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1 STATE OF OKLAHOMA
1
2 1st Session of the 60th Legislature (2025)
2
3 SENATE BILL 669 By: Gillespie
3
4
4
5
5
6 AS INTRODUCED
6
7 An Act relating to the practice of dentistry;
7 amending 59 O.S. 2021, Section 328.2, which relates
8 to declarations; conforming language; updating
8 statutory language; amending 59 O.S. 2021, Section
9 328.3, as last amended by Section 1, Chapter 46,
9 O.S.L. 2024 (59 O.S. Supp. 2024, Section 328.3),
10 which relates to definitions; conforming language;
10 amending 59 O.S. 2021, Section 328.17, which relates
11 to standing committees; adding certain authorized
11 programs; amending 59 O.S. 2021, Section 328.19, as
12 amended by Section 2, Chapter 158, O.S.L. 2022 (59
12 O.S. Supp. 2024, Section 328.19), which relates to
13 acts constituting practice of dentistry; conforming
13 language; amending 59 O.S. 2021, Section 328.21, as
14 last amended by Section 3, Chapter 46, O.S.L. 2024
14 (59 O.S. Supp. 2024, Section 328.21), which relates
15 to application for license; updating statutory
15 language; expanding eligibility for license by
16 credentials; amending 59 O.S. 2021, Section 328.23a,
16 as last amended by Section 4, Chapter 46, O.S.L. 2024
17 (59 O.S. Supp. 2024, Section 328.23a), which relates
17 to special volunteer licenses; modifying authority of
18 volunteer licensees to use anesthesia; amending 59
18 O.S. 2021, Section 328.24, as last amended by Section
19 5, Chapter 46, O.S.L. 2024 (59 O.S. Supp. 2024,
19 Section 328.24), which relates to dental assistant
20 permits; modifying qualifications for dental
20 assistant permit; eliminating oral maxillofacial
21 permit; creating oral maxillofacial expanded duty
21 permit for dental assistants; describing permit;
22 modifying certain expanded duty qualifications;
22 amending 59 O.S. 2021, Section 328.25, which relates
23 to oral maxillofacial surgery expanded duty permit;
23 modifying and removing requirements for permitting
24 and supervision; conforming language; authorizing
24
Req. No. 936 Page 1
1 certain collaborative practice agreement; stating
1 minimum requirements; requiring certain maintenance
2 of records; providing for certain recommendations;
2 amending 59 O.S. 2021, Section 328.26, which relates
3 to interns; adding dental hygiene students to certain
3 provisions; authorizing dental student interns to
4 perform certain services; amending 59 O.S. 2021,
4 Section 328.27, which relates to faculty licenses;
5 providing for research faculty permit; amending 59
5 O.S. 2021, Section 328.28a, which relates to
6 applicant criminal background check; modifying
6 grounds for license denial; amending 59 O.S. 2021,
7 Section 328.29a, as amended by Section 5, Chapter
7 158, O.S.L. 2022 (59 O.S. Supp. 2024, Section
8 328.29a), which relates to penalties for dental
8 assistants; conforming language; amending 59 O.S.
9 2021, Section 328.31a, which relates to use of trade
9 names; removing certain conditions for use of trade
10 names; amending 59 O.S. 2021, Section 328.31b, as
10 amended by Section 6, Chapter 46, O.S.L. 2024 (59
11 O.S. Supp. 2024, Section 328.31b), which relates to
11 patient record keeping requirements; adding certain
12 requirements; requiring certain notice of closure;
12 amending 59 O.S. 2021, Section 328.32, as last
13 amended by Section 7, Chapter 46, O.S.L. 2024 (59
13 O.S. Supp. 2024, Section 328.32), which relates to
14 penalties for dentists; conforming language; amending
14 59 O.S. 2021, Section 328.41, as last amended by
15 Section 8, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
15 2024, Section 328.41), which relates to license
16 renewals; conforming language; amending 59 O.S. 2021,
16 Section 328.44a, as amended by Section 10, Chapter
17 46, O.S.L. 2024 (59 O.S. Supp. 2024, Section
17 328.44a), which relates to penalties; conforming
18 language; amending 59 O.S. 2021, Section 328.51a,
18 which relates to fees; conforming language; amending
19 59 O.S. 2021, Section 328.55, which relates to death
19 of patient; limiting effect of certain requirement;
20 providing for codification; and providing an
20 effective date.
21
21
22
22
23 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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24
24
Req. No. 936 Page 2
1 SECTION 1. AMENDATORY 59 O.S. 2021, Section 328.2, is
1
2 amended to read as follows:
2
3 Section 328.2. The practice of dentistry in the State of
3
4 Oklahoma is hereby declared to affect the public health, safety and
4
5 general welfare and to be subject to regulation and control in the
5
6 public's best interest. It is further declared to be a matter of
6
7 public interest and concern that the dental profession, through
7
8 advancement and achievement, merits and receives the confidence of
8
9 the public and that only properly qualified dentists be permitted to
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10 practice dentistry and supervise dental hygienists, and dental
10
11 assistants and oral maxillofacial surgery assistants in the State of
11
12 Oklahoma this state. All provisions of this act relating to the
12
13 practice of dentistry, the practice of dental hygiene, and the
13
14 procedures performed by dental assistants and oral maxillofacial
14
15 surgery assistants, and the fabrication of dental appliances in
15
16 dental laboratories by dental laboratory technicians shall be
16
17 liberally construed to carry out these objects and purposes.
17
18 SECTION 2. AMENDATORY 59 O.S. 2021, Section 328.3, as
18
19 last amended by Section 1, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
19
20 2024, Section 328.3), is amended to read as follows:
20
21 Section 328.3. As used in the State Dental Act, the following
21
22 words, phrases, or terms, unless the context otherwise indicates,
22
23 shall have the following meanings:
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24
24
Req. No. 936 Page 3
1 1. "Accredited dental college" means an institution whose
1
2 dental educational program is accredited by the Commission on Dental
2
3 Accreditation of the American Dental Association;
3
4 2. "Accredited dental hygiene program" means a dental hygiene
4
5 educational program which is accredited by the Commission on Dental
5
6 Accreditation of the American Dental Association;
6
7 3. "Accredited dental assisting program or class" means a
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8 dental assisting program which is accredited by the Commission on
8
9 Dental Accreditation of the American Dental Association or a class
9
10 approved by the Board of Dentistry;
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11 4. "Advanced procedure" means a dental procedure for which a
11
12 dental hygienist has received special training in a course of study
12
13 approved by the Board;
13
14 5. "Board" means the Board of Dentistry;
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15 6. "Certified dental assistant" means a dental assistant who
15
16 has earned and maintains current certified dental assistant
16
17 certification from the Dental Assisting National Board (DANB);
17
18 7. "Coronal polishing" means a procedure limited to the removal
18
19 of plaque and stain from exposed tooth surfaces, utilizing a slow
19
20 speed hand piece with a prophy/polishing cup or brush and polishing
20
21 agent and is not prophylaxis. To be considered prophylaxis,
21
22 examination for calculus and scaling must be done by a dental
22
23 hygienist or dentist;
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24
24
Req. No. 936 Page 4
1 8. "Deep sedation" means a drug-induced depression of
1
2 consciousness during which patients cannot be easily aroused but
2
3 respond purposefully following repeated or painful stimulation. The
3
4 ability to independently maintain ventilator function may be
4
5 impaired. Patients may require assistance in maintaining a patent
5
6 airway, and spontaneous ventilation may be inadequate.
6
7 Cardiovascular function is usually maintained;
7
8 9. "Dentistry" means the practice of dentistry in all of its
8
9 branches;
9
10 10. "Dentist" means a graduate of an accredited dental college
10
11 who has been issued a license by the Board to practice dentistry as
11
12 defined in Section 328.19 of this title;
12
13 11. "Dental ambulatory surgical center (DASC)" means a facility
13
14 that operates exclusively for the purpose of furnishing outpatient
14
15 surgical services to patients. A DASC shall have the same
15
16 privileges and requirements as a dental office and additionally must
16
17 be an accredited facility by the appropriate entity;
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18 12. "Dental office" means an establishment owned and operated
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19 by a dentist for the practice of dentistry, which may be composed of
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20 reception rooms, business offices, private offices, laboratories,
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21 and dental operating rooms where dental operations are performed;
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22 13. "Dental hygiene" means the science and practice of the
22
23 promotion of oral health and prevention and treatment of oral
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24
24
Req. No. 936 Page 5
1 disease through the provision of educational, therapeutic, clinical,
1
2 and preventive services;
2
3 14. "Dental hygienist" means an individual who has fulfilled
3
4 the educational requirements and is a graduate of an accredited
4
5 dental hygiene program and who has passed an examination and has
5
6 been issued a license by the Board and who is authorized to practice
6
7 dental hygiene as defined in this section;
7
8 15. "Dental assistant" or "oral maxillofacial surgery
8
9 assistant" means an individual working for a dentist, under the
9
10 dentist's direct supervision or direct visual supervision, and
10
11 performing duties in the dental office or a treatment facility
11
12 including the limited treatment of patients in accordance with the
12
13 provisions of the State Dental Act. A dental assistant or oral
13
14 maxillofacial surgery assistant may assist a dentist with the
14
15 patient; provided, this shall be done only under the direct
15
16 supervision or direct visual supervision and control of the dentist
16
17 and only in accordance with the educational requirements and rules
17
18 promulgated by the Board;
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19 16. "Dental laboratory" means a location, whether in a dental
19
20 office or not, where a dentist or a dental laboratory technician
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21 performs dental laboratory technology;
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22 17. "Dental laboratory technician" means an individual whose
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23 name is duly filed in the official records of the Board, which
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24 authorizes the technician, upon the laboratory prescription of a
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Req. No. 936 Page 6
1 dentist, to perform dental laboratory technology, which services
1
2 must be rendered only to the prescribing dentist and not to the
2
3 public;
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4 18. "Dental laboratory technology" means using materials and
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5 mechanical devices for the construction, reproduction or repair of
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6 dental restorations, appliances or other devices to be worn in a
6
7 human mouth;
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8 19. "Dental specialty" means a specialized practice of a branch
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9 of dentistry, recognized by the Board, where the dental college and
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10 specialty program are accredited by the Commission on Dental
10
11 Accreditation (CODA), or a dental specialty recognized by the Board,
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12 requiring a minimum number of hours of approved education and
12
13 training and/or recognition by a nationally recognized association
13
14 or accreditation board;
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15 20. "Direct supervision" means the supervisory dentist is in
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16 the dental office or treatment facility and, during the appointment,
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17 personally examines the patient, diagnoses any conditions to be
17
18 treated, and authorizes the procedures to be performed by a dental
18
19 hygienist, or dental assistant, or oral maxillofacial surgery
19
20 assistant. The supervising dentist is continuously on-site and
20
21 physically present in the dental office or treatment facility while
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22 the procedures are being performed and, before dismissal of the
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23 patient, evaluates the results of the dental treatment;
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24
Req. No. 936 Page 7
1 21. "Direct visual supervision" means the supervisory dentist
1
2 has direct ongoing visual oversight which shall be maintained at all
2
3 times during any procedure authorized to be performed by a dental
3
4 assistant or an oral maxillofacial surgery assistant;
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5 22. "Expanded duty" means a dental procedure for which a dental
5
6 assistant has received special training in a course of study
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7 approved by the Board;
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8 23. "Fellowship" means a program designed for post-residency
8
9 graduates to gain knowledge and experience in a specialized field;
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10 24. "General anesthesia" means a drug-induced loss of
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11 consciousness during which patients are not arousable, even by
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12 painful stimulation. The ability to independently maintain
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13 ventilator function is often impaired. Patients often require
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14 assistance in maintaining a patent airway, and positive pressure
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15 ventilation may be required because of depressed spontaneous
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16 ventilation or drug-induced depression of neuromuscular function.
