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AB56,1012,22 13. Administration of local anesthetic and nitrous oxide.
AB56,1012,33 14. Simple extraction of erupted primary teeth.
AB56,1012,84 15. Nonsurgical extraction of periodontally diseased permanent teeth with
5tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
6collaborative management agreement, except that “dental therapy” does not include
7the extraction of a tooth that is unerupted, impacted, or fractured or that needs to
8be sectioned for removal.
AB56,1012,109 16. Emergency palliative treatment of dental pain limited to the procedures in
10this paragraph.
AB56,1012,1211 17. Preparation and placement of direct restoration in primary and permanent
12teeth.
AB56,1012,1313 18. Fabrication and placement of single-tooth temporary crowns.
AB56,1012,1414 19. Preparation and placement of preformed crowns on primary teeth.
AB56,1012,1515 20. Indirect and direct pulp capping on permanent teeth.
AB56,1012,1616 21. Indirect pulp capping on primary teeth.
AB56,1012,1717 22. Intraoral suture placement and removal.
AB56,1012,1818 23. Minor adjustment and repair of removable prostheses.
AB56,1012,1919 24. Placement and removal of space maintainers.
AB56,1012,2020 25. Pulpotomy on primary teeth.
AB56,1012,2121 26. Tooth reimplantation and stabilization.
AB56,1012,2222 27. Recementing of a permanent crown.
AB56,1012,2423 28. Any additional services, treatments, or procedures specified in the rules
24promulgated under s. 447.02 (1) (g).
AB56,1013,10
1(c) 1. A dental therapist licensed under this chapter may provide dental
2therapy services only under the general supervision of a qualifying dentist with
3whom the dental therapist has entered into a collaborative management agreement.
4For purposes of this subdivision, general supervision of a dental therapist by a
5dentist requires that a task or procedure be performed by a dental therapist with the
6prior knowledge and consent of the dentist, but does not require the presence of the
7dentist in the office or on the premises at the time a task or procedure is being
8performed by the dental therapist and does not require prior examination or
9diagnosis of a patient by the dentist before the dental therapist provides dental
10therapy services to the patient.
AB56,1013,1711 2. A supervising dentist shall accept responsibility for all services performed
12by a dental therapist pursuant to a collaborative management agreement. If services
13needed by a patient are beyond the dental therapist's scope of practice or
14authorization under the collaborative management agreement, the dental therapist
15shall, to the extent required under the collaborative management agreement,
16consult with the supervising dentist as needed to arrange for those services to be
17provided by a dentist or another qualified health care professional.
AB56,1013,2118 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
19enter into a written collaborative management agreement with a qualifying dentist
20who will serve as a supervising dentist under par. (c). The agreement must be signed
21by the dental therapist and the qualifying dentist and address all of the following:
AB56,1013,2322 a. The practice settings where services may be provided and the patient
23populations that may be served.
AB56,1014,3
1b. Any conditions or limitations on the services that may be provided by the
2dental therapist, the level of supervision required, and any circumstances requiring
3consultation prior to performing services.
AB56,1014,44 c. Age-specific and procedure-specific practice protocols.
AB56,1014,55 d. Dental record-keeping procedures.
AB56,1014,66 e. Plans for managing dental or medical emergencies.
AB56,1014,87 f. A quality assurance plan for monitoring care provided by the dental
8therapist.
AB56,1014,99 g. Protocols for administering and dispensing medications.
AB56,1014,1110 h. Criteria or protocols relating to the provision of care to patients with specific
11medical conditions, treatments, or medications.
AB56,1014,1212 i. Policies relating to supervision of dental hygienists and other staff.
AB56,1014,1513 j. A plan for the referral of patients to other dental or health care professionals
14or clinics when services needed are beyond the scope of practice or authorization of
15the dental therapist.
AB56,1014,1716 k. Whether and to what extent the dental therapist may perform services
17described in par. (b) 15.
AB56,1014,1918 2. a. A collaborative management agreement shall be limited to covering one
19qualifying dentist and one dental therapist.
AB56,1014,2120 b. A dental therapist may enter into multiple collaborative management
21agreements.
AB56,1014,2322 c. No dentist may have collaborative management agreements with more than
235 dental therapists at any time.
