dentist following each treatment~~, ~~which shall include~~
971		-	7 a ~~notation regarding procedures authorized by the dentist~~
972		-	8 ~~and performed by~~ the ~~public health dental~~ hygienist ~~and~~
973		-	9 the ~~location where those records are~~ to ~~be kept.~~
974		-	10 ~~Each~~ dentist ~~and hygienist who enters into a public health~~
975		-	11 ~~supervision agreement must document and maintain a copy of~~ any
976		-	12 ~~change or termination of that agreement.~~
977		-	13 ~~Dental records~~ shall ~~be owned and maintained by~~ the
978		-	14 ~~supervising dentist for all patients treated under public~~
979		-	15 health ~~supervision, unless the supervising dentist is an~~
980		-	16 ~~employee of a~~ public health ~~clinic or federally qualified~~
981		-	17 ~~health center,~~ ~~in which case~~ the ~~public health clinic~~ or
982		-	18 ~~federally qualified health center shall maintain the records.~~
983		-	19 ~~If a dentist ceases to~~ be ~~employed or contracted by the~~
984		-	20 ~~facility,~~ the dentist ~~shall notify the facility administrator~~
985		-	21 ~~that the public health supervision agreement is no longer in~~
986		-	22 ~~effect. A new public health supervision agreement is required~~
987		-	23 ~~for~~ the ~~public health~~ dental ~~hygienist to continue treating~~
988		-	24 ~~patients under public health supervision.~~
989		-	25 ~~A dentist entering into an agreement under this Section~~
990		-	26 may ~~supervise and enter into agreements for public health~~
	1049	+	SB1463- 29 -LRB104 07067 AAS 17104 b SB1463 - 29 - LRB104 07067 AAS 17104 b
	1050	+	SB1463 - 29 - LRB104 07067 AAS 17104 b
	1051	+	1 prescribed by rule of the Department.
	1052	+	2 Any patient treated under this subsection (b) must be
	1053	+	3 examined by a dentist before additional services can be
	1054	+	4 provided by a public health dental hygienist. However, if the
	1055	+	5 supervising dentist, after consultation with the public health
	1056	+	6 hygienist, determines that time is needed to complete an
	1057	+	7 approved treatment plan on a patient eligible under this
	1058	+	8 Section, then the dentist may instruct the hygienist to
	1059	+	9 complete the remaining services prior to an oral examination
	1060	+	10 by the dentist. Such instruction by the dentist to the
	1061	+	11 hygienist shall be noted in the patient's records. Any
	1062	+	12 services performed under this exception must be scheduled in a
	1063	+	13 timely manner and shall not occur more than 30 days after the
	1064	+	14 first appointment date.
	1065	+	15 (c) A public health dental hygienist providing services
	1066	+	16 under public health supervision must:
	1067	+	17 (1) provide to the patient, parent, or guardian a
	1068	+	18 written plan for referral or an agreement for follow-up
	1069	+	19 that records all conditions observed that should be called
	1070	+	20 to the attention of a dentist for proper diagnosis;
	1071	+	21 (2) have each patient sign a permission slip or
	1072	+	22 consent form that informs them that the service to be
	1073	+	23 received does not take the place of regular dental
	1074	+	24 checkups at a dental office and is meant for people who
	1075	+	25 otherwise would not have access to the service;
	1076	+	26 (3) inform each patient who may require further dental
991	1077
992	1078
993	1079
994	1080
995	1081
996		-	SB1463 ~~Engrossed - 28~~ - LRB104 07067 AAS 17104 b
	1082	+	SB1463 - 29 - LRB104 07067 AAS 17104 b
997	1083
998	1084
999		-	SB1463 ~~Engrossed- 29~~ -LRB104 07067 AAS 17104 b SB1463 ~~Engrossed - 29~~ - LRB104 07067 AAS 17104 b
1000		-	SB1463 ~~Engrossed - 29~~ - LRB104 07067 AAS 17104 b
1001		-	1 ~~supervision with 4 public health dental hygienists. This shall~~
1002		-	2 ~~be in addition to the limit~~ of ~~4 dental hygienists per dentist~~