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17 Cardiovascular function may be impaired;
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18 25. "General supervision" means the supervisory dentist has
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19 diagnosed any conditions to be treated within the past thirteen (13)
19
20 months, has personally authorized the procedures to be performed by
20
21 a dental hygienist, and will evaluate the results of the dental
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22 treatment within a reasonable time as determined by the nature of
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23 the procedures performed, the needs of the patient, and the
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24 professional judgment of the supervisory dentist. General
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Req. No. 936 Page 8
1 supervision may only be used to supervise a dental hygienist and may
1
2 not be used to supervise an oral maxillofacial surgery assistant or
2
3 a dental assistant except as provided by Section 328.58 of this
3
4 title;
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5 26. "Indirect supervision" means the supervisory dentist is in
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6 the dental office or treatment facility and has personally diagnosed
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7 any conditions to be treated, authorizes the procedures to be
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8 performed by a dental hygienist, remains in the dental office or
8
9 treatment facility while the procedures are being performed, and
9
10 will evaluate the results of the dental treatment within a
10
11 reasonable time as determined by the nature of the procedures
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12 performed, the needs of the patient, and the professional judgment
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13 of the supervisory dentist. Indirect supervision may not be used
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14 for an oral maxillofacial surgery assistant or a dental assistant;
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15 27. "Investigations" means an investigation proceeding,
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16 authorized under Sections 328.15A and 328.43a of this title, to
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17 investigate alleged violations of the State Dental Act or the rules
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18 of the Board;
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19 28. "Laboratory prescription" means a written description,
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20 dated and signed by a dentist, of dental laboratory technology to be
20
21 performed by a dental laboratory technician;
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22 29. "Minimal sedation" means a minimally depressed level of
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23 consciousness, produced by a pharmacological method, that retains
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24 the patient's ability to independently and continuously maintain an
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Req. No. 936 Page 9
1 airway and respond normally to tactile stimulation and verbal
1
2 command. Although cognitive function and coordination may be
2
3 modestly impaired, ventilator and cardiovascular functions are
3
4 unaffected;
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5 30. "Mobile dental anesthesia provider" means a licensed and
5
6 anesthesia-permitted dentist, physician or Certified Registered
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7 Nurse Anesthetist (CRNA) that has a mobile dental unit and provides
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8 anesthesia in dental offices and facilities in the state;
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9 31. "Mobile dental clinic" means a permitted motor vehicle or
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10 trailer utilized as a dental clinic, and/or that contains dental
10
11 equipment and is used to provide dental services to patients on-site
11
12 and shall not include a mobile dental anesthesia provider. A mobile
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13 dental clinic shall also mean and include a volunteer mobile dental
13
14 facility that is directly affiliated with a church or religious
14
15 organization as defined by Section 501(c)(3) or 501(d) of the United
15
16 States Internal Revenue Code, the church or religious organization
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17 with which it is affiliated is clearly indicated on the exterior of
17
18 the volunteer mobile dental facility, and such facility does not
18
19 receive any form of payment either directly or indirectly for work
19
20 provided to patients other than donations through the affiliated
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21 church or religious organization; provided, that the volunteer
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22 mobile dental facility shall be exempt from any registration fee
22
23 required under the State Dental Act;
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24
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Req. No. 936 Page 10
1 32. "Moderate sedation" means a drug-induced depression of
1
2 consciousness during which patients respond purposefully to verbal
2
3 commands, either alone or accompanied by light tactile stimulation.
3
4 No interventions are required to maintain a patent airway, and
4
5 spontaneous ventilation is adequate. Cardiovascular function is
5
6 usually maintained;
6
7 33. "Prophylaxis" means the removal of any and all calcareous
7
8 deposits, stains, accretions or concretions from the supragingival
8
9 and subgingival surfaces of human teeth, utilizing instrumentation
9
10 by scaler or periodontal curette on the crown and root surfaces of
10
11 human teeth including rotary or power-driven instruments. This
11
12 procedure may only be performed by a dentist or dental hygienist;
12
13 34. "Patient" or "patient of record" means an individual who
13
14 has given a medical history and has been examined and accepted by a
14
15 dentist for dental care;
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16 35. "Residencies" are programs designed for advanced clinical
16
17 and didactic training in general dentistry or other specialties or
17
18 other specialists at the post-doctoral level recognized by the
18
19 Commission on Dental Accreditation (CODA) or the Board;
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20 36. "Supervision" means direct supervision, direct visual
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21 supervision, indirect supervision or general supervision;
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22 37. "Teledentistry" means the remote delivery of dental patient
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23 care via telecommunications and other technology for the exchange of
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24
24
Req. No. 936 Page 11
1 clinical information and images for dental consultation, preliminary
1
2 treatment planning and patient monitoring; and
2
3 38. "Treatment facility" means:
3
4 a. a federal, tribal, state or local public health
4
5 facility,
5
6 b. a Federally Qualified Health Center (FQHC),
6
7 c. a private health facility,
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8 d. a group home or residential care facility serving the
8
9 elderly, disabled or juveniles,
9
10 e. a hospital or dental ambulatory surgery center (DASC),
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11 f. a nursing home,
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12 g. a penal institution operated by or under contract with
12
13 the federal or state government,
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14 h. a public or private school,
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15 i. a patient of record's private residence,
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16 j. a mobile dental clinic,
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17 k. a dental college, dental program, dental hygiene
17
18 program or dental assisting program accredited by the
18
19 Commission on Dental Accreditation, or
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20 l. such other places as are authorized by the Board.
20
21 SECTION 3. AMENDATORY 59 O.S. 2021, Section 328.17, is
21
22 amended to read as follows:
22
23 Section 328.17. A. 1. The Board of Dentistry shall have the
23
24 following standing committees that shall meet once per year and
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Req. No. 936 Page 12
1 other times as needed to study issues affecting the practice of
1
2 dentistry and the safety of the public and to make recommendations
2
3 to the Board:
3
4 a. Dental Practice Committee,
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5 b. Anesthesia Committee,
5
6 c. Specialty Practice Committee,
6
7 d. Historical and Retirement Committee, and
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8 e. Assistants, Dental Labs and Other Auxiliary Personnel
8
9 Committee.
9
10 2. Each committee shall be cochaired by a current or past Board
10
11 member to be appointed by the Board President with approval by the
11
12 Board and a member of a statewide organization representing dentists
12
13 as recommended by such organization;.
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14 3. Each committee may have up to ten committee members with the
14
15 exception of the Anesthesia Committee which may have up to eighteen
15
16 members, exclusive of the cochairs;.
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17 4. The Board President, with approval of the Board, shall
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18 appoint all committee members. One-half (1/2 or 50%) of the
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19 committee members shall be recommended by the Board and one-half
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20 (1/2 or 50%) of the committee members shall be recommended to the
20
21 Board President by a statewide organization representing dentists;
21
22 and.
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23 5. Committee members shall be on staggered three-year terms and
23
24 shall serve at the pleasure of the Board.
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Req. No. 936 Page 13
1 B. There shall be a Dental Hygiene Advisory Committee to be
1
2 composed of the following members:
2
3 1. One current dental hygiene member of the Board;
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4 2. Two dental hygienists recommended by the Board and two
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5 dental hygienists recommended by a statewide organization
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6 representing dental hygienists;
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7 3. The Committee shall have the following functions:
7
8 a. to develop and propose recommendations to the Board
8
9 regarding the education, examination, licensure, and
9
10 regulation of dental hygienists,
10
11 b. to advise the Board in rulemaking regarding dental
11
12 hygiene,
12
13 c. to hold meetings at least annually, but not more than
13
14 six (6) times a year, and
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15 d. to work directly with the Allied Dental Education
15
16 Committee in reviews and recommendations for
16
17 equivalent dental hygiene programs; and
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18 4. Members of the Committee shall be appointed by the Board and
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19 shall serve a term of three (3) years. Appointments shall be made
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20 so that approximately one-third (1/3 or 33%) of the Committee is
20
21 reappointed at any given time. Members may be appointed for
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22 consecutive terms if recommended by the Board President and approved
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23 by the Board.
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24 C. There shall be an Allied Dental Education Committee.
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Req. No. 936 Page 14
1 1. The Board President shall appoint all members of the Allied
1
2 Dental Education Committee upon approval by the Board;
2
3 2. The Allied Dental Education Committee shall:
3
4 a. review the standards and equivalency of in-state and
4
5 out-of-state dental and auxiliary program requirements
5
6 and make recommendations to the Board,
6
7 b. evaluate individual credentials and programs for the
7
8 purpose of issuing dental assistant expanded duty
8
9 permits and dental hygiene advanced procedure permits
9
10 from persons holding out-of-state licenses and permits
10
11 based on CODA or DANB programs and criteria as defined
11
12 by the State Dental Act and other statutes and shall
12
13 make recommendations to the Board,
13
14 c. recommend standards and guidelines and review criteria
14
15 for all expanded duty programs or courses for dental
15
16 assistants from CODA approved programs and non-CODA
16
17 approved providers and advanced procedures of dental
17
18 hygienists from CODA approved programs or training and
18
19 non-CODA approved programs or training to the Board,
19
20 and
20
21 d. recommend and develop guidelines for classroom,
21
22 electronic media and other forms of education and
22
23 testing;
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24
24
Req. No. 936 Page 15
1 3. The Committee shall meet as deemed necessary by the Board
1
2 President; and
2
3 4. The Committee may have up to ten (10) members of whom three
3
4 shall have a background in dental education. The Committee shall be
4
5 composed of:
5
6 a. the Board President or his or her designee who must be
6
7 a current or past Board Member,
7
8 b. the hygiene member of the Board or their designee who
8
9 must be a current or past Board Member,
9
10 c. the Dean of the University of Oklahoma College of
10
11 Dentistry or his or her designee, and
11
12 d. up to seven at-large members, one of which must be an
12
13 educator and one of which must have a current
13
14 Certified Dental Assistant Permit.
14
15 D. The Board President shall have the authority to appoint
15
16 other ad hoc committees as needed.
16
17 E. All Committee members of standing committees, the Hygiene
17
18 Committee and the Allied Dental Education Committee shall serve
18
19 staggered three-year terms and serve at the pleasure of the Board.
19
20 SECTION 4. AMENDATORY 59 O.S. 2021, Section 328.19, as
20
21 amended by Section 2, Chapter 158, O.S.L. 2022 (59 O.S. Supp. 2024,
21
22 Section 328.19), is amended to read as follows:
22
23
23
24
24
Req. No. 936 Page 16
1 Section 328.19. A. The following acts by any person shall be
1
2 regarded as practicing dentistry within the meaning of the State
2
3 Dental Act:
3
4 1. Representing oneself to the public as being a dentist or as
4
5 one authorized to practice dentistry;
5
6 2. Representing oneself to the public as being able to diagnose
6
7 or examine clinical material or contract for the treating thereof;
7
8 3. Representing oneself as treating or professing to treat by
8
9 professional instructions or by advertised use of professional
9
10 equipment or products;
10
11 4. Representing oneself to the public as treating any of the
11
12 diseases or disorders or lesions of the oral cavity, teeth, gums,
12
13 maxillary bones, and associate structures;
13
14 5. Removing human teeth;
14
15 6. Repairing or filling cavities in human teeth;
15
16 7. Correcting or attempting to correct malposed teeth;
16
17 8. Administering anesthetics, general or local;
17
18 9. Treating deformities of the jaws and adjacent structures;
18
19 10. Using x-ray and interpreting dental x-ray film;
19
20 11. Offering, undertaking or assisting, by any means or
20
21 methods, to remove stains, discolorations, or concretions from the
21
22 teeth; provided, that this paragraph shall not preclude or prohibit
22
23 the sale of any teeth whitening kit designed for self-administration
23
24 as approved by the United States Food and Drug Administration;
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Req. No. 936 Page 17
1 12. Operating or prescribing for any disease, pain, injury,
1
2 deficiency, deformity, or any physical condition connected with the
2
3 human mouth;
3
4 13. Taking impressions of the teeth and jaws;
4
5 14. Furnishing, supplying, constructing, reproducing, or
5
6 repairing, or offering to furnish, supply, construct, reproduce, or
6
7 repair, prosthetic dentures, sometimes known as plates, bridges, or
7
8 other substitutes for natural teeth for the user or prospective user
8
9 thereof;
9
10 15. Adjusting or attempting to adjust any prosthetic denture,
10
11 bridge, appliance, or any other structure to be worn in the human
11
12 mouth;
12
13 16. Diagnosing, making, and adjusting appliances to artificial
13
14 casts of malposed teeth for treatment of the malposed teeth in the
14
15 human mouth, without instructions;
15
16 17. Writing a laboratory prescription to a dental laboratory or
16
17 dental laboratory technician for the construction, reproduction or
17
18 repair of any appliance or structure to be worn in the human mouth;
18
19 18. Owning, maintaining, or operating an office or offices by
19
20 holding a financial interest in same for the practice of dentistry;
20
21 or
21
22 19. Any other procedure otherwise defined in the State Dental
22
23 Act requiring a valid license or permit to perform while the person
23
24 does not hold such valid license or permit issued by the Board.
