| 7 | 6 | | ANACT |
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| 8 | 7 | | Torepealsection332.081,RSMo,andtoenactinlieuthereofonenewsectionrelatingtothe |
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| 9 | 8 | | practiceofdentistry. |
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| 10 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 11 | 10 | | SectionA.Section332.081,RSMo,isrepealedandonenewsectionenactedinlieu |
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| 12 | 11 | | 2thereof,tobeknownassection332.081,toreadasfollows: |
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| 13 | 12 | | 332.081.1.Notwithstandinganyotherprovisionoflawtothecontrary,hospitals |
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| 14 | 13 | | 2licensedunderchapter197shallbeauthorizedtoemployanyorallofthefollowingoral |
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| 15 | 14 | | 3healthproviders: |
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| 16 | 15 | | 4 (1)Adentistlicensedunderthischapterforthepurposeoftreatingonhospital |
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| 17 | 16 | | 5premisesthosepatientswhopresentwithadentalconditionandsuchtreatmentisnecessaryto |
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| 18 | 17 | | 6amelioratetheconditionforwhichtheypresentedsuchasseverepainortoothabscesses; |
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| 19 | 18 | | 7 (2)Anoralandmaxillofacialsurgeonlicensedunderthischapterforthepurposeof |
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| 20 | 19 | | 8treatingoralconditionsthatneedtobeamelioratedaspartoftreatingtheunderlyingcauseof |
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| 21 | 20 | | 9thepatient'smedicalneedsincluding,butnotlimitedto,headandneckcancer,HIVorAIDS, |
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| 22 | 21 | | 10severetraumaresultinginadmissiontothehospital,organtransplant,diabetes,orseizure |
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| 23 | 22 | | 11disorders.Itshallbeaconditionoftreatmentthatsuchpatientsareadmittedtothehospitalon |
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| 24 | 23 | | 12eitheranin-orout-patientbasis;and |
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| 25 | 24 | | 13 (3)Amaxillofacialprosthodontistlicensedunderthischapterforthepurposeof |
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| 26 | 25 | | 14treatingandsupportingpatientsofaheadandneckcancerteamorothercomplexcareor |
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| 27 | 26 | | 15surgicalteamforthefabricationofappliancesfollowingablativesurgery,surgerytocorrect |
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| 28 | 27 | | 16birthanomalies,extensiveradiationtreatmentoftheheadorneck,ortrauma-relatedsurgery. |
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| 29 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 2.NopersonorotherentityshallpracticedentistryinMissouriorprovidedental |
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| 31 | 30 | | 18servicesas[defined] describedinsection332.071unlessanduntiltheboardhasissuedtothe |
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| 32 | 31 | | 19personacertificatecertifyingthatthepersonhasbeendulyregisteredasadentistinMissouri |
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| 33 | 32 | | 20ortheboardhasissuedsuchcertificatetoanentitythathasbeendulyregisteredtoprovide |
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| 34 | 33 | | 21dentalservicesbylicenseddentistsanddentalhygienistsandunlessanduntiltheboardhas |
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| 35 | 34 | | 22issuedtothepersonalicense,toberenewedeachperiod,asprovidedinthischapter,to |
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| 36 | 35 | | 23practicedentistryorasadentalhygienist,orhasissuedtothepersonorentityapermit,tobe |
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| 37 | 36 | | 24renewedeachperiod,toprovidedentalservicesinMissouri.Nothinginthischaptershallbe |
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| 38 | 37 | | 25soconstruedastomakeitunlawfulfor: |
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| 39 | 38 | | 26 (1)Alegallyqualifiedphysicianorsurgeon,whodoesnotpracticedentistryasa |
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| 40 | 39 | | 27specialty,fromextractingteeth; |
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| 41 | 40 | | 28 (2)AdentistlicensedinastateotherthanMissourifrommakingaclinical |
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| 42 | 41 | | 29demonstrationbeforeameetingofdentistsinMissouri; |
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| 43 | 42 | | 30 (3)Dentalstudentsinanyaccrediteddentalschooltopracticedentistryunderthe |
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| 44 | 43 | | 31personaldirectionofinstructors; |
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| 45 | 44 | | 32 (4)Dentalhygienestudentsinanyaccrediteddentalhygieneschooltopracticedental |
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| 46 | 45 | | 33hygieneunderthepersonaldirectionofinstructors; |
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| 47 | 46 | | 34 (5)AdulyregisteredandlicenseddentalhygienistinMissouritopracticedental |
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| 48 | 47 | | 35hygieneasdefinedinsection332.091; |