1003		-	3 ~~set forth in subsection (g) of Section 18 of this Act.~~
1004		-	4 ~~(b) A public health dental hygienist providing services~~
1005		-	5 ~~under public health supervision may perform only those duties~~
1006		-	6 ~~within the accepted scope of practice of dental hygiene, as~~
1007		-	7 ~~follows:~~
1008		-	8 (1) ~~the operative procedures of~~ dental ~~hygiene,~~
1009		-	9 ~~consisting~~ of ~~oral prophylactic procedures, including~~
1010		-	10 ~~prophylactic cleanings,~~ ~~application~~ of ~~fluoride, and~~
1011		-	11 ~~placement~~ of ~~sealants;~~
1012		-	12 ~~(2)~~ the ~~exposure and processing of x-ray films of~~ the
1013		-	13 ~~teeth and surrounding structures;~~ ~~and~~
1014		-	14 ~~(3) such other procedures and acts as shall be~~
1015		-	15 ~~prescribed by rule of~~ the ~~Department.~~
1016		-	16 ~~Any patient treated under this subsection (b)~~ must be
1017		-	17 ~~examined by a dentist~~ before ~~additional services can be~~
1018		-	18 ~~provided by a~~ public health ~~dental hygienist.~~ ~~However, if the~~
1019		-	19 ~~supervising dentist,~~ ~~after consultation with the~~ public health
1020		-	20 ~~hygienist, determines that time is needed to complete an~~
1021		-	21 ~~approved treatment plan on a patient eligible under this~~
1022		-	22 ~~Section, then the dentist~~ may ~~instruct the hygienist to~~
1023		-	23 ~~complete~~ the ~~remaining services prior to an oral examination~~
1024		-	24 ~~by the dentist~~. ~~Such instruction by the dentist to the~~
1025		-	25 ~~hygienist shall be noted in~~ the ~~patient's records.~~ ~~Any~~
1026		-	26 ~~services performed under this exception must be scheduled in a~~
	1085	+	SB1463- 30 -LRB104 07067 AAS 17104 b SB1463 - 30 - LRB104 07067 AAS 17104 b
	1086	+	SB1463 - 30 - LRB104 07067 AAS 17104 b
	1087	+	1 services of that need;
	1088	+	2 (4) maintain an appropriate level of contact and
	1089	+	3 communication with the dentist providing public health
	1090	+	4 supervision; and
	1091	+	5 (5) complete an additional 4 hours of continuing
	1092	+	6 education in areas specific to public health dentistry
	1093	+	7 yearly.
	1094	+	8 (d) Each public health dental hygienist who has rendered
	1095	+	9 services under subsections (c), (d), and (e) of this Section
	1096	+	10 must complete a summary report at the completion of a program
	1097	+	11 or, in the case of an ongoing program, at least annually. The
	1098	+	12 report must be completed in the manner specified by the
	1099	+	13 Department of Public Health Oral Health Section including
	1100	+	14 information about each location where the public health dental
	1101	+	15 hygienist has rendered these services. The public health
	1102	+	16 dental hygienist must submit the form to the dentist providing
	1103	+	17 supervision for his or her signature before sending it to the
	1104	+	18 Division. The Department of Public Health Oral Health Section
	1105	+	19 shall compile and publicize public health dental hygienist
	1106	+	20 service data annually.
	1107	+	21 (e) Public health dental hygienists providing services
	1108	+	22 under public health supervision may be compensated for their
	1109	+	23 work by salary, honoraria, and other mechanisms by the
	1110	+	24 employing or sponsoring entity. Nothing in this Act shall
	1111	+	25 preclude the entity that employs or sponsors a public health
	1112	+	26 dental hygienist from seeking payment, reimbursement, or other
1027	1113
1028	1114
1029	1115
1030	1116
1031	1117
1032		-	SB1463 ~~Engrossed - 29~~ - LRB104 07067 AAS 17104 b
	1118	+	SB1463 - 30 - LRB104 07067 AAS 17104 b
1033	1119
1034	1120
1035		-	SB1463 Engrossed- 30 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 30 - LRB104 07067 AAS 17104 b
1036		-	SB1463 Engrossed - 30 - LRB104 07067 AAS 17104 b
1037		-	1 timely manner and shall not occur more than 30 days after the
1038		-	2 first appointment date.
