Bill Text: PA HB2492 | 2011-2012 | Regular Session | Amended


Bill Title: Further providing for definitions, for general powers of the State Board of Dentistry, for fees, for reason for refusal, revocation or suspension of license or certificate, for penalties and for reporting of multiple licensure or certification; and providing for restricted faculty license.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2012-10-03 - Laid on the table [HB2492 Detail]

Download: Pennsylvania-2011-HB2492-Amended.html

  

 

PRIOR PRINTER'S NO. 3801

PRINTER'S NO.  4184

  

THE GENERAL ASSEMBLY OF PENNSYLVANIA

  

HOUSE BILL

 

No.

2492

Session of

2012

  

  

INTRODUCED BY O'NEILL, COHEN, DAVIDSON, DENLINGER, EVERETT, GEIST, GINGRICH, HARKINS, HARPER, JOSEPHS, MANN, MILLER, SCHMOTZER, MURT, D. COSTA, GILLESPIE, WATERS, WILLIAMS AND KORTZ, JUNE 21, 2012

  

  

AS REPORTED FROM COMMITTEE ON PROFESSIONAL LICENSURE, HOUSE OF REPRESENTATIVES, AS AMENDED, OCTOBER 3,2012   

  

  

  

AN ACT

  

1

Amending the act of May 1, 1933 (P.L.216, No.76), entitled "An

2

act relating to dentistry; defining and providing for the

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licensing and registration of dentists and dental hygienists,

4

and for the revocation and suspension of such licenses and

5

registrations, subject to appeal, and for their

6

reinstatement; defining the powers and duties of the State

7

Dental Council and Examining Board and the Department of

8

Public Instruction; providing penalties; and repealing

9

existing laws," further providing for definitions, for

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general powers of the State Board of Dentistry, for fees, for

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reason for refusal, revocation or suspension of license or

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certificate, for penalties and for reporting of multiple

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licensure or certification; and providing for restricted

14

faculty license.

15

The General Assembly of the Commonwealth of Pennsylvania

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hereby enacts as follows:

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Section 1.  The definition of "practice of dentistry" in

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section 2 of the act of May 1, 1933 (P.L.216, No.76), known as

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The Dental Law, amended December 16, 1992 (P.L.1222, No.160), is

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amended and the section is amended by adding a definition to

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read:

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Section 2.  Definitions.--A person engages in the "Practice

 


1

of Dentistry," within the meaning of this act, who diagnoses,

2

treats, operates on, or prescribes for any disease, pain or

3

injury, or regulates any deformity or physical condition, of the

4

human teeth, jaws, or associated structures, or conducts a

5

physical evaluation, or administers anesthetic agents, or uses

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ionizing radiation in the course of dental practice, or who

7

fits, constructs, and inserts any artificial appliance, plate,

8

or denture for the human teeth or jaws, or who holds himself or

9

herself out as being able or legally authorized to do so. The

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term "Practice of Dentistry" includes the practice of dentistry

11

under a restricted faculty license. The term "Practice of

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Dentistry" does not include:

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(a)  The practice of any of the healing arts by duly licensed

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practitioners.

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(b)  The extracting of teeth or relieving pain by a licensed

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physician or surgeon in emergencies, or the making of

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applications for such purposes.

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(c)  The practice of dentistry by a duly licensed

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practitioner of dentistry of any other state or country, for the

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limited purpose of consultation with respect to any case under

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treatment in this Commonwealth, or of demonstrating before any

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duly authorized dental society in this Commonwealth.

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[(d)  The practice of dentistry by a duly licensed

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practitioner of dentistry of any other state or country for the

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limited purpose of teaching, including clinical teaching, in a

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dental school or advanced dental education program in the

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Commonwealth approved by the board after notification to the

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board and in accordance with board regulations. Appointments

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shall not exceed four (4) years and may only be extended if the

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practitioner receives a license from the board.]

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(e)  The practice of dentistry in clinical departments and

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laboratories of dental schools and their affiliated facilities

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approved by the board in the Commonwealth, by bona fide students

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pursuing a course of study leading to the degree of Doctor of

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Dental Surgery or Doctor of Dental Medicine.

