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S1288.................................................by HEALTH AND WELFARE
DENTAL HYGIENISTS - Amends existing law to define an "extended access oral
health care program"; and to specify the requirements of practice in such a
program by a dental hygienist.
02/09 Senate intro - 1st rdg - to printing
02/10 Rpt prt - to Health/Wel
02/26 Rpt out - rec d/p - to 2nd rdg
02/27 2nd rdg - to 3rd rdg
03/01 3rd rdg - PASSED - 33-0-2
AYES -- Andreason, Bailey, Brandt, Bunderson, Burkett, Burtenshaw,
Calabretta, Cameron, Compton(Duncan), Darrington, Davis, Gannon,
Geddes, Goedde, Ingram, Kennedy, Keough, Little, Lodge, Malepeai,
McKenzie, McWilliams, Noble(Anderson), Noh, Pearce, Richardson,
Schroeder, Sorensen, Stegner, Stennett, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- Hill, Marley
Floor Sponsor - Compton(Duncan)
Title apvd - to House
03/02 House intro - 1st rdg - to Health/Wel
03/15 Rpt out - to Gen Ord
03/16 Rpt out - w/o amen - to 2nd rdg
03/17 2nd rdg - to 3rd rdg
Rls susp - PASSED - 65-2-3
AYES -- Andersen, Barraclough, Barrett, Bauer, Bayer, Bedke, Bell,
Black, Block, Boe, Bradford, Campbell, Cannon, Clark, Collins, Crow,
Deal, Denney, Douglas, Eberle, Edmunson, Ellsworth, Field(18),
Gagner, Garrett, Harwood, Henbest, Jaquet, Jones, Kellogg, Kulczyk,
Lake, Langford, Langhorst, Martinez, McGeachin, McKague, Meyer,
Miller, Mitchell, Moyle, Naccarato, Nielsen, Pasley-Stuart, Raybould,
Ridinger, Ring, Ringo, Roberts, Robison, Rydalch, Sali, Sayler,
Schaefer, Shepherd, Shirley, Skippen, Smith(30), Smith(24), Smylie,
Snodgrass, Stevenson, Trail, Wills, Mr. Speaker
NAYS -- Bolz, Eskridge
Absent and excused -- Cuddy, Field(23), Wood
Floor Sponsor - Kulczyk
Title apvd - to Senate
03/18 To enrol
03/19 Rpt enrol - Pres signed - Sp signed
03/22 To Governor
03/23 Governor signed
Session Law Chapter 214
Effective: 07/01/04
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-seventh Legislature Second Regular Session - 2004
IN THE SENATE
SENATE BILL NO. 1288
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO THE BOARD OF DENTISTRY; AMENDING SECTION 54-903, IDAHO CODE, TO
3 DEFINE "EXTENDED ACCESS ORAL HEALTH CARE PROGRAM"; AND AMENDING SECTION
4 54-904, IDAHO CODE, TO SPECIFY STANDARDS FOR PRACTICE FOR DENTAL HYGIEN-
5 ISTS.
6 Be It Enacted by the Legislature of the State of Idaho:
7 SECTION 1. That Section 54-903, Idaho Code, be, and the same is hereby
8 amended to read as follows:
9 54-903. GENERAL DEFINITIONS. As used in this chapter:
10 (1) "Association" means the Idaho state dental association and the Idaho
11 dental hygienists' association.
12 (2) "Board" means the state board of dentistry.
13 (3) "Dental assistant" is a person who need not be licensed under this
14 chapter, but who is regularly employed by a dentist at his office, who works
15 under the dentist's direct supervision, and is adequately trained and quali-
16 fied according to standards established by the board to perform the dental
17 services permitted to be performed by assistants by this chapter and applica-
18 ble rules of the board.
19 (4) "Dental hygienist" is a person both qualified and annually licensed
20 by the laws of Idaho to practice dental hygiene.
21 (5) "Dental specialist" is a dentist who limits his practice to a spe-
22 cialty recognized by the American dental association, who has graduated from a
23 board approved post-graduate program in his specialty and is a person both
24 qualified and annually licensed by the laws of Idaho to practice a dental spe-
25 cialty.
