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SB89,17,824 (c) 1. A dental therapist licensed under this chapter may provide dental
25therapy services only under the general supervision of a qualifying dentist with

1whom the dental therapist has entered into a collaborative management agreement.
2For purposes of this subdivision, general supervision of a dental therapist by a
3dentist requires that a task or procedure be performed by a dental therapist with the
4prior knowledge and consent of the dentist, but does not require the presence of the
5dentist in the office or on the premises at the time a task or procedure is being
6performed by the dental therapist and does not require prior examination or
7diagnosis of a patient by the dentist before the dental therapist provides dental
8therapy services to the patient.
SB89,17,159 2. A supervising dentist shall accept responsibility for all services performed
10by a dental therapist pursuant to a collaborative management agreement. If services
11needed by a patient are beyond the dental therapist's scope of practice or
12authorization under the collaborative management agreement, the dental therapist
13shall, to the extent required under the collaborative management agreement,
14consult with the supervising dentist as needed to arrange for those services to be
15provided by a dentist or another qualified health care professional.
SB89,17,1916 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
17enter into a written collaborative management agreement with a qualifying dentist
18who will serve as a supervising dentist under par. (c). The agreement must be signed
19by the dental therapist and the qualifying dentist and address all of the following:
SB89,17,2120 a. The practice settings where services may be provided and the patient
21populations that may be served.
SB89,17,2422 b. Any conditions or limitations on the services that may be provided by the
23dental therapist, the level of supervision required, and any circumstances requiring
24consultation prior to performing services.
SB89,17,2525 c. Age-specific and procedure-specific practice protocols.
SB89,18,1
1d. Dental record-keeping procedures.
SB89,18,22 e. Plans for managing dental or medical emergencies.
SB89,18,43 f. A quality assurance plan for monitoring care provided by the dental
4therapist.
SB89,18,55 g. Protocols for administering and dispensing medications.
SB89,18,76 h. Criteria or protocols relating to the provision of care to patients with specific
7medical conditions, treatments, or medications.
SB89,18,88 i. Policies relating to supervision of dental hygienists and other staff.
SB89,18,119 j. A plan for the referral of patients to other dental or health care professionals
10or clinics when services needed are beyond the scope of practice or authorization of
11the dental therapist.
SB89,18,1312 k. Whether and to what extent the dental therapist may perform services
13described in par. (b) 15.
SB89,18,1514 2. a. A collaborative management agreement shall be limited to covering one
15qualifying dentist and one dental therapist.
SB89,18,1716 b. A dental therapist may enter into multiple collaborative management
17agreements.
SB89,18,1918 c. No dentist may have collaborative management agreements with more than
195 dental therapists at any time.
SB89,42 20Section 42 . 447.065 of the statutes is amended to read:
SB89,18,25 21447.065 Delegation of remediable procedures and dental practices. (1)
22A dentist or dental therapist who is licensed to practice dentistry under this chapter
23may delegate to an individual who is not licensed under this chapter only the
24performance of remediable procedures, and only if all of the following conditions are
25met:
SB89,19,2
1(a) The unlicensed individual performs the remediable procedures in
2accordance with a treatment plan approved by the dentist or dental therapist.
SB89,19,43 (b) The dentist or dental therapist is on the premises when the unlicensed
4individual performs the remediable procedures.
SB89,19,65 (c) The unlicensed individual's performance of the remediable procedures is
6subject to inspection by the dentist or dental therapist.
SB89,19,13 7(2) Subject to the requirements under s. 447.06 (2), a dentist or dental therapist
8who is licensed to practice dentistry under this chapter may delegate to a dental
9hygienist who is licensed to practice dental hygiene under this chapter the
10performance of remediable procedures and the administration of oral systemic
11premedications, local anesthesia, nitrous oxide inhalation analgesia, and
12subgingival sustained release chemotherapeutic agents, to the extent the dentist or
13dental therapist has the authority to perform the activity personally
.