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| 49 | 48 | | 36 (6)Adentalassistant,certifieddentalassistant,orexpandedfunctionsdentalassistant |
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| 50 | 49 | | 37tobedelegateddutiesasdefinedinsection332.093; |
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| 51 | 50 | | 38 (7)Adulyregistereddentistordentalhygienisttoteachinanaccrediteddentalor |
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| 52 | 51 | | 39dentalhygieneschool; |
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| 53 | 52 | | 40 (8)Apersonwhohasbeengrantedadentalfacultypermitundersection332.183to |
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| 54 | 53 | | 41practicedentistryinthescopeofhisorheremploymentatanaccrediteddentalschool, |
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| 55 | 54 | | 42college,orprograminMissouri; |
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| 56 | 55 | | 43 (9)Adulyqualifiedanesthesiologistornurseanesthetisttoadministerananesthetic |
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| 57 | 56 | | 44inconnectionwithdentalservicesordentalsurgery; |
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| 58 | 57 | | 45 (10)Apersontopracticedentistryinorfor: |
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| 59 | 58 | | 46 (a)TheUnitedStatesArmedForces; |
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| 60 | 59 | | 47 (b)TheUnitedStatesPublicHealthService; |
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| 61 | 60 | | 48 (c)Migrant,community,orhealthcareforthehomelesshealthcentersprovidedin |
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| 62 | 61 | | 49Section330ofthePublicHealthServiceAct(42U.S.C.Section254b); |
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| 63 | 62 | | 50 (d)FederallyqualifiedhealthcentersasdefinedinSection1905(l)(42U.S.C.Section |
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| 64 | 63 | | 511396d(l))oftheSocialSecurityAct; |
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| 65 | 64 | | 52 (e)Governmentalentities,includingcountyhealthdepartments;or |
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| 66 | 65 | | 53 (f)TheUnitedStatesVeteransBureau;or |
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| 67 | 66 | | HB122 2 54 (11)AdentistlicensedinastateotherthanMissouritoevaluateapatientorrenderan |
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| 68 | 67 | | 55oral,written,orotherwisedocumenteddentalopinionwhenprovidingtestimonyorrecords |
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| 69 | 68 | | 56forthepurposeofacivilorcriminalactionbeforeanyjudicialoradministrativeproceeding |
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| 70 | 69 | | 57ofthisstateorotherforuminthisstate. |
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| 71 | 70 | | 58 3.Nocorporationshallpracticedentistryasdefinedinsection332.071unlessthat |
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| 72 | 71 | | 59corporationisorganizedundertheprovisionsofchapter355or356providedthata |
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| 73 | 72 | | 60corporationorganizedundertheprovisionsofchapter355andqualifyingasanorganization |
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| 74 | 73 | | 61under26U.S.C.Section501(c)(3)mayonlyemploydentistsanddentalhygienistslicensedin |
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| 75 | 74 | | 62thisstatetorenderdentalservicestoMedicaidrecipients,low-incomeindividualswhohave |
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| 76 | 75 | | 63availableincomebelowtwohundredpercentofthefederalpovertylevel,andallparticipants |
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| 77 | 76 | | 64intheSCHIPprogram,unlesssuchlimitationiscontrarytoorinconsistentwithfederalor |
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| 78 | 77 | | 65statelaworregulation.Thissubsectionshallnotapplyto: |
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| 79 | 78 | | 66 (1)Ahospitallicensedunderchapter197thatprovidescareandtreatmentonlyto |
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| 80 | 79 | | 67childrenundertheageofeighteenatwhichapersonregulatedunderthischapterprovides |
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| 81 | 80 | | 68dentalcarewithinthescopeofhisorherlicenseorregistration; |
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| 82 | 81 | | 69 (2)AfederallyqualifiedhealthcenterasdefinedinSection1905(l)oftheSocial |
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| 83 | 82 | | 70SecurityAct(42U.S.C.Section1396d(l)),oramigrant,community,orhealthcareforthe |
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| 84 | 83 | | 71homelesshealthcenterprovidedforinSection330ofthePublicHealthServicesAct(42 |
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| 85 | 84 | | 72U.S.C.Section254b)atwhichapersonregulatedunderthischapterprovidesdentalcare |
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| 86 | 85 | | 73withinthescopeofhisorherlicenseorregistration; |
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| 87 | 86 | | 74 (3)Acityorcountyhealthdepartmentorganizedunderchapter192orchapter205at |
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| 88 | 87 | | 75whichapersonregulatedunderthischapterprovidesdentalcarewithinthescopeofhisorher |
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| 89 | 88 | | 76licenseorregistration; |