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Req. No. 936 Page 18
1 B. The fact that a person uses any dental degree, or
1
2 designation, or any card, device, directory, poster, sign or other
2
3 media representing oneself to be a dentist shall be prima facie
3
4 evidence that the person is engaged in the practice of dentistry;
4
5 provided that nothing in this section shall be so construed as to
5
6 prevent the following:
6
7 1. Physicians or surgeons, who are licensed under the laws of
7
8 this state, from administering any kind of treatment coming within
8
9 the province of medicine or surgery;
9
10 2. The practice of dentistry in the discharge of the person's
10
11 official duties by dentists in the United States Army, the United
11
12 States Navy, the United States Air Force, the United States Marine
12
13 Corps, the United States Coast Guard, the United States Public
13
14 Health Service, or the United States Veterans Administration;
14
15 3. Dental schools or colleges, as now conducted and approved,
15
16 or as may be approved, and the practice of dentistry by students in
16
17 dental schools, colleges or hospitals, approved by the Board, when
17
18 acting under the direction and supervision of licensed dentists or
18
19 dentists holding properly issued permits acting as instructors;
19
20 4. Acts of a dental clinician or other participant at a dental
20
21 educational meeting or at an accredited dental college, when no fee
21
22 is charged to or paid by a patient;
22
23 5. The practice of dental hygiene, as defined herein, by a
23
24 person granted a license by the Board;
24
Req. No. 936 Page 19
1 6. The performing of acts by a dental assistant or oral
1
2 maxillofacial surgery assistant who performs the acts under the
2
3 direct supervision or direct visual supervision of a dentist and in
3
4 accordance with the provisions of the State Dental Act and the rules
4
5 promulgated by the Board; or
5
6 7. The fabrication of dental appliances pursuant to a
6
7 laboratory prescription of a dentist, by a dental laboratory
7
8 technician in a dental laboratory using inert materials and
8
9 mechanical devices for the fabrication of any restoration, appliance
9
10 or thing to be worn in the human mouth.
10
11 SECTION 5. AMENDATORY 59 O.S. 2021, Section 328.21, as
11
12 last amended by Section 3, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
12
13 2024, Section 328.21), is amended to read as follows:
13
14 Section 328.21. A. No person shall practice dentistry or,
14
15 dental hygiene, or dental assisting without first applying for and
15
16 obtaining a license from the Board of Dentistry.
16
17 B. Application shall be made to the Board in writing and shall
17
18 be accompanied by the fee established by the rules of the Board,
18
19 together with satisfactory proof that the applicant:
19
20 1. Is of good moral character;
20
21 2. Is twenty-one (21) years of age, or over, at the time of
21
22 making application to practice dentistry or eighteen (18) years of
22
23 age, or over, if the applicant is to practice dental hygiene;
23
24
24
Req. No. 936 Page 20
1 3. Has passed a written theoretical examination and a clinical
1
2 examination approved by the Board within the previous five (5)
2
3 years; and
3
4 4. Has passed a written jurisprudence examination over the
4
5 rules and laws affecting dentistry in this state.
5
6 C. An application from a candidate who desires to secure a
6
7 license from the Board to practice dentistry or dental hygiene in
7
8 this state shall be accompanied by satisfactory proof that the
8
9 applicant:
9
10 1. Is a graduate of an accredited dental college, if the
10
11 applicant is to practice dentistry;
11
12 2. Is a graduate of an accredited dental hygiene program, if
12
13 the applicant is to practice dental hygiene; and
13
14 3. Has passed all portions of the National Board Dental
14
15 Examination or the National Board Dental Hygiene Examination.
15
16 D. Pursuant to Section 328.15 of this title, the Board may
16
17 affiliate as a member state, and accept regional exams from the
17
18 Commission on Dental Competency Assessments (CDCA-WREB-CITA) if the
18
19 following requirements are included:
19
20 1. For dental licensing the following components on a live
20
21 patient or manikin:
21
22 a. a fixed prosthetic component of the preparation of an
22
23 anterior all porcelain crown and the preparation of a
23
24 three-unit posterior bridge,
24
Req. No. 936 Page 21
1 b. a periodontal component,
1
2 c. an endodontic component,
2
3 d. an anterior class III and posterior class II
3
4 restorative component,
4
5 e. a diagnosis and treatment planning section as approved
5
6 by the Board, as specified in Section 328.15 of this
6
7 title, and
7
8 f. the Board may determine equivalencies based on
8
9 components of other exams for the purpose of
9
10 credentialing; or
10
11 2. For dental hygienists licensing the following components on
11
12 a live patient or manikin:
12
13 a. clinical patient treatments with an evaluation of
13
14 specific clinical skills, and
14
15 b. evaluation of the candidate's compliance with
15
16 professional standards during the treatment as
16
17 approved by the Board in Section 328.15 of this title
17
18 and shall include:
18
19 (1) extra/intra oral assessment,
19
20 (2) periodontal probing, and
20
21 (3) scaling/subgingival calculus removal and
21
22 supragingival deposit removal.
22
23 E. When the applicant and the accompanying proof are found
23
24 satisfactory, the Board shall notify the applicant to appear for the
24
Req. No. 936 Page 22
1 jurisprudence examination at the time and place to be fixed by the
1
2 Board. A dental student or a dental hygiene student in the
2
3 student's last semester of a dental or dental hygiene program,
3
4 having met all other requirements, may make application and take the
4
5 jurisprudence examination with a letter from the dean of the dental
5
6 school or director of the hygiene program stating that the applicant
6
7 is a candidate for graduation within the next six (6) months.
7
8 F. The Board shall require every applicant for a license to
8
9 practice dentistry or dental hygiene to submit, for the files of the
9
10 Board, a copy of a dental degree or dental hygiene degree, an
10
11 official transcript, a recent photograph duly identified and
11
12 attested, and any other information as required by the Board.
12
13 G. Any applicant who fails to pass the jurisprudence
13
14 examination may apply for a second examination, in which case the
14
15 applicant shall pay a reexamination fee as established by the
15
16 statutes or rules of the State Dental Act.
16
17 H. A dentist or dental hygienist currently licensed in another
17
18 state having met the qualifications in paragraphs 1 through 3 of
18
19 subsections B and C of this section may apply for a license by
19
20 credentials upon meeting the following:
20
21 1. A dentist holding a general dentist license in good standing
21
22 and having practiced for at least five hundred (500) hours within
22
23 the previous five (5) years immediately prior to application and
23
24
24
Req. No. 936 Page 23
1 having passed a regional examination substantially equivalent to the
1
2 requirements for this state may apply for licensure by credentials;
2
3 2. A dental hygienist holding a dental hygiene license in good
3
4 standing and having practiced for at least four hundred twenty (420)
4
5 hours within the previous five (5) years immediately prior to
5
6 application and having passed a regional examination substantially
6
7 equivalent to the requirements for this state may apply for
7
8 licensure by credentials. Applicants for credentialing must
8
9 include:
9
10 a. a letter of good standing from all states in which the
10
11 applicant has ever been licensed, and
11
12 b. any other requirements as set forth by the rules; and
12
13 3. An applicant applying for a dental or dental hygiene license
13
14 by credentials shall only be required to pass the jurisprudence
14
15 portion of the examination requirements as set forth in paragraph 4
15
16 of subsection B of this section; and
16
17 4. The spouse of an active duty military member pursuant to a
17
18 current permanent change of station order from the military who was
18
19 actively licensed in another state for the previous two (2) years
19
20 shall be eligible for a license or permit pursuant to the
20
21 requirements listed in 50 U.S.C., Section 4025(a).
21
22 I. 1. There shall be seven types of advanced procedures
22
23 available for dental hygienists upon completion of a Commission on
23
24
24
Req. No. 936 Page 24
1 Dental Accreditation (CODA) approved program, course, or
1
2 certification program that has been approved by the Board:
2
3 a. administration of nitrous oxide,
3
4 b. administration of local anesthesia,
4
5 c. neuromodulator administration,
5
6 d. therapeutic use of lasers,
6
7 e. phlebotomy,
7
8 f. venipuncture, and
8
9 g. elder care and public health pursuant to Section
9
10 328.58 of this title.
10
11 2. A dental hygienist holding an advanced procedure permit or
11
12 credential in any other state for two (2) years shall be eligible
12
13 for the advanced procedure permit by credentials; provided, that
13
14 application for the advanced procedure permit by credentials for
14
15 administration of local anesthesia shall additionally require proof
15
16 of passage of such advanced procedure in a CDCA-WREB-CITA exam.
16
17 3. For all advanced procedures other than administration of
17
18 local anesthesia, a dental hygienist may apply by filling out an
18
19 application with required documentation of training as required by
19
20 state law and rules of the Board. A dental hygienist licensed by
20
21 the Board prior to January 30, 2024, shall be eligible for the
21
22 advanced procedure of therapeutic use of lasers upon submission of
22
23 an affidavit attesting to two (2) years of practice using lasers.
23
24
24
Req. No. 936 Page 25
1 4. All advanced procedures shall be added to the dental hygiene
1
2 license upon approval.
2
3 J. All licensees and permit holders shall display the current
3
4 permit or license in a visible place within the dental office or
4
5 treatment facility.
5
6 K. The Board shall have the authority to temporarily change
6
7 requirements of an examination due to availability or changes in the
7
8 examination format, not to exceed one (1) year.
8
9 L. During a year in which governmental officials have declared
9
10 a health pandemic, a state or federal disaster, or other natural or
10
11 man-made disaster, the Board shall have the authority through a
11
12 resolution to change or make allowances in requirements of all
12
13 candidates for licensure and issue temporary licenses for extended
13
14 periods of time or as needed until the event passes. The resolution
14
15 shall have a beginning and an end date and shall automatically
15
16 expire no less than thirty (30) days after the end of the disaster
16
17 is declared by governmental officials.
17
18 M. Every licensee or permit holder shall have an official
18
19 address and email address listed with the Board. Every licensee or
19
20 permit holder shall update the address within thirty (30) calendar
20
21 days of moving. Official notification of any action of the Board
21
22 adverse to a licensee or permit holder including but not limited to
22
23 notification of license or permit cancellation due to nonrenewal,
23
24 notice of a formal complaint, or a decision of the hearing panel or
24
Req. No. 936 Page 26
1 board, shall be served to the licensee or permit holder by
1
2 registered mail at the official address, in person, to the
2
3 licensee's or permit holder's attorney, by agreement of the
3
4 individual, by a process server, or by an investigator of the Board
4
5 pursuant to Section 2004 of Title 12 of the Oklahoma Statutes.
5
6 SECTION 6. AMENDATORY 59 O.S. 2021, Section 328.23a, as
6
7 last amended by Section 4, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
7
8 2024, Section 328.23a), is amended to read as follows:
8
9 Section 328.23a. A. There is established a special volunteer
9
10 license for dentists and a special volunteer license for dental
10
11 hygienists who are retired from active practice or out-of-state
11
12 licensees in active practice who are in the Oklahoma Medical Reserve
12
13 Corps or assisting with emergency management, emergency operations
13
14 or hazard mitigation in response to any emergency, man-made disaster
14
15 or natural disaster, or participating in public health initiatives,
15
16 disaster drills and community service events that are endorsed by a
16
17 city or county health department or the State Department of Health
17
18 and wish to donate their expertise for the dental care and treatment
18
19 of indigent and needy persons of the state. A special volunteer
19
20 license may also be issued for any live patient training approved by
20
21 the Board of Dentistry. The special volunteer license shall be:
21
22 1. Issued by the Board of Dentistry to eligible persons;
22
23 2. Issued without the payment of an application fee, license
23
24 fee or renewal fee;
24
Req. No. 936 Page 27
1 3. Issued or renewed without any continuing education
1
2 requirements for a period less than one (1) calendar year; and
2
3 4. Issued for one (1) calendar year or part thereof.
3
4 B. A special volunteer license may be issued for a dentist or
4
5 dental hygienist who is on active duty military service. This
5
6 license shall not be subject to paragraph 4 of subsection A of this
6
7 section and may be issued for the time period of the tour of duty.
7
8 C. A dentist or dental hygienist must meet the following
8
9 requirements to be eligible for a special volunteer license:
9
10 1. Completion of a special volunteer dental or dental hygiene
10
11 license application including documentation of the dental or dental
11
12 hygiene school graduation and practice history;
12
13 2. Documentation that the dentist or dental hygienist has been
13
14 previously issued a full and unrestricted license to practice
14
15 dentistry or dental hygiene in this state or in another state of the
15
16 United States and that he or she has never been the subject of any
16
17 reportable medical or dental disciplinary action in any
17
18 jurisdiction. If the dentist or dental hygienist is licensed in
18
19 more than one state and any license of the licensee is suspended,
19
20 revoked, or subject to any agency order limiting or restricting
20
21 practice privileges, or has been voluntarily terminated under threat
21
22 of sanction, the dentist or dental hygienist shall be ineligible to
22
23 receive a special volunteer license;
23
24
24
Req. No. 936 Page 28
1 3. Acknowledgement and documentation that the dentist's or
1
2 dental hygienist's practice under the special volunteer license will
2
3 be exclusively and totally devoted to providing dental care to needy
3
4 and indigent persons in this state;
4
5 4. Acknowledgement and documentation that the dentist or dental
5
6 hygienist will not receive or have the expectation to receive any
6
7 payment or compensation, either direct or indirect, for any dental
7
8 services rendered under the special volunteer license; and
8
9 5. A listing of all locations and dates that the person will be
9
10 completing volunteer work under the special volunteer license.
