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3(3) Subsection (1) (a) does not apply to an applicant for renewal of a license that
4expires on the first renewal date after the date on which the examining board
5initially granted the license.
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6(4) A person may substitute credit hours of college level courses related to the
7practice of dental therapy for the credit hours required under sub. (1) (a). For
8purposes of this subsection, one credit hour of a college level course is equivalent to
96 credit hours of continuing education.
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10(5) For purposes of sub. (1) (a), one hour of teaching or preparing a continuing
11education program is equivalent to one credit hour of continuing education, but a
12person who teaches or prepares a continuing education program may obtain credit
13for the program only once.
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14(6) The examining board may require applicants for renewal of a license to
15practice dental therapy to submit proof of compliance with the requirements of this
16section.
SB59,2043
17Section 2043
. 447.06 (1) of the statutes is amended to read:
SB59,1009,2418
447.06
(1) No contract of employment entered into between a dentist
or dental
19therapist and any other party under which the dentist
or dental therapist renders
20dental services may require the dentist
or dental therapist to act in a manner
which 21that violates the professional standards for dentistry
or dental therapy set forth in
22this chapter. Nothing in this subsection limits the ability of the other party to control
23the operation of the dental practice in a manner in accordance with the professional
24standards for dentistry
or dental therapy set forth in this chapter.
SB59,2044
25Section 2044
. 447.06 (1m) of the statutes is created to read:
SB59,1010,4
1447.06
(1m) No contract of employment entered into between a dental
2therapist and any other party under which the dental therapist is employed to
3practice dental therapy may require a dental therapist to meet a minimum quota for
4the number of patients seen or the number of procedures performed.
SB59,2045
5Section 2045
. 447.06 (2) (a) 3. of the statutes is amended to read:
SB59,1010,76
447.06
(2) (a) 3. For a school for the education of dentists
, dental therapists, 7or dental hygienists.
SB59,2046
8Section 2046
. 447.06 (2) (b) of the statutes is amended to read:
SB59,1010,139
447.06
(2) (b) A dental hygienist may practice dental hygiene or perform
10remediable procedures under par. (a) 1. only as authorized by a dentist
or dental
11therapist who is licensed to practice dentistry
or dental therapy under this chapter
12and who is present in the facility in which those practices or procedures are
13performed, except as provided in par. (c).
SB59,2047
14Section 2047
. 447.06 (2) (c) (intro.) of the statutes is amended to read:
SB59,1010,1915
447.06
(2) (c) (intro.) A dental hygienist may practice dental hygiene or perform
16remediable procedures under par. (a) 1. if a dentist
or dental therapist who is licensed
17to practice dentistry
or dental therapy under this chapter is not present in the facility
18in which those practices or procedures are performed only if all of the following
19conditions are met:
SB59,2048
20Section 2048
. 447.06 (2) (c) 2. (intro.) of the statutes is amended to read:
SB59,1010,2321
447.06
(2) (c) 2. (intro.) The dentist
or dental therapist who made the written
22or oral prescription has examined the patient at least once during the 12-month
23period immediately preceding:
SB59,2049
24Section 2049
. 447.06 (3) of the statutes is created to read:
SB59,1010,2525
447.06
(3) (a) In this subsection:
SB59,1011,1
11. “Collaborative management agreement” means an agreement under par. (d).
SB59,1011,32
2. “Qualifying dentist” means a dentist who is licensed in this state and who
3is actively practicing in this state.
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(b) The scope of practice of a dental therapist shall, subject to the terms of a
5collaborative management agreement, be limited to providing the following services,
6treatments, and procedures:
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1. Oral evaluation and assessment of dental disease and formulation of an
8individualized treatment plan.
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2. Identification of oral and systemic conditions requiring evaluation or
10treatment by dentists, physicians, or other health care providers and managing
11referrals.
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3. Comprehensive charting of the oral cavity.
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4. Oral health instruction and disease prevention education, including
14nutritional counseling and dietary analysis.
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5. Exposure and evaluation of radiographic images.
