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CSHB 81(FIN): "An Act extending the termination date of the Board of Dental Examiners; relating to the Board of Dental Examiners and regulation of the practice of dentistry; and relating to dental hygienists and dental assistants."

00 CS FOR HOUSE BILL NO. 81(FIN) 01 "An Act extending the termination date of the Board of Dental Examiners; relating to 02 the Board of Dental Examiners and regulation of the practice of dentistry; and relating 03 to dental hygienists and dental assistants." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 05 * Section 1. AS 08.03.010(c)(7) is amended to read: 06 (7) Board of Dental Examiners (AS 08.36.010) -- June 30, 2005 07 [2001]; 08 * Sec. 2. AS 08.32.110(a) is amended to read: 09 (a) The role of the dental hygienist is to assist members of the dental 10 profession in providing oral health care to the public. A person licensed to practice 11 the profession of dental hygiene in the state may 12 (1) remove calcareous deposits, accretions, and stains from the 13 exposed surfaces of the teeth beginning at the epithelial attachment by scaling and 14 polishing techniques;

01 (2) apply topical preventive [OR PROPHYLACTIC] agents; 02 (3) apply pit and fissure sealants; 03 (4) perform root planning and periodontal soft tissue curettage; 04 (5) perform other dental operations and services delegated by a 05 licensed dentist if the dental operations and services are not prohibited by (c) of this 06 section; and 07 (6) if certified by the board and under the direct or indirect supervision 08 of a licensed dentist, administer local anesthetic agents. 09 * Sec. 3. AS 08.32.110(d) is amended to read: 10 (d) This section does not prohibit a dental assistant from applying topical 11 preventive [OR PROPHYLACTIC] agents or pit and fissure sealants when those 12 duties have been delegated to the assistant by a dentist licensed under AS 08.36 or by 13 a dentist exempt from licensure under AS 08.36.350(a)(2). 14 * Sec. 4. AS 08.36.010 is amended by adding a new subsection to read: 15 (b) When making appointments of dentists and dental hygienists under (a) of 16 this section, the governor shall consider licensed dentists who have been nominated by 17 the Alaska Dental Society and licensed dental hygienists who have been nominated by 18 the Alaska State Dental Hygienists' Association. 19 * Sec. 5. AS 08.36.075(d) is amended to read: 20 (d) The board shall require that inspection of dental radiological equipment 21 occur once within every five calendar years and require that records concerning the 22 inspection be provided to the board by the owner or lessee of the equipment and kept 23 on file where the equipment is located. The board shall, upon application by the 24 owner or lessee of the dental radiological equipment, submission of evidence 25 documenting compliance with the inspection standards of the board, and payment of a 26 fee set by the board, issue to the owner or lessee an inspection seal indicating the date 27 by which the dental radiological equipment must pass inspection again. The date on 28 the inspection seal shall be December 31 of the fourth calendar year that occurs after 29 the calendar year in which the inspection occurred. A dentist may not use, or allow a 30 person under the dentist's supervision to use, dental radiological equipment in this 31 state after the date on the most recent inspection seal. The board may authorize an

01 inspector who is not a member of the board to determine whether the owner or 02 lessee of dental radiological equipment is in compliance with the inspection 03 standards of the board, collect the appropriate fee and remit the fee to the board, 04 and issue an inspection seal indicating the date by which the dental radiological 05 equipment must pass inspection again. An inspector who performs an inspection 06 under this subsection shall report the results of each inspection to the board and 07 to the department, indicating whether the dental radiological equipment was in 08 compliance with the inspection standards of the board and whether an inspection 09 seal was issued. 10 * Sec. 6. AS 08.36.160(e) is amended to read: 11 (e) A passing score on a clinical examination given by the Western Regional 12 Examining Board or a passing score on a clinical examination taken after 13 January 1, 2001, and given by the Central Regional Dental Testing Service, Inc., 14 which is an entity incorporated in the state of Kansas, within the five years 15 preceding licensure application under this chapter constitutes a passing score on a 16 clinical examination required under this chapter [, PROVIDED THE 17 EXAMINATION WAS TAKEN ON OR AFTER JANUARY 1, 1987]. 18 * Sec. 7. AS 08.36.234(a) is amended to read: 19 (a) The board shall provide for the licensing without examination, except as 20 provided in (2) of this subsection, of a dentist who 21 (1) provides certification to the board that the dentist 22 (A) is a graduate of a dental school accredited by the 23 Commission on Accreditation of the American Dental Association, or its 24 successor agency, and holds a certificate from the American Dental 25 Association Joint Commission on National Dental Examinations that the 26 dentist has passed the written examination given by the commission; 27 (B) has passed clinical and written examinations required for 28 licensure in another state, territory, or region of the United States and is [HAS 29 BEEN] licensed to practice dentistry in a [THAT] state, territory, or region of 30 the United States; the state, territory, or region in which the dentist is licensed 31 must have licensing requirements at least generally equivalent to those of this

