First Regular Session of the 124th General Assembly (2025) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2024 Regular Session of the General Assembly. HOUSE ENROLLED ACT No. 1031 AN ACT to amend the Indiana Code concerning professions and occupations. Be it enacted by the General Assembly of the State of Indiana: SECTION 1. IC 25-14-1-2, AS AMENDED BY P.L.249-2019, SECTION 62, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 2. (a) The state board of dentistry is established and consists of: (1) nine (9) practicing dentists licensed under IC 25-14 who must have been in practice in Indiana for not less than the five (5) years; (2) one (1) practicing dental hygienist who: (A) has been practicing in Indiana as a dental hygienist (i) in 2011 and 2012, for at least three (3) years; and (ii) after 2012, for at least five (5) years; and (B) is licensed under IC 25-13-1; and (3) one (1) member to represent the general public who must be a resident to this state and in no way associated with the profession of dentistry other than as a consumer. (b) All eleven (11) members of the board appointed before July 1, 2019, shall be appointed by the governor for a term of three (3) years each. (c) (b) All eleven (11) members of the board appointed after June 30, 2019, shall be appointed under IC 25-1-6.5. (d) (c) A member of the board may be removed under IC 25-1-6.5-4. HEA 1031 — Concur 2 (e) (d) The appointment of the dentist members shall be made in a manner that, at all times, each dentist member on the board represents and is a resident of one (1) of nine (9) examiner districts set forth in this subsection. Each dentist member shall be chiefly responsible in the performance of his or her duties with regard to the district from which he or she is appointed. The nine (9) dentist members' districts consist of the following counties: (1) District 1. Tipton, Hamilton, Hendricks, Marion, Hancock, Morgan, Johnson, and Shelby. (2) District 2. Lake, Porter, LaPorte, and Jasper. (3) District 3. St. Joseph, Elkhart, Starke, Marshall, Kosciusko, and Fulton. (4) District 4. LaGrange, Steuben, Jay, Noble, Whitley, Allen, Huntington, Wells, DeKalb, and Adams. (5) District 5. Knox, Daviess, Gibson, Pike, Dubois, Posey, Vanderburgh, Warrick, Spencer, and Perry. (6) District 6. Newton, Benton, White, Pulaski, Cass, Miami, Wabash, Grant, Howard, Carroll, Warren, Tippecanoe, and Clinton. (7) District 7. Vermillion, Parke, Fountain, Montgomery, Boone, Putnam, Vigo, Clay, Sullivan, Owen, Greene, and Martin. (8) District 8. Madison, Delaware, Blackford, Randolph, Rush, Fayette, Union, Henry, and Wayne. (9) District 9. Monroe, Brown, Bartholomew, Decatur, Franklin, Lawrence, Jackson, Jennings, Ripley, Dearborn, Orange, Washington, Scott, Jefferson, Switzerland, Ohio, Crawford, Harrison, Floyd, and Clark. (f) (e) The board may issue licenses to applicants who pass an examination administered by an entity that has been approved by the board. SECTION 2. IC 25-14-1-12, AS AMENDED BY P.L.103-2011, SECTION 18, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 12. (a) The board shall hold not less than two (2) regular meetings in each year at such place as may be fixed by the board and as often in addition as may be necessary for the transaction of such business as may properly come under the provisions of this chapter, and it shall have power to make all necessary rules in accordance with this chapter. Additional meetings may be called at any time by the president or any six (6) members of the board to be held at such time and place as may be designated in the call. Six (6) members of the board constitute a quorum. A majority of the quorum may transact business. The board shall elect a president and a secretary. For HEA 1031 — Concur 3 their services, the members shall receive per diem and travel expenses as otherwise provided by law. (b) It shall be the duty of the board through the agency to keep a record of all applications for licenses for a period of time designated by the board, subject to the final approval of the oversight committee on public records under IC 5-15-5.1-19. Such records shall contain all the facts set forth in the application, including the action of the board. The agency shall carry out the administrative functions of the board and shall provide necessary personnel to enable the board to properly carry out and enforce this chapter. (c) The board may affiliate with the American Association of Dental Boards as an active member thereof and may pay the regular annual dues of the association American Association of Dental Boards out of any available funds of the board, which are obtained by examination fees or registration renewal fees as provided by law. However, the affiliation with the American Association of Dental Boards shall not impair, restrict, enlarge, or modify any of the rights, powers, duties, or functions of the board as prescribed by the laws of this state. The board may designate one (1) of its members as a delegate of any meeting of the association, American Association of Dental Boards, and such