AB56,2050 24Section 2050 . 447.065 of the statutes is amended to read:
AB56,1015,5
1447.065 Delegation of remediable procedures and dental practices. (1)
2A dentist or dental therapist who is licensed to practice dentistry under this chapter
3may delegate to an individual who is not licensed under this chapter only the
4performance of remediable procedures, and only if all of the following conditions are
5met:
AB56,1015,76 (a) The unlicensed individual performs the remediable procedures in
7accordance with a treatment plan approved by the dentist or dental therapist.
AB56,1015,98 (b) The dentist or dental therapist is on the premises when the unlicensed
9individual performs the remediable procedures.
AB56,1015,1110 (c) The unlicensed individual's performance of the remediable procedures is
11subject to inspection by the dentist or dental therapist.
AB56,1015,18 12(2) Subject to the requirements under s. 447.06 (2), a dentist or dental therapist
13who is licensed to practice dentistry under this chapter may delegate to a dental
14hygienist who is licensed to practice dental hygiene under this chapter the
15performance of remediable procedures and the administration of oral systemic
16premedications, local anesthesia, nitrous oxide inhalation analgesia, and
17subgingival sustained release chemotherapeutic agents, to the extent the dentist or
18dental therapist has the authority to perform the activity personally
.
AB56,1015,21 19(3) A dentist or dental therapist who delegates to another individual the
20performance of any practice or remediable procedure is responsible for that
21individual's performance of that delegated practice or procedure.
AB56,2051 22Section 2051 . 447.07 (1) of the statutes is amended to read:
AB56,1016,323 447.07 (1) The examining board may, without further notice or process, limit,
24suspend, or revoke the license or certificate of any dentist, dental therapist, or dental
25hygienist, or the registration of a mobile dentistry program registrant, who fails,

1within 60 days after the mailing of written notice to the dentist's, dental therapist's,
2dental hygienist's, or registrant's last-known address, to renew the license,
3certificate, or registration.
AB56,2052 4Section 2052 . 447.07 (3) (intro.) of the statutes is amended to read:
AB56,1016,165 447.07 (3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
6examining board may make investigations and conduct hearings in regard to any
7alleged action of any dentist, dental therapist, or dental hygienist, of a mobile
8dentistry program registrant, or of any other person it has reason to believe is
9engaged in or has engaged in the practice of dentistry, dental therapy, or dental
10hygiene, or the operation of a mobile dentistry program, in this state, and may, on
11its own motion, or upon complaint in writing, reprimand any dentist , dental
12therapist,
or dental hygienist who is licensed or certified under this chapter, or any
13mobile dentistry program registrant, or deny, limit, suspend, or revoke his or her
14license or certificate, or the registration of the mobile dentistry program registrant,
15if it finds that the dentist, dental therapist, dental hygienist, or mobile dentistry
16program registrant has done any of the following:
AB56,2053 17Section 2053 . 447.07 (3) (e) to (h) of the statutes are amended to read:
AB56,1016,2018 447.07 (3) (e) Subject to ss. 111.321, 111.322, and 111.335, been convicted of a
19crime, the circumstances of which substantially relate to the practice of dentistry,
20dental therapy,
or dental hygiene or the operation of a mobile dentistry program.
AB56,1016,2321 (f) Violated this chapter or any federal or state statute or rule that relates to
22the practice of dentistry, dental therapy, or dental hygiene, or the operation of a
23mobile dentistry program.
AB56,1017,3
1(g) Subject to ss. 111.321, 111.322 and 111.34, practiced dentistry, dental
2therapy,
or dental hygiene while his or her ability was impaired by alcohol or other
3drugs.
AB56,1017,64 (h) Engaged in conduct that indicates a lack of knowledge of, an inability to
5apply or the negligent application of, principles or skills of dentistry , dental therapy,
6or dental hygiene.
AB56,2054 7Section 2054 . 447.40 (intro.) of the statutes is amended to read:
AB56,1017,15 8447.40 Informed consent. (intro.) Any dentist or dental therapist who treats
9a patient shall inform the patient about the availability of reasonable alternate
10modes of treatment and about the benefits and risks of these treatments. The
11reasonable dentist standard is the standard for informing a patient under this
12section. The reasonable dentist standard requires disclosure only of information
13that a reasonable dentist would know and disclose under the circumstances. The
14dentist's or dental therapist's duty to inform the patient under this section does not
15require disclosure of any of the following:
AB56,2055 16Section 2055 . 447.40 (6) of the statutes is amended to read:
AB56,1017,1917 447.40 (6) Information about alternate modes of treatment for any condition
18the dentist or dental therapist has not included in his or her diagnosis, assessment,
19or treatment plan
at the time the dentist or dental therapist informs the patient.
