This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
SB181,12,24
1447.05 Expiration and renewal. Renewal applications shall be submitted
2to the department on a form provided by the department on or before the applicable
3renewal date specified under s. 440.08 (2) (a) and shall include the applicable
4renewal fee determined by the department under s. 440.03 (9) (a). The examining
5board may not renew a license to practice dentistry unless the applicant for renewal
6attests that he or she has complied with s. 447.056, that he or she has current
7proficiency in cardiopulmonary resuscitation, including and that he or she has
8current proficiency in
the use of an automated external defibrillator achieved
9through instruction provided by an individual, organization, or institution of higher
10education approved under s. 46.03 (38) to provide such instruction. The examining
11board may not renew a license to practice dental therapy unless the applicant for
12renewal attests that he or she has complied with s. 447.057 and any rules
13promulgated under s. 447.057, that he or she has current proficiency in
14cardiopulmonary resuscitation, and that he or she has current proficiency in the use
15of an automated external defibrillator achieved through instruction provided by an
16individual, organization, or institution of higher education approved under s. 46.03
17(38) to provide such instruction.
The examining board may not renew a license to
18practice dental hygiene unless the applicant for renewal attests that he or she has
19complied with s. 447.055 and any rules promulgated by the examining board under
20s. 447.055, that he or she has a current certification in cardiopulmonary
21resuscitation, and that he or she has current proficiency in the use of an automated
22external defibrillator achieved through instruction provided by an individual,
23organization, or institution of higher education approved under s. 46.03 (38) to
24provide such instruction.
SB181,36 25Section 36 . 447.057 of the statutes is created to read:
SB181,13,9
1447.057 Continuing education; dental therapists. (1) (a) Except as
2provided in subs. (3) and (4), a person is not eligible for renewal of a license to practice
3dental therapy, other than a permit issued under s. 447.02 (3), unless the person has
4taught, prepared, attended, or otherwise completed, during the 2-year period
5immediately preceding the renewal date specified under s. 440.08 (2) (a), 12 credit
6hours of continuing education relating to the clinical practice of dental therapy that
7is sponsored or recognized by a local, state, regional, national, or international
8dental, dental therapy, dental hygiene, dental assisting, or medical-related
9professional organization.
SB181,13,1110 (b) Continuing education required under par. (a) may include training in all of
11the following:
SB181,13,1312 1. Basic life support or cardiopulmonary resuscitation. Not more than 2 of the
13credit hours required under par. (a) may be satisfied by such training.
SB181,13,1514 2. Infection control. Not less than 2 of the credit hours required under par. (a)
15must be satisfied by such training.
SB181,13,1816 (c) After consultation with the department of health services, the examining
17board may promulgate rules requiring that continuing education credit hours under
18par. (a) include courses in specific clinical subjects.
SB181,13,20 19(2) The credit hours required under sub. (1) (a) may be satisfied by independent
20study, correspondence, or Internet programs or courses.
SB181,13,23 21(3) Subsection (1) (a) does not apply to an applicant for renewal of a license that
22expires on the first renewal date after the date on which the examining board
23initially granted the license.
SB181,14,2 24(4) A person may substitute credit hours of college level courses related to the
25practice of dental therapy for the credit hours required under sub. (1) (a). For

1purposes of this subsection, one credit hour of a college level course is equivalent to
26 credit hours of continuing education.
SB181,14,6 3(5) For purposes of sub. (1) (a), one hour of teaching or preparing a continuing
4education program is equivalent to one credit hour of continuing education, but a
5person who teaches or prepares a continuing education program may obtain credit
6for the program only once.
SB181,14,9 7(6) The examining board may require applicants for renewal of a license to
8practice dental therapy to submit proof of compliance with the requirements of this
9section.
SB181,37 10Section 37 . 447.06 (1) of the statutes is amended to read:
SB181,14,1711 447.06 (1) No contract of employment entered into between a dentist or dental
12therapist
and any other party under which the dentist or dental therapist renders
13dental services may require the dentist or dental therapist to act in a manner which
14that violates the professional standards for dentistry or dental therapy set forth in
15this chapter. Nothing in this subsection limits the ability of the other party to control
16the operation of the dental practice in a manner in accordance with the professional
17standards for dentistry or dental therapy set forth in this chapter.
SB181,38 18Section 38 . 447.06 (1m) of the statutes is created to read:
SB181,14,2219 447.06 (1m) No contract of employment entered into between a dental
20therapist and any other party under which the dental therapist is employed to
21practice dental therapy may require a dental therapist to meet a minimum quota for
22the number of patients seen or the number of procedures performed.
SB181,39 23Section 39 . 447.06 (2) (a) 3. of the statutes is amended to read:
SB181,14,2524 447.06 (2) (a) 3. For a school for the education of dentists, dental therapists,
25or dental hygienists.
