2014 -- H 7984

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LC005220

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2014

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A N   A C T

RELATING TO BUSINESSES AND PROFESSIONS - DENTISTS AND DENTAL

HYGIENISTS

     Introduced By: Representatives McNamara, and Shekarchi

     Date Introduced: March 26, 2014

     Referred To: House Finance

     It is enacted by the General Assembly as follows:

     SECTION 1. Chapter 5-31.1 of the General Laws entitled "Dentists and Dental

Hygienists" is hereby amended by adding thereto the following section:

     5-31.1-39. Public health hygienists. -- (a) Any public health dental hygienist which for

purposes of this chapter means any practicing registered dental hygienist who may perform dental

hygiene procedures in a public health setting subject to conditions adopted by the Rhode Island

board of examiners in dentistry, may perform in a public health setting, without the supervision or

direction of a dentist, any procedure or provide any service that is within the dental hygiene scope

of practice that has been authorized and adopted by the Rhode Island board of examiners in

dentistry as a delegable procedure for a dental hygienist under general supervision in a private

practice setting.

     (b) Public health settings shall for purposes of this section, include, but not be limited to,

residences of the homebound, schools, nursing home and long-term care facilities, clinics,

hospitals, medical facilities, community health centers licensed or certified by the department of

health, mobile and portable dental health programs licensed or certified by the department of

health and operated by a local or state agency, head start programs and any other facilities or

programs deemed appropriate by the department of health.

     (c) Any public health hygienist shall enter into a written collaborative agreement with a

local or state government agency or institution or with a licensed dentist who states that he or she

shall be able to provide the appropriate level of communication and consultation with the dental

hygienist to ensure patient health and safety prior to performing any procedure or providing any

service under this section. The written collaborative agreement will follow the appropriate

guidelines as determined and established by the Rhode Island board of examiners in dentistry.

     (d) Any public health dental hygienist shall provide to the patient or to the patient's legal

guardian a consent form to be signed by the patient or legal guardian. The consent form shall be

consistent with current department of health policies that describes services to be rendered and

explains that services rendered are not a substitute for a dental examination by a dentist. The

consent form shall also inform the patient or legal guardian that the patient should obtain a dental

examination by a dentist within ninety (90) days. The patient or legal guardian shall also obtain

written referral to a dentist and an assessment of further dental needs.

     (e) The public health dental hygienist shall be directly reimbursed for services

administered in a public health setting by Medicaid or the state healthcare insurance program but

except as required by federal Medicaid law, but shall not seek reimbursement from any other

insurance or third-party payor. A public health dental hygienist shall not operate independently of

a dentist, except for a dental hygienist working for a local or state government agency or

institution or practicing in a mobile or portable prevention program licensed or certified by the

department of health. In such cases the local or state government agency or institution or mobile

or portable prevention program licensed or certified by the department of health may seek

reimbursement from any other third-party payor.

     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO BUSINESSES AND PROFESSIONS - DENTISTS AND DENTAL

HYGIENISTS

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     This act would authorize the practice of "public health hygienists" who would be

authorized to perform certain dental services in a public health setting.

     This act would take effect upon passage.

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