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(f)  The practice of dentistry in a dental clinic operated

7

not for profit for the duration of an internship, residency or

8

other graduate training program approved by the American Dental

9

Association Commission on Dental Accreditation or a dental

10

anesthesiology training program that meets the standards of an

11

accrediting body acceptable to the board, by persons having

12

acquired the preliminary and professional education required for

13

admission into the program, after notification to the board.

14

* * *

15

"Restricted Faculty License" means a license granted to an

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individual for the limited purpose of teaching, including

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clinical teaching, in a dental school or advanced dental

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education program as a faculty member at an accredited dental

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school in this Commonwealth.

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Section 2.  Section 3(j.2)(2) of the act, amended July 20,

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2007 (P.L.327, No.51), is amended and the section is amended by

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adding a subsection to read:

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Section 3.  General Powers of the State Board of Dentistry.--

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The State Board of Dentistry (hereinafter called the board)

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shall have the following powers and duties:

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* * *

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(c.1)  To provide for and to regulate the licensing, and to

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license to practice dentistry for the limited purpose of

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teaching, without examination, any qualified applicant who

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satisfies the requirements of section 11.11.

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1

* * *

2

(j.2)   * * *

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(2)  The following requirements shall be satisfactorily

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completed in accordance with board regulations as a precedent to

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biennial renewal of a license or certification:

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(i)  Thirty credit hours for a person licensed to practice

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dentistry, including an individual licensed to practice

8

dentistry under a restricted faculty license.

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(ii)  Twenty credit hours for a person licensed to practice

10

dental hygiene. For a public health dental hygiene practitioner,

11

five hours shall be public health-related courses.

12

(iii)  Ten credit hours for a person certified to practice

13

expanded function dental assisting.

14

* * *

15

Section 3.  Sections 4(a) and 4.1(a) introductory paragraph,

16

(3), (5), (7), (8) and (11) and (b)(3) and (6) of the act,

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amended December 27, 1994 (P.L.1361, No.160), are amended to

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read:

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Section 4.  Fees.--(a)  The fee for an applicant for

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examination and licensure to practice dentistry or as a dental

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hygienist or certification for an expanded function dental

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assistant in this Commonwealth shall be fixed by the board by

23

regulation. It shall be the duty of all persons now qualified

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and engaged in the practice of dentistry and dental hygiene or

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as a certified expanded function dental assistant, or who shall

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hereafter be licensed or certified by the board, to renew

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biennially with said board, and pay for each such biennial

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renewal a fee which shall be fixed by the board by regulation.

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The fee for an applicant for a restricted faculty license in

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this Commonwealth shall be fixed by the board by regulation.

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1

* * *

2

Section 4.1.  Reason for Refusal, Revocation or Suspension of

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License or Certificate.--(a)  The board shall have authority, by

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majority action, to refuse, revoke or suspend the license of any

5

dentist [or], dental hygienist or restricted faculty licensee or

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certificate of an expanded function dental assistant for any or

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all of the following reasons:

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* * *

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(3)  Practicing fraud or deceit in obtaining a license to

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practice dentistry or dental hygiene or restricted faculty

11

license or certificate for expanded function dental assisting or

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making a false or deceptive biennial renewal with the board.

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* * *

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(5)  Having a license to practice dentistry or dental hygiene

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or restricted faculty license or certificate for expanded

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function dental assisting revoked, suspended or having other

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disciplinary action imposed or consented to by the proper

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licensing authority of another state, territory or country or

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his application for license refused, revoked or suspended by the

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proper licensing authority of another state, territory or

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country.

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* * *

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(7)  Knowingly maintaining a professional connection or

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association with any person who is in violation of this act or

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regulations of the board or knowingly aiding, assisting,

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procuring or advising any unlicensed person to practice

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dentistry, including practice outside the scope of a restricted

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faculty license, or dental hygiene or uncertified person for

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expanded function dental assisting contrary to this act or

30

regulations of the board.

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(8)  Engaging in unprofessional conduct. For purposes of this

2

clause (8), unprofessional conduct shall include any departure

3

from, or failure to conform to, the standards of acceptable and

4

prevailing dental or dental hygiene practice, practice under a  

5

restricted faculty license and standard of care for expanded

6

function dental assistants in which proceeding actual injury to

7

the patient need not be established.