SB181,40
1Section 40. 447.06 (2) (b) of the statutes is amended to read:
SB181,15,62 447.06 (2) (b) A dental hygienist may practice dental hygiene or perform
3remediable procedures under par. (a) 1. only as authorized by a dentist or dental
4therapist
who is licensed to practice dentistry or dental therapy under this chapter
5and who is present in the facility in which those practices or procedures are
6performed, except as provided in par. (c).
SB181,41 7Section 41 . 447.06 (2) (c) (intro.) of the statutes is amended to read:
SB181,15,128 447.06 (2) (c) (intro.) A dental hygienist may practice dental hygiene or perform
9remediable procedures under par. (a) 1. if a dentist or dental therapist who is licensed
10to practice dentistry or dental therapy under this chapter is not present in the facility
11in which those practices or procedures are performed only if all of the following
12conditions are met:
SB181,42 13Section 42 . 447.06 (2) (c) 2. (intro.) of the statutes is amended to read:
SB181,15,1614 447.06 (2) (c) 2. (intro.) The dentist or dental therapist who made the written
15or oral prescription has examined the patient at least once during the 12-month
16period immediately preceding:
SB181,43 17Section 43 . 447.06 (3) of the statutes is created to read:
SB181,15,1818 447.06 (3) (a) In this subsection:
SB181,15,1919 1. “Collaborative management agreement” means an agreement under par. (d).
SB181,15,2020 2. “Dental health shortage area” has the meaning given in s. 36.60 (1) (ad).
SB181,15,2421 3. “Direct supervision” means that the dentist is present in the dental office or
22other practice setting, personally diagnoses the condition to be treated, personally
23authorizes each procedure, and before dismissal of the patient, evaluates the
24performance of the allied dental personnel.
SB181,16,5
14. “General supervision” means that the dentist is not present in the dental
2office or other practice setting or on the premises at the time tasks or procedures are
3being performed by the dental therapist, but that the tasks or procedures performed
4by the dental therapist are being performed with the prior knowledge and consent
5of the dentist.
SB181,16,86 5. “Indirect supervision” means that the dentist is present in the dental office
7or other practice setting, authorizes each procedure, and remains in the office while
8the procedures are being performed by the allied dental personnel.
SB181,16,109 6. “Medical Assistance patient” means a patient who is a recipient of services
10under the Medical Assistance program under subch. IV of ch. 49.
SB181,16,1211 7. “Qualifying dentist” means a dentist who is licensed in this state and who
12is actively practicing in this state.
SB181,16,1613 8. “Uninsured patient” means a patient who lacks dental health coverage,
14either through a public health care program or private insurance, and has an annual
15gross family income equal to or less than 200 percent of the federal poverty
16guidelines.
SB181,16,1917 (b) The scope of practice of a dental therapist shall, subject to the terms of a
18collaborative management agreement, be limited to providing the following services,
19treatments, and procedures:
SB181,16,2120 1. Oral evaluation and assessment of dental disease and formulation of an
21individualized treatment plan.
SB181,16,2422 2. Identification of oral and systemic conditions requiring evaluation or
23treatment by dentists, physicians, or other health care providers and managing
24referrals.
SB181,16,2525 3. Comprehensive charting of the oral cavity.
SB181,17,2
14. Oral health instruction and disease prevention education, including
2nutritional counseling and dietary analysis.
SB181,17,33 5. Exposure and evaluation of radiographic images.
SB181,17,44 6. Dental prophylaxis, including subgingival scaling and polishing procedures.
SB181,17,75 7. Dispensing and administration via the oral or topical route of nonnarcotic
6analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
7health care provider.
SB181,17,108 8. Application of topical preventive or prophylactic agents, including fluoride
9varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure
10sealants.
SB181,17,1111 9. Pulp vitality testing.
SB181,17,1212 10. Application of desensitizing medications or resins.
SB181,17,1313 11. Fabrication of athletic mouth guards and soft occlusal guards.
SB181,17,1414 12. Changing of periodontal dressings.
SB181,17,1515 13. Administration of local anesthetic and nitrous oxide.
SB181,17,1616 14. Simple extraction of erupted primary teeth.
SB181,17,2017 15. Nonsurgical extraction of periodontally diseased permanent teeth with
18tooth mobility of +3 to +4 to the extent authorized in the dental therapist's
19collaborative management agreement, except for the extraction of a tooth that is
20unerupted, impacted, or fractured or that needs to be sectioned for removal.
SB181,17,2221 16. Emergency palliative treatment of dental pain limited to the procedures in
22this paragraph.
SB181,17,2423 17. Preparation and placement of direct restoration in primary and permanent
24teeth.
SB181,17,2525 18. Fabrication and placement of single-tooth temporary crowns.
SB181,18,1
119. Preparation and placement of preformed crowns on primary teeth.
SB181,18,22 20. Indirect and direct pulp capping on permanent teeth.
SB181,18,33 21. Indirect pulp capping on primary teeth.
SB181,18,44 22. Intraoral suture placement and removal.
