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92_HB3788ham001
LRB9211204ACpkam
1 AMENDMENT TO HOUSE BILL 3788
2 AMENDMENT NO. . Amend House Bill 3788 by replacing
3 everything after the enacting clause with the following:
4 "Section 5. The Illinois Dental Practice Act is amended
5 by changing Section 18 as follows:
6 (225 ILCS 25/18) (from Ch. 111, par. 2318)
7 (Section scheduled to be repealed on January 1, 2006)
8 Sec. 18. Acts constituting the practice of dental
9 hygiene;. limitations. A dental hygienist may be employed or
10 engaged only:
11 (a) Under the supervision of a dentist:
12 (1) In the office of a dentist;
13 (2) By a federal, State, county or municipal
14 agency or institution;
15 (3) By a public or private school; or
16 (4) By a public clinic operating under the
17 direction of a hospital or federal, State, county,
18 municipal or other public agency or institution.
19 When employed or engaged pursuant to this paragraph (a) a
20 dental hygienist may perform the following procedures and
21 acts:
22 (i) the operative procedure of dental hygiene,
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1 consisting of oral prophylactic procedures;
2 (ii) the exposure and processing of X-Ray
3 films of the teeth and surrounding structures;
4 (iii) the application to the surfaces of the
5 teeth or gums of chemical compounds designed to be
6 desensitizing agents or effective agents in the
7 prevention of dental caries or periodontal disease;
8 (iv) all services which may be performed by a
9 dental assistant as specified by rule pursuant to
10 Section 17;
11 (v) administration and monitoring of nitrous
12 oxide upon successful completion of a training
13 program approved by the Department of Professional
14 Regulation;
15 (vi) administration of local anesthetics upon
16 successful completion of a training program approved
17 by the Department; and
18 (vii) such other procedures and acts as shall
19 be prescribed by rule or regulation of the
20 Department.
21 (b) Under the general supervision of a dentist in a
22 long-term care facility licensed by the State of
23 Illinois, or a mental health or developmental disability
24 facility operated by the Department of Human Services, if
25 the patient is unable to travel to a dental office
26 because of illness or infirmity. The dentist shall
27 personally examine and diagnose the patient and determine
28 which services are necessary to be performed, which shall
29 be contained in a written order to the hygienist. Such
30 order must be implemented within 90 days of its issuance,
31 and an updated medical history and oral inspection must
32 be performed by the hygienist immediately prior to
33 beginning the procedures to ensure that the patient's
34 health has not changed in any manner to warrant a
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1 reexamination by the dentist.
2 (c) Without the supervision of a dentist, a dental
3 hygienist may perform dental health education functions
4 and may record case histories and oral conditions
5 observed.
6 The number of dental hygienists practicing in a dental
7 office shall not exceed, at any one time, 4 times the number
8 of dentists practicing in the office at the time.
9 (Source: P.A. 91-594, eff. 1-1-00; 91-689, eff. 1-1-01.)".