1 | 1 | | |
---|
2 | 2 | | |
---|
3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
---|
4 | 4 | | [Brackets] indicate matter deleted from existing law. |
---|
5 | 5 | | *hb1266* |
---|
6 | 6 | | |
---|
7 | 7 | | HOUSE BILL 1266 |
---|
8 | 8 | | J2 2lr2946 |
---|
9 | 9 | | HB 921/20 – HGO |
---|
10 | 10 | | By: Delegates P. Young, Terrasa, and K. Young |
---|
11 | 11 | | Introduced and read first time: February 11, 2022 |
---|
12 | 12 | | Assigned to: Health and Government Operations |
---|
13 | 13 | | |
---|
14 | 14 | | A BILL ENTITLED |
---|
15 | 15 | | |
---|
16 | 16 | | AN ACT concerning 1 |
---|
17 | 17 | | |
---|
18 | 18 | | Dentists – Saliva Lead Poisoning Screening Tests – Scope of Practice and 2 |
---|
19 | 19 | | Requirements 3 |
---|
20 | 20 | | |
---|
21 | 21 | | FOR the purpose of authorizing a dentist to collect oral saliva samples to screen for lead 4 |
---|
22 | 22 | | poisoning in individuals under a certain age; and generally relating to saliva lead 5 |
---|
23 | 23 | | poisoning screening tests and dentists. 6 |
---|
24 | 24 | | |
---|
25 | 25 | | BY repealing and reenacting, without amendments, 7 |
---|
26 | 26 | | Article – Health Occupations 8 |
---|
27 | 27 | | Section 4–101(a) 9 |
---|
28 | 28 | | Annotated Code of Maryland 10 |
---|
29 | 29 | | (2021 Replacement Volume) 11 |
---|
30 | 30 | | |
---|
31 | 31 | | BY repealing and reenacting, with amendments, 12 |
---|
32 | 32 | | Article – Health Occupations 13 |
---|
33 | 33 | | Section 4–101(l) 14 |
---|
34 | 34 | | Annotated Code of Maryland 15 |
---|
35 | 35 | | (2021 Replacement Volume) 16 |
---|
36 | 36 | | |
---|
37 | 37 | | BY adding to 17 |
---|
38 | 38 | | Article – Health Occupations 18 |
---|
39 | 39 | | Section 4–510 19 |
---|
40 | 40 | | Annotated Code of Maryland 20 |
---|
41 | 41 | | (2021 Replacement Volume) 21 |
---|
42 | 42 | | |
---|
43 | 43 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 22 |
---|
44 | 44 | | That the Laws of Maryland read as follows: 23 |
---|
45 | 45 | | |
---|
46 | 46 | | Article – Health Occupations 24 |
---|
47 | 47 | | |
---|
48 | 48 | | 4–101. 25 2 HOUSE BILL 1266 |
---|
49 | 49 | | |
---|
50 | 50 | | |
---|
51 | 51 | | |
---|
52 | 52 | | (a) In this title the following words have the meanings indicated. 1 |
---|
53 | 53 | | |
---|
54 | 54 | | (l) (1) “Practice dentistry” means to: 2 |
---|
55 | 55 | | |
---|
56 | 56 | | (i) Perform or attempt to perform any intraoral dental service or 3 |
---|
57 | 57 | | intraoral dental operation; 4 |
---|
58 | 58 | | |
---|
59 | 59 | | (ii) Diagnose, treat, or attempt to diagnose or treat any disease, 5 |
---|
60 | 60 | | injury, malocclusion, or malposition of a tooth, gum, or jaw, or structures associated with a 6 |
---|
61 | 61 | | tooth, gum, or jaw if the service, operation, or procedure is included in the curricula of an 7 |
---|
62 | 62 | | accredited dental school or in an approved dental residency program of an accredited 8 |
---|