SB89,19,16 14(3) A dentist or dental therapist who delegates to another individual the
15performance of any practice or remediable procedure is responsible for that
16individual's performance of that delegated practice or procedure.
SB89,43 17Section 43 . 447.07 (1) of the statutes is amended to read:
SB89,19,2318 447.07 (1) The examining board may, without further notice or process, limit,
19suspend, or revoke the license or certificate of any dentist, dental therapist, or dental
20hygienist, or the registration of a mobile dentistry program registrant, who fails,
21within 60 days after the mailing of written notice to the dentist's, dental therapist's,
22dental hygienist's, or registrant's last-known address, to renew the license,
23certificate, or registration.
SB89,44 24Section 44 . 447.07 (3) (intro.) of the statutes is amended to read:
SB89,20,12
1447.07 (3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
2examining board may make investigations and conduct hearings in regard to any
3alleged action of any dentist, dental therapist, or dental hygienist, of a mobile
4dentistry program registrant, or of any other person it has reason to believe is
5engaged in or has engaged in the practice of dentistry, dental therapy, or dental
6hygiene, or the operation of a mobile dentistry program, in this state, and may, on
7its own motion, or upon complaint in writing, reprimand any dentist , dental
8therapist,
or dental hygienist who is licensed or certified under this chapter, or any
9mobile dentistry program registrant, or deny, limit, suspend, or revoke his or her
10license or certificate, or the registration of the mobile dentistry program registrant,
11if it finds that the dentist, dental therapist, dental hygienist, or mobile dentistry
12program registrant has done any of the following:
SB89,45 13Section 45 . 447.07 (3) (e) to (h) of the statutes are amended to read:
SB89,20,1614 447.07 (3) (e) Subject to ss. 111.321, 111.322, and 111.335, been convicted of a
15crime, the circumstances of which substantially relate to the practice of dentistry,
16dental therapy,
or dental hygiene or the operation of a mobile dentistry program.
SB89,20,1917 (f) Violated this chapter or any federal or state statute or rule that relates to
18the practice of dentistry, dental therapy, or dental hygiene, or the operation of a
19mobile dentistry program.
SB89,20,2220 (g) Subject to ss. 111.321, 111.322 and 111.34, practiced dentistry , dental
21therapy,
or dental hygiene while his or her ability was impaired by alcohol or other
22drugs.
SB89,20,2523 (h) Engaged in conduct that indicates a lack of knowledge of, an inability to
24apply or the negligent application of, principles or skills of dentistry , dental therapy,
25or dental hygiene.
SB89,46
1Section 46. 447.40 (intro.) of the statutes is amended to read:
SB89,21,9 2447.40 Informed consent. (intro.) Any dentist or dental therapist who treats
3a patient shall inform the patient about the availability of reasonable alternate
4modes of treatment and about the benefits and risks of these treatments. The
5reasonable dentist standard is the standard for informing a patient under this
6section. The reasonable dentist standard requires disclosure only of information
7that a reasonable dentist would know and disclose under the circumstances. The
8dentist's or dental therapist's duty to inform the patient under this section does not
9require disclosure of any of the following:
SB89,47 10Section 47 . 447.40 (6) of the statutes is amended to read:
SB89,21,1311 447.40 (6) Information about alternate modes of treatment for any condition
12the dentist or dental therapist has not included in his or her diagnosis, assessment,
13or treatment plan
at the time the dentist or dental therapist informs the patient.
SB89,48 14Section 48 . 448.03 (2) (a) of the statutes is amended to read:
SB89,21,2115 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
16permit, registration, certificate or certification granted to practice midwifery under
17subch. XIII of ch. 440, to practice professional or practical nursing or
18nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
19dentistry, dental therapy, or dental hygiene under ch. 447, to practice optometry
20under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
21provision, or as otherwise provided by statute.