delegate member shall receive the regular per diem paid to members of the board for their services on the board and the member's necessary expenses while traveling to and from and attending such meetings. SECTION 3. IC 25-14-1-14 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 14. The attorney general, prosecuting attorney, the state board of dentistry, or any citizen of any county where any person shall engage in the practice of dentistry, as herein defined, without possessing a valid license so to do, may, in accordance with the laws of the state of Indiana governing injunctions, maintain an action in the name of the state of Indiana to enjoin such person from engaging in the practice of dentistry, as herein defined, until a valid license to practice dentistry be secured. And any person who has been so enjoined who shall violate such injunction shall be punished for contempt of court: Provided, That such injunction shall not relieve such person so practicing dentistry without a valid license from a criminal prosecution therefor as is now provided by law, but such remedy by injunction shall be in addition to any remedy now provided for the criminal prosecution of such offender. In charging any person in a complaint for injunction, or in an affidavit, information or indictment, with a violation of this law by practicing dentistry without a valid license, it shall be sufficient to charge that such person did, upon a certain day and in a certain county, engage in the practice of HEA 1031 — Concur 4 dentistry, he not having a valid license so to do, without averring any further or more particular facts concerning the same. (a) The following may bring an action to obtain an injunction against a person who violates section 1 of this chapter: (1) The attorney general. (2) The prosecuting attorney exercising jurisdiction in the county where the unlicensed practice occurs. (3) The board. (4) A resident of the county where the unlicensed practice occurs. (b) An injunction issued under this section: (1) shall prohibit the defendant from engaging in the practice of dentistry until the defendant secures a valid license to practice dentistry; and (2) may impose other requirements that are reasonably necessary to protect the public. (c) An injunction issued under this section does not limit other criminal remedies that may be available. SECTION 4. IC 25-14-1-16, AS AMENDED BY P.L.103-2011, SECTION 20, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 16. (a) An applicant under this article must submit to the board proof satisfactory to the board that the applicant has not been convicted of a crime that has a direct bearing on the applicant's ability to practice competently. (b) The board may issue a license upon payment of a fee, set by the board under section 13 of this chapter, to an applicant who furnishes proof satisfactory to the board that the applicant is a dentist who: (1) is licensed in another state or a province of Canada that has licensing requirements substantially equal to those in effect in Indiana on the date of application; (2) has practiced dentistry for at least two (2) of the three (3) years preceding the date of application; (3) passes the law examination administered by the board or an entity approved by the board; (4) has completed the required hours of continuing education in the previous two (2) years; and (5) meets all other requirements of this chapter. (c) The board shall have power to adopt rules under section 13 of this chapter for licensure by endorsement. (d) An applicant shall, at the request of the board, make an appearance before the board. SECTION 5. IC 25-14-1-17 IS AMENDED TO READ AS HEA 1031 — Concur 5 FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 17. A person practicing dentistry, upon written demand made by the secretary of the state board of dentistry, shall not fail to furnish in writing, within twenty (20) days after such demand, the name and address of each person practicing or assisting in the practice of dentistry in the office of said person, together with a sworn statement showing by what authority or license such person or persons are practicing dentistry and in what capacity nonlicensed persons are assisting in practice; said list of names and addresses shall include all persons who have been thus employed within the sixty (60) days next preceding such demand; however, such affidavit may not be used as evidence against either said person or persons so reported in any proceeding under this chapter. (a) This section applies to a dentist who maintains a dental office. (b) Not later than twenty (20) days from receipt of a request from the board, a dentist shall provide the following information to the board: (1) The name, address, and license number of each person practicing dentistry in the dental office within the preceding sixty (60) days. (2) The name, address, and license number of each licensed person assisting in the practice of dentistry in the dental office within the preceding sixty (60) days. (3) The name, address, and job description of each