AB56,2056 20Section 2056 . 448.03 (2) (a) of the statutes is amended to read:
AB56,1018,221 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
22permit, registration, certificate or certification granted to practice midwifery under
23subch. XIII of ch. 440, to practice professional or practical nursing or
24nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
25dentistry, dental therapy, or dental hygiene under ch. 447, to practice optometry

1under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
2provision, or as otherwise provided by statute.
AB56,2057 3Section 2057 . 448.21 (1) (a) of the statutes is amended to read:
AB56,1018,54 448.21 (1) (a) The practice of dentistry, dental therapy, or dental hygiene within
5the meaning of ch. 447.
AB56,2058 6Section 2058 . 450.03 (1) (e) of the statutes is amended to read:
AB56,1018,137 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
8permit, registration, certificate, or certification granted to provide home medical
9oxygen under s. 450.076, to practice professional or practical nursing or
10nurse-midwifery under ch. 441, to practice dentistry, dental therapy, or dental
11hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
12optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
13otherwise provided by statute.
AB56,2059 14Section 2059 . 450.10 (3) (a) 4. of the statutes is amended to read:
AB56,1018,1515 450.10 (3) (a) 4. A dentist or dental therapist licensed under ch. 447.
AB56,2060 16Section 2060 . 452.14 (3) (n) of the statutes is amended to read:
AB56,1018,2017 452.14 (3) (n) Treated any person unequally solely because of sex, race, color,
18handicap, national origin, ancestry, marital status, lawful source of income, status
19as a holder or nonholder of a license under s. 343.03 (3m),
or status as a victim of
20domestic abuse, sexual assault, or stalking, as defined in s. 106.50 (1m) (u).
AB56,2061 21Section 2061 . 462.02 (2) (d) of the statutes is amended to read:
AB56,1018,2422 462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental therapist licensed
23under s. 447.04 (1m),
a dental hygienist licensed under s. 447.04 (2), or a person
24under the direct supervision of a dentist.
AB56,2062 25Section 2062 . 462.04 of the statutes is amended to read:
AB56,1019,9
1462.04 Prescription or order required. A person who holds a license or
2limited X-ray machine operator permit under this chapter may not use diagnostic
3X-ray equipment on humans for diagnostic purposes unless authorized to do so by
4prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
5under s. 447.04 (1), a dental therapist licensed under s. 447.04 (1m), a podiatrist
6licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced
7practice nurse certified under s. 441.16 (2), a physician assistant licensed under s.
8448.04 (1) (f), or, subject to s. 448.56 (7) (a), a physical therapist licensed under s.
9448.53.
AB56,2063 10Section 2063 . 463.10 (5) of the statutes is amended to read:
AB56,1019,1411 463.10 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
12licensed under s. 447.03 (1) or to a
, dental therapist, or physician who tattoos or
13offers to tattoo a person in the course of the dentist's, dental therapist's, or physician's
14professional practice.
AB56,2064 15Section 2064 . 463.12 (5) of the statutes is amended to read:
AB56,1019,1916 463.12 (5) Exception. Subsections (2) to (4m) do not apply to a dentist who is
17licensed under s. 447.03 (1) or to a
, dental therapist, or physician who pierces the
18body of or offers to pierce the body of a person in the course of the dentist's, dental
19therapist's,
or physician's professional practice.
AB56,2065 20Section 2065. 565.10 (17) of the statutes is created to read:
AB56,1020,221 565.10 (17) Setoff against retailer compensation. The department shall
22setoff any debt or other amount owed to the department, regardless of the origin,
23nature, or date of the debt or amount, against any compensation or payment owed
24to a lottery retailer under this chapter, whether owed by statute, rule, or contract.
25If, after the setoff, additional compensation or payment is due, the department shall

1setoff the remaining amount against all certified debts owed by the lottery retailer
2under ss. 71.93 and 71.935.
AB56,2066 3Section 2066. 565.12 (1) (intro.) of the statutes is amended to read:
AB56,1020,64 565.12 (1) (intro.) A lottery retailer contract entered into under s. 565.10 may
5be terminated or suspended for a specified period if the department finds that the
6retailer has done any of the following before or after the contract was entered into:
AB56,2067 7Section 2067. 565.30 (5) of the statutes is amended to read:
AB56,1021,138 565.30 (5) Withholding of delinquent state taxes, child support or debts
9owed the state.