SB89,49 22Section 49 . 448.21 (1) (a) of the statutes is amended to read:
SB89,21,2423 448.21 (1) (a) The practice of dentistry, dental therapy, or dental hygiene within
24the meaning of ch. 447.
SB89,50 25Section 50 . 450.03 (1) (e) of the statutes is amended to read:
SB89,22,7
1450.03 (1) (e) Any person lawfully practicing within the scope of a license,
2permit, registration, certificate, or certification granted to provide home medical
3oxygen under s. 450.076, to practice professional or practical nursing or
4nurse-midwifery under ch. 441, to practice dentistry, dental therapy, or dental
5hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
6optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
7otherwise provided by statute.
SB89,51 8Section 51 . 450.10 (3) (a) 4. of the statutes is amended to read:
SB89,22,99 450.10 (3) (a) 4. A dentist or dental therapist licensed under ch. 447.
SB89,52 10Section 52 . 462.02 (2) (d) of the statutes is amended to read:
SB89,22,1311 462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental therapist licensed
12under s. 447.04 (1m),
a dental hygienist licensed under s. 447.04 (2), or a person
13under the direct supervision of a dentist.
SB89,53 14Section 53 . 462.04 of the statutes is amended to read:
SB89,22,23 15462.04 Prescription or order required. A person who holds a license or
16limited X-ray machine operator permit under this chapter may not use diagnostic
17X-ray equipment on humans for diagnostic purposes unless authorized to do so by
18prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
19under s. 447.04 (1), a dental therapist licensed under s. 447.04 (1m), a podiatrist
20licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced
21practice nurse certified under s. 441.16 (2), a physician assistant licensed under s.
22448.04 (1) (f), or, subject to s. 448.56 (7) (a), a physical therapist licensed under s.
23448.53.
SB89,54 24Section 54 . 463.10 (5) of the statutes is amended to read:
SB89,23,4
1463.10 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
2licensed under s. 447.03 (1) or to a
, dental therapist, or physician who tattoos or
3offers to tattoo a person in the course of the dentist's, dental therapist's, or physician's
4professional practice.
SB89,55 5Section 55 . 463.12 (5) of the statutes is amended to read:
SB89,23,96 463.12 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
7licensed under s. 447.03 (1) or to a
, dental therapist, or physician who pierces the
8body of or offers to pierce the body of a person in the course of the dentist's, dental
9therapist's,
or physician's professional practice.
SB89,56 10Section 56 . 632.87 (4) of the statutes is amended to read:
SB89,23,1511 632.87 (4) No policy, plan or contract may exclude coverage for diagnosis and
12treatment of a condition or complaint by a licensed dentist or dental therapist within
13the scope of the dentist's or dental therapist's license, if the policy, plan or contract
14covers diagnosis and treatment of the condition or complaint by another health care
15provider, as defined in s. 146.81 (1) (a) to (p).
SB89,57 16Section 57 . 895.48 (1m) (a) (intro.) of the statutes is amended to read:
SB89,24,317 895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician, physician
18assistant, podiatrist, or athletic trainer licensed under ch. 448, chiropractor licensed
19under ch. 446, dentist or dental therapist licensed under ch. 447, emergency medical
20services practitioner licensed under s. 256.15, emergency medical responder
21certified under s. 256.15 (8), registered nurse licensed under ch. 441, or a massage
22therapist or bodywork therapist licensed under ch. 460 who renders voluntary health
23care to a participant in an athletic event or contest sponsored by a nonprofit
24corporation, as defined in s. 66.0129 (6) (b), a private school, as defined in s. 115.001
25(3r), a tribal school, as defined in s. 115.001 (15m), a public agency, as defined in s.