unlicensed person assisting in the practice of dentistry in the dental office within the preceding sixty (60) days. SECTION 6. IC 25-14-1-18 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 18. A practitioner of dentistry dentist shall not fail to post, and keep conspicuously displayed, his the dentist's name and license in the dental office wherein he the dentist practices, in plain sight of his the dentist's patients. If there are more dentists than one (1) practicing or employed in any dental office, the manager or proprietor of the office shall not fail to post and display the name and license of each dentist so practicing and so employed therein. SECTION 7. IC 25-14-1-21 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 21. It shall be the duty of the attorney general to represent the state board of dentistry in any court in which an action may be filed for the review of an order of the board as provided for in section 20 of this chapter. The attorney general may, at his the attorney general's discretion, call to his the attorney general's assistance in such action, the prosecuting attorney of the HEA 1031 — Concur 6 county in which such action is filed. Also, the board, with the written consent of the attorney general, shall have the right to employ, out of its own funds, any other attorney or attorneys to assist the attorney general in any such action. SECTION 8. IC 25-14-1-23, AS AMENDED BY P.L.31-2021, SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 23. (a) A person is practicing dentistry within the meaning of this chapter if the person does any of the following: (1) Uses the word "dentist" or "dental surgeon", the letters "D.D.S." or "D.M.D.", or other letters or titles in connection with dentistry. (2) Directs and controls the treatment of patients within a place where dental services are performed. (3) Advertises or permits to be advertised by sign, card, circular, handbill, newspaper, radio, or otherwise that the person can or will attempt to perform dental operations of any kind. (4) Offers to evaluate, diagnose, prevent, or treat: (A) diseases, disorders, and conditions of the oral cavity and maxillofacial area; (B) diseases, disorders, and conditions of the associated and adjacent structures of the oral cavity and maxillofacial area if: (i) the dentist is providing emergency care; or (ii) the dentist has completed postgraduate training and certification in oral and maxillofacial surgery from a program certified by the Commission on Dental Accreditation; and (C) the effects of such diseases, disorders, and conditions on the human body; using nonsurgical, surgical, or related procedures. (5) Extracts human teeth or corrects malpositions of the teeth or jaws. (6) Except as provided in IC 25-13-1-10.5 and IC 25-13-1-10.6, administers dental anesthetics. Nothing in this subdivision shall be construed to prohibit a physician from practicing in a dental office as permitted by IC 25-22.5-2-9. (7) Uses x-ray pictures images for dental diagnostic purposes. (8) Makes: (A) oral images for the fabrication of a final restoration, impression, or cast; (B) impressions; or (C) casts of any oral tissues or structures; for the purpose of diagnosis or treatment thereof or for the HEA 1031 — Concur 7 construction, repair, reproduction, or duplication of any prosthetic device to alleviate or cure any oral lesion or replace any lost oral structures, tissue, or teeth. (9) Advertises to the public by any method, except trade and professional publications, to furnish, supply, construct, reproduce, repair, or adjust any prosthetic denture, bridge, appliance, or other structure to be worn in the human mouth. (10) Is the employer of a dentist who is hired to provide dental services. (11) Directs or controls the use of dental equipment or dental material while the equipment or material is being used to provide dental services. However, a person may lease or provide advice or assistance concerning dental equipment or dental material if the person does not restrict or interfere with the custody, control, or use of the equipment or material by the dentist. This subdivision does not prevent a dental hygienist who is licensed under IC 25-13 from owning dental equipment or dental materials within the dental hygienist's scope of practice. (12) Directs, controls, or interferes with a dentist's clinical judgment. (13) Exercises direction or control over a dentist through a written contract concerning the following areas of dental practice: (A) The selection of a patient's course of treatment. (B) Referrals of patients, except for requiring referrals to be within a specified provider network, subject to the exceptions under IC 27-13-36-5. (C) Content of patient records. (D) Policies and decisions relating to refunds, if the refund payment would be reportable under federal law to the National Practitioner Data Bank, and warranties. (E) The clinical content of advertising. (F) Final decisions relating to the employment of dental office personnel. However, this subdivision does not prohibit a person from providing