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6. Dental prophylaxis, including subgingival scaling and polishing procedures.
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7. Dispensing and administration via the oral or topical route of nonnarcotic
18analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
19health care provider.
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8. Application of topical preventive or prophylactic agents, including fluoride
21varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
22sealants.
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9. Pulp vitality testing.
SB59,1011,2424
10. Application of desensitizing medications or resins.
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11. Fabrication of athletic mouth guards and soft occlusal guards.
SB59,1012,1
112. Changing of periodontal dressings.
SB59,1012,22
13. Administration of local anesthetic and nitrous oxide.
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14. Simple extraction of erupted primary teeth.
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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.
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16. Emergency palliative treatment of dental pain limited to the procedures in
10this paragraph.
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17. Preparation and placement of direct restoration in primary and permanent
12teeth.
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18. Fabrication and placement of single-tooth temporary crowns.
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19. Preparation and placement of preformed crowns on primary teeth.
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20. Indirect and direct pulp capping on permanent teeth.
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21. Indirect pulp capping on primary teeth.
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22. Intraoral suture placement and removal.
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23. Minor adjustment and repair of removable prostheses.
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24. Placement and removal of space maintainers.
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25. Pulpotomy on primary teeth.
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26. Tooth reimplantation and stabilization.
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27. Recementing of a permanent crown.
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28. Any additional services, treatments, or procedures specified in the rules
24promulgated under s. 447.02 (1) (g).
SB59,1013,10
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.
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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.
SB59,1013,2118
(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:
SB59,1013,2322
a. The practice settings where services may be provided and the patient
23populations that may be served.
SB59,1014,3
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.
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c. Age-specific and procedure-specific practice protocols.
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d. Dental record-keeping procedures.
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e. Plans for managing dental or medical emergencies.
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f. A quality assurance plan for monitoring care provided by the dental
8therapist.
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g. Protocols for administering and dispensing medications.
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h. Criteria or protocols relating to the provision of care to patients with specific
11medical conditions, treatments, or medications.
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i. Policies relating to supervision of dental hygienists and other staff.
SB59,1014,1513
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.
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k. Whether and to what extent the dental therapist may perform services
17described in par. (b) 15.
SB59,1014,1918
2. a. A collaborative management agreement shall be limited to covering one
19qualifying dentist and one dental therapist.
SB59,1014,2120
b. A dental therapist may enter into multiple collaborative management
21agreements.
SB59,1014,2322
c. No dentist may have collaborative management agreements with more than
235 dental therapists at any time.
SB59,2050
24Section 2050
. 447.065 of the statutes is amended to read:
SB59,1015,5
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:
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(a) The unlicensed individual performs the remediable procedures in
7accordance with a treatment plan approved by the dentist
or dental therapist.
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(b) The dentist
or dental therapist is on the premises when the unlicensed
9individual performs the remediable procedures.
SB59,1015,1110
(c) The unlicensed individual's performance of the remediable procedures is
11subject to inspection by the dentist
or dental therapist.
SB59,1015,18
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.
SB59,1015,21
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.
SB59,2051
22Section 2051
. 447.07 (1) of the statutes is amended to read:
SB59,1016,323
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.
SB59,2052
4Section 2052
. 447.07 (3) (intro.) of the statutes is amended to read:
SB59,1016,165
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:
SB59,2053
17Section 2053
. 447.07 (3) (e) to (h) of the statutes are amended to read:
SB59,1016,2018
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.
SB59,1016,2321
(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.
SB59,1017,3
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.
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(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.
SB59,2054
7Section 2054
. 447.40 (intro.) of the statutes is amended to read:
SB59,1017,15
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:
SB59,2055
16Section 2055
. 447.40 (6) of the statutes is amended to read:
SB59,1017,1917
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.
SB59,2056
20Section 2056
. 448.03 (2) (a) of the statutes is amended to read:
SB59,1018,221
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.
SB59,2057
3Section 2057
. 448.21 (1) (a) of the statutes is amended to read: