Bill Text: IL SB1982 | 2025-2026 | 104th General Assembly | Introduced

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Bill Title: Amends the Illinois Dental Practice Act. Deletes the definition of "public health setting". Provides that, after completion of a training program, a public health dental hygienist may provide services according to the terms of a supervision agreement (rather than may operate in a public health setting that meets the requirements in the Act) with a dentist who is working in or has contracted with a local or State government agency or institution or who is providing services as part of a certified school-based program or school-based oral health program. Provides that care provided by a public health dental hygienist under a supervision agreement may take place in any setting outside of a private dental office.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Introduced) 2025-04-11 - Rule 3-9(a) / Re-referred to Assignments [SB1982 Detail]

Download: Illinois-2025-SB1982-Introduced.html

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104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1982 Introduced 2/6/2025, by Sen. Mary Edly-Allen SYNOPSIS AS INTRODUCED:
225 ILCS 25/4
225 ILCS 25/13.10
Amends the Illinois Dental Practice Act. Deletes the definition of "public health setting". Provides that, after completion of a training program, a public health dental hygienist may provide services according to the terms of a supervision agreement (rather than may operate in a public health setting that meets the requirements in the Act) with a dentist who is working in or has contracted with a local or State government agency or institution or who is providing services as part of a certified school-based program or school-based oral health program. Provides that care provided by a public health dental hygienist under a supervision agreement may take place in any setting outside of a private dental office.
LRB104 09121 AAS 19177 b
A BILL FOR
SB1982 LRB104 09121 AAS 19177 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Dental Practice Act is amended by
changing Sections 4 and 13.10 as follows:
(225 ILCS 25/4)
(Section scheduled to be repealed on January 1, 2026)
Sec. 4. Definitions. As used in this Act:
"Address of record" means the designated address recorded
by the Department in the applicant's or licensee's application
file or license file as maintained by the Department's
licensure maintenance unit. It is the duty of the applicant or
licensee to inform the Department of any change of address and
those changes must be made either through the Department's
website or by contacting the Department.
"Department" means the Department of Financial and
Professional Regulation.
"Secretary" means the Secretary of Financial and
Professional Regulation.
"Board" means the Board of Dentistry.
"Dentist" means a person who has received a general
license pursuant to subsection paragraph (a) of Section 11 of
this Act and who may perform any intraoral and extraoral

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procedure required in the practice of dentistry and to whom is
reserved the responsibilities specified in Section 17.
"Dental hygienist" means a person who holds a license
under this Act to perform dental services as authorized by
Section 18.
"Dental assistant" means an appropriately trained person
who, under the supervision of a dentist, provides dental
services as authorized by Section 17.
"Expanded function dental assistant" means a dental
assistant who has completed the training required by Section
17.1 of this Act.
"Dental laboratory" means a person, firm, or corporation
which:
(i) engages in making, providing, repairing, or
altering dental prosthetic appliances and other artificial
materials and devices which are returned to a dentist for
insertion into the human oral cavity or which come in
contact with its adjacent structures and tissues; and
(ii) utilizes or employs a dental technician to
provide such services; and
(iii) performs such functions only for a dentist or
dentists.
"Supervision" means supervision of a dental hygienist or a
dental assistant requiring that a dentist authorize the
procedure, remain in the dental facility while the procedure
is performed, and approve the work performed by the dental

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hygienist or dental assistant before dismissal of the patient,
but does not mean that the dentist must be present at all times
in the treatment room.
"General supervision" means supervision of a dental
hygienist requiring that the patient be a patient of record,
that the dentist examine the patient in accordance with
Section 18 prior to treatment by the dental hygienist, and
that the dentist authorize the procedures which are being
carried out by a notation in the patient's record, but not
requiring that a dentist be present when the authorized
procedures are being performed. The issuance of a prescription
to a dental laboratory by a dentist does not constitute
general supervision.
"Public member" means a person who is not a health
professional. For purposes of board membership, any person
with a significant financial interest in a health service or
profession is not a public member.
"Dentistry" means the healing art which is concerned with
the examination, diagnosis, treatment planning, and care of
conditions within the human oral cavity and its adjacent
tissues and structures, as further specified in Section 17.
"Branches of dentistry" means the various specialties of
dentistry which, for purposes of this Act, shall be limited to
the following: endodontics, oral and maxillofacial surgery,
orthodontics and dentofacial orthopedics, pediatric dentistry,
periodontics, prosthodontics, oral and maxillofacial