146.856 (1) (b), or a school, as defined in s. 609.655 (1) (c), is immune from civil liability
2for his or her acts or omissions in rendering that care if all of the following conditions
3exist:
SB89,58 4Section 58 . 895.48 (1m) (a) 2. of the statutes is amended to read:
SB89,24,95 895.48 (1m) (a) 2. The physician, podiatrist, athletic trainer, chiropractor,
6dentist, dental therapist, emergency medical services practitioner, as defined in s.
7256.01 (5), emergency medical responder, as defined in s. 256.01 (4p), physician
8assistant, registered nurse, massage therapist or bodywork therapist does not
9receive compensation for the health care, other than reimbursement for expenses.
SB89,59 10Section 59 . 941.315 (5) of the statutes is amended to read:
SB89,24,1411 941.315 (5) (a) Subsection (2) does not apply to a person to whom nitrous oxide
12is administered for the purpose of providing medical or dental care, if the nitrous
13oxide is administered by a physician or, dentist, or dental therapist or at the direction
14or under the supervision of a physician or, dentist, or dental therapist.
SB89,24,1815 (b) Subsection (3) does not apply to the administration of nitrous oxide by a
16physician or, dentist, or dental therapist, or by another person at the direction or
17under the supervision of a physician or, dentist, or dental therapist, for the purpose
18of providing medical or dental care.
SB89,24,2219 (c) Subsection (3) (c) does not apply to the sale to a hospital, health care clinic
20or other health care organization or to a physician or , dentist, or dental therapist of
21any object used, designed for use or primarily intended for use in administering
22nitrous oxide for the purpose of providing medical or dental care.
SB89,60 23Section 60 . Nonstatutory provisions.
SB89,25,224 (1) When the first individual becomes licensed as a dental therapist in this
25state under s. 447.04 (1m), the dentistry examining board shall send a notice to the

1legislative reference bureau for publication in the Wisconsin Administrative
2Register.
SB89,25,113 (2) (a) The dentistry examining board shall promulgate emergency rules under
4s. 227.24 that are necessary to implement this act. Notwithstanding s. 227.24 (1) (c)
5and (2), emergency rules promulgated under this paragraph remain in effect for 2
6years, or until the date on which permanent rules take effect, whichever is sooner.
7Notwithstanding s. 227.24 (1) (a) and (3), the board is not required to provide
8evidence that promulgating a rule under this paragraph as an emergency rule is
9necessary for the preservation of the public peace, health, safety, or welfare and is
10not required to provide a finding of emergency for a rule promulgated under this
11paragraph.
SB89,25,1812 (b) The dentistry examining board shall present a statement of scope for
13permanent and emergency rules required to implement this act to the department
14of administration under s. 227.135 (2) no later than the 30th day after the effective
15date of this paragraph. Notwithstanding s. 227.135 (2), if the governor does not
16disapprove the statement of scope by the 30th day after the statement is presented
17to the department of administration, the statement is considered to be approved by
18the governor.
SB89,25,2419 (c) The dentistry examining board shall submit a proposed emergency rule
20required to implement this act to the governor for approval under s. 227.24 (1) (e) 1g.
21no later than the 150th day after the effective date of this paragraph.
22Notwithstanding s. 227.24 (1) (e) 1g., if the governor does not reject the proposed
23emergency rule by the 14th day after the rule is submitted to the governor in final
24draft form, the rule is considered to be approved by the governor.
SB89,26,6
1(d) The dentistry examining board shall submit a proposed permanent rule
2required to implement this act to the governor for approval under s. 227.185 no later
3than the 365th day after the effective date of this paragraph. Notwithstanding s.
4227.185, if the governor does not reject that proposed permanent rule by the 30th day
5after the rule is submitted to the governor in final draft form, the rule is considered
6to be approved by the governor.
SB89,61 7Section 61 . Effective dates. This act takes effect on the day after publication,
8except as follows:
SB89,26,109 (1) The treatment of s. 15.405 (6) (am) takes effect on the date the notice under
10Section 60 (1) of this act is published in the Wisconsin Administrative Register.
SB89,26,1111 (End)
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