10
11 D. The Board of Dentistry shall have jurisdiction over
11
12 dentists, dental hygienists, dental assistants and dental
12
13 technicians who volunteer their professional services in the state.
13
14 Dental assistants and dental technicians shall work under the direct
14
15 supervision of a dentist.
15
16 E. Dental assistants may be issued a volunteer permit at the
16
17 request of an entity that provides dental services to the needy.
17
18 Volunteers in a volunteer initiative who are not dentists or dental
18
19 hygienists shall be named and provided on a list to the Board by the
19
20 entity hosting the volunteer initiative with any other requirements
20
21 as set forth by the Board. The Board shall provide written
21
22 documentation to the host entity designating all persons who may
22
23 participate in the volunteer initiative including authorization of
23
24 the timetable requested by the host entity for granting licensure
24
Req. No. 936 Page 29
1 exemption. Any person working under a volunteer dental assistant
1
2 permit shall not receive payment or compensation for any services
2
3 rendered under the volunteer dental assistant permit. Volunteer
3
4 dental assistant permits shall be limited to specific dates and
4
5 locations of services to be provided.
5
6 F. All persons providing care shall do so under the provisions
6
7 specified in Section 328.1 et seq. of this title or rules
7
8 promulgated by the Board. Only those functions authorized by law or
8
9 administrative rule shall be performed by the named person approved
9
10 by the Board.
10
11 G. Volunteers shall not use sedation or general be limited to
11
12 topical and local anesthesia during volunteer procedures.
12
13 H. Volunteers shall use a form to be provided by the Board for
13
14 any patient with clear instructions for any and all follow-up care.
14
15 I. At any time, the Board shall revoke a volunteer license
15
16 based on documentation of failure to participate according to state
16
17 laws or administrative rules.
17
18 J. A special volunteer license shall be restricted to services
18
19 provided at the locations listed on the application or for a
19
20 specific not-for-profit treatment provider group as approved by the
20
21 Board.
21
22 K. A special volunteer license may be issued to a dentist with
22
23 an active license in good standing in another state for the purpose
23
24
24
Req. No. 936 Page 30
1 of participating in a continuing education class that includes live
1
2 patient treatment as a part of the training program.
2
3 SECTION 7. AMENDATORY 59 O.S. 2021, Section 328.24, as
3
4 last amended by Section 5, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
4
5 2024, Section 328.24), is amended to read as follows:
5
6 Section 328.24. A. No person shall practice as a dental
6
7 assistant or oral maxillofacial surgery assistant for more than one
7
8 (1) day in a calendar year without having applied for a permit as a
8
9 dental assistant or oral maxillofacial surgery assistant from the
9
10 Board of Dentistry within thirty (30) days of beginning employment.
10
11 During this time period, the dental assistant shall work under the
11
12 direct visual supervision of a dentist at all times without first
12
13 applying for and obtaining a permit from the Board of Dentistry.
13
14 B. The application shall be made to the Board in writing and
14
15 shall be accompanied by the fee established by the Board, together
15
16 with satisfactory proof that the applicant passes a background check
16
17 with criteria established by the Board.
17
18 C. Beginning January 1, 2020, every Every dental assistant
18
19 receiving a permit shall complete a class on infection control as
19
20 approved by the Board within one (1) year from the date of receipt
20
21 of the permit. Any person holding a valid dental assistant permit
21
22 prior to January 1, 2020, shall complete an infection-control class
22
23 as approved by the Board before December 31, 2020. Failure to
23
24
24
Req. No. 936 Page 31
1 complete the class shall be grounds for discipline pursuant to
1
2 Section 328.29a of this title.
2
3 D. There shall be eight types of expanded duty permits
3
4 available for dental assistants or oral maxillofacial surgery
4
5 assistants upon completion of a program approved by the Commission
5
6 on Dental Accreditation (CODA) or a course that has been approved by
6
7 the Board:
7
8 1. Radiation safety;
8
9 2. Coronal polishing and topical fluoride;
9
10 3. Sealants;
10
11 4. Assisting in the administration of nitrous oxide;
11
12 5. Phlebotomy;
12
13 6. Venipuncture;
13
14 7. Elder care and public health; or
14
15 8. Assisting Oral maxillofacial surgery. An oral maxillofacial
15
16 surgery expanded duty permit shall be available to a dental
16
17 assistant who has met the requirements as listed in 328.25 and
17
18 assists a dentist, pediatric dentist, or oral surgeon who holds a
18
19 parenteral or pediatric anesthesia permit; provided, only the
19
20 dentist, an anesthesiologist, or a Certified Registered Nurse
20
21 Anesthetist may administer anesthesia and assess the patient's level
21
22 of sedation.
22
23
23
24
24
Req. No. 936 Page 32
1 All expanded duties shall be added to the dental assistant
1
2 license or oral maxillofacial surgery assistant license permit upon
2
3 approval by the Board.
3
4 E. The training requirements for all expanded duty permits
4
5 shall be set forth by the Board. A program that is not CODA-
5
6 certified must meet the standards set forth and be approved by the
6
7 Board.
7
8 F. An applicant for a dental assistant permit who has graduated
8
9 from a dental assisting program accredited by CODA and has passed
9
10 the jurisprudence examination shall receive all expanded duty
10
11 permits provided for in subsection D of this section if the course
11
12 materials approved by the Board are covered in the program.
12
13 G. A dental assistant who holds an out-of-state dental
13
14 assistant permit with expanded duties may apply for credentialing
14
15 and reciprocity for a dental assistant permit including any expanded
15
16 duty by demonstrating the following:
16
17 1. The dental assistant has had a valid dental assistant permit
17
18 in another state for a minimum of two (2) years and is in good
18
19 standing;
19
20 2. The dental assistant has had a valid expanded duty in
20
21 another state for a minimum of one (1) year; and
21
22 3. The dental assistant provides a certificate or proof of
22
23 completion of an educational class for the expanded duty and that
23
24 the dental assistant has been providing this treatment to dental
24
Req. No. 936 Page 33
1 patients while working as a dental assistant in a dental office for
1
2 one (1) year.
2
3 H. Any person having served in the military as a dental
3
4 assistant shall receive credentialing and reciprocity for expanded
4
5 functions by demonstrating the following:
5
6 1. Proof of military service in excess of two (2) years with
6
7 any certifications or training in the expanded function areas; and
7
8 2. Verification from the commanding officer of the medical
8
9 program or the appropriate supervisor stating that the dental
9
10 assistant provided the expanded functions on patients in the
10
11 military dental facility for a minimum of one (1) year within the
11
12 past five (5) years.
12
13 SECTION 8. AMENDATORY 59 O.S. 2021, Section 328.25, is
13
14 amended to read as follows:
14
15 Section 328.25. A. No person shall practice as an oral
15
16 maxillofacial surgery assistant without having obtained a permit as
16
17 an oral maxillofacial surgery assistant from the Board of Dentistry
17
18 Any person applying for an oral maxillofacial surgery expanded duty
18
19 permit shall complete the requirements in this section for
19
20 submission and approval before the Board.
20
21 B. Any person seeking to obtain an oral maxillofacial surgery
21
22 assistant permit must have a supervising oral maxillofacial surgeon
22
23 with a current Oklahoma license and complete the requirements set
23
24 forth by the Board.
24
Req. No. 936 Page 34
1 C. The application shall be made to the Board in writing and
1
2 shall be accompanied by the fee established by the Board, together
2
3 with the satisfactory proof that the applicant:
3
4 1. Passes a background check with criteria established by the
4
5 Board; and
5
6 2. Has completed all of the training requirements for the oral
6
7 maxillofacial surgery assistant permit expanded duty permit as
7
8 established by the Board.
8
9 D. An oral maxillofacial surgery assistant permit shall be
9
10 considered a temporary training permit until all of the training
10
11 requirements, as established by the Board for each oral
11
12 maxillofacial surgery assistant, have been completed and approved by
12
13 the Board.
13
14 E. A temporary training permit for each oral maxillofacial
14
15 surgery assistant shall not be extended beyond two (2) years.
15
16 F. C. All oral maxillofacial surgery dental assistants are
16
17 required to be under direct supervision or direct visual supervision
17
18 at all times by a licensed oral maxillofacial surgeon.
18
19 G. If an oral maxillofacial surgery assistant is not currently
19
20 employed by an oral maxillofacial surgeon, the oral maxillofacial
20
21 surgery assistant permit shall automatically revert to a dental
21
22 assistant permit as set forth in Section 328.24 of this title and
22
23 may be eligible for an expanded function assisting a dentist who
23
24 holds a general, parenteral, or pediatric anesthesia permit;
24
Req. No. 936 Page 35
1 provided, only the dentist may administer anesthesia and assess the
1
2 patient's level of sedation. The oral maxillofacial surgery
2
3 assistant permit may be reinstated upon employment under a licensed
3
4 oral maxillofacial surgeon.
4
5 H. Any oral maxillofacial surgeon shall notify the Board within
5
6 thirty (30) days of an oral maxillofacial surgery assistant no
6
7 longer under his or her supervision.
7
8 I. D. An applicant for an oral maxillofacial surgery assistant
8
9 expanded duty permit shall provide satisfactory proof of:
9
10 1. Successful completion of the Dental Anesthesia Assistant
10
11 National Certification Examination (DAANCE) provided by the American
11
12 Association of Oral Maxillofacial Surgeons (AAOMS) or another
12
13 program or examination as approved by the Board;
13
14 2. A valid BLS certification;
14
15 3. Employment and completion of a minimum of six (6) months of
15
16 training under the direct supervision of a licensed oral
16
17 maxillofacial surgeon prior to starting DAANCE or another program or
17
18 examination as approved by the Board;
18
19 4. Completion of a standardized course approved by the Board
19
20 including a minimum of four (4) hours of didactic training that must
20
21 include anatomy, intravenous access or phlebotomy, technique, risks
21
22 and complications, and hands-on experience starting and maintaining
22
23 intravenous lines on a human or simulator/manikin, and pharmacology;
23
24 and
24
Req. No. 936 Page 36
1 5. 4. Completion of an infection-control course as approved by
1
2 the Board.
2
3 J. An oral maxillofacial surgery assistant who has completed
3
4 all the requirements shall receive a permit to practice as an oral
4
5 maxillofacial surgery assistant within a dental office, surgery
5
6 center, dental ambulatory surgery center or hospital.
6
7 K. Oral E. A dental assistant with an oral maxillofacial
7
8 surgery assistants expanded duty permit shall be required to
8
9 complete eight (8) hours of continuing education every two (2) years
9
10 in classes approved by AAOMS that are certified by the American
10
11 Dental Association CERP program or another program approved by the
11
12 Board. The continuing education requirement shall include at least
12
13 one (1) hour on infection control.
13
14 L. F. The Anesthesia Committee provided pursuant to Section
14
15 328.17 of this title may make a recommendation to the Board for an a
15
16 dental assistant with an oral maxillofacial surgery assistant
16
17 expanded duty permit holding a temporary training permit to
17
18 substitute training received from another state university, dental
18
19 school or technical training institute or training acquired in a
19
20 surgery center or hospital while working under the authority of a
20
21 licensed physician, to qualify as a partial substitute for the
21
22 requirements to attain an oral maxillofacial surgery assistant
22
23 permit expanded duty permit.
