PRINTER'S NO. 3068
No. 2200 Session of 2005
INTRODUCED BY NICKOL, BISHOP, BAKER, BEBKO-JONES, BLACKWELL, CALTAGIRONE, CAPPELLI, COHEN, CRAHALLA, CREIGHTON, DeWEESE, FEESE, FREEMAN, GINGRICH, GODSHALL, GRELL, HARHART, HENNESSEY, JAMES, JOSEPHS, M. KELLER, KENNEY, MACKERETH, MAHER, MANDERINO, MANN, MARKOSEK, McILHATTAN, R. MILLER, S. MILLER, MUNDY, O'NEILL, PYLE, READSHAW, RUBLEY, SAYLOR, SIPTROTH, B. SMITH, STABACK, SURRA, TANGRETTI, E. Z. TAYLOR, THOMAS, TIGUE, TRUE, WALKO, WATSON, WHEATLEY, WILT, YEWCIC, YOUNGBLOOD, YUDICHAK AND RAPP, NOVEMBER 4, 2005
REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, NOVEMBER 4, 2005
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 the definitions of 10 "dental hygienist" and "board"; providing for the definition 11 of "independent dental hygiene practitioner"; further 12 providing for the general powers of the State Board of 13 Dentistry and for radiologic procedures, education and 14 training; and providing for the independent practice of 15 dental hygienists. 16 The General Assembly of the Commonwealth of Pennsylvania 17 hereby enacts as follows: 18 Section 1. The definitions of "dental hygienist" and "board" 19 in section 2 of the act of May 1, 1933 (P.L.216, No.76), known 20 as The Dental Law, amended February 9, 1984 (P.L.23, No.9), are
1 amended and the section is amended by adding a definition to 2 read: 3 Section 2. Definitions.--* * * 4 A "Dental Hygienist" is one who is legally licensed as such 5 by the [said dental council and examining board] State Board of 6 Dentistry to perform those educational, preventive, and 7 therapeutic services and procedures that licensed dental 8 hygienists are educated to perform. Licensed dentists may assign 9 to [their employed] dental hygienists intra-oral procedures 10 which the hygienists have been educated to perform and which 11 require their professional competence and skill but which do not 12 require the professional competence and skill of the [employer- 13 dentist] dentist. Such assignments shall be under the 14 supervision of a licensed dentist. Such performance of intra- 15 oral procedures by licensed dental hygienists shall be in the 16 private office of a dentist or public or private institution 17 such as schools, hospitals, orphanages, and sanitoria or State 18 health cars. Dental hygienists certified as independent dental 19 hygiene practitioners may perform intra-oral procedures without 20 the assignment of a dentist pursuant to section 11.9. The 21 foregoing shall not be construed as authorizing the assignment 22 of diagnosing, treatment planning and writing prescriptions for 23 drugs or writing authorizations for restorative, prosthetic, or 24 orthodontic appliances. The board shall issue rules setting 25 forth the necessary education and defining the procedures that 26 may be performed by dental hygienists licensed under this act 27 including those procedures that may be performed under direct 28 and general supervision. 29 The word "board," as used in this act, means the [State 30 Dental Council and Examining Board] State Board of Dentistry. 20050H2200B3068 - 2 -
1 * * * 2 "Independent Dental Hygiene Practitioner" means a licensed 3 dental hygienist who may perform educational, preventative, 4 therapeutic and intra-oral procedures which the hygienist is 5 educated to perform and which requires the hygienist's 6 professional competence and skill but which do not require the 7 professional competence and skill of a dentist without the 8 authorization, assignment or examination of a dentist, and who 9 is certified by the State Board of Dentistry as having satisfied 10 the requirements of section 11.9. Independent dental hygiene 11 practitioners may only engage in professional practice in the 12 practice sites enumerated in section 11.9(b). 13 Section 2. Section 3(d) of the act, amended December 27, 14 1994 (P.L.1361, No.160), is amended to read: 15 Section 3. General Powers of the State Board of Dentistry.