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                                                      PRINTER'S NO. 1530

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1087 Session of 2004


        INTRODUCED BY THOMPSON, KUKOVICH, RAFFERTY, LOGAN, COSTA,
           KITCHEN, LEMMOND AND PICCOLA, APRIL 7, 2004

        REFERRED TO CONSUMER PROTECTION AND PROFESSIONAL LICENSURE,
           APRIL 7, 2004

                                     AN ACT

     1  Regulating the practice and licensure of denturists.

     2     The General Assembly of the Commonwealth of Pennsylvania
     3  hereby enacts as follows:
     4  Section 1.  Short title.
     5     This act shall be known and may be cited as the State Board
     6  of Denturitry Act.
     7  Section 2.  Definitions.
     8     The following words and phrases when used in this act shall
     9  have the meanings given to them in this section unless the
    10  context clearly indicates otherwise:
    11     "Board."  The State Board of Denturitry established in
    12  section 3.
    13     "Denturist."  A person engaged in the practice of denturitry.
    14     "Practice of denturitry."  Practice of denturitry means only:
    15         (1)  Recognizing oral conditions pertaining to denture
    16     care; referring denture care patients for various
    17     professional, medical and dental services; performing

     1     examinations; interpreting radiographs and evaluating
     2     temporomandibular dysfunction.
     3         (2)  The taking of denture impressions and bite
     4     registration in order to design, make, produce, reproduce,
     5     construct, finish, supply, alter or repair a complete or
     6     partial upper or lower prosthetic denture, or any
     7     combination, to be fitted to an arch or arches.
     8         (3)  The fitting, designing, making, producing,
     9     constructing, finishing, supplying, altering and repairing
    10     dentures of a complete or partial upper or lower prosthetic
    11     denture, or both, to an arch or arches.
    12         (4)  The procedures incidental to the procedures
    13     specified in paragraphs (1), (2) and (3) as defined by the
    14     State Board of Denturitry.
    15  Section 3.  Establishment of board and appointment and term of
    16                 members and officers.
    17     (a)  Establishment.--There is hereby established a
    18  departmental administrative board to be known as the State Board
    19  of Denturitry which shall be in the Bureau of Professional and
    20  Occupational Affairs of the Department of State. It shall
    21  consist of seven members, all of whom shall be residents of this
    22  Commonwealth and two of whom shall be chosen as representatives
    23  of the public interest. The remaining five members shall be
    24  denturists licensed to practice in this Commonwealth, except
    25  that the first appointments shall be qualified to receive
    26  licensure under the terms of this act, provided they have had at
    27  least five years' working experience in Pennsylvania as
    28  denturists immediately preceding appointment. The denturist
    29  members of the board should be chosen so they are geographically
    30  representative.
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     1     (b)  Appointment.--The Governor shall appoint the members to
     2  serve on the board. In appointing persons to fill vacancies in
     3  the five board positions designated to be held by licensed
     4  denturists, the Governor shall select denturists who reside in
     5  different regions of this Commonwealth in an effort to provide
     6  geographical representation of denturists.
     7     (c)  Term.--
     8         (1)  The term of office of a member shall be three years,
     9     except that of the denturist members of the board first
    10     appointed, two shall serve terms of three years, two shall
    11     serve terms of two years and one shall serve a term of one
    12     year. A member appointed to fill a vacancy occurring
    13     otherwise than by expiration of a term shall be appointed for
    14     the remainder of the unexpired term.
    15         (2)  A member of the board shall be eligible for
    16     reappointment.
    17         (3)  A member shall not be appointed to serve more than
    18     two consecutive terms.
    19     (d)  Compensation.--A member shall receive reimbursement for
    20  reasonable expenses incurred while engaged in the discharge of
    21  official duties, as well as a $30 per diem allowance.
    22     (e)  Meetings.--The board shall meet at least twice a year
    23  and may hold additional meetings whenever necessary to discharge
    24  its duties. The location of the meetings shall be determined by
    25  the board but shall be within this Commonwealth.
    26     (f)  Officers.--The board shall elect annually from its
    27  membership a chairman, a vice chairman and a secretary.
    28  Section 4.  Powers and duties of board.
    29     (a)  Examinations and licensing.--It shall be the duty of the
    30  board to pass upon the qualifications of applicants for
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     1  licensure, to ensure the conduct of examinations, to issue and
     2  renew licenses to denturists who qualify under this act and, in
     3  proper cases, to suspend or revoke the license of a denturist.
     4  The board shall be authorized and empowered to refuse, revoke or
     5  suspend a license of a denturist pursuant to this act, to
     6  conduct investigations, including the power to issue subpoenas,
     7  and to hold hearings upon charges or information indicating
     8  violation of the provisions of this act or regulations
     9  promulgated under this act.
    10     (b)  Records.--The board shall maintain a record listing the
    11  name of every living denturist licensed to practice in this
    12  Commonwealth, the last known place of business, the last known
    13  place of residence and the date and number of the license of the
    14  licensee.
    15     (c)  Regulations.--The board shall have the power to