01 state at the time of application; if the board does not consider the licensing 02 requirements of the other jurisdiction to be generally equivalent to those of this 03 state at the time of application because certain areas of subject matter were not 04 included in the other jurisdiction's examinations, the board may find 05 compliance with the requirements of this subparagraph if the dentist holds a 06 specialty certification in the omitted subject areas; 07 (C) is in good standing with the licensing entity in the 08 jurisdiction where the dentist is currently licensed and in all jurisdictions in 09 which the dentist was previously licensed while practicing in those 10 jurisdictions; if the dentist is employed by the federal government, the dentist 11 must be in good standing with the employing federal agency; 12 (D) has been engaged in continuous active clinical practice 13 averaging at least 20 hours a week for each of the five years immediately 14 preceding the application 15 (i) in a jurisdiction in which the dentist was licensed 16 and in good standing; or 17 (ii) working for the federal government while in good 18 standing with the employing federal agency and after having been 19 licensed by a jurisdiction; 20 (E) is not the subject of an adverse decision based upon a 21 complaint, investigation, review procedure, or other disciplinary proceeding 22 within the five years immediately preceding application, or of an unresolved 23 complaint, investigation, review procedure, or other disciplinary proceeding, 24 undertaken by a state, territorial, local, or federal dental licensing jurisdiction 25 or a dental society; 26 (F) is not the subject of an unresolved or an adverse decision 27 based upon a complaint, investigation, review procedure, or other disciplinary 28 proceeding undertaken by a state, territorial, local, or federal dental licensing 29 jurisdiction, dental society, or law enforcement agency that relates to criminal 30 or fraudulent activity, dental malpractice, or negligent dental care and that 31 adversely reflects on the applicant's ability or competence to practice dentistry

01 or on the safety or well-being of patients; 02 (G) has not previously had a license to practice dentistry 03 suspended for grounds similar to those specified under AS 08.36.315, revoked, 04 or voluntarily surrendered; 05 (H) has completed at least 42 hours of continuing education 06 related to clinical dentistry in the three years preceding application for a 07 license in this state; the continuing education must have been approved by the 08 American Dental Association, the Academy of General Dentistry, or the 09 appropriate specialty board; 10 (I) has not within the previous three years failed the clinical 11 exam given by the Western Regional Examining Board; 12 (J) is not the subject of an adverse report from the National 13 Practitioner Data Bank or the American Association of Dental Examiners 14 Clearinghouse for Disciplinary Information that relates to criminal or 15 fraudulent activity, negligent dental care, or malpractice; 16 (2) has passed, to the satisfaction of the board, a written examination 17 that consists of the portion of the written examination given under AS 08.36.160(b) 18 that pertains to the state's laws on the practice of dentistry; the board may not require a 19 higher passing score for applicants under this section than the board requires for 20 applicants under AS 08.36.110; 21 (3) is personally interviewed by the board for purposes of verifying 22 credentials; 23 (4) pays all required fees; 24 (5) provides the board with an affidavit that the dentist is not an 25 impaired practitioner; 26 (6) provides to the board an authorization for release of records in a 27 form prescribed by the board. 28 * Sec. 8. AS 08.36 is amended by adding a new section to read: 29 Sec. 08.36.317. Civil fine authority. Notwithstanding AS 08.01.075(a), in a 30 disciplinary action, the board may impose a civil fine not to exceed $25,000 for each 31 violation of this chapter or of a regulation adopted under this chapter.

01 * Sec. 9. AS 08.36.360 is amended to read: 02 Sec. 08.36.360. Practice of dentistry defined. A person engages in the 03 practice of dentistry who 04 (1) performs or holds out to the public as being able to perform dental 05 operations; 06 (2) diagnoses, treats, operates on, corrects, attempts to correct, or 07 prescribes for [,] a disease, lesion, pain, injury, deficiency, deformity, or physical 08 condition, malocclusion or malposition of the human teeth, alveolar process, gingiva, 09 maxilla, mandible, or adjacent tissues; 10 (3) performs or attempts to perform an operation incident to the 11 replacement of teeth; 12 (4) furnishes, supplies, constructs, reproduces, or repairs dentures, 13 bridges, appliances or other structures to be used and worn as substitutes for natural 14 teeth, except on prescription of a duly licensed and registered dentist and by the use of 15 impressions or casts made by a duly licensed and registered dentist; 16 (5) uses the words "dentist" or "dental surgeon" or the letters "D.D.S." 17 or "D.M.D." or other letter or title that represents the dentist as engaging in the 18 practice of dentistry; 19 (6) extracts or attempts to extract human teeth; 20 (7) exercises control over professional dental matters or the operation 21 of dental equipment in a facility where the acts and things described in this section are 22 performed or done; 23 (8) evaluates, diagnoses, treats, or performs preventive procedures 24 relating to diseases, disorders, or conditions of the oral cavity, maxillofacial area, 25 or adjacent and associated structures; a dentist whose practice includes the 26 services described in this paragraph may only perform the services if they are 27 within the scope of the dentist's education, training, and experience and in accord 28 with the generally recognized ethical precepts of the dental profession; nothing in 29 this paragraph requires a person licensed under AS 08.64 to be licensed under 30 this chapter.