Texas 2017 - 85th Regular

Texas House Bill HB1201 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	85R6458 EES-D
2	2	By: Thompson of Harris H.B. No. 1201
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the regulation of the practice of dental hygiene.
8	8	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
9	9	SECTION 1. Section 258.001, Occupations Code, is amended to
10	10	read as follows:
11	11	Sec. 258.001. [IMPERMISSIBLE] DELEGATIONS. (a) A dentist
12	12	may not delegate:
13	13	(1) an act to an individual who, by board order, is
14	14	prohibited from performing the act;
15	15	(2) any of the following acts to a person not licensed
16	16	as a dentist or dental hygienist:
17	17	(A) the removal of calculus, deposits, or
18	18	accretions from the natural and restored surfaces of exposed human
19	19	teeth and restorations in the human mouth;
20	20	(B) root planing or the smoothing and polishing
21	21	of roughened root surfaces or exposed human teeth; or
22	22	(C) any other act the delegation of which is
23	23	prohibited by board rule; or
24	24	(3) any of the following acts to a person not licensed
25	25	as a dentist:
26	26	(A) comprehensive examination or diagnosis and
27	27	treatment planning;
28	28	(B) a surgical or cutting procedure on hard or
29	29	soft tissue;
30	30	(C) the prescription of a drug, medication, or
31	31	work authorization;
32	32	(D) the taking of an impression for a final
33	33	restoration, appliance, or prosthesis;
34	34	(E) the making of an intraoral occlusal
35	35	adjustment;
36	36	(F) direct pulp capping, pulpotomy, or any other
37	37	endodontic procedure;
38	38	(G) the final placement and intraoral adjustment
39	39	of a fixed or removable appliance; or
40	40	(H) the placement of any final restoration.
41	41	(b) A dentist may delegate[; or
42	42	[(4)] the authority to an individual to administer a
43	43	local anesthetic agent, inhalation sedative agent, parenteral
44	44	sedative agent, or general anesthetic agent if the individual is
45	45	[not] licensed as:
46	46	(1) [(A)] a dentist, with a permit issued by the board
47	47	for the procedure being performed[,] if a permit is required;
48	48	(2) [(B)] a certified registered nurse anesthetist
49	49	licensed by the Texas Board of Nursing, only if the delegating
50	50	dentist holds a permit issued by the board for the procedure being
51	51	performed[,] if a permit is required; [or]
52	52	(3) [(C)] a physician anesthesiologist licensed by
53	53	the Texas Medical Board; or
54	54	(4) a dental hygienist, only if:
55	55	(A) the procedure is the administration of a
56	56	local anesthetic agent under Section 262.002(a)(6);
57	57	(B) the dental hygienist has passed a
58	58	certification examination approved by the board; and
59	59	(C) the dental hygienist:
60	60	(i) has completed a course approved by the
61	61	board to train dental hygienists to administer local anesthetic
62	62	agents; or
63	63	(ii) has been licensed in good standing
64	64	within the past year to administer local anesthetic agents:
65	65	(a) by a branch of the United States
66	66	armed forces; or
67	67	(b) by another state.
68	68	SECTION 2. Section 262.002(a), Occupations Code, is amended
69	69	to read as follows:
70	70	(a) A person practices dental hygiene if the person:
71	71	(1) removes accumulated matter, tartar, deposits,
72	72	accretions, or stains, other than mottled enamel stains, from the
73	73	natural and restored surface of exposed human teeth and
74	74	restorations in the human mouth;
75	75	(2) smoothes roughened root surfaces;
76	76	(3) polishes exposed human teeth, restorations in the
77	77	human mouth, or roughened root surfaces;
78	78	(4) topically applies drugs to the surface tissues of
79	79	the human mouth or the exposed surface of human teeth;
80	80	(5) makes dental x-rays; [and]
81	81	(6) administers intraoral block or infiltration
82	82	anesthesia under the authorization and direct supervision of a
83	83	dentist; and
84	84	(7) performs any other service, task, or procedure
85	85	prescribed by board rule.
86	86	SECTION 3. (a) The State Board of Dental Examiners, not
87	87	later than January 1, 2018, shall:
88	88	(1) prescribe by rule the requirements for a course to
89	89	train dental hygienists to administer local anesthetic agents; and
90	90	(2) develop a procedure for the approval of courses
91	91	described by Subdivision (1) of this subsection.
92	92	(b) A rule adopted under Subsection (a) of this section must
93	93	require that a course be offered in a classroom setting at an
94	94	educational institution accredited by the Commission on Dental
95	95	Accreditation of the American Dental Association.
96	96	SECTION 4. This Act takes effect September 1, 2017.