23
24
24
Req. No. 936 Page 37
1 M. An G. A dental assistant with an oral maxillofacial surgery
1
2 assistant expanded duty function may only accept delegation from an
2
3 oral and maxillofacial surgeon or a dentist with a valid parenteral
3
4 or conscious sedation permit:
4
5 1. Under direct supervision:
5
6 a. initiate and discontinue an intravenous line for a
6
7 patient being prepared to receive intravenous
7
8 medications, sedation or general anesthesia, or
8
9 b. draw up and prepare medications; and
9
10 2. Under direct visual supervision:
10
11 a. follow instructions of the oral surgeon while acting
11
12 as an accessory hand on behalf of the oral surgeon
12
13 that is administering the medication and actively
13
14 treating the patient. For the purposes of this
14
15 section, "administer" means to have the sole
15
16 responsibility for anesthesia care including
16
17 determining medicines to be used and the dosage,
17
18 timing, route of delivery and administration of
18
19 medication and the assessment of the level of
19
20 anesthesia and monitoring the physiological results of
20
21 such care; provided, only an oral surgeon or dentist
21
22 possessing a current general anesthesia permit may
22
23 administer or assess the level of sedation or general
23
24 anesthesia and monitor the results of such care,
24
Req. No. 936 Page 38
1 b. follow instructions of the oral surgeon to adjust the
1
2 rate of intravenous fluids to maintain or keep the
2
3 line patent or open and adjust an electronic device to
3
4 provide medications such as an infusion pump, and
4
5 c. assist the oral surgeon by reading, recording vital
5
6 signs of a patient receiving deep sedation or general
6
7 anesthesia; provided, only an oral surgeon may assess
7
8 the level of sedation.
8
9 N. H. Only an oral surgeon shall be responsible to diagnose,
9
10 treat, monitor, determine and administer the selection of the drug,
10
11 dosage, and timing of all anesthetic medications, and care of the
11
12 patient through the perioperative period shall rest solely with the
12
13 supervising oral and maxillofacial surgeon.
13
14 O. I. Nothing in the State Dental Act shall be construed as to
14
15 allow an oral surgery assistant or a dental assistant with an oral
15
16 maxillofacial expanded duty permit to administer anesthesia care to
16
17 a patient.
17
18 SECTION 9. NEW LAW A new section of law to be codified
18
19 in the Oklahoma Statutes as Section 328.25a of Title 59, unless
19
20 there is created a duplication in numbering, reads as follows:
20
21 A. An oral surgeon, pediatric dentist, or dentist with an
21
22 appropriate anesthesia or facility permit may enter into a
22
23 collaborative practice agreement with a Certified Registered Nurse
23
24 Anesthetist, allopathic physician, osteopathic physician, or dental
24
Req. No. 936 Page 39
1 anesthesiologist who holds a valid license in this state. The
1
2 collaborative agreement shall only be valid as it applies to dental
2
3 treatment in a dental office or other dental treatment facility.
3
4 The Board of Dentistry shall determine the requirements for the
4
5 agreements which at a minimum shall include:
5
6 1. Copies of valid Oklahoma licenses or permits and any orders
6
7 issued against the practitioner's license from any state or federal
7
8 agency; and
8
9 2. Registrations for each practitioner from the United States
9
10 Drug Enforcement Administration and the Oklahoma State Bureau of
10
11 Narcotics and Dangerous Drugs Control.
11
12 B. The agreement shall be specific as to which practitioner is
12
13 ordering the scheduled drugs, the location of the drug locker, and
13
14 proof of meeting legal requirements for the ordering and storing of
14
15 drugs in compliance with federal and state drug logs.
15
16 C. The agreement shall name the practitioner responsible for
16
17 maintaining the rescue drugs and equipment used during procedures.
17
18 D. The collaborative agreement shall be on a form as approved
18
19 by the Board and submitted for acceptance by the Board.
19
20 E. Any oral surgeon, pediatric dentist, or dentist entering
20
21 into a collaborative agreement must maintain patient records and
21
22 logs on all procedures.
22
23 F. The Anesthesia Committee of the Board established under
23
24 Section 328.17 of Title 59 of the Oklahoma Statutes shall make
24
Req. No. 936 Page 40
1 recommendations to the Board for the requirements and parameters of
1
2 the collaborative agreements.
2
3 SECTION 10. AMENDATORY 59 O.S. 2021, Section 328.26, is
3
4 amended to read as follows:
4
5 Section 328.26. A. The Board of Dentistry may, without
5
6 examination, issue a dental student intern, resident or fellowship
6
7 permit to a student or graduate of an approved dental school or
7
8 college, or a residency program approved by the Commission on Dental
8
9 Accreditation (CODA). Upon meeting the qualifications and upon
9
10 approval of the dean or the governing body of any public or private
10
11 institution any person may request a dental student or dental
11
12 hygiene student intern, resident or fellow permit to be issued from
12
13 the Board, with limited duties as defined in the permit. A
13
14 fellowship permit may only be given to a person currently
14
15 participating in a fellowship program affiliated with an accredited
15
16 dental school.
16
17 B. A dental student or dental hygiene student intern, resident
17
18 or fellowship permit shall not be issued to any person whose license
18
19 to practice dentistry in this state or in another state has been
19
20 suspended or revoked, or to whom a license to practice dentistry has
20
21 been refused.
21
22 C. A dental student or dental hygiene student intern, resident
22
23 or fellowship permit shall not authorize the holder to open an
23
24 office for the private practice of dentistry, or to receive
24
Req. No. 936 Page 41
1 compensation for the practice of dentistry, except a salary paid by
1
2 the federal government or this state, or their subdivisions, or the
2
3 public or private institution where the holder of the dental student
3
4 intern, resident or fellowship permit will be employed.
4
5 D. A dental student or dental hygiene student intern with a
5
6 valid dental student intern permit may work under the direct
6
7 supervision of a licensed dentist for compensation upon meeting the
7
8 following criteria:
8
9 1. The dental student or dental hygiene student intern shall
9
10 notify the Board of the supervising dentist;
10
11 2. A dental student or dental hygiene student intern, having
11
12 finished the first year of dental school, may assist in all duties
12
13 of a dental assistant pursuant to the administrative rules of the
13
14 Board; and
14
15 3. A dental student intern, having finished the second year of
15
16 dental school, may assist in all duties permitted in paragraph 2 of
16
17 this subsection, radiation safety, coronal polishing and sealants;
17
18 and
18
19 4. A dental student intern, having finished the second semester
19
20 of the third year of dental school, may provide scaling, root
20
21 planing, and local anesthesia.
21
22 E. A dental or dental hygiene student intern, resident or
22
23 fellowship permit shall automatically expire when the permit holder
23
24
24
Req. No. 936 Page 42
1 is no longer participating in the program offered by the college of
1
2 dentistry, the accredited dental college or the institution.
2
3 F. The issuance of a dental student intern, resident or
3
4 fellowship permit by the Board shall in no way be considered a
4
5 guarantee or predetermination of any person to receive a full
5
6 license issued by the Board.
6
7 G. Dental student intern or resident or fellowship permits may
7
8 be renewed annually at the request of the dean of the college or
8
9 program director of the program approved by CODA and at the
9
10 discretion of the Board.
10
11 H. Residents and Fellows with a valid permit may supervise
11
12 student dental clinics under the authority of the Dean or Associate
12
13 Dean of the University of Oklahoma College of Dentistry.
13
14 I. Students currently enrolled at the University of Oklahoma
14
15 College of Dentistry or an accredited dental hygiene or dental
15
16 assisting program shall be exempted from Sections 328.19 and 328.21
16
17 of this title while participating in an educational program located
17
18 at the University of Oklahoma College of Dentistry or the clinic of
18
19 an accredited dental hygiene or dental assisting program. A
19
20 licensed dentist, hygienist or faculty license holder shall be
20
21 physically present in the facility whenever students of dentistry,
21
22 dental hygiene or dental assisting are performing a clinical dental
22
23 procedure on patients.
23
24
24
Req. No. 936 Page 43
1 SECTION 11. AMENDATORY 59 O.S. 2021, Section 328.27, is
1
2 amended to read as follows:
2
3 Section 328.27. A. 1. The Board of Dentistry may, without a
3
4 clinical examination, upon presentation of satisfactory credentials,
4
5 including completion of all portions of the National Board Dental
5
6 Examination, the dental hygiene National Boards and both Part I and
6
7 Part II of the National Board examination for dentists, and under
7
8 such rules as the Board may promulgate, issue a faculty license or
8
9 faculty specialty license to an applicant who:
9
10 a. is a graduate of a school of dentistry approved by the
10
11 Board and is licensed to practice dentistry in another
11
12 state or country,
12
13 b. has graduated from an accredited dental program, or
13
14 c. successfully completes advanced training in a
14
15 specialty dental program approved by the Commission on
15
16 Dental Accreditation of the American Dental
16
17 Association, or
17
18 d. if applying for a hygiene faculty license, is a
18
19 graduate of an accredited dental hygiene program and
19
20 is licensed to practice dental hygiene in another
20
21 state.
21
22 2. A faculty license or faculty specialty license shall be
22
23 issued only upon the request and certification of the dean of an
23
24 accredited dental college or the program director of an accredited
24
Req. No. 936 Page 44
1 dental hygiene program located in this state that the applicant is a
1
2 full-time member of the teaching staff of that college or program.
2
3 3. Within the first two (2) years of employment, the faculty
3
4 license or faculty specialty license holder shall show proof of
4
5 passing an appropriate clinical board examination, as provided in
5
6 Section 328.21 of this title, recognized by the Board of Dentistry.
6
7 4. A faculty license or faculty specialty license shall be
7
8 valid for one (1) year and may be renewed by the Board at the
8
9 written request of the dean of an accredited dental program or the
9
10 director of an accredited dental hygiene program.
10
11 5. A faculty license or faculty specialty license shall
11
12 automatically expire when the license holder is no longer employed
12
13 as a faculty member at the institution that requested the license.
13
14 6. The holder of a faculty license or faculty specialty license
14
15 shall be entitled to perform services and procedures in the same
15
16 manner as a person holding a license to practice dentistry or dental
16
17 hygiene in this state, but all services and procedures performed by
17
18 the faculty license or faculty specialty license holder shall be
18
19 without compensation other than that received in salary from a
19
20 faculty position or through faculty practice as authorized by the
20
21 Board. The holder of a faculty license or faculty specialty license
21
22 shall be limited to practicing in the specialty area as designated
22
23 on the license. Such services and procedures shall be performed
23
24 only within the facilities of an accredited dental college or
24
Req. No. 936 Page 45
1 accredited dental hygiene program or within the facilities
1
2 designated by the accredited dental college and teaching hospitals
2
3 approved by the Board.
3
4 B. The dean of an accredited dental or hygiene program may
4
5 petition the Board to allow a faculty member to have a limited
5
6 faculty or research faculty permit, based on a showing of criteria
6
7 that the individual possesses specialty knowledge in a specific area
7
8 that would benefit the college or program. The holder of a limited
8
9 faculty permit or research faculty shall not have privileges to
9
10 perform procedures in the faculty practice at the University of
10
11 Oklahoma College of Dentistry, but may oversee the student clinic.
11
12 A limited faculty permit shall be valid for one (1) year and may be
12
13 renewed by the Board at the written request of the dean of an
13
14 accredited dental program or the director of an accredited dental
14
15 hygiene program.
15
16 C. Upon request of the dean, the Board President may issue a
16
17 dentist or hygienist licensed in another state or country a
17
18 temporary license pursuant to Section 328.23 of this title for the
18
19 purpose of attending, presenting or participating in a seminar or
19
20 live training in dental techniques or dental anesthesia, given at
20
21 the University of Oklahoma College of Dentistry to licensed dentists
21
22 and hygienists for continuing education credits and students
22
23 enrolled in the University of Oklahoma College of Dentistry. A
23
24 temporary permit issued for this purpose shall not exceed seven (7)
24
Req. No. 936 Page 46
1 days and may not be issued to the same person more than four (4)
1
2 times in a calendar year.
2
3 D. Upon the request of the Oklahoma Dental Association
3
4 President or the Oklahoma Dental Hygienist Association President,
4
5 the Board President may issue a dentist or a hygienist licensed in
5
6 another state a temporary license pursuant to Section 328.23 of this
6
7 title for the purpose of presenting or participating in live patient
7
8 demonstrations presented by the Oklahoma Dental Association or
8
9 Oklahoma Dental Hygienist Association or other professional
9
10 organizations approved by the Board at its annual meeting. A
10
11 temporary permit issued for this purpose shall not exceed four (4)
11
12 days per calendar year.
12
13 E. Courses for expanded duties for dental assistants pursuant
13
14 to the administrative rules of the Board may be taught in an online,
14
15 interactive online, in-classroom, lab or blended format. All
15
16 expanded-duty courses shall include a dentist or dental hygienist
16
17 that is employed full- or part-time by an educational program
17
18 approved by the Commission on Dental Accreditation and currently on
18
19 file with the Board. Courses offered pursuant to this subsection
19
20 shall meet all criteria in administrative rules approved by the
20
21 Board.
21
22 SECTION 12. AMENDATORY 59 O.S. 2021, Section 328.28a, is
22
23 amended to read as follows:
23
24
24
Req. No. 936 Page 47
1 Section 328.28a. Beginning January 2016, every Every applicant
1
2 for any type of license or permit issued by the Board of Dentistry
2
3 shall be subject to a national criminal background check. The Board
3
4 may deny a license or permit for any applicant who fails to disclose
4
5 a criminal history or if any applicant has pled guilty or nolo
5
6 contendere to or has been convicted of a felony or misdemeanor
6
7 involving moral turpitude a disqualifying violation of the law
7
8 pursuant to Section 328.32 of this title, Medicaid fraud, or a
8
9 violation of federal or state controlled dangerous substances laws.