The administrator shall report the name, address and social security
10number or federal income tax number of each winner of a lottery prize equal to or
11greater than $600 and the name, address and social security number or federal
12income tax number of each person to whom a lottery prize equal to or greater than
13$600 has been assigned to the department of revenue to determine whether the
14payee or assignee of the prize is delinquent in the payment of state taxes under ch.
1571, 72, 76, 77, 78 or 139 or, if applicable, in the court-ordered payment of child
16support or has a debt owing to the state under s. 71.93 or 71.935. Upon receipt of a
17report under this subsection, the department of revenue shall first ascertain based
18on certifications by the department of children and families or its designee under s.
1949.855 (1) whether any person named in the report is currently delinquent in
20court-ordered payment of child support
, and shall next certify to the administrator,
21whether any person named in the report is delinquent in court-ordered payment of
22child support or based on certifications by the department of children and families
23under s. 49.855 (1), is delinquent in the
payment of state taxes under ch. 71, 72, 76,
2477, 78 or 139, or has a debt under s. 71.93 or 71.935. Upon this certification by the
25department of revenue or upon court order the administrator shall withhold the

1certified amount and send it to the department of revenue for remittance to the
2appropriate agency or person. The department of revenue shall charge the winner
3or assignee of the lottery prize for the department of revenue's administrative
4expenses associated with withholding and remitting debt owed to a state agency
a
5collection fee
and may withhold the amount of the administrative expenses collection
6fee
from the prize payment. The administrative expenses collection fee received or
7withheld by the department of revenue shall be credited to the appropriation under
8s. 20.566 (1) (h). In instances in which the payee or assignee of the prize is delinquent
9both in payments for state taxes and in court-ordered payments of child support, or
10is delinquent in one or both of these payments and has a debt owing to the state under
11s. 71.93 or 71.935
, the amount remitted to the appropriate agency or person shall be
12in proportion to the prize amount as is the delinquency or debt owed by the payee or
13assignee
setoff under s. 71.93 (3) (a).
AB56,2068 14Section 2068. 601.31 (1) (n) of the statutes is amended to read:
AB56,1021,1815 601.31 (1) (n) For appointing, or renewing an appointment of, an agent under
16s. 628.11, $16 annually for resident agents or $30 $40 annually for nonresident
17agents, unless the commissioner sets a higher fee by rule, to be paid at times and
18under procedures set by the commissioner.
AB56,2069 19Section 2069 . 601.83 (1) (a) of the statutes is amended to read:
AB56,1022,720 601.83 (1) (a) The commissioner shall administer a state-based reinsurance
21program known as the healthcare stability plan in accordance with the specific terms
22and conditions approved by the federal department of health and human services
23dated July 29, 2018. Before December 31, 2023, the commissioner may not request
24from the federal department of health and human services a modification,
25suspension, withdrawal, or termination of the waiver under 42 USC 18052 under

1which the healthcare stability plan under this subchapter operates unless
2legislation has been enacted specifically directing the modification, suspension,
3withdrawal, or termination. Before December 31, 2023, the commissioner may
4request renewal, without substantive change, of the waiver under 42 USC 18052
5under which the health care stability plan operates in accordance with s. 20.940 (4)
6unless legislation has been enacted that is contrary to such a renewal request. The
7commissioner shall comply with applicable timing in and requirements of s. 20.940.
AB56,2070 8Section 2070. 609.713 of the statutes is created to read:
AB56,1022,10 9609.713 Essential health benefits; preventive services. Defined network
10plans and preferred provider plans are subject to s. 632.895 (13m) and (14m).
AB56,2071 11Section 2071. 609.847 of the statutes is created to read:
AB56,1022,14 12609.847 Preexisting condition discrimination and certain benefit
13limits prohibited.
Limited service health organizations, preferred provider plans,
14and defined network plans are subject to s. 632.728.
AB56,2072 15Section 2072. 625.12 (1) (a) of the statutes is amended to read:
AB56,1022,1716 625.12 (1) (a) Past and prospective loss and expense experience within and
17outside of this state, except as provided in s. 632.728.
AB56,2073 18Section 2073. 625.12 (1) (e) of the statutes is amended to read:
AB56,1022,2019 625.12 (1) (e) Subject to s. ss. 632.365 and 632.728, all other relevant factors,
20including the judgment of technical personnel.
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