26 (6) "Dentist" is a person both qualified and annually licensed by the
27 laws of Idaho to practice dentistry.
28 (7) "Direct supervision" is supervision of a dental assistant or dental
29 hygienist requiring that a dentist diagnose the condition to be treated, a
30 dentist authorize the procedure to be performed, a dentist remain in the den-
31 tal office while the procedure is performed, and that before dismissal of the
32 patient, a dentist approves the work performed by the dental assistant or den-
33 tal hygienist.
34 (8) "Extended access oral health care program" means and includes dental
35 and dental hygiene treatment and services provided as part of a program con-
36 ducted by or through a local, county, state or federal agency, hospital, long-
37 term care facility, public health district, dental or dental hygiene school,
38 tribal clinic, or migrant health center; or such other oral health care pro-
39 gram approved on an annual basis by the board and conducted by or through a
40 public or private entity, recognized under section 501(c)(3) of the federal
41 Internal Revenue Code, to provide free or reduced fee dental and dental
42 hygiene services to persons who, due to age, infirmity, handicap, indigence or
43 disability, are unable to receive regular dental and dental hygiene treatment
2
1 in a private office.
2 (9) "General supervision" is supervision of a dental hygienist requiring
3 that a dentist authorize the procedure which is carried out, but not requiring
4 that a dentist be in the office when the authorized procedure is performed.
5 (910) "Indirect supervision" is supervision of a dental hygienist requir-
6 ing that a dentist authorize a procedure and that a dentist be in the dental
7 office while the procedure is performed by the hygienist.
8 SECTION 2. That Section 54-904, Idaho Code, be, and the same is hereby
9 amended to read as follows:
10 54-904. AUTHORIZATION FOR PROCEDURES PERFORMED UNDER GENERAL SUPERVISION
11 BY DENTAL HYGIENISTS. -- PRIVATE OFFICE -- PUBLIC SETTING. A dental hygienist
12 is authorized to practice under general supervision when:
13 (1) In a private office where the dental hygienist works, aA licensed
14 dentist has diagnosed the condition to be treated, and determined the proce-
15 dure to be performed, and or has delegated with written orders to authorized a
16 qualified dental hygienist the to performance of the prescribed treatment; or
17 (2) In an extended access oral health care program, aA supervisory den-
18 tist, who is employed or retained by or is a volunteer for the program, has
19 evaluated the dental health plan determined the treatment to be provided and
20 has issued written orders to authorized a dental hygienist employed in any
21 institutional setting where dental hygiene services may be performed holding a
22 license with an extended access dental hygiene endorsement to provide the pre-
23 scribed treatment.
STATEMENT OF PURPOSE
RS 13458
The purpose of this proposed legislation is to define the term
"extended access oral health care program" and to create a new
dental hygienist's license endorsement that would provide for a
dental hygienist who satisfied the applicable qualifications to be
issued an "extended access dental hygiene endorsement" which would
authorize the holder of the endorsement to provide dental hygiene
services under a dentist's general supervision through an extended
access oral health care program. An extended access oral health
care program would include dental hygiene services provided through
local, state and federal programs, hospitals, schools, community
health centers and through such other non-profit or charitable
dental hygiene programs which are annually approved by the Board of
Dentistry and which provide free or low-cost dental hygiene
services to persons who, due to age, infirmity, handicap, indigence
or disability, are unable to receive regular dental hygiene care in
a private dental office. The proposed legislation deletes the
requirement that a dentist issue written orders to a dental
hygienist working under general supervision. The dentist must now
diagnose and determine the treatment to be provided by the dental
hygienist or authorize the dental hygienist to perform prescribed
treatment.
FISCAL IMPACT
Additional Board of Dentistry staff time will be required to
process applications for the new dental hygienist license
endorsement. The Board of Dentistry has not, as yet, determined
whether an additional endorsement fee will be imposed in connection
with the new dental hygienist license endorsement. As such, there
is a possible fiscal impact on licensees.
CONTACT
Name: Mike Sheeley
Agency: Board of Dentistry
Phone: 334-2369
Statement of Purpose/Fiscal Impact S 1288