9
10 SECTION 13. AMENDATORY 59 O.S. 2021, Section 328.29a, as
10
11 amended by Section 5, Chapter 158, O.S.L. 2022 (59 O.S. Supp. 2024,
11
12 Section 328.29a), is amended to read as follows:
12
13 Section 328.29a. A. The following acts or occurrences by a
13
14 dental assistant or oral maxillofacial surgery assistant shall
14
15 constitute grounds for which the penalties specified in Section
15
16 328.44a of this title may be imposed by the Board of Dentistry or be
16
17 the basis for denying a new applicant any license or permit issued
17
18 by the Board:
18
19 1. Any of the causes now existing in the laws of this state;
19
20 2. A violation of the provisions of the State Dental Act; or
20
21 3. A violation of the rules of the Board promulgated pursuant
21
22 to the State Dental Act.
22
23 B. The Board shall also have the power to act upon a petition
23
24 by a dental assistant or oral maxillofacial surgery assistant for
24
Req. No. 936 Page 48
1 reinstatement to good standing. The Board shall keep a record of
1
2 the evidence and proceedings in all matters involving the revocation
2
3 or suspension of a permit, censure or probation of a dental
3
4 assistant or oral maxillofacial surgery assistant. The Board shall
4
5 make findings of fact and a decision thereon. Notification of the
5
6 licensee or permit holder shall occur pursuant to Section 328.21 of
6
7 this title.
7
8 C. The decision shall be final unless the dental assistant or
8
9 oral maxillofacial surgery assistant appeals the decision as
9
10 provided by the State Dental Act.
10
11 D. The Board shall have power to revoke or suspend the permit,
11
12 censure, or place on probation a dental assistant or oral
12
13 maxillofacial surgery assistant for a violation of one or more of
13
14 the following:
14
15 1. Pleading guilty or nolo contendere to, or being convicted
15
16 of, a felony crime that substantially relates to the occupation of a
16
17 dental assistant or oral maxillofacial surgery assistant and poses a
17
18 reasonable threat to public safety, or a violation of federal or
18
19 state controlled dangerous substances laws;
19
20 2. Presenting to the Board a false application or documentation
20
21 for a permit;
21
22 3. Being, by reason of persistent inebriety or addiction to
22
23 drugs, incompetent to continue to function as a dental assistant or
23
24 oral maxillofacial surgery assistant;
24
Req. No. 936 Page 49
1 4. Functioning outside the direct or direct visual supervision
1
2 of a dentist;
2
3 5. Performing any function prohibited by Chapter 15 of the
3
4 Oklahoma Administrative Code or any violation that would be a
4
5 violation for a dentist or hygienist under Section 328.32 or 328.33
5
6 of this title, or any other duty not assignable to a dental
6
7 assistant; or
7
8 6. Failure to secure an annual registration as specified in
8
9 Section 328.41 of this title.
9
10 E. The Board's review panel, as set forth in Section 328.43a of
10
11 this title, upon concurrence with the president of the Board, may
11
12 determine that an emergency exists to temporarily suspend the permit
12
13 of a dental assistant or oral maxillofacial surgery assistant if the
13
14 panel finds that public health, safety or welfare imperatively
14
15 requires emergency action. The panel may conduct a hearing pursuant
15
16 to Section 314 of Title 75 of the Oklahoma Statutes for the
16
17 temporary suspension.
17
18 F. As used in this section:
18
19 1. "Substantially relates" means the nature of criminal conduct
19
20 for which the person was convicted has a direct bearing on the
20
21 fitness or ability to perform one or more of the duties or
21
22 responsibilities necessarily related to the occupation; and
22
23 2. "Poses a reasonable threat" means the nature of criminal
23
24 conduct for which the person was convicted involved an act or threat
24
Req. No. 936 Page 50
1 of harm against another and has a bearing on the fitness or ability
1
2 to serve the public or work with others in the occupation.
2
3 SECTION 14. AMENDATORY 59 O.S. 2021, Section 328.31a, is
3
4 amended to read as follows:
4
5 Section 328.31a. A. One dentist or multiple dentists may use a
5
6 trade name in connection with the practice of dentistry provided
6
7 that:
7
8 1. The use of the trade name shall not be false, fraudulent or
8
9 misleading; and
9
10 2. The name of the dentist or dentists actually providing the
10
11 dental services to the patient shall appear on all insurance claim
11
12 forms, billing invoices or statements sent to the patient and on all
12
13 receipts if any are given to the patient;
13
14 3. Treatment records shall be maintained for each patient that
14
15 clearly identify the dentist or dentists who performed all dental
15
16 services for the patient; and
16
17 4. When one dentist or multiple dentists make an advertisement
17
18 in the trade name or the trade name is included in an advertisement,
18
19 a copy of the advertisement, including but not limited to any
19
20 electronic form of the advertising, shall be kept by the dentist or
20
21 dentists for three (3) years from the first publication date of the
21
22 advertisement.
22
23 B. Beginning July 1, 2016, all All advertisements for dentistry
23
24 shall include the name of the dentist or dentists that shall be
24
Req. No. 936 Page 51
1 providing treatment and shall list the type of dental or specialty
1
2 license on the advertisement.
2
3 C. The Board of Dentistry shall promulgate rules regulating
3
4 advertisements in which one dentist or multiple dentists use a trade
4
5 name.
5
6 SECTION 15. AMENDATORY 59 O.S. 2021, Section 328.31b, as
6
7 amended by Section 6, Chapter 46, O.S.L. 2024 (59 O.S. Supp. 2024,
7
8 Section 328.31b), is amended to read as follows:
8
9 Section 328.31b. A. Every dental office or treatment facility,
9
10 whether individual, group or multi-doctor practice operating under a
10
11 name, trade name or other professional entity shall maintain written
11
12 records on each patient treated at the facility and shall make these
12
13 records available to the Board of Dentistry and other regulatory
13
14 entities or be subject to the penalties as set forth in Section
14
15 328.44a of this title.
15
16 B. Each licensed dentist shall maintain written records on each
16
17 patient that shall contain, at a minimum, the following information
17
18 about the patient:
18
19 1. A current health history listing known illnesses, other
19
20 treating physicians and current medications prescribed;
20
21 2. Results of a clinical examination, including a physical
21
22 intraoral examination and head and neck examination, tests
22
23 conducted, and any lab results including the identification, or lack
23
24 thereof, of any oral pathology or diseases;
24
Req. No. 936 Page 52
1 3. Treatment plan proposed by the dentist; and
1
2 4. Treatment rendered to the patient. The patient record shall
2
3 clearly identify the dentist and the dental hygienist providing the
3
4 treatment with the dentist, specialty or dental hygienist license
4
5 number. The patient record shall include documentation of any
5
6 medications prescribed, administered or dispensed to the patient.
6
7 C. 1. The name of the dentist or dentists actually providing
7
8 the dental services to the patient shall appear on all insurance
8
9 claim forms, billing invoices, or statements sent to the patient and
9
10 on all receipts if any are given to the patient.
10
11 2. Treatment records shall be maintained for each patient that
11
12 clearly identify the dentist or dentists who performed all dental
12
13 services for the patient.
13
14 D. Whenever patient records are released or transferred, the
14
15 dentist releasing or transferring the records shall maintain either
15
16 the original records or copies thereof and a notation shall be made
16
17 in the retained records indicating to whom the records were released
17
18 or transferred.
18
19 D. E. All claims being submitted for insurance must be signed,
19
20 stamped or have an electronic signature by the treating dentist.
20
21 E. F. Patient records may be kept in an electronic data format,
21
22 provided that the dentist maintains a backup copy of information
22
23 stored in the data processing system using disk, tape or other
23
24 electronic back-up system and that backup is updated on a regular
24
Req. No. 936 Page 53
1 basis, at least weekly, to assure that data is not lost due to
1
2 system failure. Any electronic data system shall be capable of
2
3 producing a hard copy on demand.
3
4 F. G. All patient records shall be maintained for seven (7)
4
5 years from the date of treatment.
5
6 G. H. Each licensed dentist shall retain a copy of each entry
6
7 in his or her patient appointment book or such other log, calendar,
7
8 book, file or computer data used in lieu of an appointment book for
8
9 a period no less than seven (7) years from the date of each entry
9
10 thereon.
10
11 I. A licensee closing an office shall notify the Board in
11
12 writing and include the location of where the patient records will
12
13 be maintained.
