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SB89,12,14 6447.057 Continuing education; dental therapists. (1) (a) Except as
7provided in subs. (3) and (4), a person is not eligible for renewal of a license to practice
8dental therapy, other than a permit issued under s. 447.02 (3), unless the person has
9taught, prepared, attended, or otherwise completed, during the 2-year period
10immediately preceding the renewal date specified under s. 440.08 (2) (a), 12 credit
11hours of continuing education relating to the clinical practice of dental therapy that
12is sponsored or recognized by a local, state, regional, national, or international
13dental, dental therapy, dental hygiene, dental assisting, or medical-related
14professional organization.
SB89,12,1615 (b) Continuing education required under par. (a) may include training in all of
16the following:
SB89,12,1817 1. Basic life support or cardiopulmonary resuscitation. Not more than 2 of the
18credit hours required under par. (a) may be satisfied by such training.
SB89,12,2019 2. Infection control. Not less than 2 of the credit hours required under par. (a)
20must be satisfied by such training.
SB89,12,2321 (d) After consultation with the department of health services, the examining
22board may promulgate rules requiring that continuing education credit hours under
23par. (a) include courses in specific clinical subjects.
SB89,12,25 24(2) The credit hours required under sub. (1) (a) may be satisfied by independent
25study, correspondence, or Internet programs or courses.
SB89,13,3
1(3) Subsection (1) (a) does not apply to an applicant for renewal of a license that
2expires on the first renewal date after the date on which the examining board
3initially granted the license.
SB89,13,7 4(4) A person may substitute credit hours of college level courses related to the
5practice of dental therapy for the credit hours required under sub. (1) (a). For
6purposes of this subsection, one credit hour of a college level course is equivalent to
76 credit hours of continuing education.
SB89,13,11 8(5) For purposes of sub. (1) (a), one hour of teaching or preparing a continuing
9education program is equivalent to one credit hour of continuing education, but a
10person who teaches or prepares a continuing education program may obtain credit
11for the program only once.
SB89,13,14 12(6) The examining board may require applicants for renewal of a license to
13practice dental therapy to submit proof of compliance with the requirements of this
14section.
SB89,35 15Section 35 . 447.06 (1) of the statutes is amended to read:
SB89,13,2216 447.06 (1) No contract of employment entered into between a dentist or dental
17therapist
and any other party under which the dentist or dental therapist renders
18dental services may require the dentist or dental therapist to act in a manner which
19that violates the professional standards for dentistry or dental therapy set forth in
20this chapter. Nothing in this subsection limits the ability of the other party to control
21the operation of the dental practice in a manner in accordance with the professional
22standards for dentistry or dental therapy set forth in this chapter.
SB89,36 23Section 36 . 447.06 (1m) of the statutes is created to read:
SB89,14,224 447.06 (1m) No contract of employment entered into between a dental
25therapist and any other party under which the dental therapist is employed to

1practice dental therapy may require a dental therapist to meet a minimum quota for
2the number of patients seen or the number of procedures performed.
SB89,37 3Section 37 . 447.06 (2) (a) 3. of the statutes is amended to read:
SB89,14,54 447.06 (2) (a) 3. For a school for the education of dentists, dental therapists,
5or dental hygienists.
SB89,38 6Section 38 . 447.06 (2) (b) of the statutes is amended to read:
SB89,14,117 447.06 (2) (b) A dental hygienist may practice dental hygiene or perform
8remediable procedures under par. (a) 1. only as authorized by a dentist or dental
9therapist
who is licensed to practice dentistry or dental therapy under this chapter
10and who is present in the facility in which those practices or procedures are
11performed, except as provided in par. (c).
SB89,39 12Section 39 . 447.06 (2) (c) (intro.) of the statutes is amended to read:
SB89,14,1713 447.06 (2) (c) (intro.) A dental hygienist may practice dental hygiene or perform
14remediable procedures under par. (a) 1. if a dentist or dental therapist who is licensed
15to practice dentistry or dental therapy under this chapter is not present in the facility
16in which those practices or procedures are performed only if all of the following
17conditions are met:
SB89,40 18Section 40 . 447.06 (2) (c) 2. (intro.) of the statutes is amended to read:
SB89,14,2119 447.06 (2) (c) 2. (intro.) The dentist or dental therapist who made the written
20or oral prescription has examined the patient at least once during the 12-month
21period immediately preceding:
SB89,41 22Section 41 . 447.06 (3) of the statutes is created to read:
SB89,14,2323 447.06 (3) (a) In this subsection:
SB89,14,2424 1. “Collaborative management agreement” means an agreement under par. (d).
SB89,15,2
12. “Qualifying dentist” means a dentist who is licensed in this state and who
2is actively practicing in this state.
SB89,15,53 (b) The scope of practice of a dental therapist shall, subject to the terms of a
4collaborative management agreement, be limited to providing the following services,
5treatments, and procedures:
SB89,15,76 1. Oral evaluation and assessment of dental disease and formulation of an
7individualized treatment plan.
SB89,15,108 2. Identification of oral and systemic conditions requiring evaluation or
9treatment by dentists, physicians, or other health care providers and managing
10referrals.
SB89,15,1111 3. Comprehensive charting of the oral cavity.
SB89,15,1312 4. Oral health instruction and disease prevention education, including
13nutritional counseling and dietary analysis.
SB89,15,1414 5. Exposure and evaluation of radiographic images.
SB89,15,1515 6. Dental prophylaxis, including subgingival scaling and polishing procedures.
SB89,15,1816 7. Dispensing and administration via the oral or topical route of nonnarcotic
17analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
18health care provider.
SB89,15,2119 8. Application of topical preventive or prophylactic agents, including fluoride
20varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
21sealants.
SB89,15,2222 9. Pulp vitality testing.
SB89,15,2323 10. Application of desensitizing medications or resins.
SB89,15,2424 11. Fabrication of athletic mouth guards and soft occlusal guards.
SB89,15,2525 12. Changing of periodontal dressings.
SB89,16,1
113. Administration of local anesthetic and nitrous oxide.
SB89,16,22 14. Simple extraction of erupted primary teeth.
SB89,16,73 15. Nonsurgical extraction of periodontally diseased permanent teeth with
4tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
5collaborative management agreement, except that “dental therapy” does not include
6the extraction of a tooth that is unerupted, impacted, or fractured or that needs to
7be sectioned for removal.
SB89,16,98 16. Emergency palliative treatment of dental pain limited to the procedures in
9this paragraph.
SB89,16,1110 17. Preparation and placement of direct restoration in primary and permanent
11teeth.
SB89,16,1212 18. Fabrication and placement of single-tooth temporary crowns.
SB89,16,1313 19. Preparation and placement of preformed crowns on primary teeth.
SB89,16,1414 20. Indirect and direct pulp capping on permanent teeth.
SB89,16,1515 21. Indirect pulp capping on primary teeth.
SB89,16,1616 22. Intraoral suture placement and removal.
SB89,16,1717 23. Minor adjustment and repair of removable prostheses.
SB89,16,1818 24. Placement and removal of space maintainers.
SB89,16,1919 25. Pulpotomy on primary teeth.
SB89,16,2020 26. Tooth reimplantation and stabilization.
SB89,16,2121 27. Recementing of a permanent crown.
SB89,16,2322 28. Any additional services, treatments, or procedures specified in the rules
23promulgated under s. 447.02 (1) (g).
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:
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