    16  promulgate and adopt rules and regulations not inconsistent with
    17  law as it deems necessary for the performance of its duties and
    18  the proper administration of this act. Only in the absence of
    19  disapproval shall the board proceed with the adoption of the
    20  rule, regulation or amendment in accordance with section 202 of
    21  the act of July 31, 1968 (P.L.769, No.240), referred to as the
    22  Commonwealth Documents Law.
    23  Section 5.  Limited scope denturist license.
    24     (a)  Requirements.--The board shall issue a limited scope
    25  license to a denturist to engage in providing the public with
    26  complete dentures, complete denture relines and complete denture
    27  repairs only, if the denturist demonstrates to the satisfaction
    28  of the board that he:
    29         (1)  Has a minimum of five years in some combination of
    30     training and experience in dental mechanics or technology or
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     1     as a dental laboratory technician.
     2         (2)  Has completed one postsecondary course in each of
     3     the following areas of study:
     4             (i)  Head and neck anatomy and physiology.
     5             (ii)  Oral pathology.
     6             (iii)  Centers for Disease Control and Prevention
     7         guidelines for disinfection and sterilization.
     8             (iv)  Clinical removable prosthodontics.
     9             (v)  Temporomandibular joint disorders.
    10             (vi)  Principles of dental radiology.
    11             (vii)  Ethics and jurisprudence.
    12         (3)  Has successfully completed certification for
    13     cardiopulmonary resuscitation equivalent to the standards of
    14     the American Heart Association.
    15         (4)  Produces satisfactory documented verification of
    16     having served a minimum of six months of performing clinical
    17     prosthetic duties under the general supervision of a licensed
    18     denturist or a licensed dentist.
    19         (5)  Has successfully passed the limited scope denturitry
    20     examination or a comparable board-approved written and
    21     clinical examination.
    22     (b)  Expiration.--This section shall expire one year after
    23  the effective date of this act.
    24  Section 6.  Full scope denturist license.
    25     The board shall issue a license to a denturist to engage in
    26  the practice of denturitry when the denturist demonstrates to
    27  the satisfaction of the board the following:
    28         (1)  Successful passage of the full scope denturist
    29     examination or a comparable board-approved written and
    30     practical examination.
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     1         (2)  Successful certification for cardiopulmonary
     2     resuscitation equivalent to the standards of the American
     3     Heart Association.
     4  Section 7.  Examinations.
     5     (a)  Authority.--The board is authorized to appoint a
     6  qualified subcommittee or entity to prepare and give written and
     7  clinical examinations in denturitry for the purpose of licensing
     8  denturists.
     9         (1)  Limited scope denturist examination:
    10             (i)  A limited scope denturist examination shall
    11         consist of a written examination concerning, but not
    12         limited to, dental materials, denture technology, Centers
    13         for Disease Control and Prevention guidelines, physiology
    14         and head and neck anatomy, oral pathology radiology,
    15         ethics and jurisprudence.
    16             (ii)  This paragraph shall expire one year after the
    17         effective date of this act.
    18         (2)  Full scope examination: The full scope denturist
    19     examination shall include dental radiology, partial denture
    20     design, clinical partial denture evaluation and procedures,
    21     related subject matter pertaining to denturitry, the practice
    22     of clinical partial denture delivery and a clinical
    23     examination.
    24     (b)  Eligibility for limited scope examination.--A person is
    25  eligible to take the limited scope denturitry examination if
    26  that person meets the following requirements:
    27         (1)  Is a high school graduate or has obtained high
    28     school equivalency.
    29         (2)  Has completed and can demonstrate to the
    30     satisfaction of the board a minimum of five years in some
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     1     combination of training and experience in denture mechanics
     2     or technology or as a denture laboratory technician or had
     3     successfully earned a diploma from a two-year dental
     4     laboratory educational program.
     5         (3)  Has completed one postsecondary course in each of
     6     the following areas of study prior to June 30, 2005:
     7             (i)  Head and neck anatomy and physiology.
     8             (ii)  Oral pathology.
     9             (iii)  Centers for Disease Control and Prevention
    10         guidelines for disinfection and sterilization.
    11             (iv)  Clinical removable prosthodontics.
    12             (v)  Temporomandibular joint disorders.
    13             (vi)  Principles of radiology.
    14             (vii)  Ethics and jurisprudence.
    15         (4)  Produces satisfactory documented verification of
    16     having served a minimum of six months performing clinical
    17     prosthetic duties under the general supervision of a licensed
    18     denturist or a licensed dentist.
    19         (5)  Has successfully completed certification for
    20     cardiopulmonary resuscitation equivalent to the standards of
    21     the American Heart Association.
    22     (c)  Eligibility for full scope examination.--A person is
    23  eligible to take the full scope denturitry examination if that
    24  person meets the following requirements:
    25         (1)  Has done either of the following:
    26             (i)  Graduated and successfully earned a diploma from
    27         a denturist program from a board-approved institution.
    28             (ii)  Satisfied the necessary requirements to receive
    29         a limited scope denturist license and completed one
    30         postsecondary course in each of the following areas of
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     1         study:
     2                 (A)  Removable partial denture design and
     3             construction.
     4                 (B)  Clinical removable partial denture design
     5             treatment.
     6                 (C)  Radiographic interpretation.
     7                 (D)  Treatment for temporomandibular disorders.
     8                 (E)  Dental occlusion.
     9                 (F)  Dental implantology.
    10         (2)  Has successfully completed certification for
    11     cardiopulmonary resuscitation equivalent to the standards of
    12     the American Heart Association.
    13     (d)  Application for examination.--An eligible person
    14  desiring to take an examination in order to become licensed as a
    15  limited scope denturist or a full scope denturist shall make a
    16  written application to the board to take either examination. An
    17  application fee, to be determined by the board, not to exceed
    18  $1,200 must accompany the application. The application fee
    19  includes the fee for the initial license and is nonrefundable.
    20     (e)  Examination fees.--The examination fee to be determined
    21  by the board may not exceed the actual cost of the examination.
    22     (f)  Failure to pass examination.--An applicant failing to
    23  pass an examination is entitled to a reexamination upon payment
    24  of the examination fee set by the board. If an applicant has
    25  failed three examinations, the board may require the applicant
    26  to complete additional educational requirements prior to
    27  reexamination.
    28  Section 7.  Issuance of license.
    29     (a)  Authority.--The board has the authority to issue a
    30  license to qualified persons to practice denturitry pursuant to
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     1  this section.
     2     (b)  License issued.--The board shall issue a license for the
     3  practice in this Commonwealth to each person who has passed an
     4  examination under section 6. This license authorizes the
     5  licensee to practice as a denturist in this Commonwealth until
     6  the expiration date that appears on the license.
     7     (c)  Renewal.--
     8         (1)  After a license has been issued under subsection
     9     (b), and on or before January 1 of odd-numbered years, a
    10     denturist must pay to the board a license renewal fee of not
    11     more than $1,200, to be determined by the board, in order to
    12     renew the license and to continue to be authorized to
    13     practice as a denturist in this Commonwealth or half the
    14     biennial licensure fee if application is made in an even-
    15     numbered year.
    16         (2)  After the requirements for a license renewal,
    17     including any necessary continuing education, have been met,
    18     a renewal card of the denturist's license must be issued,
    19     which the denturist shall place beside or attach to the
    20     denturist's initial license. Denturists who have not paid as
    21     provided as of January 1 must be reinstated upon payment of a
    22     fee, to be determined by the board, of not more than $200 if
    23     paid by February 1. A license to practice is automatically
    24     suspended on February 1 and may be reinstated, if approved by
    25     the board, on payment of a fee, to be determined by the
    26     board, of not more than $400.
    27     (d)  Endorsement.--The board at its discretion, without
    28  examination, may issue a license to an applicant, to practice as
    29  a denturist, who furnishes proof, satisfactory to the board,
    30  that the denturist has been licensed to practice and has
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     1  actively practiced for a period of five years in another state
     2  or Canadian province, with full compliance with the requirements
     3  of its dental laws and if the licensure requirements are, in all
     4  essentials, at least equivalent to those of this Commonwealth,
     5  the board may require letters of reference about the denturist.
     6  Applicants for licensure by endorsement who meet the
     7  requirements of this section must be interviewed in person by
     8  the board, or members of the board, prior to being issued a
     9  license. Every license so given must state upon its face that it
    10  was granted on the basis of endorsement. The fee for the license
    11  may not exceed $1,200.
    12     (e)  Duplicate license.--A licensee may be issued a duplicate
    13  by the board for fee of $70 upon the attestation of loss of the
    14  original.
    15     (f)  Additional prohibitions.--A denturist may not:
    16         (1)  falsely claim to be a dentist or allow another to
    17     falsely represent the denturist as a dentist; or
    18         (2)  perform a task beyond the denturist's scope.
    19     (g)  Mental or physical examination.--Upon application for
    20  and acceptance of the license, a licensed denturist is deemed to
    21  have given consent to a mental or physical examination when
    22  directed by the board. The board may conduct an examination
    23  whenever it determines a denturist may be suffering from a
    24  mental illness that may be interfering with the competent
    25  practice of denturity or from the use of intoxicants or drugs to
    26  the extent that they are preventing the denturist from
    27  practicing denturitry competently and with safety to the
    28  patients. A denturist examined under an order of the board does
    29  not have doctor-patient privilege. Failure to comply with an
    30  order of the board to submit to a mental or physical examination
    20040S1087B1530                 - 10 -     