13
14 SECTION 16. AMENDATORY 59 O.S. 2021, Section 328.32, as
14
15 last amended by Section 7, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
15
16 2024, Section 328.32), is amended to read as follows:
16
17 Section 328.32. A. The following acts or occurrences by a
17
18 dentist shall constitute grounds for which the penalties specified
18
19 in Section 328.44a of this title may be imposed by order of the
19
20 Board of Dentistry or be the basis for denying a new applicant any
20
21 license or permit issued by the Board:
21
22 1. Pleading guilty or nolo contendere to, or being convicted
22
23 of, a felony, a misdemeanor involving moral turpitude, any crime in
23
24 which an individual would be required to be a registered sex
24
Req. No. 936 Page 54
1 offender under state law, any violent crime, Medicaid fraud,
1
2 insurance fraud, identity theft, embezzlement or a violation of
2
3 federal or state controlled dangerous substances laws;
3
4 2. Presenting to the Board a false diploma, license, or
4
5 certificate, or one obtained by fraud or illegal means, or providing
5
6 other false information on an application or renewal;
6
7 3. Being, by reason of persistent inebriety or addiction to
7
8 drugs, incompetent to continue the practice of dentistry or failing
8
9 to notify the Board of a licensee, permit holder, or other health
9
10 professional that is practicing while impaired or is in a state of
10
11 physical or mental health that the licensee or permit holder
11
12 suspects constitutes a threat to patient care within seventy-two
12
13 (72) hours of witness or belief of such conditions;
13
14 4. Publishing a false, fraudulent, or misleading advertisement
14
15 or statement;
15
16 5. Authorizing or aiding an unlicensed person to practice
16
17 dentistry, to practice dental hygiene or to perform a function for
17
18 which a permit from the Board is required;
18
19 6. Authorizing or aiding a dental hygienist to perform any
19
20 procedure prohibited by the State Dental Act or the rules of the
20
21 Board;
21
22 7. Authorizing or aiding a dental assistant or oral
22
23 maxillofacial surgery assistant to perform any procedure prohibited
23
24 by the State Dental Act or the rules of the Board;
24
Req. No. 936 Page 55
1 8. Failing to pay fees as required by the State Dental Act or
1
2 the rules of the Board;
2
3 9. Failing to complete continuing education requirements;
3
4 10. Representing himself or herself to the public as a
4
5 specialist in a dental specialty without holding a dental specialty
5
6 license as listed in Section 328.22 of this title;
6
7 11. Practicing below the basic standard of care of a patient
7
8 which an ordinary prudent dentist with similar training and
8
9 experience within the local area would have provided including, but
9
10 not limited to, failing to complete proper training and demonstrate
10
11 proficiency for any procedure delegated to a dental hygienist or
11
12 dental assistant;
12
13 12. Endangering the health of patients by reason of having a
13
14 highly communicable disease and continuing to practice dentistry
14
15 without taking appropriate safeguards;
15
16 13. Practicing dentistry in an unsafe or unsanitary manner or
16
17 place including but not limited to repeated failures to follow
17
18 Centers for Disease Control and Prevention (CDC) or Occupational
18
19 Safety and Health Administration (OSHA) guidelines;
19
20 14. Being shown to be mentally unsound;
20
21 15. Being shown to be grossly immoral and that such condition
21
22 represents a threat to patient care or treatment;
22
23 16. Being incompetent to practice dentistry while delivering
23
24 care to a patient;
24
Req. No. 936 Page 56
1 17. Committing gross negligence in the practice of dentistry;
1
2 18. Committing repeated acts of negligence in the practice of
2
3 dentistry;
3
4 19. Offering to effect or effecting a division of fees, or
4
5 agreeing to split or divide a fee for dental services with any
5
6 person, in exchange for the person bringing or referring a patient;
6
7 20. Being involuntarily committed to an institution for
7
8 treatment for substance abuse, until recovery or remission;
8
9 21. Using or attempting to use the services of a dental
9
10 laboratory or dental laboratory technician without issuing a
10
11 laboratory prescription, except as provided in subsection C of
11
12 Section 328.36 of this title;
12
13 22. Aiding, abetting, or encouraging a dental hygienist
13
14 employed by the dentist to make use of an oral prophylaxis list, or
14
15 the calling by telephone or by use of letters transmitted through
15
16 the mail to solicit patronage from patients formerly served in the
16
17 office of any dentist formerly employing such dental hygienist;
17
18 23. Having more than the equivalent of three full-time dental
18
19 hygienists for each dentist actively practicing in the same dental
19
20 office;
20
21 24. Allowing a person not holding a permit or license issued by
21
22 the Board to assist in the treatment of a patient without having a
22
23 license or permit issued by the Board;
23
24
24
Req. No. 936 Page 57
1 25. Knowingly patronizing or using the services of a dental
1
2 laboratory or dental laboratory technician who has not complied with
2
3 the provisions of the State Dental Act and the rules of the Board;
3
4 26. Authorizing or aiding a dental hygienist, dental assistant,
4
5 oral maxillofacial surgery assistant, dental laboratory technician,
5
6 or holder of a permit to operate a dental laboratory to violate any
6
7 provision of the State Dental Act or the rules of the Board;
7
8 27. Willfully disclosing information protected by the Health
8
9 Insurance Portability and Accountability Act of 1996, P.L. 104-191;
9
10 28. Writing a false, unnecessary, or excessive prescription for
10
11 any drug or narcotic which is a controlled dangerous substance under
11
12 either federal or state law, or prescribing, dispensing or
12
13 administering opioid drugs in excess of the maximum limits
13
14 authorized in Section 2-309I of Title 63 of the Oklahoma Statutes;
14
15 29. Prescribing or administering any drug or treatment without
15
16 having established a valid dentist-patient relationship;
16
17 30. Using or administering nitrous oxide gas in a dental office
17
18 in an inappropriate or unauthorized manner;
18
19 31. Engaging in nonconsensual physical contact with a patient
19
20 which is sexual in nature, or engaging in a verbal communication
20
21 which is intended to be sexually demeaning to a patient;
21
22 32. Practicing dentistry without displaying, at the dentist's
22
23 primary place of practice, the license issued to the dentist by the
23
24 Board to practice dentistry and the current renewal certificate;
24
Req. No. 936 Page 58
1 33. Being dishonest in a material way with a patient or during
1
2 the practice of dentistry;
2
3 34. Failing to retain all patient records for at least seven
3
4 (7) years from the date of the last treatment as provided by Section
4
5 328.31b of this title, except that the failure to retain records
5
6 shall not be a violation of the State Dental Act if the dentist
6
7 shows that the records were lost, destroyed, or removed by another,
7
8 without the consent of the dentist;
8
9 35. Failing to retain the dentist's copy of any laboratory
9
10 prescription for at least seven (7) years, except that the failure
10
11 to retain records shall not be a violation of the State Dental Act
11
12 if the dentist shows that the records were lost, destroyed, or
12
13 removed by another, without the consent of the dentist;
13
14 36. Allowing any corporation, organization, group, person, or
14
15 other legal entity, except another dentist or a professional entity
15
16 that is in compliance with the registration requirements of
16
17 subsection B of Section 328.31 of this title, to direct, control, or
17
18 interfere with the dentist's clinical judgment. Clinical judgment
18
19 shall include, but not be limited to, such matters as selection of a
19
20 course of treatment, control of patient records, policies and
20
21 decisions relating to pricing, credit, refunds, warranties and
21
22 advertising, and decisions relating to office personnel and hours of
22
23 practice. Nothing in this paragraph shall be construed to:
23
24 a. limit a patient's right of informed consent, or
24
Req. No. 936 Page 59
1 b. prohibit insurers, preferred provider organizations
1
2 and managed care plans from operating pursuant to the
2
3 applicable provisions of the Oklahoma Insurance Code
3
4 and the Oklahoma Public Health Code;
4
5 37. Violating the state dental act of another state resulting
5
6 in a plea of guilty or nolo contendere, conviction or suspension or
6
7 revocation or other sanction by another state board, of the license
7
8 of the dentist under the laws of that state;
8
9 38. Violating or attempting to violate the provisions of the
9
10 State Dental Act or the rules of the Board, a state or federal
10
11 statute or rule relating to scheduled drugs, fraud, a violent crime
11
12 or any crime for which the penalty includes the requirement of
12
13 registration as a sex offender in this state as a principal,
13
14 accessory or accomplice;
14
15 39. Failing to comply with the terms and conditions of an order
15
16 imposing suspension of a license or placement on probation issued
16
17 pursuant to Section 328.44a of this title;
17
18 40. Failing to cooperate during an investigation or providing
18
19 false information, verbally or in writing, to the Board, the Board's
19
20 investigator or an agent of the Board;
20
21 41. Having multiple administrative or civil actions reported to
21
22 the National Practitioner Data Bank;
22
23 42. Failing to complete an approved two-hour course on opioid
23
24 and scheduled drug prescribing within one (1) year of obtaining a
24
Req. No. 936 Page 60
1 license or a violation of a law related to controlled dangerous
1
2 substances including prescribing laws pursuant to Section 2-309D of
2
3 Title 63 of the Oklahoma Statutes;
3
4 43. Falling below the basic standard of care of a licensed
4
5 dentist or dentist practicing in his or her specialty, a dental
5
6 hygienist, dental assistant, or other licensee or permit holder
6
7 pursuant to the State Dental Act and Section 20.1 of Title 76 of the
7
8 Oklahoma Statutes; or
8
9 44. Failing to provide patient records as provided by Sections
9
10 19 and 20 of Title 76 of the Oklahoma Statutes.
10
11 B. Any person making a report in good faith to the Board or to
11
12 a peer assistance group regarding a professional suspected of
12
13 practicing dentistry while being impaired pursuant to paragraph 3 of
13
14 subsection A of this section shall be immune from any civil or
14
15 criminal liability arising from such reports.
15
16 C. The provisions of the State Dental Act shall not be
16
17 construed to prohibit any dentist from displaying or otherwise
17
18 advertising that the dentist is also currently licensed, registered,
18
19 certified or otherwise credentialed pursuant to the laws of this
19
20 state or a nationally recognized credentialing board, if authorized
20
21 by the laws of the state or credentialing board to display or
21
22 otherwise advertise as a licensed, registered, certified, or
22
23 credentialed dentist.
23
24
24
Req. No. 936 Page 61
1 SECTION 17. AMENDATORY 59 O.S. 2021, Section 328.41, as
1
2 last amended by Section 8, Chapter 46, O.S.L. 2024 (59 O.S. Supp.
2
3 2024, Section 328.41), is amended to read as follows:
3
4 Section 328.41. A. 1. On or before the last day of December
4
5 of each year, every dentist, dental hygienist, dental assistant,
5
6 oral maxillofacial surgery assistant and other licensee or permit
6
7 holders previously licensed or permitted by the Board of Dentistry
7
8 to practice in this state, with the exception of those listed in
8
9 paragraph 2 of this subsection, shall submit a completed renewal
9
10 application with information as may be required by the Board,
10
11 together with an annual renewal fee established by the rules of the
11
12 Board. Upon receipt of the annual renewal fee, the Board shall
12
13 issue a renewal certificate authorizing the dentist, dental
13
14 hygienist, or dental assistant or oral maxillofacial surgery
14
15 assistant to continue the practice of dentistry or dental hygiene,
15
16 respectively, in this state for a period of one (1) year. Every
16
17 license or permit issued by the Board shall begin on January 1 and
17
18 expire on December 31 of each year.
18
19 2. Resident and fellowship permits shall be valid from July 1
19
20 through June 30 of each year and dental student intern permits shall
20
21 be valid from August 1 through July 31 of each year.
21
22 B. Continuing education requirements shall be due at the end of
22
23 each two-year period.
23
24
24
Req. No. 936 Page 62
1 C. 1. Continuing education requirements for a dentist or
1
2 dental hygienist shall consist of:
2
3 a. a live, in-person cardiopulmonary resuscitation class
3
4 approved by the Board,
4
5 b. an ethics class approved by the Board,
5
6 c. for a dentist, two (2) hours of opioid and scheduled
6
7 drug prescribing classes, and
7
8 d. any combination of the following:
8
9 (1) completion of classes at a university, college or
9
10 technology center school accredited by the
10
11 Commission on Dental Accreditation (CODA) or
11
12 college courses related to dentistry, which shall
12
13 count equal to credit hours received on a
13
14 transcript,
14
15 (2) teaching one or more classes at a school or
15
16 program accredited by CODA, for which the dentist
16
17 or dental hygienist shall receive credit for the
17
18 semester credit hours and one (1) hour of credit
18
19 per eighteen (18) hours of clinical instruction,
19
20 (3) publishing papers, presenting clinics and
20
21 lecturing, for which the dentist or dental
21
22 hygienist shall receive six (6) credit hours for
22
23 each hour of the original presentation and hour-
23
24 for-hour credit for a subsequent presentation of
24
Req. No. 936 Page 63
1 the same material. No more than fifty percent
1
2 (50%) of total required continuing education
2
3 hours may be fulfilled by activities described in
3
4 this division,
4
5 (4) a scientific-based medical treatment and patient
5
6 care class approved by the Board,
6
7 (5) any health-related program sponsored by the
7
8 United States Department of Veteran Affairs or
8
9 Armed Forces provided at a government facility,
9
10 (6) formal meetings by national or state professional
10
11 organizations for dental providers, or
11
12 university-sponsored professional alumni clinical
12
13 meetings approved by the Board,
13
14 (7) organized study clubs,
14
15 (8) uncompensated volunteer work at an event approved
15
16 by the Board not to exceed seven (7) hours for a
16
17 dentist or four (4) hours for a dental hygienist,
17
18 or
18
19 (9) practice-management-related courses not to exceed
19
20 four (4) hours for a dentist or two (2) hours for
20
21 a dental hygienist.
21
22 2. Full-time graduate study, internships, residencies and
22
23 dentists and dental hygienists engaged in a full-time program
23
24
24
Req. No. 936 Page 64
1 accredited by CODA shall be exempt from continuing education for a
1
2 continuing education year per academic year completed.
2
3 3. New graduates of dental and hygiene programs shall not be
3
4 required to complete continuing education for the first year after
4
5 graduation. Continuing education requirements for dentists and
5
6 dental hygienists who are new graduates shall begin July 1 of the
6
7 calendar year following the year of graduation. Hours shall be
7
8 prorated by year of new licensure.
8
9 4. A dentist or dental hygienist on active duty military
9
10 service shall be exempt from continuing education if he or she is:
10
11 a. currently on full-time active duty service as a
11
12 dentist or dental hygienist for a minimum of eighteen
12
13 (18) months in a two-year continuing education cycle,
13
14 or
14
15 b. a licensed dentist or dental hygienist serving in the
15
16 reserve components of the armed forces as specified in
16
17 10 U.S.C., Section 10101, who is actively deployed
17
18 outside of the United States for a minimum of eighteen
18
19 (18) months in a two-year continuing education cycle.
19
20 D. 1. Dentists shall complete forty (40) hours of continuing
20
21 education with no more than twenty (20) hours to be completed
21
22 online. Dental hygienists shall complete twenty (20) hours of
22
23 continuing education with no more than ten (10) hours to be
23
24
24
Req. No. 936 Page 65
1 completed online. Interactive classes or webinar classes may, at
1
2 the discretion of the Board, count as in-person.
2
3 2. Oral maxillofacial surgery assistants Dental assistants with
3
4 an oral maxillofacial expanded duty permit shall complete eight (8)
4
5 hours of continuing education including one (1) hour of infection
5
6 control.
6
7 3. Dental All other dental assistants shall complete two (2)
7
8 hours of infection control.
8
9 4. Any newly licensed dentist shall complete a two-hour opioid
9
10 and scheduled drug prescribing class within one (1) year of
10
11 obtaining licensure.
11
12 E. Upon failure of a dentist, dental hygienist, or dental
12
13 assistant or oral maxillofacial surgery assistant to pay the annual
13
14 renewal fee within two (2) months after January 1 of each year, the
14
15 Board shall notify the dentist, dental hygienist, dental assistant,
15
16 oral maxillofacial surgery assistant, or other permit holder that
16
17 the license or permit will be officially canceled as of April 1
17
18 pursuant to subsection M of Section 328.21 of this title. A list of
18
19 canceled licenses or permits not otherwise renewed shall be
19
20 published at the following meeting of the Board.