advice or assistance concerning the areas of dental practice referred to in this subdivision or an insurer (as defined in IC 27-1-26-1) from carrying out the applicable provisions of IC 27 under which the insurer is licensed. However, a person does not have to be a dentist to be a manufacturer of dental prostheses. (b) In addition to subsection (a), a person is practicing dentistry who directly or indirectly by any means or method furnishes, supplies, HEA 1031 — Concur 8 constructs, reproduces, repairs, or adjusts any prosthetic denture, bridge, appliance, or any other structure to be worn in the human mouth and delivers the resulting product to any person other than the duly licensed dentist upon whose written work authorization the work was performed. A written work authorization shall include the following: (1) The name and address of the dental laboratory to which it is directed. (2) The case identification. (3) A specification of the materials to be used. (4) A description of the work to be done and, if necessary, diagrams thereof. (5) The date of issuance of the authorization. (6) The signature and address of the licensed dentist or other dental practitioner by whom the work authorization is issued. A separate work authorization shall be issued for each patient of the issuing licensed dentist or other dental practitioner for whom dental technological work is to be performed. (c) This section shall not apply to those procedures which a legally licensed and practicing dentist may delegate to a dental assistant as to which procedures the dentist exercises direct supervision and responsibility. However, a dentist may, without providing direct supervision, delegate the authority to take x-ray images to a dental assistant working in a state owned or operated correctional facility administered and supervised by the department of corrections under IC 11-8-2-5(a)(2), so long as the dentist is available to supervise the dental assistant remotely. (d) Procedures delegated by a dentist may not include the following: (1) Those procedures which require professional judgment and skill such as diagnosis, treatment planning, the cutting of hard or soft tissues, or any intraoral impression which would lead to the fabrication of a final prosthetic appliance. (2) Except for procedures described in subsections (g) and (h), procedures delegated to a dental assistant may not include procedures allocated under IC 25-13-1 to a licensed dental hygienist. (e) This chapter shall not prevent dental students from performing dental operations under the supervision of competent instructors within the dental school or a university recognized by the board or in any public clinic under the supervision of the authorized superintendent of such clinic authorized under the authority and general direction of the board of health or school board of any city or town in Indiana. HEA 1031 — Concur 9 (f) Licensed pharmacists of this state may fill prescriptions of licensed dentists of this state for any drug necessary in the practice of dentistry. (g) Notwithstanding IC 25-13-1-11(4), a dental assistant who has completed a board approved curriculum may apply medicaments for the control or prevention of dental caries under the direct supervision of a licensed dentist. The curriculum must include instruction on the following: (1) Ethics and jurisprudence. (2) Reasons for fluorides. (3) Systemic fluoride. (4) Topical fluoride. (5) Fluoride application. (6) Laboratory work on topical fluoride applications and patient competency. (h) Notwithstanding IC 25-13-1-11(3), a dental assistant who has completed a board approved curriculum may polish the coronal surface of teeth under the direct supervision of a licensed dentist. The curriculum must include instruction on the following: (1) Ethics and jurisprudence. (2) Plaque and materia alba. (3) Intrinsic and extrinsic stain. (4) Abrasive agents. (5) Use of a slow speed hand piece, prophy cup, and occlusal polishing brush. (6) Theory of selective polishing. (7) Laboratory work concerning slow speed hand piece, hand dexterity, and patient competency. SECTION 9. IC 25-14-2-2 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 2. Except as otherwise provided in section 5 of this chapter, a dentist shall see that each denture he the dentist delivers to a patient in Indiana is marked in the manner prescribed in this chapter if the denture has been fabricated by the dentist or under a work order issued by him. the dentist. SECTION 10. IC 25-14-2-3 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 3. Except as otherwise provided in section 5 of this chapter, a dentist shall see that each partial denture he the dentist delivers to a patient in Indiana is marked in the manner prescribed in this chapter if the partial denture has been fabricated, rebased, or duplicated by the dentist or pursuant to a work order issued by him. the dentist. HEA 1031 — Concur Speaker of the House of Representatives President of the Senate President Pro Tempore Governor of the State of Indiana Date: Time: HEA 1031 — Concur