Chapter 138
2019 -- S 0572 SUBSTITUTE A
Enacted 07/08/2019

A N   A C T
RELATING TO EDUCATION - HEALTH AND SAFETY OF PUPILS

Introduced By: Senators Satchell, Cano, Archambault, Gallo, and Sheehan
Date Introduced: March 14, 2019

It is enacted by the General Assembly as follows:
     SECTION 1. Section 16-21-9 of the General Laws in Chapter 16-21 entitled "Health and
Safety of Pupils" is hereby amended to read as follows:
     16-21-9. Health examinations and dental screenings -- Reports -- Records.
     (a) Each community as defined in § 16-7-16 shall provide for the appointment of a
physician to make examinations of the health of the school children, who shall report any
deviation from the normal, and for the preservation of records of the examinations of the children.
Each community shall further provide for dental screenings by a licensed dentist or licensed
dental hygienist or a licensed public health dental hygienist, with at least three (3) years of
clinical experience, who shall report any suspected deviation from the normal, and for the
preservation of records of the screenings of the children. Each community shall notify the parents
or custodians of children of conditions requiring professional or skilled treatment. The state
commissioner of elementary and secondary education shall provide blank forms and record books
that he or she may deem necessary for the purposes of this section.
     (b) Each community as defined in § 16-7-16 shall contract with a licensed dentist and/or
a licensed public health dental hygienist, for the provision of the dental screenings services
required by this section. Dental hygienists performing the dental screenings pursuant to the
provisions of this section shall do so under the general supervision of the dentist liable and
responsible under the contract with the community or within the collaborative agreement
guidelines between a licensed public health hygienist and licensed dentist.
     (c) Except in emergency circumstances, should a referral by a dentist, dental hygienist,
and/or public health dental hygienist of children screened pursuant to the provisions of this
section be provided to a dental practice by which the dentist or dental hygienist is employed
and/or which the dentist owns, the referral should include the name(s) of one or more dental
practices as alternative providers shall be strictly prohibited. In the event that a referral has been
made in violation of this provision, the community shall terminate its contract with the dentist. In
the case of an egregious violation of the referral prohibition contained in this section, that conduct
shall be reported to the board of dental examiners.
     (d) Each community shall provide to parents or custodians of children who require
professional or skilled treatment a list of both dental practices in the community that accept
patients insured by medical assistance and/or RIte Care and dental practices that provide services
on a sliding scale basis to uninsured individuals. The department of human services shall provide
each community with a list containing the addresses and telephone numbers of both dental
practices that accept patients insured by medical assistance and/or RIte Care and dental practices
that provide services on a sliding scale basis to uninsured individuals.
     (e) Dental screenings for children in kindergarten, third, and ninth grade shall only be
performed by a licensed dentist or licensed public health dental hygienist.
     (f) All dentists, dental hygienists, and/or public health dental hygienists, performing
dental screenings pursuant to the provisions of this section, shall meet with the oral health
director of the department of health on a regular basis, as determined by the chief.
     SECTION 2. This act shall take effect upon passage.
========
LC001413/SUB A
========