20
21 F. Any dentist, dental hygienist, or dental assistant or oral
21
22 maxillofacial surgery assistant whose license or permit is
22
23 automatically canceled by reason of failure, neglect or refusal to
23
24 secure the renewal certificate may be reinstated by the Board at any
24
Req. No. 936 Page 66
1 time within one (1) year from the date of the expiration of the
1
2 license, upon payment of the annual renewal fee and a penalty fee
2
3 established by the rules of the Board. If the dentist, dental
3
4 hygienist, or dental assistant, or oral maxillofacial surgery
4
5 assistant does not apply for renewal of the license or permit and
5
6 pay the required fees within one (1) year after the license has
6
7 expired, then the dentist, dental hygienist, or dental assistant or
7
8 oral maxillofacial surgery assistant shall be required to file an
8
9 application for and take the examination or other requirements
9
10 provided for in the State Dental Act or the rules promulgated by the
10
11 Board before again commencing practice.
11
12 G. The Board, by rule, shall provide for the remittance of fees
12
13 otherwise required by the State Dental Act while a dentist or dental
13
14 hygienist is on active duty with any of the Armed Forces of the
14
15 United States.
15
16 H. In case of a lost or destroyed license or renewal
16
17 certificate and upon satisfactory proof of the loss or destruction
17
18 thereof, the Board may issue a duplicate, charging therefor a fee
18
19 established by the rules of the Board.
19
20 I. A dentist, dental hygienist, oral maxillofacial surgery
20
21 assistant or dental assistant that is in good standing and not under
21
22 investigation that notifies the Board in writing of a voluntary
22
23 nonrenewal of license or requests retirement status shall have a
23
24 right to renew or reinstate his or her license within five (5) years
24
Req. No. 936 Page 67
1 from the date of notice. The Board may require any training or
1
2 continuing education requirements to be met prior to reinstatement.
2
3 J. A dentist, dental hygienist, oral maxillofacial dental
3
4 assistant or dental assistant that has not had an active license or
4
5 permit in excess of five (5) years shall be required to apply as a
5
6 new applicant.
6
7 K. Any application for a license or permit that has remained
7
8 inactive for more than one (1) year shall be closed.
8
9 SECTION 18. AMENDATORY 59 O.S. 2021, Section 328.44a, as
9
10 amended by Section 10, Chapter 46, O.S.L. 2024 (59 O.S. Supp. 2024,
10
11 Section 328.44a), is amended to read as follows:
11
12 Section 328.44a. A. The Board of Dentistry is authorized,
12
13 after notice and opportunity for a hearing pursuant to Article II of
13
14 the Administrative Procedures Act, to issue an order imposing one or
14
15 more of the following penalties whenever the Board finds, by clear
15
16 and convincing evidence, that a dentist, dental hygienist, dental
16
17 assistant, oral maxillofacial surgery assistant, dental laboratory
17
18 technician, holder of a permit to operate a dental laboratory, or an
18
19 entity operating pursuant to the provisions of the Professional
19
20 Entity Act or the State Dental Act has committed any of the acts or
20
21 occurrences prohibited by the State Dental Act or rules of the
21
22 Board:
22
23 1. Refusal to issue a license or permit, or a renewal thereof,
23
24 provided for in the State Dental Act;
24
Req. No. 936 Page 68
1 2. Suspension of a license or permit issued by the Board for a
1
2 period of time deemed appropriate by the Board;
2
3 3. Revocation of a license or permit issued by the Board;
3
4 4. Imposition of an administrative penalty not to exceed One
4
5 Thousand Five Hundred Dollars ($1,500.00) per violation;
5
6 5. Issuance of a censure;
6
7 6. Placement on probation for a period of time and under such
7
8 terms and conditions as deemed appropriate by the Board;
8
9 7. Probation monitoring fees, which shall be the responsibility
9
10 of the licensee on all probations; or
10
11 8. Restriction of the services that can be provided by a
11
12 dentist or dental hygienist, under such terms and conditions as
12
13 deemed appropriate by the Board.
13
14 B. A dentist, dental hygienist, dental assistant, oral
14
15 maxillofacial surgery assistant, dental laboratory technician, or
15
16 holder of a permit to operate a dental laboratory, against whom a
16
17 penalty is imposed by an order of the Board pursuant to the
17
18 provisions of this section, shall have the right to seek a judicial
18
19 review of such order pursuant to Article II of the Administrative
19
20 Procedures Act.
20
21 C. The Board may issue a summary suspension on a licensee or
21
22 permit holder who is found guilty of a felony charge and is
22
23 sentenced to incarceration in a state or federal facility.
23
24
24
Req. No. 936 Page 69
1 D. 1. A licensee or permit holder may petition the Board to
1
2 reopen and withdraw an order after the expiration of seven (7) years
2
3 from the date of issue if:
3
4 a. the order does not include allegations or a finding of
4
5 direct patient harm,
5
6 b. the licensee has maintained an active full-time
6
7 practice in good standing and has not received an
7
8 additional order or private reprimand since the issue
8
9 of the order,
9
10 c. the licensee has not been the subject of any
10
11 settlement reports in the National Practitioner Data
11
12 Bank within the previous seven (7) years, and
12
13 d. the order concerns an administrative violation and
13
14 does not include a direct action against the licensee
14
15 including, but not limited to, probation or suspension
15
16 of the license.
16
17 2. Upon receipt of a motion to reopen and withdraw an order,
17
18 the president of the Board shall assign a panel for review and
18
19 investigation to be brought to the Board. The Board shall take into
19
20 consideration the issues causing the order; any changes to laws
20
21 relevant to the order since its issue that may have resulted in a
21
22 different outcome if such laws had been in place at the time of the
22
23 complaint; any actions by the licensee to better his or her
23
24 abilities as a practicing licensee; current patient outcomes;
24
Req. No. 936 Page 70
1 service to his or her community or state; and any other issues,
1
2 testimony, or other information relating to the licensee found
2
3 during an investigation or submitted to the Board.
3
4 3. The panel and the president may make a determination that
4
5 the case is not appropriate to bring before the Board and shall have
5
6 the authority to summarily deny the order and, if appropriate, to
6
7 advise the licensee of requirements to complete for future
7
8 consideration. The panel may choose to keep the matter pending
8
9 while the licensee completes the requirements advised.
9
10 4. Upon a case brought before the Board, the Board shall vote
10
11 to withdraw or stay the order. If the order is withdrawn, it shall
11
12 revert to a private settlement agreement pursuant to Section 328.43a
12
13 of this title.
13
14 SECTION 19. AMENDATORY 59 O.S. 2021, Section 328.51a, is
14
15 amended to read as follows:
15
16 Section 328.51a. A. The Board of Dentistry is authorized to
16
17 charge the following fees for the purpose of implementing and
17
18 enforcing the State Dental Act. The penalty and late fee shall be
18
19 twice the amount of the original fee for license renewals.
19
20 Notwithstanding any other provisions of the State Dental Act, the
20
21 fees established by the Board shall be not less nor more than the
21
22 range created by the following schedule:
22
23 1. LICENSE AND PERMIT APPLICATION FEES:
23
24 Minimum Maximum
24
Req. No. 936 Page 71
1 a. License by Examination
1
2 Dentist $200.00 $400.00
$100.00 $200.00
2
3 Dental Hygienist
3
4 b. License by Credentialing
4
5 Dentist $500.00 $1,000.00
$100.00 $200.00
5
6 Dental Hygienist
6
7 c. Dental Specialty License by
7
8 Examination $300.00 $600.00
8
9 d. Dental Specialty License by
9
10 Credentialing $500.00 $1,000.00
10
11 e. Faculty Permit
11
12 Dentist $100.00 $200.00
$50.00 $100.00
12 $50.00 $200.00
13 Dental Hygienist
13
14 f. Dental Student Intern Permit
14
15 g. Temporary License to Practice
15
16 Dental Hygiene $50.00 $100.00
16
17 h. Dental Assistant or Oral
17
18 Maxillofacial Surgery
18
19 Assistant Permit $50.00 $100.00
19
20 i. Dental Assistant with
20
21 Expanded Duty or Duties by
21
22 Credential $100.00 $200.00
22
23 j. Temporary License to Practice
23
24 Dentistry $75.00 $150.00
24
Req. No. 936 Page 72
1 k. Permit to Operate a Dental
1
2 Laboratory � current Oklahoma
2
3 licensed dentist $20.00 $60.00
$100.00 $200.00
3 $100.00 $200.00
$200.00 $500.00
4 l. General Anesthesia Permit
$200.00 $400.00
4 $100.00 $200.00
$300.00 $600.00
5 Dentist
$10.00 $20.00
5 $10.00 $20.00
$200.00 $400.00
6 m. Conscious Sedation Permit $100.00 $200.00
$100.00 $200.00
6
Page 73
7 Dentist
7
8 n. Permit to Operate a Dental
8
9 Laboratory � commercial
9
10 2. RE-EXAMINATION FEES:
10
11 a. License by Examination
11
12 Dentist
12
13 Dental Hygienist
13
14 b. Dental Specialty License by
14
15 Examination
15
16 c. Jurisprudence Only Re-
16
17 Examination
17
18 Dentist
18
19 Dental Hygienist
19
20 3. ANNUAL RENEWAL FEES:
20
21 a. Dentist
21
22 b. Dental Hygienist
22
23 c. Dental Specialty License
23
24 d. Faculty Permit
24
Req. No. 936
1 Dentist $50.00 $100.00
$50.00 $100.00
1 $100.00 $200.00
2 Dental Hygienist $50.00 $100.00
2 $20.00 $60.00
$100.00 $200.00
3 e. Dental Resident, Dental $100.00 $200.00
$300.00 $500.00
3
$30.00 $40.00
4 Fellowship $5.00 $15.00
$5.00 $15.00
4 Page 74
5 f. Dental Assistant, Oral
5
6 Maxillofacial Surgery
6
7 Assistant, or Dental Student
7
8 Intern Permit
8
9 g. Permit to Operate a Dental
9
10 Laboratory, current Oklahoma
10
11 Licensed dentist
11
12 h. General Anesthesia Permit
12
13 Dentist
13
14 i. Conscious Sedation Permit
14
15 Dentist
15
16 j. Permit to Operate a Dental
16
17 Laboratory, non-dentist owner
17
18 4. OTHER FEES:
18
19 a. Duplicate License
19
20 Dentist or Dental
20
21 Hygienist
21
22 b. Duplicate Permit or
22
23 Registration
23
24 c. Certificate of Good Standing
24
Req. No. 936
1 d. Professional Entity
1
2 Certification Letter $5.00 $20.00
2
3 e. Professional Entity
3
4 Registration or Update $5.00 $20.00
4
5 f. Mobile Dental Clinic $200.00 $400.00
5
6 g. List of the Name and Current
6
7 Mailing Address of all
7
8 Persons who hold a License or
8
9 Permit issued by the Board.
9
10 (A request for a list shall
10
11 be submitted to the Board in
11
12 writing noting the specific
12
13 proposed use of the list.) $25.00 $75.00
13
14 h. Official State Dental License
14
15 Identification Card with
15
16 Picture $25.00 $35.00
16
17 i. Returned checks $25.00 $30.00
17
18 B. A person who holds a license to practice dentistry in this
18
19 state, and who also holds a dental specialty license, shall not be
19
20 required to pay an annual renewal fee for the dental specialty
20
21 license if the licensee has paid the annual renewal fee for the
21
22 license to practice dentistry.
22
23 SECTION 20. AMENDATORY 59 O.S. 2021, Section 328.55, is
23
24 amended to read as follows:
24
Req. No. 936 Page 75
1 Section 328.55. All licensees engaged in the practice of
1
2 dentistry in this state shall notify the Board within twenty-four
2
3 (24) hours of the discovery of a death of a patient, or an emergency
3
4 hospital visit where the patient is admitted, pursuant to treatment
4
5 in a dental office and potentially related to the practice of
5
6 dentistry by the licensee. A licensee shall submit a complete
6
7 report to the Board of any fatality or serious injury occurring
7
8 during the practice of dentistry or the discovery of the death of a
8
9 patient whose death is causally related to the practice of dentistry
9
10 by the licensee within thirty (30) days of such occurrence.
10
11 SECTION 21. This act shall become effective November 1, 2025.
11
12
12
13 60-1-936 DC 1/19/2025 5:41:02 AM
13
14
14
15
15
16
16
17
17
18
18
19
19
20
20
21
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22
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Req. No. 936 Page 76Every fact on this page links to its source, starting with the official bill record.