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| 90 | 89 | | 77 (4)Asocialwelfareboardorganizedundersection205.770,acityhealthdepartment |
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| 91 | 90 | | 78operatingunderacitycharter,oracity-countyhealthdepartmentatwhichapersonregulated |
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| 92 | 91 | | 79underthischapterprovidesdentalcarewithinthescopeofhisorherlicenseorregistration; |
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| 93 | 92 | | 80 (5)Anyentitythathasreceivedapermitfromthedentalboardanddoesnotreceive |
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| 94 | 93 | | 81compensationfromthepatientorfromanythirdpartyonthepatient'sbehalfatwhicha |
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| 95 | 94 | | 82personregulatedunderthischapterprovidesdentalcarewithinthescopeofhisorherlicense |
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| 96 | 95 | | 83orregistration;or |
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| 97 | 96 | | 84 (6)AnyhospitalnonprofitcorporationexemptfromtaxationunderSection501(c)(3) |
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| 98 | 97 | | 85oftheInternalRevenueCode,asamended,thatengagesinitsoperationsandprovidesdental |
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| 99 | 98 | | 86servicesatfacilitiesownedbyacity,county,orotherpoliticalsubdivisionofthestate,orany |
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| 100 | 99 | | 87entitycontractedwiththestatetoprovidecareinacorrectionalcenter,assuchtermis |
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| 101 | 100 | | 88definedinsection217.010,atwhichapersonregulatedunderthischapterprovidesdental |
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| 102 | 101 | | 89carewithinthescopeofhisorherlicenseorregistration. |
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| 103 | 102 | | 90 |
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| 104 | 103 | | HB122 3 91Ifanyoftheentitiesexemptedfromtherequirementsofthissubsectionareunabletoprovide |
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| 105 | 104 | | 92servicestoapatientduetothelackofaqualifiedproviderandareferraltoanotherentityis |
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| 106 | 105 | | 93made,theexemptionshallextendtothepersonorentitythatsubsequentlyprovidesservices |
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| 107 | 106 | | 94tothepatient. |
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| 108 | 107 | | 95 4.Nounincorporatedorganizationshallpracticedentistryasdefinedinsection |
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| 109 | 108 | | 96332.071unlesssuchorganizationisexemptfromfederaltaxationunderSection501(c)(3)of |
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| 110 | 109 | | 97theInternalRevenueCodeof1986,asamended,andprovidesdentaltreatmentwithout |
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| 111 | 110 | | 98compensationfromthepatientoranythirdpartyontheirbehalfasapartofabroader |
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| 112 | 111 | | 99programofsocialservicesincludingfooddistribution.Nothinginthischaptershallprohibit |
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| 113 | 112 | | 100organizationsunderthissubsectionfromemployinganypersonregulatedbythischapter. |
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| 114 | 113 | | 101 5.Adentistshallnotenterintoacontractthatallowsapersonwhoisnotadentistto |
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| 115 | 114 | | 102influenceorinterferewiththeexerciseofthedentist'sindependentprofessionaljudgment. |
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| 116 | 115 | | 103 6.Anot-for-profitcorporationorganizedundertheprovisionsofchapter355and |
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| 117 | 116 | | 104qualifyingasanorganizationunder26U.S.C.Section501(c)(3),anunincorporated |
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| 118 | 117 | | 105organizationoperatingpursuanttosubsection4ofthissection,oranyotherpersonshouldnot |
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| 119 | 118 | | 106directorinterfereorattempttodirectorinterferewithalicenseddentist'sprofessional |
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| 120 | 119 | | 107judgmentandcompetentpracticeofdentistry.Nothinginthissubsectionshallbeso |
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| 121 | 120 | | 108construedastomakeitunlawfulfornot-for-profitorganizationstoenforceemployment |
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| 122 | 121 | | 109contracts,corporatepolicyandproceduremanuals,orqualityimprovementorassurance |
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| 123 | 122 | | 110requirements. |
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| 124 | 123 | | 111 7.Allentitiesdefinedinsubsection3ofthissectionandthoseexemptedunder |
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| 125 | 124 | | 112subsection4ofthissectionshallapplyforapermittoemploydentistsanddentalhygienists |
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| 126 | 125 | | 113licensedinthisstatetorenderdentalservices,andtheentityshallapplyforthepermitin |
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| 127 | 126 | | 114writingonformsprovidedbytheMissouridentalboard.Theboardshallnotchargeafeeof |