1039		-	3 (c) A public health dental hygienist providing services
1040		-	4 under public health supervision must:
1041		-	5 (1) provide to the patient, parent, or guardian a
1042		-	6 written plan for referral or an agreement for follow-up
1043		-	7 that records all conditions observed that should be called
1044		-	8 to the attention of a dentist for proper diagnosis;
1045		-	9 (2) have each patient sign a permission slip or
1046		-	10 consent form that informs them that the service to be
1047		-	11 received does not take the place of regular dental
1048		-	12 checkups at a dental office and is meant for people who
1049		-	13 otherwise would not have access to the service;
1050		-	14 (3) inform each patient who may require further dental
1051		-	15 services of that need;
1052		-	16 (4) maintain an appropriate level of contact and
1053		-	17 communication with the dentist providing public health
1054		-	18 supervision; and
1055		-	19 (5) complete an additional 4 hours of continuing
1056		-	20 education in areas specific to public health dentistry
1057		-	21 yearly.
1058		-	22 (d) Each public health dental hygienist who has rendered
1059		-	23 services under subsections (c), (d), and (e) of this Section
1060		-	24 must complete a summary report at the completion of a program
1061		-	25 or, in the case of an ongoing program, at least annually. The
1062		-	26 report must be completed in the manner specified by the
	1121	+	SB1463- 31 -LRB104 07067 AAS 17104 b SB1463 - 31 - LRB104 07067 AAS 17104 b
	1122	+	SB1463 - 31 - LRB104 07067 AAS 17104 b
	1123	+	1 source of funding for the services provided.
	1124	+	2 (e-5) A patient who is provided services under a
	1125	+	3 supervision agreement by a public health dental hygienist as
	1126	+	4 described in this Section does not need to receive a physical
	1127	+	5 examination from a dentist prior to treatment if the public
	1128	+	6 health dental hygienist consults with the supervising dentist
	1129	+	7 prior to performing the teledentistry service.
	1130	+	8 (f) This Section is repealed on January 1, 2026.
	1131	+	9 (Source: P.A. 103-431, eff. 1-1-24; 103-902, eff. 8-9-24.)
1063	1132
1064	1133
1065	1134
1066	1135
1067	1136
1068		-	SB1463 Engrossed - 30 - LRB104 07067 AAS 17104 b
1069		-
1070		-
1071		-	SB1463 Engrossed- 31 -LRB104 07067 AAS 17104 b SB1463 Engrossed - 31 - LRB104 07067 AAS 17104 b
1072		-	SB1463 Engrossed - 31 - LRB104 07067 AAS 17104 b
1073		-	1 Department of Public Health Oral Health Section including
1074		-	2 information about each location where the public health dental
1075		-	3 hygienist has rendered these services. The public health
1076		-	4 dental hygienist must submit the form to the dentist providing
1077		-	5 supervision for his or her signature before sending it to the
1078		-	6 Division. The Department of Public Health Oral Health Section
1079		-	7 shall compile and publicize public health dental hygienist
1080		-	8 service data annually.
1081		-	9 (e) Public health dental hygienists providing services
1082		-	10 under public health supervision may be compensated for their
1083		-	11 work by salary, honoraria, and other mechanisms by the
1084		-	12 employing or sponsoring entity. Nothing in this Act shall
1085		-	13 preclude the entity that employs or sponsors a public health
1086		-	14 dental hygienist from seeking payment, reimbursement, or other
1087		-	15 source of funding for the services provided.
1088		-	16 (e-5) A patient who is provided services under a
1089		-	17 supervision agreement by a public health dental hygienist as
1090		-	18 described in this Section does not need to receive a physical
1091		-	19 examination from a dentist prior to treatment if the public
1092		-	20 health dental hygienist consults with the supervising dentist
1093		-	21 prior to performing the teledentistry service.
1094		-	22 (f) This Section is repealed on January 1, 2026.
1095		-	23 (Source: P.A. 103-431, eff. 1-1-24; 103-902, eff. 8-9-24.)
1096		-	24 Section 99. Effective date. This Act takes effect upon
1097		-	25 becoming law.
1098		-
1099		-
1100		-
1101		-
1102		-
1103		-	SB1463 Engrossed - 31 - LRB104 07067 AAS 17104 b
	1137	+	SB1463 - 31 - LRB104 07067 AAS 17104 b