SB181,18,55 23. Minor adjustment and repair of removable prostheses.
SB181,18,66 24. Placement and removal of space maintainers.
SB181,18,77 25. Pulpotomy on primary teeth.
SB181,18,88 26. Tooth reimplantation and stabilization.
SB181,18,99 27. Recementing of a permanent crown.
SB181,18,1110 28. Any additional services, treatments, or procedures specified in the rules
11promulgated under s. 447.02 (1) (g).
SB181,18,1512 (bm) 1. Notwithstanding par. (b) 1. to 28., a dental therapist shall, except as
13provided in subd. 2., limit his or her practice of dental therapy to providing the
14services, treatments, and procedures covered by his or her dental therapy education
15program.
SB181,18,2016 2. If any service, treatment, or procedure under par. (b) 1. to 28. was not covered
17by a dental therapist's dental therapy education program, the dental therapist may
18provide that service, treatment, or procedure if the dental therapist has
19subsequently received additional dental therapy educational training to provide
20that service, treatment, or procedure.
SB181,18,2421 (c) 1. Except as provided in subd. 2., a dental therapist licensed under this
22chapter may provide dental therapy services in this state only under the direct
23supervision or indirect supervision of a qualifying dentist with whom the dental
24therapist has entered into a collaborative management agreement.
SB181,19,5
12. a. Once a dental therapist licensed under this chapter has provided dental
2therapy services for at least 2,000 hours under direct supervision or indirect
3supervision, the dental therapist may provide dental therapy services in this state
4under the general supervision of a qualifying dentist with whom the dental therapist
5has entered into a collaborative management agreement.
SB181,19,126 b. For purposes of the 2,000 hours requirement under subd. 2. a., hours may
7include hours of providing dental therapy services in this state under direct
8supervision or indirect supervision of a qualifying dentist as described in subd. 1. or
9hours of providing dental therapy services under direct supervision or indirect
10supervision while licensed as a dental therapist outside this state, but may not
11include any hours completed prior to graduating from the dental therapy education
12program.
SB181,19,1513 3. Notwithstanding subds. 1. and 2., the level of supervision for a dental
14therapist may be further limited under the terms of a collaborative management
15agreement under par. (d) 1. b.
SB181,19,2216 4. A supervising dentist shall accept responsibility for all services performed
17by a dental therapist pursuant to a collaborative management agreement. If services
18needed by a patient are beyond the dental therapist's scope of practice or
19authorization under the collaborative management agreement, the dental therapist
20shall, to the extent required under the collaborative management agreement,
21consult with the supervising dentist as needed to arrange for those services to be
22provided by a dentist or another qualified health care provider.
SB181,20,223 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
24enter into a written collaborative management agreement with a qualifying dentist

1who will serve as a supervising dentist under par. (c). The agreement must be signed
2by the dental therapist and the qualifying dentist and address all of the following:
SB181,20,43 a. The practice settings where services may be provided and the patient
4populations that may be served.
SB181,20,85 b. Consistent with and subject to pars. (bm) and (c), any conditions or
6limitations on the services that may be provided by the dental therapist, the level of
7supervision required, and any circumstances requiring consultation prior to
8performing services.
SB181,20,99 c. Age-specific and procedure-specific practice protocols.
SB181,20,1010 d. Dental record-keeping procedures.
SB181,20,1111 e. Plans for managing dental or medical emergencies.
SB181,20,1312 f. A quality assurance plan for monitoring care provided by the dental
13therapist.
SB181,20,1414 g. Protocols for administering and dispensing medications.
SB181,20,1615 h. Criteria or protocols relating to the provision of care to patients with specific
16medical conditions, treatments, or medications.
SB181,20,1717 i. Policies relating to supervision of dental hygienists and other staff.
SB181,20,2018 j. A plan for the referral of patients to other dental or health care providers or
19clinics when services needed are beyond the scope of practice or authorization of the
20dental therapist.
SB181,20,2221 k. Whether and to what extent the dental therapist may perform services
22described in par. (b) 15.
SB181,20,2423 2. a. A collaborative management agreement shall be limited to covering one
24qualifying dentist and one dental therapist.
SB181,21,2
1b. A dental therapist may enter into multiple collaborative management
2agreements.
SB181,21,43 c. No dentist may have collaborative management agreements with more than
44 dental therapists at any time.
SB181,21,55 (e) A dental therapist shall at all times comply with at least one of the following:
SB181,21,116 1. Limit his or her practice to practicing in one or more dental health shortage
7areas. If a dental therapist begins practicing in a dental health shortage area, and
8that area loses its designation as a dental health shortage area while the dental
9therapist continues to practice in that area, the dental therapist is considered to
10satisfy this subdivision as long as the dental therapist continues to practice in that
11area.
SB181,21,1312 2. Practice in one or more settings in which at least 50 percent of the total
13patient base of the dental therapist consists of patients who are any of the following:
SB181,21,1414 a. Medical Assistance patients.
Loading...
Loading...