AB81,17,824
(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.
AB81,17,159
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.
AB81,17,1916
(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:
AB81,17,2120
a. The practice settings where services may be provided and the patient
21populations that may be served.
AB81,17,2422
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.
AB81,17,2525
c. Age-specific and procedure-specific practice protocols.
AB81,18,1
1d. Dental record-keeping procedures.
AB81,18,22
e. Plans for managing dental or medical emergencies.
AB81,18,43
f. A quality assurance plan for monitoring care provided by the dental
4therapist.
AB81,18,55
g. Protocols for administering and dispensing medications.
AB81,18,76
h. Criteria or protocols relating to the provision of care to patients with specific
7medical conditions, treatments, or medications.
AB81,18,88
i. Policies relating to supervision of dental hygienists and other staff.
AB81,18,119
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.
AB81,18,1312
k. Whether and to what extent the dental therapist may perform services
13described in par. (b) 15.
AB81,18,1514
2. a. A collaborative management agreement shall be limited to covering one
15qualifying dentist and one dental therapist.
AB81,18,1716
b. A dental therapist may enter into multiple collaborative management
17agreements.
AB81,18,1918
c. No dentist may have collaborative management agreements with more than
195 dental therapists at any time.
AB81,42
20Section 42
. 447.065 of the statutes is amended to read:
AB81,18,25
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:
AB81,19,2
1(a) The unlicensed individual performs the remediable procedures in
2accordance with a treatment plan approved by the dentist
or dental therapist.
AB81,19,43
(b) The dentist
or dental therapist is on the premises when the unlicensed
4individual performs the remediable procedures.
AB81,19,65
(c) The unlicensed individual's performance of the remediable procedures is
6subject to inspection by the dentist
or dental therapist.
AB81,19,13
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.
AB81,19,16
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.
AB81,43
17Section 43
. 447.07 (1) of the statutes is amended to read:
AB81,19,2318
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.
AB81,44
24Section 44
. 447.07 (3) (intro.) of the statutes is amended to read:
AB81,20,12
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:
AB81,45
13Section 45
. 447.07 (3) (e) to (h) of the statutes are amended to read: