May 13, 2003, Introduced by Reps. Vander Veen, Kooiman, LaJoy, Hager, Voorhees, Newell, Robertson and Caswell and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending section 16611 (MCL 333.16611), as amended by 2002 PA
423.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
1 Sec. 16611. (1) An individual shall not engage in the
2 practice of dentistry, the practice as a dental hygienist, or the
3 practice as a dental assistant unless he or she is licensed or
4 otherwise authorized by this article.
5 (2) Deep scaling, root planing, and the removal of calcareous
6 deposits may only be performed by an individual licensed or
7 otherwise authorized by this article as a dental hygienist or a
8 dentist.
9 (3) The department shall not issue a dental hygienist's
10 license to an individual unless the individual has graduated from
1 a school or college for dental hygienists whose dental hygiene
2 program is accredited by the commission on dental accreditation
3 of the American dental association and approved by the
4 department. The school or college must be accredited by a
5 regional accrediting agency for colleges, universities, or
6 institutions of higher education that is recognized by the United
7 States department of education and approved by the department and
8 must conduct a curriculum consisting of not less than 2 academic
9 years for dental hygiene graduation with courses at the
10 appropriate level to enable matriculation into a more advanced
11 academic degree program.
12 (4) Upon delegation by a dentist under section 16215 and
13 under the direct supervision of a dentist, a dental hygienist may
14 administer intraoral block and infiltration anesthesia to a
15 patient who is 18 years of age or older if the following criteria
16 are met:
17 (a) The dental hygienist has successfully completed a course
18 in the administration of local anesthesia offered by a dental or
19 dental hygiene program accredited by the commission on dental
20 accreditation of the American dental association and approved by
21 the department. A course described in this subdivision must
22 contain a minimum of 15 hours didactic instruction and 14 hours
23 of clinical experience. The courses of instruction shall include
24 content in all of the following:
25 (i) Theory of pain control.
26 (ii) Selection of pain control modalities.
27 (iii) Anatomy.
1 (iv) Neurophysiology.
2 (v) Pharmacology of local anesthetics.
3 (vi) Pharmacology of vasoconstrictors.
4 (vii) Psychological aspects of pain control.
5 (viii) Systemic complications.
6 (ix) Techniques of maxillary anesthesia.
7 (x) Techniques of mandibular anesthesia.
8 (xi) Infection control.
9 (xii) Local anesthesia medical emergencies.
10 (b) The dental hygienist has successfully completed a state
11 or regional board-administered written examination on local
12 anesthesia within 18 months of completion of the course work
13 required under subdivision (a).
14 (c) The dental hygienist maintains and can show evidence of
15 current certification in basic or advanced cardiac life support
16 in compliance with R 338.11701 of the Michigan administrative
17 code.
18 (5) Application for certification in the administration of
19 local anesthesia under subsection (4) is at the discretion of
20 each individual dental hygienist. The department or its designee
21 shall issue a certificate to a dental hygienist who meets the
22 criteria in subsection (4) following the initial completion of
23 the requirements to administer local anesthesia. The certificate
24 is not subject to renewal but is part of the dental hygienist's
25 permanent record and must be prominently displayed in the dental
26 hygienist's principal place of employment. The fee for the
27 person seeking certification for completion of the requirements
1 of subsection (4) is $10.00.
2 (6) As used in this section, "direct supervision" means that
3 a dentist complies with all of the following:
4 (a) Designates a patient of record upon whom the procedures
5 are to be performed and describes the procedures to be
6 performed.
7 (b) Examines the patient before prescribing the procedures to
8 be performed and upon completion of the procedures.
9 (c) Is physically present in the office at the time the
10 procedures are being performed.