8

* * *

9

(11)  Being unable to practice dentistry or as a dental

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hygienist, as a restricted faculty licensee or as an expanded

11

function dental assistant with reasonable skill and safety to

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patients by reason of illness, drunkenness, excessive use of

13

controlled substances, chemicals or any other type of material,

14

or as the result of any mental or physical condition. In

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enforcing this clause (11), the board shall, upon probable

16

cause, have authority to compel a dentist, dental hygienist,

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restricted faculty licensee or expanded function dental

18

assistant to submit to a mental or physical examination by

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physicians designated by the board. Failure of a dentist, dental

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hygienist, restricted faculty licensee or expanded function

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dental assistant to submit to such examination when directed by

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the board, unless such failure is due to circumstances beyond

23

his control, shall constitute an admission of the allegations

24

against him, consequent upon which a default and final order may

25

be entered without the taking of testimony or presentation of

26

evidence. A dentist, dental hygienist, restricted faculty

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licensee or expanded function dental assistant affected under

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this clause (11) shall, at reasonable intervals, be afforded an

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opportunity to demonstrate that he or she can resume a competent

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practice of dentistry[,] or dental hygiene or as a restricted

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faculty licensee or an expanded function dental assistant with

2

reasonable skill and safety to patients.

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(b)  When the board finds that the license or certificate of

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any person may be refused, revoked or suspended under the terms

5

of this section, the board may:

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* * *

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(3)  Revoke, suspend, limit or otherwise restrict a license

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or certificate as determined by the board. Unless ordered to do

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so by a court, the board shall not reinstate the license of a

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person to practice dentistry, [or] as a dental hygienist or as a

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restricted faculty licensee or certificate of an expanded

12

function dental assistant, which has been revoked, and such

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person shall be required to apply for a license or certificate

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after a five-year period in accordance with section 3, if he or

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she desires to practice at any time after such revocation. Any

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person whose license or certificate has been suspended or

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revoked because of a felony conviction under the act of April

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14, 1972 (P.L.233, No.64), known as "The Controlled Substance,

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Drug, Device and Cosmetic Act," or similar law of another

20

jurisdiction, may apply for reinstatement after a period of at

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least ten (10) years has elapsed from the date of conviction.

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The board may reinstate the license or certificate if the board

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is satisfied that the person has made significant progress in

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personal rehabilitation since the conviction such that his

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reinstatement should not be expected to create a substantial

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risk of harm to the health and safety of his patients or the

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public or a substantial risk of further criminal violations and

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if the person meets all other licensing or certifying

29

qualifications of this act, including the examination

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requirement.

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1

* * *

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(6)  Restore or reissue, in its discretion, a license to

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practice dentistry or dental hygiene or a restricted faculty

4

license or certificate for an expanded function dental assistant

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and impose any disciplinary or corrective measures which it

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might originally have imposed.

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* * *

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Section 4.  Section 10(a), (b) and (c) of the act, amended

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December 27, 1994 (P.L.1361, No.160), are amended and the

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section is amended by adding a subsection to read:

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Section 10.  Penalties.--(a)  It is unlawful for any person

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to practice dentistry or as a dental hygienist, as a restricted

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faculty licensee or as an expanded function dental assistant, or

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to hold himself or herself out as a practitioner of or entitled

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or authorized to practice dentistry or as a dental hygienist, as

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a restricted faculty licensee or as an expanded function dental

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assistant, or to assume any title of "dentist," "dental

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surgeon," "dental hygienist," "restricted faculty licensee,"

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"expanded function dental assistant" or other letters or titles

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in connection with his or her name which in any way represent

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him or her as being engaged in the practice of dentistry or as a

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dental hygienist, as a restricted faculty licensee or as an

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expanded function dental assistant, or authorized so to do,

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unless he or she has been duly licensed or certified, and

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authorized to engage in such practice under the provisions of

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this act. A person who violates this subsection commits a

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misdemeanor of the third degree and shall, upon conviction, for

28

a first offense, be sentenced to a fine not to exceed one

29

thousand dollars ($1,000) or to imprisonment for not more than

30

six months, or both. A second offense shall be subject to a fine

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not to exceed two thousand dollars ($2,000) or imprisonment for

2

a term of six months to one year, or both.

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(b)  It is unlawful for any person to practice dentistry or

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as a dental hygienist, as a restricted faculty licensee or as an

5

expanded function dental assistant under a name other than that

6

on his or her license and biennial renewal, or to practice under

7

the name on his or her license and biennial renewal with any

8

addition thereto, except a purely technical appellation such as

9

"Dentist," "D.D.S.," "Orthodontist" or other word or letters

10

pertaining strictly to the practice of dentistry, or to induce

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any person to practice dentistry or as a dental hygienist, as a

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restricted faculty licensee or as an expanded function dental

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assistant in violation of this act.

