87,39Section 39. 447.06 (1m) of the statutes is created to read: 447.06 (1m) No contract of employment entered into between a dental therapist and any other party under which the dental therapist is employed to practice dental therapy may require a dental therapist to meet a minimum quota for the number of patients seen or the number of procedures performed.
87,40Section 40. 447.06 (2) (a) 3. of the statutes is amended to read: 447.06 (2) (a) 3. For a school for the education of dentists, dental therapists, or dental hygienists.
87,41Section 41. 447.06 (2) (b) of the statutes is amended to read: 447.06 (2) (b) A dental hygienist may practice dental hygiene or perform remediable procedures under par. (a) 1. only as authorized by a dentist or dental therapist who is licensed to practice dentistry or dental therapy under this chapter and who is present in the facility in which those practices or procedures are performed, except as provided in par. (c).
87,42Section 42. 447.06 (2) (c) (intro.) of the statutes is amended to read: 447.06 (2) (c) (intro.) A dental hygienist may practice dental hygiene or perform remediable procedures under par. (a) 1. if a dentist or dental therapist who is licensed to practice dentistry or dental therapy under this chapter is not present in the facility in which those practices or procedures are performed only if all of the following conditions are met:
87,43Section 43. 447.06 (2) (c) 2. (intro.) of the statutes is amended to read: 447.06 (2) (c) 2. (intro.) The dentist or dental therapist who made the written or oral prescription has examined the patient at least once during the 12-month period immediately preceding:
87,44Section 44. 447.06 (3) of the statutes is created to read: 447.06 (3) (a) In this subsection:
1. “Collaborative management agreement” means an agreement under par. (d).
2. “Dental health shortage area” has the meaning given in s. 36.60 (1) (ad).
3. “Direct supervision” means that the dentist is present in the dental office or other practice setting, personally diagnoses the condition to be treated, personally authorizes each procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel.
4. “General supervision” means that the dentist is not present in the dental office or other practice setting or on the premises at the time tasks or procedures are being performed by the dental therapist, but that the tasks or procedures performed by the dental therapist are being performed with the prior knowledge and consent of the dentist.
5. “Indirect supervision” means that the dentist is present in the dental office or other practice setting, authorizes each procedure, and remains in the office while the procedures are being performed by the allied dental personnel.
6. “Medical Assistance patient” means a patient who is a recipient of services under the Medical Assistance program under subch. IV of ch. 49.
7. “Qualifying dentist” means a dentist who is licensed in this state, who is actively practicing in this state, and who satisfies the requirement under par. (dr).
8. “Uninsured patient” means a patient who lacks dental health coverage, either through a public health care program or private insurance, and has an annual gross family income equal to or less than 200 percent of the federal poverty guidelines.
(b) The scope of practice of a dental therapist shall, subject to the terms of a collaborative management agreement, be limited to providing the following services, treatments, and procedures:
1. Oral evaluation and assessment of dental disease and formulation of an individualized treatment plan.
2. Identification of oral and systemic conditions requiring evaluation or treatment by dentists, physicians, or other health care providers and managing referrals.
3. Comprehensive charting of the oral cavity.
4. Oral health instruction and disease prevention education, including nutritional counseling and dietary analysis.
5. Exposure and evaluation of radiographic images.
6. Dental prophylaxis, including subgingival scaling and polishing procedures.
7. Dispensing and administration via the oral or topical route of nonnarcotic analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed health care provider.
8. Application of topical preventive or prophylactic agents, including fluoride varnish, antimicrobial agents, caries arresting medicaments, and pit and fissure sealants.