63 | 63 | | hospital or teaching institution; 9 |
---|
64 | 64 | | |
---|
65 | 65 | | (iii) Perform or offer to perform dental laboratory work; 10 |
---|
66 | 66 | | |
---|
67 | 67 | | (iv) Place or adjust a dental appliance in a human mouth; [or] 11 |
---|
68 | 68 | | |
---|
69 | 69 | | (v) Administer anesthesia for the purposes of dentistry and not as a 12 |
---|
70 | 70 | | medical specialty; OR 13 |
---|
71 | 71 | | |
---|
72 | 72 | | (VI) COLLECT ORAL SALIVA S AMPLES TO SCREEN FOR LEAD 14 |
---|
73 | 73 | | POISONING. 15 |
---|
74 | 74 | | |
---|
75 | 75 | | (2) “Practice dentistry” includes: 16 |
---|
76 | 76 | | |
---|
77 | 77 | | (i) Patient evaluation, diagnosis, and determination of treatment 17 |
---|
78 | 78 | | plans; 18 |
---|
79 | 79 | | |
---|
80 | 80 | | (ii) Determination of treatment options, including the choice of 19 |
---|
81 | 81 | | restorative and treatment materials and diagnostic equipment; and 20 |
---|
82 | 82 | | |
---|
83 | 83 | | (iii) Determination and establishment of dental patient protocols, 21 |
---|
84 | 84 | | dental standards of care, and dental practice guidelines. 22 |
---|
85 | 85 | | |
---|
86 | 86 | | 4–510. 23 |
---|
87 | 87 | | |
---|
88 | 88 | | (A) (1) A DENTIST MAY COLLECT AN ORAL SALIVA SAMPL E TO SCREEN 24 |
---|
89 | 89 | | FOR LEAD POISONING I N AN INDIVIDUAL UNDER THE AGE OF 19 YEARS. 25 |
---|
90 | 90 | | |
---|
91 | 91 | | (2) THE DENTIST SHALL SEN D AN ORAL SAMPLE COL LECTED UNDER 26 |
---|
92 | 92 | | PARAGRAPH (1) OF THIS SUBSECTION F OR ANALYSIS TO A MED ICAL LABORATORY 27 |
---|
93 | 93 | | CERTIFIED IN ACCORDA NCE WITH THE FEDERAL CLINICAL LABORATORY 28 |
---|
94 | 94 | | IMPROVEMENT AMENDMENTS OF 1988 AND THAT PARTICIPATE S IN THE MARYLAND 29 |
---|
95 | 95 | | MEDICAL ASSISTANCE PROGRAM. 30 |
---|
96 | 96 | | HOUSE BILL 1266 3 |
---|
97 | 97 | | |
---|
98 | 98 | | |
---|
99 | 99 | | (B) ON RECEIPT OF THE RES ULTS OF A SALIVA LEA D POISONING 1 |
---|
100 | 100 | | SCREENING TEST ANALY ZED UNDER SUBSECTION (A) OF THIS SECTION , THE 2 |
---|
101 | 101 | | DENTIST SHALL SEND : 3 |
---|
102 | 102 | | |
---|
103 | 103 | | (1) A WRITTEN NOTICE OF TH E RESULTS AND AN Y 4 |
---|
104 | 104 | | RECOMMENDATIONS FOR FURTHER ACTION TO TH E PARENT OR LEGAL GU ARDIAN 5 |
---|
105 | 105 | | OF THE CHILD WHO IS THE SUBJECT OF THE S ALIVA LEAD POISONING SCREENING 6 |
---|
106 | 106 | | TEST; AND 7 |
---|
107 | 107 | | |
---|
108 | 108 | | (2) A COPY OF THE RESULTS AND ANY OTHER REQUIR ED 8 |
---|
109 | 109 | | INFORMATION TO THE DEPARTMENT OF THE ENVIRONMENT IN AC CORDANCE WITH 9 |
---|
110 | 110 | | § 6–303 OF THE ENVIRONMENT ARTICLE. 10 |
---|
111 | 111 | | |
---|
112 | 112 | | (C) THIS SECTION MAY NOT BE CONSTRUED TO REQU IRE A DENTIST TO 11 |
---|
113 | 113 | | CONDUCT SALIVA LEAD SCREENING TESTS . 12 |
---|
114 | 114 | | |
---|
115 | 115 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 13 |
---|
116 | 116 | | October 1, 2022. 14 |
---|
117 | 117 | | |
---|