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                                                        PRINTER'S NO. 78

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 99 Session of 1999


        INTRODUCED BY BLAUM, GEORGE, SCHRODER, HALUSKA, ORIE, TIGUE,
           YOUNGBLOOD, HASAY, WALKO, E. Z. TAYLOR, TRELLO, STABACK,
           MELIO AND MUNDY, JANUARY 20, 1999

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE,
           JANUARY 20, 1999

                                     AN ACT

     1  Amending the act of May 1, 1933 (P.L.216, No.76), entitled "An
     2     act relating to dentistry; defining and providing for the
     3     licensing and registration of dentists and dental hygienists,
     4     and for the revocation and suspension of such licenses and
     5     registrations, subject to appeal, and for their
     6     reinstatement; defining the powers and duties of the State
     7     Dental Council and Examining Board and the Department of
     8     Public Instruction; providing penalties; and repealing
     9     existing laws," further providing for definitions and for
    10     anesthesia.

    11     The General Assembly of the Commonwealth of Pennsylvania
    12  hereby enacts as follows:
    13     Section 1.  Section 2 of the act of May 1, 1933 (P.L.216,
    14  No.76), known as The Dental Law, is amended by adding a
    15  definition to read:
    16     Section 2.  Definitions.--* * *
    17     "Pediatric dental patient" means a dental patient who is
    18  under thirteen years of age.
    19     Section 2.  Section 11.2 of the act, added December 20, 1985
    20  (P.L.513, No.118), is amended to read:
    21     Section 11.2.  Anesthesia.--(a)  Prior to January 1, 1987,

     1  the board shall promulgate regulations which:
     2     (1)  Establish minimal training and education or
     3  certification for the issuance of permits to dentists to
     4  administer general anesthesia on an outpatient basis. Such
     5  regulations shall include a requirement of a minimum of one year
     6  in an approved program of advanced training in anesthesiology
     7  and related academic subjects, beyond the undergraduate dental
     8  school level.
     9     (2)  Establish further requirements relating to the use of
    10  general anesthesia, including, but not limited to, the
    11  collection of permit fees, the collection of biennial license
    12  and license renewal fees and the conducting of workplace
    13  inspections.
    14     (3)  Establish minimal training and education for the
    15  issuance of permits to dentists to administer conscious sedation
    16  on an outpatient basis. Such regulations shall include a minimum
    17  period of time of didactic instruction and clinical experience
    18  in an accredited educational institution or program.
    19     (4)  Establish further requirements relating to the use of
    20  conscious sedation, including, but not limited to, the
    21  collection of permit fees, the collection of biennial license
    22  and license renewal fees and the conduct of workplace
    23  inspections.
    24     (5)  Establish minimal training and education for the
    25  issuance of permits to dentists to administer analgesia on an
    26  outpatient basis. Such regulations shall include a minimum
    27  period of time of didactic instruction or clinical experience in
    28  an accredited educational institution or program.
    29     (6)  Establish further requirements relating to the use of
    30  analgesia, including, but not limited to, the collection of
    19990H0099B0078                  - 2 -

     1  permit fees, the collection of biennial licenses and license
     2  renewal fees and the conduct of workplace inspections.
     3     (7)  Establish fees for temporary permits which permits may
     4  be issued by the board for one year to a person whose
     5  application indicates that he possesses the necessary
     6  qualifications pending a complete processing of the application.
     7     (b)  The board may issue the appropriate permits in
     8  accordance with this section to a dentist who has been
     9  administering general anesthesia, conscious sedation agents or
    10  nitrous oxide or oxygen analgesia if the dentist submits
    11  evidence satisfactory to the board that he has been
    12  administering these agents for a period of at least five years
    13  prior to the effective date of this section and that the dentist
    14  has applied within one year of the effective date of the
    15  regulations.
    16     (c)  Prior to the administration of a general anesthetic, the
    17  written informed consent of the patient must be obtained. The
    18  consent must include a description of the procedure, its risks
    19  and possible alternative treatments.
    20     (d)  Dental procedures requiring the use of general
    21  anesthesia on a pediatric dental patient shall be performed in a
    22  hospital setting.
    23     Section 3.  This act shall take effect in 60 days.





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