SECOND REGULAR SESSION
SENATE BILL NO. 1215
102ND GENERAL ASSEMBLY
INTRODUCED BY SENATOR ROBERTS.
2911S.01I KRISTINA MARTIN, Secretary
AN ACT
To repeal section 332.071, RSMo, and to enact in lieu thereof two new sections relating to vaccine
administration by dentists.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Section 332.071, RSMo, is repealed and two new 1
sections enacted in lieu thereof, to be known as sections 2
332.071 and 332.368, to read as follows:3
332.071. A person or other entity "practices 1
dentistry" within the meaning of this chapter who: 2
(1) Undertakes to do or perform dental work or dental 3
services or dental operations or oral surgery, by any means 4
or methods, including the use of lasers, gratuitously or for 5
a salary or fee or other reward, paid directly or indirectly 6
to the person or to any other person or entity; 7
(2) Diagnoses or professes to diagnose, prescribes for 8
or professes to prescribe for, treats or professes to treat, 9
any disease, pain, deformity, deficiency, injury or physical 10
condition of human teeth or adjacent structures or treats or 11
professes to treat any disease or disorder or lesions of the 12
oral regions; 13
(3) Attempts to or does replace or restore a part or 14
portion of a human tooth; 15
(4) Attempts to or does extract human teeth or 16
attempts to or does correct malformatio ns of human teeth or 17
jaws; 18 SB 1215 2
(5) Attempts to or does adjust an appliance or 19
appliances for use in or used in connection with malposed 20
teeth in the human mouth; 21
(6) Interprets or professes to interpret or read 22
dental radiographs; 23
(7) Administers an anesthetic in connection with 24
dental services or dental operations or dental surgery; 25
(8) Undertakes to or does remove hard and soft 26
deposits from or polishes natural and restored surfaces of 27
teeth; 28
(9) Uses or permits to be used for the person's 29
benefit or for the benefit of any other person or other 30
entity the following titles or words in connection with the 31
person's name: "Doctor", "Dentist", "Dr.", "D.D.S.", or 32
"D.M.D.", or any other letters, titles, degrees or 33
descriptive matter which directly or indirectly indicate or 34
imply that the person is willing or able to perform any type 35
of dental service for any person or persons, or uses or 36
permits the use of for the person's benefit or for the 37
benefit of any other person o r other entity any card, 38
directory, poster, sign or any other means by which the 39
person indicates or implies or represents that the person is 40
willing or able to perform any type of dental services or 41
operation for any person; 42
(10) Directly or indirectly owns, leases, operates, 43
maintains, manages or conducts an office or establishment of 44
any kind in which dental services or dental operations of 45
any kind are performed for any purpose; but this section 46
shall not be construed to prevent owners or lessees of real 47
estate from lawfully leasing premises to those who are 48
qualified to practice dentistry within the meaning of this 49
chapter; 50 SB 1215 3
(11) Controls, influences, attempts to control or 51
influence, or otherwise interferes with the dentist's 52
independent professional judgment regarding the diagnosis or 53
treatment of a dental disease, disorder, or physical 54
condition except that any opinion rendered by any health 55
care professional licensed under this chapter or chapter 56
330, 331, 334, 335, 336, 3 37, or 338 regarding the 57
diagnosis, treatment, disorder, or physical condition of any 58
patient shall not be construed to control, influence, 59
attempt to control or influence or otherwise interfere with 60
a dentist's independent professional judgment; 61
(12) Constructs, supplies, reproduces or repairs any 62
prosthetic denture, bridge, artificial restoration, 63
appliance or other structure to be used or worn as a 64
substitute for natural teeth, except when one, not a 65
registered and licensed dentist, does so pursuant to a 66
written uniform laboratory work order, in the form 67
prescribed by the board, of a dentist registered and 68
currently licensed in Missouri and which the substitute in 69
this subdivision described is constructed upon or by use of 70
casts or models made from an impression furnished by a 71
dentist registered and currently licensed in Missouri; 72
(13) Attempts to or does place any substitute 73
described in subdivision (12) of this section in a human 74