     1  shall result in the immediate suspension of the denturist's
     2  license until the denturist submits to the examination.
     3     (h)  Continuing education.--As a condition of a license
     4  renewal, a denturist shall submit evidence of successful
     5  completion of 36 hours of continuing education consisting of
     6  board-approved courses completed within the three years
     7  preceding the application for renewal. The board shall
     8  proportionally reduce the continuing education hours required
     9  for denturists who have been licensed for less than a three-year
    10  period upon the date of renewal.
    11  Section 8.  Insurance payment for denturist services.
    12     All insurance companies who sell insurance in this
    13  Commonwealth shall pay denturists for dentures and related
    14  services according to each subscriber's benefits.
    15  Section 9.  Persons and practices not affected.
    16     (a)  Dental professionals.--Nothing in this act may be
    17  construed to prohibit a duly qualified dental surgeon, dental
    18  laboratory or dental hygienist from performing work or services
    19  performed by a denturist licensed under this act to the extent
    20  those persons are authorized to perform the same services under
    21  existing State law.
    22     (b)  Apprenticeships.--Nothing in this act may be construed
    23  to prevent students of a dental college, university or school of
    24  dental hygiene from practicing dental hygiene under the
    25  supervision of their instructors.
    26  Section 10.  Effective date.
    27     This act shall take effect in 60 days.


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