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radiology, and dental anesthesiology.
"Specialist" means a dentist who has received a specialty
license pursuant to subsection (b) of Section 11 11(b).
"Dental technician" means a person who owns, operates, or
is employed by a dental laboratory and engages in making,
providing, repairing, or altering dental prosthetic appliances
and other artificial materials and devices which are returned
to a dentist for insertion into the human oral cavity or which
come in contact with its adjacent structures and tissues.
"Informed consent" means legally valid consent that is
given by a patient or legal guardian, that is recorded in
writing or digitally, that authorizes intervention or
treatment services from the treating dentist, and that
documents agreement to participate in those services and
knowledge of the risks, benefits, and alternatives, including
the decision to withdraw from or decline treatment.
"Impaired dentist" or "impaired dental hygienist" means a
dentist or dental hygienist who is unable to practice with
reasonable skill and safety because of a physical or mental
disability as evidenced by a written determination or written
consent based on clinical evidence, including deterioration
through the aging process, loss of motor skills, abuse of
drugs or alcohol, or a psychiatric disorder, of sufficient
degree to diminish the person's ability to deliver competent
patient care.
"Nurse" means a registered professional nurse, a certified

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registered nurse anesthetist licensed as an advanced practice
registered nurse, or a licensed practical nurse licensed under
the Nurse Practice Act.
"Patient of record", except as provided in Section 17.2,
means a patient for whom the patient's most recent dentist has
obtained a relevant medical and dental history and on whom the
dentist has performed a physical examination within the last
year and evaluated the condition to be treated, including a
review of the patient's most recent x-rays.
"Dental responder" means a dentist or dental hygienist who
is appropriately certified in disaster preparedness,
immunizations, and dental humanitarian medical response
consistent with the Society of Disaster Medicine and Public
Health and training certified by the National Incident
Management System or the National Disaster Life Support
Foundation.
"Mobile dental van or portable dental unit" means any
self-contained or portable dental unit in which dentistry is
practiced that can be moved, towed, or transported from one
location to another in order to establish a location where
dental services can be provided.
"Public health dental hygienist" means a hygienist who
holds a valid license to practice in the State, has 2 years of
full-time clinical experience or an equivalent of 4,000 hours
of clinical experience, and has completed at least 42 clock
hours of additional structured courses in dental education in

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advanced areas specific to public health dentistry.
"Public health setting" means a federally qualified health
center; a federal, State, or local public health facility;
Head Start; a special supplemental nutrition program for
Women, Infants, and Children (WIC) facility; a certified
school-based health center or school-based oral health
program; a prison; or a long-term care facility.
"Public health supervision" means the supervision of a
public health dental hygienist by a licensed dentist who has a
written public health supervision agreement with that public
health dental hygienist while working in an approved facility
or program that allows the public health dental hygienist to
treat patients, without a dentist first examining the patient
and being present in the facility during treatment, (1) who
are eligible for Medicaid or (2) who are uninsured or whose
household income is not greater than 300% of the federal
poverty level.
"Teledentistry" means the use of telehealth systems and
methodologies in dentistry and includes patient diagnosis,
treatment planning, care, and education delivery for a patient
of record using synchronous and asynchronous communications
under an Illinois licensed dentist's authority as provided
under this Act.
"Moderate sedation" means a drug-induced depression of
consciousness during which: (1) patients respond purposefully
to verbal commands, either alone or accompanied by light

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tactile stimulation; (2) no interventions are required to
maintain a patient's airway and spontaneous ventilation is
adequate; and (3) cardiovascular function is usually
maintained.
"Deep sedation" means a drug-induced depression of
consciousness during which: (1) patients cannot be easily
aroused, but respond purposefully following repeated or
painful stimulation; (2) the ability to independently maintain
ventilatory function may be impaired; (3) patients may require
assistance in maintaining airways and spontaneous ventilation
may be inadequate; and (4) cardiovascular function is usually
maintained.
"General anesthesia" means a drug-induced loss of
consciousness during which: (1) patients are not arousable,
even by painful stimulation; (2) the ability to independently
maintain ventilatory function is often impaired; (3) patients
often require assistance in maintaining airways and positive
pressure ventilation may be required because of depressed
spontaneous ventilation or drug-induced depression of
neuromuscular function; and (4) cardiovascular function may be
impaired.
"Venipuncture" means the puncture of a vein as part of a
medical procedure, typically to withdraw a blood sample or for
an intravenous catheter for the administration of medication
or fluids.
"Enteral route of administration" means administration of

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a drug that is absorbed through the gastrointestinal tract or
through oral, rectal, or sublingual mucosa.
"Parenteral route of administration" means administration
of a drug by which the drug bypasses the gastrointestinal
tract through intramuscular, intravenous, intranasal,
submucosal, subcutaneous, or intraosseous methods.
(Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;
102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
1-1-24; 103-605, eff. 7-1-24; 103-628, eff. 7-1-24; 103-902,
eff. 8-9-24; revised 10-10-24.)
(225 ILCS 25/13.10)
(Section scheduled to be repealed on January 1, 2026)
Sec. 13.10. Public health dental hygienist supervision
agreement. After completion of the requirements of Section
13.5, a public health dental hygienist may provide services
according to the terms of the supervision agreement with
operate in a public health setting that meets the requirements
of Section 18.1 with a dentist who is working in or has
contracted with a local or State government agency or
institution or who is providing services as part of a
certified school-based program or school-based oral health
program. Care provided by a public health dental hygienist
under a supervision agreement may take place in any setting
outside of a private dental office.
(Source: P.A. 101-64, eff. 7-12-19.)