Bill Text: IL SB2965 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Amends the Illinois Dental Practice Act. Makes changes to the definitions of "branches of dentistry" and "teledentistry". Provides that a dentist may administer vaccinations to patients 18 years of age and older if it is a general policy or recommendation published by the Centers for Disease Control or the Director of Public Health. Effective immediately.

Spectrum: Slight Partisan Bill (Democrat 3-1)

Status: (Failed) 2021-01-13 - Session Sine Die [SB2965 Detail]

Download: Illinois-2019-SB2965-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 SB2965 Introduced 2/4/2020, by Sen. Rachelle Crowe SYNOPSIS AS INTRODUCED:
225 ILCS 25/4 from Ch. 111, par. 2304
225 ILCS 25/54.3
Amends the Illinois Dental Practice Act. Makes changes to the definitions of "branches of dentistry" and "teledentistry". Provides that a dentist may administer vaccinations to patients 18 years of age and older if it is a general policy or recommendation published by the Centers for Disease Control or the Director of Public Health. Effective immediately.
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A BILL FOR
SB2965 LRB101 19598 SPS 69074 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 54.3 as follows:
(225 ILCS 25/4) (from Ch. 111, par. 2304)
(Section scheduled to be repealed on January 1, 2026)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 paragraph (a) of Section 11 of this Act and who may
perform any intraoral and extraoral procedure required in the

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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, and oral and maxillofacial

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radiology, and dental anesthesiology.
"Specialist" means a dentist who has received a specialty
license pursuant to Section 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.
"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
registered nurse anesthetist licensed as an advanced practice
registered nurse, or a licensed practical nurse licensed under
the Nurse Practice Act.
"Patient of record" 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 an examination
and evaluated the condition to be treated.

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"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
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; or a certified
school-based health center or school-based oral health
program.
"Public health supervision" means the supervision of a
public health dental hygienist by a licensed dentist who has a

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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 and whose
household income is not greater than 200% of the federal
poverty level.
"Teledentistry" means the use of telehealth systems and
methodologies in dentistry and includes limited patient
diagnosis, treatment planning, care and education delivery
using synchronous and asynchronous communications under an
Illinois licensed a dentist's authority as provided under this
Act.
(Source: P.A. 100-215, eff. 1-1-18; 100-513, eff. 1-1-18;
100-863, eff. 8-14-18; 101-64, eff. 7-12-19; 101-162, eff.
7-26-19; revised 9-27-19.)
(225 ILCS 25/54.3)
(Section scheduled to be repealed on January 1, 2026)
Sec. 54.3. Vaccinations.
(a) Notwithstanding Section 54.2 of this Act, a dentist may
administer vaccinations upon completion of appropriate
training set forth by rule and approved by the Department on
appropriate vaccine storage, proper administration, and
addressing contraindications and adverse reactions.

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Vaccinations shall be limited to patients 18 years of age and
older pursuant to a valid prescription or standing order by a
physician licensed to practice medicine in all its branches
who, in the course of professional practice, administers
vaccines to patients or if it is a general policy or
recommendation published by the Centers for Disease Control or
the Director of Public Health. Methods of communication shall
be established for consultation with the physician in person or
by telecommunications.
(b) Vaccinations administered by a dentist shall be limited
to influenza (inactivated influenza vaccine and live
attenuated influenza intranasal vaccine). Vaccines shall only
be administered by the dentist and shall not be delegated to an
assistant or any other person. Vaccination of a patient by a
dentist shall be documented in the patient's dental record and
the record shall be retained in accordance with current dental
recordkeeping standards. The dentist shall notify the
patient's primary care physician of each dose of vaccine
administered to the patient and shall enter all patient level
data or update the patient's current record. The dentist may
provide this notice to the patient's physician electronically.
In addition, the dentist shall enter all patient level data on
vaccines administered in the immunization data registry
maintained by the Department of Public Health.
(c) A dentist shall only provide vaccinations under this
Section if contracted with and credentialed by the patient's

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health insurance, health maintenance organization, or other
health plan to specifically provide the vaccinations allowed
under this Section. Persons enrolled in Medicare or Medicaid
may only receive the vaccinations allowed for under this
Section from dentists who are authorized to do so by the
federal Centers for Medicare and Medicaid Services or the
Department of Healthcare and Family Services.
(d) The Department shall adopt any rules necessary to
implement this Section.
(e) This Section is repealed on January 1, 2026.
(Source: P.A. 101-162, eff. 7-26-19.)
Section 99. Effective date. This Act takes effect upon
becoming law.