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| 128 | 127 | | 115anykindfortheissuanceorrenewalofsuchpermit.Theprovisionsofthissubsectionshall |
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| 129 | 128 | | 116notapplytoafederallyqualifiedhealthcenterasdefinedinSection1905(l)oftheSocial |
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| 130 | 129 | | 117SecurityAct(42U.S.C.Section1396d(l)). |
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| 131 | 130 | | 118 8.Anyentitythatobtainsapermittorenderdentalservicesinthisstateissubjectto |
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| 132 | 131 | | 119disciplinepursuanttosection332.321.Iftheboardconcludesthatthepersonorentityhas |
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| 133 | 132 | | 120committedanactorisengaginginacourseofconductthatwouldbegroundsfordisciplinary |
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| 134 | 133 | | 121action,theboardmayfileacomplaintbeforetheadministrativehearingcommission.The |
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| 135 | 134 | | 122boardmayrefusetoissueorrenewthepermitofanyentityforoneoranycombinationof |
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| 136 | 135 | | 123causesstatedinsubsection2ofsection332.321.Theboardshallnotifytheapplicantin |
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| 137 | 136 | | 124writingofthereasonsfortherefusalandshalladvisetheapplicantofhisorherrighttofilea |
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| 138 | 137 | | 125complaintwiththeadministrativehearingcommissionasprovidedbychapter621. |
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| 139 | 138 | | 126 9.AfederallyqualifiedhealthcenterasdefinedinSection1905(l)oftheSocial |
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| 140 | 139 | | 127SecurityAct(42U.S.C.Section1396d(l))shallregisterwiththeboard.Theinformation |
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| 141 | 140 | | HB122 4 128providedtotheboardaspartoftheregistrationshallincludethenameofthehealthcenter,the |
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| 142 | 141 | | 129nonprofitstatusofthehealthcenter,siteswheredentalserviceswillbeprovided,andthe |
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| 143 | 142 | | 130namesofallpersonsemployedby,orcontractingwith,thehealthcenterwhoarerequiredto |
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| 144 | 143 | | 131holdalicensepursuanttothischapter.Theregistrationshallberenewedeverytwenty-four |
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| 145 | 144 | | 132months.Theboardshallnotchargeafeeofanykindfortheissuanceorrenewalofthe |
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| 146 | 145 | | 133registration.Theregistrationofthehealthcentershallnotbesubjecttodisciplinepursuantto |
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| 147 | 146 | | 134section332.321.Nothinginthissubsectionshallprohibitdisciplinaryactionagainsta |
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| 148 | 147 | | 135licenseeofthischapterwhoisemployedby,orcontractswith,suchhealthcenterforthe |
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| 149 | 148 | | 136actionsofthelicenseeinconnectionwithsuchemploymentorcontract. |
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| 150 | 149 | | 137 10.Theboardmaypromulgaterulesandregulationstoensurenot-for-profit |
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| 151 | 150 | | 138corporationsarerenderingcaretothepatientpopulationsassetforthherein,including |
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| 152 | 151 | | 139requirementsforcoverednot-for-profitcorporationstoreportpatientcensusdatatotheboard. |
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| 153 | 152 | | 140Theprovisionsofthissubsectionshallnotapplytoafederallyqualifiedhealthcenteras |
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| 154 | 153 | | 141definedinSection1905(l)oftheSocialSecurityAct(42U.S.C.Section1396d(l)). |
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| 155 | 154 | | 142 11.Allnot-for-profitcorporationsorganizedoroperatedpursuanttotheprovisionsof |
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| 156 | 155 | | 143chapter355andqualifyingasanorganizationunder26U.S.C.Section501(c)(3),orthe |
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| 157 | 156 | | 144requirementsrelatingtomigrant,community,orhealthcareforthehomelesshealthcenters |
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| 158 | 157 | | 145providedinSection330ofthePublicHealthServiceAct(42U.S.C.Section254b)and |
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| 159 | 158 | | 146federallyqualifiedhealthcentersasdefinedinSection1905(l)(42U.S.C.Section1396d(l)) |
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| 160 | 159 | | 147oftheSocialSecurityAct,thatemploypersonswhopracticedentistryordentalhygienein |
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| 161 | 160 | | 148thisstateshalldosoinaccordancewiththerelevantlawsofthisstateexcepttotheextentthat |
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| 162 | 161 | | 149suchlawsarecontraryto,orinconsistentwith,federalstatuteorregulation. |
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| 163 | 162 | | âś” |
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| 164 | 163 | | HB122 5 |
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