-- 16 The State Board of Dentistry (hereinafter called the board) 17 shall have the following powers and duties: 18 * * * 19 (d) To provide for and to regulate the licensing, and to 20 license as a dental hygienist, after examination, any duly 21 qualified person, not less than eighteen years of age, of good 22 moral character, not addicted to the use of intoxicating liquor 23 or narcotic drugs, who has obtained the required education[, 24 together with a certificate or diploma from an approved 25 institution or college] for the training of dental hygienists[.] 26 from an approved institution or college that meets or exceeds 27 the minimum standards established by an approved United States 28 Department of Education-recognized regional accrediting agency 29 or the American Dental Association Commission on Dental 30 Accreditation. The board shall, consistent with this act, adopt 20050H2200B3068 - 3 -
1 regulations providing for the general supervision and practice 2 of dental hygienists under this act. 3 * * * 4 Section 3. Section 11.4(a) of the act, added December 20, 5 1985 (P.L.513, No.118), is amended and the section is amended by 6 adding subsections to read: 7 Section 11.4. Radiologic Procedures; Education and Training 8 Required.--(a) On and after January 1, 1987, no auxiliary 9 personnel except dental hygienists and independent dental 10 hygiene practitioners shall perform radiologic procedures on the 11 premises of the dentist unless such person is under the direct 12 supervision of a dentist who is on the premises at the time the 13 X-ray is taken and unless such person has passed an examination 14 approved by the board and administered in accordance with 15 section 812.1 of the act of April 9, 1929 (P.L.177, No.175) 16 known as "The Administrative Code of 1929." 17 * * * 18 (e) Notwithstanding the supervision requirements of this 19 act, an independent dental hygiene practitioner may perform 20 radiological procedures in any setting without supervision of a 21 dentist on or after the effective date of this subsection. 22 (f) A dental hygienist may perform radiologic procedures in 23 any setting under the general supervision of a licensed dentist. 24 For the purposes of this subsection, "general supervision" means 25 supervision by a dentist who examines the patient, develops a 26 dental treatment plan, authorizes the performance of the 27 radiologic services to be performed within one year of the 28 examination, and takes full professional responsibility for 29 performance of the dental hygienist. 30 Section 4. The act is amended by adding a section to read: 20050H2200B3068 - 4 -
1 Section 11.9. Independent Dental Hygiene Practitioner.--(a) 2 Independent dental hygiene practitioners must satisfy and shall 3 be certified by the board upon meeting the following criteria: 4 (1) Completion of one thousand eight hundred hours of 5 practice under the supervision of a licensed dentist. 6 (2) Purchase of a malpractice policy in an amount determined 7 to be adequate by the board. 8 (b) The professional practice of an independent dental 9 hygiene practitioner shall be limited to the following practice 10 sites: 11 (1) Schools. 12 (2) Correctional facilities. 13 (3) "Health care facility" as defined in section 802.1 of 14 the act of July 19, 1979 (P.L.130, No.48), known as the "Health 15 Care Facilities Act." 16 (4) "Personal care home" as defined in section 1001 of the 17 act of June 13, 1967 (P.L.31, No.21), known as the "Public 18 Welfare Code." 19 (5) "Domiciliary care" as defined in section 2202-A of the 20 act of April 9, 1929 (P.L.177, No.175), known as "The 21 Administrative Code of 1929." 22 (6) An "older adult daily living center" as defined in 23 section 2 of the act of July 11, 1990 (P.L.499, No.118), known 24 as the "Older Adult Daily Living Centers Licensing Act." 25 (7) A "facility" as defined in section 3 of the act of June 26 18, 1984 (P.L.391, No.82), known as the "Continuing-Care 27 Provider Registration and Disclosure Act." 28 (8) A public or private institution under the jurisdiction 29 of a Federal, State or local agency. 30 (9) Other institutions the board deems appropriate. 20050H2200B3068 - 5 -
1 Section 5. This act shall take effect in 60 days. J25L63MSP/20050H2200B3068 - 6 -