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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, a Alicensed 14 dentist has diagnosed the condition to be treated ,and determined the proce- 15 dure to be performed, andor has delegated with written orders toauthorized a 16 qualified dental hygienist theto perform ance ofthe prescribed treatment; or 17 (2) In an extended access oral health care program, a Asupervisory den- 18 tist, who is employed or retained by or is a volunteer for the program, has 19 evaluated the dental health plandetermined the treatment to be provided and 20 has issued written orders toauthorized a dental hygienist employed in any21 institutional setting where dental hygiene services may be performedholding 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