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(c)  It is unlawful for any person to sell, offer to sell or

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barter or exchange any diploma or document conferring or

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purporting to confer any dental degree or any license or

17

certificate issued according to law regulating the licensing of

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dentists [or], dental hygienists, restricted faculty licensees 

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or expanded function dental assistants, or to alter any such

20

document with fraudulent intent, or to use it as a license to

21

practice dentistry under an assumed name, or to make any false

22

statement in an affidavit relating to or in an application for a

23

license.

24

* * *

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(g.1)  It is unlawful for any restricted faculty licensee to

26

practice dentistry outside the primary research facilities of

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the dental school in this Commonwealth at which the individual

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is licensed to teach.

29

* * *

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Section 5.  Section 11.5 of the act, amended December 27,

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1

1994 (P.L.1361, No.160), is amended to read:

2

Section 11.5.  Reporting of Multiple Licensure or

3

Certification.--Any licensed dentist or dental hygienist,

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restricted faculty licensee or certified expanded function

5

dental assistant of this Commonwealth who is also licensed to

6

practice dentistry or as a dental hygienist, as a restricted

7

faculty licensee or a certified expanded function dental

8

assistant in any other state, territory or country shall report

9

this information to the board on the biennial renewal

10

application. Any disciplinary action taken in other states,

11

territories or countries shall be reported to the board on the

12

biennial renewal application or within ninety (90) days of

13

disposition, whichever is sooner. Multiple licensure or

14

certification shall be noted by the board on the dentist's,

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dental hygienist's, restricted faculty licensee's or expanded

16

function dental assistant's record, and such state, territory or

17

country shall be notified by the board of any disciplinary

18

actions taken against the dentist [or], dental hygienist or 

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restricted faculty licensee in this Commonwealth.

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Section 6.  The act is amended by adding a section to read:

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Section 11.11.  Restricted Faculty License.--(a)  The board

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shall grant without examination a restricted faculty license to

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any qualified individual, not less than twenty-one years of age,

24

of good moral character, not addicted to the use of intoxicating

25

liquor or narcotic drugs, who satisfies the following criteria:

26

(1)  Is licensed to practice dentistry by the proper

27

licensing authority of another state, country or territory in

<--

28

which the standards for practicing and teaching are in

29

accordance with, and approved by, the Commission on Dental

30

Accreditation of the American Dental Association.

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1

(2)  Is not licensed to practice dentistry in this

2

Commonwealth.

3

(3)  Has successfully completed a specialty dentistry

4

program, or advanced dental training in a clinical field, that

5

is approved by the Commission on Dental Accreditation of the

6

American Dental Association.

7

(4)  Holds an appointment to the faculty of a dental school

8

in this Commonwealth that is approved by the Commission on

9

Dental Accreditation of the American Dental Association to teach

10

dentistry.

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(5)  Has not failed an examination for a license to practice

12

dentistry in this Commonwealth.

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(6)  Has met educational requirements as set by the board.

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(7)  Submits a completed application, including supporting

15

documents the board deems necessary and the prescribed fee.

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(b)  A restricted faculty license shall entitle the licensee

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to engage in direct clinical teaching, which shall include

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practicing clinical care for the purpose of instructing and

19

teaching students and residents, and supervision of care

20

provided by students and residents, in no more than one area of

21

specialty, only within the educational facilities of a dental

22

school in this Commonwealth that is approved by the Commission

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on Dental Accreditation of the American Dental Association.

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Licensees shall be limited to the primary research facilities

25

within the dental school, and may not engage in clinical

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teaching at satellite or other off-campus sites, such as

27

clinics. The practice of dentistry at any satellite or off-

28

campus site requires an unrestricted license to practice

29

dentistry issued by the board.

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(c)  A restricted faculty licensee may receive additional

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1

compensation, to be paid by the dental school, for clinical care

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provided in accordance with subsection (b).

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(d)  A restricted faculty license may be renewed on a

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biennial basis. Conditions of renewal, including continuing

5

education, shall be set by the board by regulation.

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Section 7.  This act shall take effect in 60 days.

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