mouth or attempts to or professes to adjust any substitute 75
or delivers any substitute to any person other than the 76
dentist upon whose order the work in producing the 77
substitute was performed; 78
(14) Advertises, solicits, or offers to or does sell 79
or deliver any substitute described in subdivisi on (12) of 80
this section or offers to or does sell the person's services 81
in constructing, reproducing, supplying or repairing the 82 SB 1215 4
substitute to any person other than a registered and 83
licensed dentist in Missouri; 84
(15) Undertakes to do or perform a ny physical 85
evaluation of a patient in the person's office or in a 86
hospital, clinic, or other medical or dental facility prior 87
to or incident to the performance of any dental services, 88
dental operations, or dental surgery; 89
(16) Reviews examination findings, x-rays, or other 90
patient data to make judgments or decisions about the dental 91
care rendered to a patient in this state ; 92
(17) Prescribes and administers vaccines for diseases 93
related to care within the practice of dentistry; or 94
(18) Prescribes and administers vaccines in accordance 95
with section 332.368 when deployed under section 44.045 to 96
provide care as necessitated by an emergency . 97
332.368. 1. A dentist may: 1
(1) Prescribe and administer vaccines to a person with 2
whom the dentist has established a patient relationship; and 3
(2) Prescribe and administer vaccines to any person 4
when the dentist is deployed under section 44.045 to provide 5
care as necessitated by an emergency. 6
2. A dentist shall not be required to prescribe or 7
administer vaccines. 8
3. Before prescribing or administering any vaccine 9
under this section, a dentist shall complete a training 10
course recognized by the board under subsection 4 of this 11
section and obtain a cert ificate of successful completion 12
from the agency or organization that offered the course. A 13
dentist shall produce the certificate upon request of the 14
board. 15
4. The board shall recognize for purposes of this 16
section any training course that: 17 SB 1215 5
(1) Includes training on appropriate vaccine storage 18
and proper vaccine administration; 19
(2) Addresses contraindications and adverse reactions 20
to vaccines; and 21
(3) Is offered by the Centers for Disease Control and 22
Prevention, the American D ental Association or its successor 23
organization, or any other similar federal or state agency 24
or professional organization deemed qualified by the board. 25
5. A dentist who administers a vaccine under this 26
section shall inform the patient that the a dministration of 27
the vaccine will be entered into the ShowMeVax system, as 28
administered by the department of health and senior 29
services. The patient shall attest to the inclusion of such 30
information in the system by signing a form provided by the 31
dentist. 32
6. Prior to administering a vaccine under this 33
section, a dentist shall review the patient's vaccination 34
history in the ShowMeVax system. 35
7. A dentist shall not administer a vaccine under this 36
section to a child under seven years of ag e or under the 37
minimum age recommended by the Centers for Disease Control 38
and Prevention. 39
8. A dentist who prescribes or administers a vaccine 40
under this section shall comply with any applicable patient 41
of care record-keeping requirements. 42
9. A dentist shall not delegate the administration of 43
a vaccine under this section. 44
10. All individual and group health insurance policies 45
providing coverage for vaccinations shall also provide 46
coverage for vaccinations administered under this sec tion. 47
11. The board shall promulgate rules for the purpose 48
of recognizing entities qualified to offer the training 49 SB 1215 6
course required under this section. Any rule or portion of 50
a rule, as that term is defined in section 536.010, that is 51
created under the authority delegated in this section shall 52
become effective only if it complies with and is subject to 53
all of the provisions of chapter 536 and, if applicable, 54
section 536.028. This section and chapter 536 are 55
nonseverable and if any of the powe rs vested with the 56
general assembly pursuant to chapter 536 to review, to delay 57
the effective date, or to disapprove and annul a rule are 58
subsequently held unconstitutional, then the grant of 59
rulemaking authority and any rule proposed or adopted after 60
August 28, 2024, shall be invalid and void. 61